Serenity Spring Senior Living At Scandia Village
Nursing home · 10560 Applewood Rd, Sister Bay, WI 54234 · Door County
Prices
No published price is available. Ask the facility directly.
Facility
- Type
- Nursing home · TITLE 18 SNF TITLE 19 NF
- Capacity
- 50
- State license
- 3111
- Medicare CCN
- 525494
- Licensed entity
- SISTER BAY SNF OPCO, LLC
- Chain
- CONTINUUM HEALTHCARE
- Ownership
- For profit - Limited Liability company
- Phone
- (920) 854-2317
- Nurse staffing
- 3.45 hours per resident per day; 70.4% nursing staff turnover
- Medicare ratings
- Inspections 2★ · Staffing 3★ · Quality 3★
- Official record
- Wisconsin DQA Provider Search
- Official record
- Medicare Care Compare
Penalties
- Feb 10, 2026 — Payment Denial · payment denial 131 days
Inspection findings
-
Jun 3, 2026 Health · 21 findings
-
Not serious
Scope/severity C
F0576 Resident Rights Deficiencies
Ensure residents have reasonable access to and privacy in their use of communication methods.
Corrected Jul 1, 2026 · CMS health inspection
-
Not serious
Scope/severity D
F0578 Resident Rights Deficiencies
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected Jul 1, 2026 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected Jul 1, 2026 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0610 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Corrected Jul 1, 2026 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0628 Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected Jul 1, 2026 · CMS health inspection
-
Not serious
Scope/severity D
F0656 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.
Corrected Jul 1, 2026 · CMS health inspection
-
Not serious
Scope/severity D
F0684 Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected Jul 1, 2026 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0686 Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected Jul 1, 2026 · CMS health inspection
-
Not serious
Scope/severity E
Complaint
F0689 Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected Jul 1, 2026 · CMS health inspection
-
Not serious
Scope/severity D
F0692 Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Corrected Jul 1, 2026 · CMS health inspection
-
Not serious
Scope/severity D
F0755 Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected Jul 1, 2026 · CMS health inspection
-
Not serious
Scope/severity D
F0880 Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Corrected Jul 1, 2026 · CMS health inspection
-
Not serious
Scope/severity D
F0883 Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected Jul 1, 2026 · CMS health inspection
-
Not serious
Scope/severity E
K0321 Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected Jul 15, 2026 · CMS fire safety
-
Not serious
Scope/severity D
K0324 Smoke Deficiencies
Provide properly protected cooking facilities.
Corrected Jul 15, 2026 · CMS fire safety
-
Not serious
Scope/severity D
K0331 Smoke Deficiencies
Construct fire resistant interior walls.
Corrected Jul 15, 2026 · CMS fire safety
-
Not serious
Scope/severity E
K0341 Smoke Deficiencies
Install a fire alarm system that can be heard throughout the facility.
Corrected Jul 15, 2026 · CMS fire safety
-
Not serious
Scope/severity E
K0353 Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Corrected Jul 15, 2026 · CMS fire safety
-
Not serious
Scope/severity F
K0521 Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected Jul 15, 2026 · CMS fire safety
-
Not serious
Scope/severity F
K0761 Miscellaneous Deficiencies
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected Jul 15, 2026 · CMS fire safety
-
Not serious
Scope/severity F
K0918 Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Corrected Jul 15, 2026 · CMS fire safety
-
Not serious
Scope/severity C
-
Feb 10, 2026 Health · 3 findings
-
Not serious
Scope/severity D
Complaint
F0580 Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected Mar 7, 2026 · CMS health inspection
-
Serious
Scope/severity G
Complaint
F0686 Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected Jul 1, 2026 · CMS health inspection
-
Not serious
Scope/severity E
Complaint
F0803 Nutrition and Dietary Deficiencies
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected Mar 7, 2026 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
May 7, 2025 Health · 19 findings
-
Not serious
Scope/severity D
F0552 Resident Rights Deficiencies
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected Jun 7, 2025 · CMS health inspection
-
Not serious
Scope/severity D
F0585 Resident Rights Deficiencies
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected Jun 7, 2025 · CMS health inspection
-
Not serious
Scope/severity D
F0605 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected Jun 7, 2025 · CMS health inspection
-
Not serious
Scope/severity E
F0607 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected Jun 7, 2025 · CMS health inspection
-
Not serious
Scope/severity D
F0628 Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected Jun 7, 2025 · CMS health inspection
-
Not serious
Scope/severity D
F0644 Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected Jun 7, 2025 · CMS health inspection
-
Not serious
Scope/severity D
F0657 Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected Jun 7, 2025 · CMS health inspection
-
Not serious
Scope/severity D
F0684 Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected Jun 7, 2025 · CMS health inspection
-
Not serious
Scope/severity D
F0755 Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected Jun 7, 2025 · CMS health inspection
-
Not serious
Scope/severity D
F0756 Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected Jun 7, 2025 · CMS health inspection
-
Not serious
Scope/severity F
F0812 Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected Jun 7, 2025 · CMS health inspection
-
Not serious
Scope/severity E
K0161 Construction Deficiencies
Use approved construction type or materials.
