Waunakee Valley Senior Living
Waunakee, Dane County, Wisconsin · CCN 525098 · For-profit (Corporation) · part of Trilogy Health Services (123 facilities, chain average 4.2 stars)
CMS rates Waunakee Valley Senior Living 3 of 5 overall as of August 2026. 84 certified beds, 54 residents a day on average. 24 citations on record from the current inspection cycles, 2 at immediate jeopardy; 2 fines totalling $32,856 and 1 payment denial.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★★★☆☆ 3 of 5 |
|---|---|
| Health inspections | ★★☆☆☆ 2 of 5 |
| Staffing | ★★☆☆☆ 2 of 5 |
| Quality measures | ★★★★★ 5 of 5 |
| Quality: long-stay / short-stay | 4 / 5 of 5 |
Staffing
| Total nurse staffing | 3.64217 hours per resident per day |
|---|---|
| Registered nurses | 0.51477 hours per resident per day |
| Weekend total | 3.3166 hours per resident per day |
| Nursing staff turnover | 62.5% (registered nurses 75%) |
| Administrators who left | 1 |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2026-04-09 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
G Actual harm that is not immediate jeopardy; isolated | Deficient, Provider has date of correction 2026-05-08 |
| 2026-04-09 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · tag F0695 |
G Actual harm that is not immediate jeopardy; isolated | Deficient, Provider has date of correction 2026-05-08 |
| 2026-04-09 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2026-05-08 |
| 2026-04-09 | Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · tag F0554 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-05-08 |
| 2026-04-09 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-05-08 |
| 2025-01-23 | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · tag F0645 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-02-21 |
| 2025-01-23 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-02-21 |
| 2025-01-23 complaint survey |
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Quality of Life and Care Deficiencies · tag F0740 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-02-21 |
| 2025-01-23 complaint survey |
Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · tag F0760 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-02-21 |
| 2025-01-23 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · tag F0761 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-02-21 |
| 2024-11-11 complaint survey |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
J Immediate jeopardy to resident health or safety; isolated | Past Non-Compliance 2024-10-30 |
| 2024-11-11 complaint survey |
Observe each nurse aide's job performance and give regular training. Nursing and Physician Services Deficiencies · tag F0730 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-12-06 |
| 2024-11-11 complaint survey |
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · tag F0804 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-12-06 |
| 2024-11-11 complaint survey |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · tag F0755 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-12-12 |
| 2024-08-06 complaint survey |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · tag F0686 |
J Immediate jeopardy to resident health or safety; isolated | Deficient, Provider has date of correction 2024-10-18 |
| 2024-08-06 complaint survey |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-09-03 |
| 2024-08-06 complaint survey |
Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0610 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-09-03 |
| 2024-08-06 complaint survey |
Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-10-18 |
| 2024-01-08 complaint survey |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2024-02-05 |
| 2024-01-08 complaint survey |
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · tag F0804 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-02-05 |
| 2024-01-08 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · tag F0677 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-02-05 |
| 2024-01-08 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-02-05 |
| 2024-01-08 | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · tag F0692 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-02-05 |
| 2024-01-08 complaint survey |
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. Quality of Life and Care Deficiencies · tag F0742 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-02-05 |
Fines and payment denials
| Date | Penalty | Amount |
|---|---|---|
| 2024-11-11 | Fine | $16,055 |
| 2024-08-06 | Payment denial for 44 days from 2024-09-04 | — |
| 2024-08-06 | Fine | $16,801 |
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| Continental Merger Sub LLC Organization | 5% or greater indirect ownership interest | 100% | 2023-03-01 |
| Gahc3 Trilogy Jv LLC Organization | adp of the snf | — | 2026-01-01 |
| Gahc4 Trilogy Jv LLC Organization | adp of the snf | — | 2026-01-01 |
| Trilogy Investors LLC Organization | adp of the snf | — | 2026-01-01 |
| Trilogy Management Services LLC Organization | adp of the snf | — | 2025-07-17 |
| Trilogy Property Holdings LLC Organization | adp of the snf | — | 2026-01-01 |
| Trilogy Real Estate Investment Trust Organization | adp of the snf | — | 2026-01-01 |
| Trilogy Reit Holdings LLC Organization | adp of the snf | — | 2026-01-01 |
| Hoekstra, Ryan Individual | adp of the snf | — | 2026-02-05 |
| Kuehn, Lucas Individual | adp of the snf | — | 2025-01-01 |
| Barney, Leigh Individual | individual is an owner, partner or trustee of any adp of the snf | — | 2026-03-16 |
| Barney, Leigh Individual | managing control - governing body | — | 2026-01-01 |
| Conner, Gregory Individual | managing control - governing body | — | 2026-01-01 |
| Davis, David Individual | managing control - governing body | — | 2026-01-01 |
| Mehaffey, Todd Individual | managing control - governing body | — | 2026-01-01 |
| Pietrowski, Cristina Individual | managing control - governing body | — | 2026-01-01 |
| Prosky, Danny Individual | managing control - governing body | — | 2023-03-01 |
| Willhite, Gabriel Individual | managing control - governing body | — | 2023-03-01 |
| Corbin, Kathy Individual | operational/managerial control | — | 2015-12-01 |
| Fightmaster, Lisa Individual | operational/managerial control | — | 2023-03-01 |
| Hoekstra, Ryan Individual | operational/managerial control | — | 2025-03-01 |
| Pietrowski, Cristina Individual | operational/managerial control | — | 2026-01-01 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Waunakee Valley Senior Living.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Dane County.