01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2026-01-07 | 4 | 2026-01-07 | 2 |
| Cycle 2 | 2024-09-05 | 4 | 2024-09-05 | 9 |
| Cycle 3 | 2023-08-23 | 1 | 2023-08-23 | 2 |
CMS CCN 5254862026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Serenity Spring Senior Living At Green Bay
1555 Dousman St · Green Bay, WI 54303 · Brown County
Certified beds64CMS provider file
Recent citation rows22current 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
22 rows in the current release
0 rows carry G–L scope/severity codes; 0 carry J–L. 2 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-01-07 · HEALTHF0558Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Correction field: Deficient, Provider has date of correction · 2026-01-302026-01-07 · HEALTHF0645Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
Correction field: Deficient, Provider has date of correction · 2026-01-302026-01-07 · 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 · 2026-01-302026-01-07 · HEALTHF0880Severity E · pattern; 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 · 2026-01-302026-01-07 · FIREK0211Severity E · pattern; potential for more than minimal harm
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Correction field: Deficient, Provider has date of correction · 2026-01-162026-01-07 · FIREK0912Severity D · isolated; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have power receptacles that are properly grounded.
Correction field: Deficient, Provider has date of correction · 2026-01-292024-11-27 · HEALTHF0609Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Correction field: Deficient, Provider has date of correction · 2024-11-28 · complaint2024-09-05 · HEALTHF0623Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Correction field: Deficient, Provider has date of correction · 2024-09-112024-09-05 · HEALTHF0625Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Correction field: Deficient, Provider has date of correction · 2024-09-112024-09-05 · HEALTHF0812Severity E · pattern; 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 · 2024-09-272024-09-05 · FIREK0161Severity F · widespread; potential for more than minimal harm
Construction Deficiencies
Use approved construction type or materials.
Correction field: Deficient, Provider has date of correction · 2024-10-252024-09-05 · FIREK0345Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Correction field: Deficient, Provider has date of correction · 2024-09-272024-09-05 · FIREK0353Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2024-10-102024-09-05 · FIREK0372Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Correction field: Deficient, Provider has date of correction · 2024-09-282024-09-05 · FIREK0511Severity D · isolated; potential for more than minimal harm
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Correction field: Deficient, Provider has date of correction · 2024-09-052024-09-05 · FIREK0521Severity D · isolated; potential for more than minimal harm
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Correction field: Deficient, Provider has date of correction · 2024-09-062024-09-05 · FIREK0761Severity E · pattern; potential for more than minimal harm
Miscellaneous Deficiencies
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Correction field: Deficient, Provider has date of correction · 2024-09-232024-09-05 · FIREK0914Severity D · isolated; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Correction field: Deficient, Provider has date of correction · 2024-09-272024-09-05 · FIREK0923Severity D · isolated; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Correction field: Deficient, Provider has date of correction · 2024-09-052023-08-23 · 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 · 2023-08-242023-08-23 · FIREK0353Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2023-08-242023-08-23 · FIREK0918Severity C · widespread; potential for minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Correction field: Deficient, Provider has date of correction · 2023-09-0703 / 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
- COBB, BRITTANYIndividual · 5% OR GREATER DIRECT OWNERSHIP INTEREST49% · since 01/01/2018
- ZUNKER, ADAMIndividual · 5% OR GREATER DIRECT OWNERSHIP INTEREST49% · since 01/01/2018
- ZUNKER, DONALDIndividual · DIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 01/01/2018
- ZUNKER, DONNAIndividual · DIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 01/01/2018
- COBB, BRITTANYIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 02/28/2018
- COBB, BRITTANYIndividual · CORPORATE OFFICERNOT APPLICABLE · since 08/11/2011
- ZUNKER, DONALDIndividual · CORPORATE OFFICERNOT APPLICABLE · since 01/01/1994
- CARPENTER, BRENDAIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 11/06/2021
- COBB, BRITTANYIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 11/08/2011
- SCHINSCHKE, SCOTTIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 01/01/2020
- ZUNKER, DONALDIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 01/01/1994
- ZUNKER, DONNAIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 01/01/1994
- CARPENTER, BRENDAIndividual · ADP OF THE SNFNOT APPLICABLE · since 11/06/2021
- COBB, BRITTANYIndividual · ADP OF THE SNFNOT APPLICABLE · since 11/08/2011
- SCHINSCHKE, SCOTTIndividual · ADP OF THE SNFNOT APPLICABLE · since 01/01/2020
- ZUNKER, DONALDIndividual · ADP OF THE SNFNOT APPLICABLE · since 01/01/1999
- ZUNKER, DONNAIndividual · ADP OF THE SNFNOT APPLICABLE · since 01/01/1999
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 hours4.58per resident day
RN hours0.76per resident day
Weekend nurse hours4.07per resident day
Staff turnover43.2%CMS reported field
06 / LOCAL RECORDS
Open the Green Bay ledger →Other published facilities nearby
Brown Cty Comm Treatment Ctr-Bayshore Village63 beds · CMS overall 5/537 citation rowsEdenbrook Of Green Bay90 beds · CMS overall 3/559 citation rowsGreen Bay Health Services125 beds · CMS overall 2/544 citation rowsOdd Fellow Home88 beds · CMS overall 2/567 citation rowsWoodside Lutheran Home118 beds · CMS overall 5/521 citation rows