Corrected Jun 7, 2025 · CMS fire safety
-
Not serious
Scope/severity E
K0211 Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected Jun 7, 2025 · CMS fire safety
-
Not serious
Scope/severity E
K0353 Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Corrected Jul 18, 2025 · CMS fire safety
-
Not serious
Scope/severity E
K0372 Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected Jun 7, 2025 · CMS fire safety
-
Not serious
Scope/severity E
K0511 Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Corrected Jun 7, 2025 · CMS fire safety
-
Not serious
Scope/severity E
K0521 Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected Jun 7, 2025 · CMS fire safety
-
Not serious
Scope/severity F
K0918 Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Corrected Jun 7, 2025 · CMS fire safety
-
Not serious
Scope/severity E
K0925 Gas, Vacuum, and Electrical Systems Deficiencies
Ensure that sources of ignition are removed from patients receiving respiratory therapy.
Corrected Jun 7, 2025 · CMS fire safety
-
Not serious
Scope/severity D
-
Sep 17, 2024 Health · 3 findings
-
Not serious
Scope/severity D
Complaint
F0610 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Corrected Oct 17, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0684 Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected Oct 17, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0689 Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected Oct 17, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Apr 24, 2024 Fire Safety · 30 findings
-
Not serious
Scope/severity F
E0004 Emergency Preparedness Deficiencies
Develop and maintain an Emergency Preparedness Program (EP).
Corrected May 24, 2024 · CMS fire safety
-
Not serious
Scope/severity F
E0039 Emergency Preparedness Deficiencies
Conduct testing and exercise requirements.
Corrected May 24, 2024 · CMS fire safety
-
Not serious
Scope/severity D
F0552 Resident Rights Deficiencies
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected May 24, 2024 · CMS health inspection
-
Not serious
Scope/severity D
F0623 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.
Corrected May 24, 2024 · CMS health inspection
-
Not serious
Scope/severity D
F0625 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.
Corrected May 24, 2024 · CMS health inspection
-
Not serious
Scope/severity D
F0641 Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Corrected May 24, 2024 · CMS health inspection
-
Not serious
Scope/severity D
F0645 Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected May 24, 2024 · CMS health inspection
-
Not serious
Scope/severity D
F0655 Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected May 24, 2024 · CMS health inspection
-
Not serious
Scope/severity D
F0656 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.
Corrected May 24, 2024 · CMS health inspection
-
Not serious
Scope/severity E
F0657 Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected May 24, 2024 · CMS health inspection
-
Not serious
Scope/severity D
F0677 Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected May 24, 2024 · CMS health inspection
-
Not serious
Scope/severity D
F0684 Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected May 24, 2024 · CMS health inspection
-
Not serious
Scope/severity D
F0689 Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 24, 2024 · CMS health inspection
-
Not serious
Scope/severity E
F0692 Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Corrected May 24, 2024 · CMS health inspection
-
Not serious
Scope/severity D
F0757 Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected May 24, 2024 · CMS health inspection
-
Not serious
Scope/severity D
F0758 Pharmacy Service Deficiencies
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected May 24, 2024 · CMS health inspection
-
Not serious
Scope/severity F
F0812 Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected May 24, 2024 · CMS health inspection
-
Not serious
Scope/severity C
F0868 Administration Deficiencies
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected May 24, 2024 · CMS health inspection
-
Not serious
Scope/severity F
F0880 Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Corrected May 24, 2024 · CMS health inspection
-
Not serious
Scope/severity F
F0882 Infection Control Deficiencies
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected May 24, 2024 · CMS health inspection
-
Not serious
Scope/severity E
K0293 Egress Deficiencies
Have properly located and lighted "Exit" signs.
