01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-02-12 | 7 | 2025-02-12 | 1 |
| Cycle 2 | 2024-01-04 | 4 | 2024-01-04 | 0 |
| Cycle 3 | 2022-11-10 | 1 | 2022-11-10 | 0 |
CMS CCN 5256262026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Christian Community Home
1320 Wisconsin St · Hudson, WI 54016 · St. Croix County
Certified beds50CMS provider file
Recent citation rows13current CMS citation release
Penalty rows1current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
13 rows in the current release
1 rows carry G–L scope/severity codes; 0 carry J–L. 1 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2025-02-12 · HEALTHF0684Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2025-03-062025-02-12 · HEALTHF0686Severity G · isolated actual harm
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Correction field: Deficient, Provider has date of correction · 2025-03-062025-02-12 · HEALTHF0688Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Correction field: Deficient, Provider has date of correction · 2025-03-062025-02-12 · HEALTHF0689Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2025-03-062025-02-12 · HEALTHF0755Severity E · pattern; potential for more than minimal harm
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Correction field: Deficient, Provider has date of correction · 2025-03-062025-02-12 · HEALTHF0757Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Correction field: Deficient, Provider has date of correction · 2025-03-062025-02-12 · HEALTHF0812Severity F · widespread; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2025-03-062025-02-12 · FIREK0919Severity D · isolated; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Meet requirements for the use of electrical equipment.
Correction field: Deficient, Provider has date of correction · 2025-03-032024-01-04 · HEALTHF0563Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.
Correction field: Deficient, Provider has date of correction · 2024-02-132024-01-04 · HEALTHF0812Severity F · widespread; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2024-02-132024-01-04 · HEALTHF0880Severity F · widespread; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2024-02-132024-01-04 · HEALTHF0883Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Correction field: Deficient, Provider has date of correction · 2024-02-132022-11-10 · HEALTHF0812Severity F · widespread; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2022-12-0203 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2023-11-06 | Fine | $5,293 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- ANDERSON, ELLIOTIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 06/01/2022
- BEBAULT, MIKEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 06/01/2023
- DUNHAM, RHONDAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 06/01/2023
- FAHS, DANIELIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 06/01/2024
- GERRITTS, JOHNIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 06/01/2022
- GIBSON, CRAIGIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 06/01/2022
- JOHNSON, ERICIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 09/01/2021
- MORK, AARONIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 06/01/2023
- SCHWAB, DEBRAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 06/01/2021
- SIMONSON, DARYLIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 06/01/2018
- STAEBELL, ROBERTIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 06/01/2022
- STARR, JACKIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 06/01/2020
- ZAJAC, CLAIREIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 09/01/2021
- KACZROWSKI, JAMESIndividual · CORPORATE OFFICERNOT APPLICABLE · since 01/06/2022
- KLINGFUS, PAMELAIndividual · CORPORATE OFFICERNOT APPLICABLE · since 05/17/2021
- CHRISTIAN COMMUNITY HOMES AND SERVICES INCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 01/01/1980
- FIELD, THOMASIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 01/01/2010
- KACZROWSKI, JAMESIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 01/06/2022
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours4.24per resident day
RN hours1.48per resident day
Weekend nurse hours3.86per resident day
Staff turnover49.2%CMS reported field
06 / LOCAL RECORDS
Open the Wisconsin ledger →Other published facilities nearby
No second facility in the same city met the directory rule.