01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2026-06-17 | 1 | 2026-06-17 | 0 |
| Cycle 2 | 2025-06-04 | 2 | 2025-06-04 | 3 |
| Cycle 3 | 2024-04-11 | 0 | 2024-04-11 | 3 |
CMS CCN 5255722026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Masonic Center For Health & Rehab Inc.
410 N Main St · Dousman, WI 53118 · Waukesha County
Certified beds50CMS provider file
Recent citation rows9current CMS citation release
Penalty rows0current 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
9 rows in the current release
0 rows carry G–L scope/severity codes; 0 carry J–L. 0 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-01-29 · HEALTHF0610Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Correction field: Deficient, Provider has date of correction · 2026-02-25 · complaint2025-06-04 · FIREE0013Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Develop Emergency Preparedness policies and procedures.
Correction field: Deficient, Provider has date of correction · 2025-07-032025-06-04 · 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 · 2025-07-032025-06-04 · HEALTHF0880Severity D · isolated; 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 · 2025-07-032025-06-04 · FIREK0293Severity D · isolated; potential for more than minimal harm
Egress Deficiencies
Have properly located and lighted "Exit" signs.
Correction field: Deficient, Provider has date of correction · 2025-07-032025-06-04 · FIREK0753Severity D · isolated; potential for more than minimal harm
Miscellaneous Deficiencies
Have restrictions on the use of highly flammable decorations.
Correction field: Deficient, Provider has date of correction · 2025-07-032024-04-11 · FIREE0039Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Conduct testing and exercise requirements.
Correction field: Deficient, Provider has date of correction · 2024-05-072024-04-11 · FIREK0351Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Install an approved automatic sprinkler system.
Correction field: Deficient, Provider has date of correction · 2024-04-222024-04-11 · FIREK0355Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Correction field: Deficient, Provider has date of correction · 2024-04-2203 / 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 |
|---|---|---|---|
| No penalty row appeared in the August 2026 penalties file. | |||
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- WISCONSIN MASONIC HOME, INCOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST100% · since 08/08/1984
- WISCONSIN MASONIC HOME, INCOrganization · 5% OR GREATER MORTGAGE INTERESTNOT APPLICABLE · since 03/10/2021
- WISCONSIN MASONIC HOME, INCOrganization · 5% OR GREATER SECURITY INTERESTNOT APPLICABLE · since 06/07/2013
- GERVAIS, LISAIndividual · CONTRACTED MANAGING EMPLOYEENOT APPLICABLE · since 12/28/2022
- CHAPMAN, CARLYIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 10/12/2022
- FREUCK, JEANIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 05/21/2012
- STRAUTMAN, MARKIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 09/17/2011
- VANDENBERG, JOSHIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 12/09/2022
- FREUCK, JEANIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 05/21/2012
- MCLEER, JAMESIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2019
- STRAUTMAN, MARKIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 09/17/2011
- FREUCK, JEANIndividual · CORPORATE OFFICERNOT APPLICABLE · since 05/21/2012
- STRAUTMAN, MARKIndividual · CORPORATE OFFICERNOT APPLICABLE · since 09/17/2011
- CHAPMAN, CARLYIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 10/12/2022
- FREUCK, JEANIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 05/21/2012
- STRAUTMAN, MARKIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 09/17/2011
- VANDENBERG, JOSHIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 12/09/2022
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 hours5.03per resident day
RN hours1.05per resident day
Weekend nurse hours4.54per resident day
Staff turnover25.4%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.