Corrected May 24, 2024 · CMS fire safety
-
Not serious
Scope/severity F
K0321 Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected May 24, 2024 · CMS fire safety
-
Not serious
Scope/severity F
K0345 Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected Aug 15, 2024 · CMS fire safety
-
Not serious
Scope/severity E
K0351 Smoke Deficiencies
Install an approved automatic sprinkler system.
Corrected May 24, 2024 · CMS fire safety
-
Not serious
Scope/severity F
K0353 Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Corrected Aug 15, 2024 · CMS fire safety
-
Not serious
Scope/severity F
K0522 Services Deficiencies
Have an externally vented heating system.
Corrected May 24, 2024 · CMS fire safety
-
Not serious
Scope/severity F
K0712 Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Corrected May 24, 2024 · CMS fire safety
-
Not serious
Scope/severity F
K0753 Miscellaneous Deficiencies
Have restrictions on the use of highly flammable decorations.
Corrected May 24, 2024 · CMS fire safety
-
Not serious
Scope/severity E
K0919 Gas, Vacuum, and Electrical Systems Deficiencies
Meet requirements for the use of electrical equipment.
Corrected May 24, 2024 · CMS fire safety
-
Not serious
Scope/severity F
K0920 Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Corrected May 24, 2024 · CMS fire safety
-
Not serious
Scope/severity F
Owners and managers (as published by CMS)
- BRUCKSTEIN, DANIEL — direct ownership interest, NOT APPLICABLE, since 01/25/2024
- BRUCKSTEIN, DANIEL — adp of the snf, NOT APPLICABLE, since 01/25/2024
- DORN, CHERYL — operational/managerial control, NOT APPLICABLE, since 01/25/2024
- DORN, CHERYL — corporate officer, NOT APPLICABLE, since 01/25/2024
- EISENBERG, ANDREW — indirect ownership interest, NOT APPLICABLE, since 01/25/2024
- EISENBERG, ANDREW — adp of the snf, NOT APPLICABLE, since 01/25/2024
- JOHNSON, RORY — operational/managerial control, NOT APPLICABLE, since 01/25/2024
- JOHNSON, RORY — adp of the snf, NOT APPLICABLE, since 01/25/2024
- LITMAN, WARREN — operational/managerial control, NOT APPLICABLE, since 06/01/2024
- LITMAN, WARREN — corporate director, NOT APPLICABLE, since 06/01/2024
- MANDELBAUM, DANIEL — corporate officer, NOT APPLICABLE, since 01/25/2024
- MANDELBAUM, DANIEL — operational/managerial control, NOT APPLICABLE, since 01/25/2024
- SCHMITZ, ARTHUR — operational/managerial control, NOT APPLICABLE, since 01/25/2024
- SCHMITZ, ARTHUR — adp of the snf, NOT APPLICABLE, since 01/25/2024
- CONTINUUM HEALTHCARE I INC — operational/managerial control, NOT APPLICABLE, since 06/01/2023
- CONTINUUM HEALTHCARE I INC — adp of the snf, NOT APPLICABLE, since 11/06/2025
- FASTEN HALBERSTAM LLP — operational/managerial control, NOT APPLICABLE, since 01/25/2024
- FASTEN HALBERSTAM LLP — adp of the snf, NOT APPLICABLE, since 11/17/2025
- GRAPE TREE MEDICAL STAFFING LLC — adp of the snf, NOT APPLICABLE, since 06/01/2023
- SCANDIA VILLAGE MEMBER LLC — direct ownership interest, NOT APPLICABLE, since 01/25/2024
- SCANDIA VILLAGE MEMBER LLC — adp of the snf, NOT APPLICABLE, since 01/25/2024
- SISTER BAY SNF REALTY LLC — adp of the snf, NOT APPLICABLE, since 01/25/2024
- SISTER BAY SNF REALTY LLC — 5% or greater mortgage interest, NOT APPLICABLE, since 01/25/2024
- WIPFLI ADVISORY LLC — adp of the snf, NOT APPLICABLE, since 11/17/2025
- WIPFLI ADVISORY LLC — operational/managerial control, NOT APPLICABLE, since 11/25/2024
Sources: Wisconsin Department of Health Services (directory, assisted-living survey documents) and CMS Care Compare (nursing homes). “Harm or jeopardy level” is CMS scope/severity G–L. About this data.