Nursing Care Index

Door County Memorial Hospital Snf

Sturgeon Bay, Door County, Wisconsin · CCN 525377 · Non-profit (Corporation) · not part of a chain

CMS rates Door County Memorial Hospital Snf 5 of 5 overall as of August 2026. 32 certified beds, 31 residents a day on average. 9 citations on record from the current inspection cycles; no fines on record.

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★★★★★ 5 of 5
Health inspections★★★★☆ 4 of 5
Staffing★★★★★ 5 of 5
Quality measures★★★★★ 5 of 5
Quality: long-stay / short-stay5 / — of 5

Staffing

Total nurse staffing4.78458 hours per resident per day
Registered nurses1.5871 hours per resident per day
Weekend total4.5824 hours per resident per day
Nursing staff turnover63.9% (registered nurses 38.9%)
Administrators who left0

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.

SurveyFindingSeverityStatus
2026-04-28 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
2026-06-08
2025-07-02
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
2025-07-25
2025-07-02
complaint survey
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · tag F0580
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-07-23
2025-07-02
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
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-07-27
2025-07-02
complaint survey
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · tag F0842
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-07-23
2025-02-19 Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2025-02-27
2025-02-19 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · tag F0580
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-02-22
2025-02-19 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
2025-03-12
2024-01-04
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
2024-02-12

Fines and payment denials

No fines or payment denials on record since 2023.

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.

NameRoleShareSince
St Vincent Hospital-Hospital Sisters-Third Order Of St Francis
Organization
adp of the snf2025-02-14
St Vincent Hospital-Hospital Sisters-Third Order Of St Francis
Organization
operational/managerial control2016-10-28
Alberts, Jamie
Individual
adp of the snf2021-01-01
Andreae, Bradley
Individual
adp of the snf2024-01-01
Antonio, Maria Chona
Individual
adp of the snf2024-07-01
Bohrman, Nancy
Individual
adp of the snf2024-07-01
Collison, Edgar
Individual
adp of the snf2025-05-14
Dahl, Corwin
Individual
adp of the snf2021-01-01
Dempster, Dorene
Individual
adp of the snf2019-01-01
Erickson, Robert
Individual
adp of the snf2024-05-15
Helgeson, Erin
Individual
adp of the snf2024-01-01
Helm, Pauline
Individual
adp of the snf2023-01-01
Jarosh, Jonathan
Individual
adp of the snf2024-01-01
Kitchens, Joel
Individual
adp of the snf2021-01-01
Laluzerne, Andrew
Individual
adp of the snf2018-10-29
Rabas, Jeffrey
Individual
adp of the snf2022-01-01
Rebhan, Joseph
Individual
adp of the snf2026-01-01
Richmond, Andrew
Individual
adp of the snf2017-10-01
St Jean, Michael
Individual
adp of the snf2025-01-01
Stephens, Brian
Individual
adp of the snf2019-01-06
Sternard, Tammy
Individual
adp of the snf2025-01-01
Urban, Caroline
Individual
adp of the snf2024-07-01
Vickman, Patricia
Individual
adp of the snf2017-10-01
Ziegelbauer, Martha
Individual
adp of the snf2022-01-01
Alberts, Jamie
Individual
corporate director2021-01-01
Andreae, Bradley
Individual
corporate director2024-01-01
Collison, Edgar
Individual
corporate director2025-05-14
Dahl, Corwin
Individual
corporate director2021-01-01
Dempster, Dorene
Individual
corporate director2019-01-01
Erickson, Robert
Individual
corporate director2024-05-15
Helgeson, Erin
Individual
corporate director2024-01-01
Helm, Pauline
Individual
corporate director2023-01-01
Jarosh, Jonathan
Individual
corporate director2024-01-01
Kitchens, Joel
Individual
corporate director2021-01-01
Rabas, Jeffrey
Individual
corporate director2022-01-01
Rebhan, Joseph
Individual
corporate director2026-01-01
Richmond, Andrew
Individual
corporate director2017-10-01
St Jean, Michael
Individual
corporate director2025-01-01
Sternard, Tammy
Individual
corporate director2025-01-01
Vickman, Patricia
Individual
corporate director2017-10-01
Ziegelbauer, Martha
Individual
corporate director2022-01-01
Laluzerne, Andrew
Individual
corporate officer2018-10-29
Stephens, Brian
Individual
corporate officer2019-01-06
Alberts, Jamie
Individual
operational/managerial control2021-01-01
Andreae, Bradley
Individual
operational/managerial control2024-01-01
Antonio, Maria Chona
Individual
operational/managerial control2024-07-01
Bohrman, Nancy
Individual
operational/managerial control2024-07-01
Collison, Edgar
Individual
operational/managerial control2025-05-14
Dahl, Corwin
Individual
operational/managerial control2021-01-01
Dempster, Dorene
Individual
operational/managerial control2019-01-01
Erickson, Robert
Individual
operational/managerial control2024-05-15
Helgeson, Erin
Individual
operational/managerial control2024-01-01
Helm, Pauline
Individual
operational/managerial control2023-01-01
Jarosh, Jonathan
Individual
operational/managerial control2024-01-01
Kitchens, Joel
Individual
operational/managerial control2021-01-01
Laluzerne, Andrew
Individual
operational/managerial control2018-10-29
Rabas, Jeffrey
Individual
operational/managerial control2022-01-01
Rebhan, Joseph
Individual
operational/managerial control2026-01-01
Richmond, Andrew
Individual
operational/managerial control2017-10-01
St Jean, Michael
Individual
operational/managerial control2025-01-01
Stephens, Brian
Individual
operational/managerial control2019-01-06
Sternard, Tammy
Individual
operational/managerial control2025-01-01
Urban, Caroline
Individual
operational/managerial control2024-07-01
Vickman, Patricia
Individual
operational/managerial control2017-10-01
Ziegelbauer, Martha
Individual
operational/managerial control2022-01-01

What changed

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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 Door County.