01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-12-03 | 6 | 2025-12-03 | 4 |
| Cycle 2 | 2024-08-14 | 2 | 2024-08-14 | 8 |
| Cycle 3 | 2023-06-22 | 4 | 2023-06-22 | 1 |
CMS CCN 5256092026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
St Marys Home For The Aged
1635 S 21St Street · Manitowoc, WI 54220 · Manitowoc County
Certified beds84CMS provider file
Recent citation rows25current 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
25 rows in the current release
0 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.
2025-12-03 · HEALTHF0628Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Correction field: Deficient, Provider has date of correction · 2026-01-03 · complaint2025-12-03 · HEALTHF0658Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Correction field: Deficient, Provider has date of correction · 2026-01-032025-12-03 · 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 · 2026-01-03 · complaint2025-12-03 · 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 · 2026-01-032025-12-03 · HEALTHF0695Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Correction field: Deficient, Provider has date of correction · 2026-01-032025-12-03 · 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 · 2026-01-032025-12-03 · FIREK0271Severity F · widespread; potential for more than minimal harm
Egress Deficiencies
Have exits that are accessible at all times.
Correction field: Deficient, Provider has date of correction · 2026-01-032025-12-03 · 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 · 2026-02-062025-12-03 · FIREK0353Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2026-01-032025-12-03 · FIREK0521Severity E · pattern; 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 · 2026-01-032025-04-30 · HEALTHF0637Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Assess the resident when there is a significant change in condition
Correction field: Deficient, Provider has date of correction · 2025-05-30 · complaint2024-08-14 · FIREE0031Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Provide emergency officials' contact information.
Correction field: Deficient, Provider has date of correction · 2024-09-112024-08-14 · FIREE0032Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Provide primary/alternate means for communication.
Correction field: Deficient, Provider has date of correction · 2024-09-032024-08-14 · 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 · 2024-09-142024-08-14 · FIREK0293Severity E · pattern; potential for more than minimal harm
Egress Deficiencies
Have properly located and lighted "Exit" signs.
Correction field: Deficient, Provider has date of correction · 2024-09-112024-08-14 · FIREK0321Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Correction field: Deficient, Provider has date of correction · 2024-09-112024-08-14 · FIREK0324Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Provide properly protected cooking facilities.
Correction field: Deficient, Provider has date of correction · 2024-09-172024-08-14 · FIREK0374Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Correction field: Deficient, Provider has date of correction · 2024-09-112024-08-14 · FIREK0753Severity E · pattern; 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 · 2024-09-112024-08-14 · FIREK0918Severity F · widespread; potential for more than 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 · 2024-09-302023-06-22 · HEALTHF0656Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Correction field: Deficient, Provider has date of correction · 2023-07-222023-06-22 · HEALTHF0755Severity D · isolated; 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 · 2023-07-222023-06-22 · 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 · 2023-07-222023-06-22 · 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 · 2023-07-2203 / 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
- FELICIAN SERVICES INCOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST100% · since 11/09/2009
- FELICIAN SERVICES INCOrganization · 5% OR GREATER MORTGAGE INTERESTNOT APPLICABLE · since 06/30/2012
- SIDHU, SARFRAZIndividual · CONTRACTED MANAGING EMPLOYEENOT APPLICABLE · since 01/01/2024
- BRUCKSCHEN, MEGANIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 11/14/2022
- CORBEIL, LINDSEYIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 08/13/2021
- DENOR, JEREMYIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 08/16/2021
- HILLMER, MICHAELIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 03/06/2017
- JACOBI, ROSELLEIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 01/09/2023
- MILLER, MICHAELIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 11/13/2018
- OTTEN, SHANNONIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 02/06/2023
- SCHUBERT, LUKEIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 09/01/2023
- SPIES, BARBARAIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 07/08/2023
- THOMPSON, RENEEIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 03/20/2023
- WECH, DARCYIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 12/01/2016
- BRUCKSCHEN, MEGANIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 11/14/2022
- CORBEIL, LINDSEYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 08/13/2021
- DENOR, JEREMYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 08/16/2021
- DONLON, MARCIAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 06/01/2021
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 hours5.09per resident day
RN hours1.13per resident day
Weekend nurse hours4.60per resident day
Staff turnover51.5%CMS reported field
06 / LOCAL RECORDS
Open the Manitowoc ledger →