Serenity Spring Senior Living at Scandia Village

Nursing Home · Sister Bay, WI

CMS overall rating 2/5 For profit - Limited Liability company

CMS certification number525494

Contact & location

10560 Applewood Rd
Sister Bay, WI 54234
Door County
Phone
(920) 854-2317
ZIP code
54234 – all care providers

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Facility details

Certified beds
50
Residents per day
42.3 (85% occupied)
Ownership
For profit - Limited Liability company
Legal name
Sister Bay SNF Opco, LLC
Chain
Continuum Healthcare (13 facilities, avg 2.5★)
Medicare certified since
October 11, 1992
Participates in
Medicare and Medicaid
Continuing care
Part of a continuing care retirement community
Council
Resident council

CMS star ratings

Overall★★★★★ 2/5
State avg 3.0
Health inspections★★★★★ 2/5
State avg 2.8
Staffing★★★★★ 3/5
State avg 3.6
Quality measures★★★★★ 3/5
State avg 3.0
Long-stay quality★★★★★ 1/5
Short-stay quality★★★★★ 5/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
3.45 (state 4.21 · U.S. 3.86)
Registered nurses (RN)
0.65 (state 0.99 · U.S. 0.69)
Licensed practical nurses
0.58 (state 0.64 · U.S. 0.86)
Nurse aides
2.22 (state 2.58 · U.S. 2.32)
Weekend total
2.94 (state 3.77 · U.S. 3.42)
Nursing staff turnover
70.4 (state 46.9 · U.S. 45.8)%
RN turnover
58.3 (state 39.7 · U.S. 42.9)%
Administrators who left
2 in the last year

Inspections

Last standard inspection
June 3, 2026
Health deficiencies (last cycle)
16.0 (state 9.5 · U.S. 9.3)
From complaints
8
Citations on record (3 years)
48 health · 28 fire safety · includes actual harm
DateCitationSeverityStatus
2026-06-03 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2026-07-01
2026-06-03 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.
F0578 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-07-01
2026-06-03 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-07-01
2026-06-03 Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-07-01
2026-06-03 Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
F0628 · Resident Rights Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-07-01
2026-06-03 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-07-01
2026-06-03 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-07-01
2026-06-03 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-07-01
2026-06-03 Provide enough food/fluids to maintain a resident's health.
F0692 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-07-01
2026-06-03 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-07-01
2026-06-03 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-07-01
2026-06-03 Develop and implement policies and procedures for flu and pneumonia vaccinations.
F0883 · Infection Control Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-07-01
2026-06-03 Ensure residents have reasonable access to and privacy in their use of communication methods.
F0576 · Resident Rights Deficiencies
C
No actual harm, potential for minimal harm
Corrected 2026-07-01
2026-02-10 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies · complaint inspection
G
Actual harm
Corrected 2026-07-01
2026-02-10 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.
F0803 · Nutrition and Dietary Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2026-03-07
2026-02-10 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
F0580 · Resident Rights Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-03-07
2025-05-07 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2025-06-07
2025-05-07 Develop and implement policies and procedures to prevent abuse, neglect, and theft.
F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-06-07
2025-05-07 Ensure that residents are fully informed and understand their health status, care and treatments.
F0552 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-06-07
2025-05-07 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.
F0585 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-06-07
2025-05-07 Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
F0605 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-06-07
2025-05-07 Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
F0628 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-06-07
2025-05-07 Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
F0644 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-06-07
2025-05-07 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F0657 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-06-07
2025-05-07 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-06-07
2025-05-07 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-06-07
2025-05-07 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
F0756 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-06-07
2024-09-17 Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-10-17
2024-09-17 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-10-17
2024-09-17 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-10-17
2024-04-24 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2024-05-24
2024-04-24 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2024-05-24
2024-04-24 Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
F0882 · Infection Control Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2024-05-24
2024-04-24 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F0657 · Resident Assessment and Care Planning Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-05-24
2024-04-24 Provide enough food/fluids to maintain a resident's health.
F0692 · Quality of Life and Care Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-05-24
2024-04-24 Ensure that residents are fully informed and understand their health status, care and treatments.
F0552 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-05-24
2024-04-24 Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
F0623 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-05-24
2024-04-24 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.
F0625 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-05-24
2024-04-24 Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-05-24
2024-04-24 PASARR screening for Mental disorders or Intellectual Disabilities
F0645 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-05-24
2024-04-24 Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
F0655 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-05-24
2024-04-24 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-05-24
2024-04-24 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-05-24
2024-04-24 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-05-24
2024-04-24 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-05-24
2024-04-24 Ensure each resident’s drug regimen must be free from unnecessary drugs.
F0757 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-05-24
2024-04-24 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.
F0758 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-05-24
2024-04-24 Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
F0868 · Administration Deficiencies
C
No actual harm, potential for minimal harm
Corrected 2024-05-24

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

1 penalty in the last three years.

DateTypeAmount
2026-02-10Payment Denial131 days payment denial

Ownership & management

NameRoleSince
Sister Bay SNF Realty LLC (organization)5%+ Mortgage Interest · NOT APPLICABLE
Bruckstein, Daniel (individual)Administrator · NOT APPLICABLE
Continuum Healthcare I INC (organization)Administrator · NOT APPLICABLE
Eisenberg, Andrew (individual)Administrator · NOT APPLICABLE
Fasten Halberstam LLP (organization)Administrator · NOT APPLICABLE
Grape Tree Medical Staffing LLC (organization)Administrator · NOT APPLICABLE
Johnson, Rory (individual)Administrator · NOT APPLICABLE
Scandia Village Member LLC (organization)Administrator · NOT APPLICABLE
Schmitz, Arthur (individual)Administrator · NOT APPLICABLE
Sister Bay SNF Realty LLC (organization)Administrator · NOT APPLICABLE
Wipfli Advisory LLC (organization)Administrator · NOT APPLICABLE
Litman, Warren (individual)Corporate Director · NOT APPLICABLE
Dorn, Cheryl (individual)Corporate Officer · NOT APPLICABLE
Mandelbaum, Daniel (individual)Corporate Officer · NOT APPLICABLE
Bruckstein, Daniel (individual)Direct Ownership Interest · NOT APPLICABLE
Scandia Village Member LLC (organization)Direct Ownership Interest · NOT APPLICABLE
Eisenberg, Andrew (individual)Indirect Ownership Interest · NOT APPLICABLE
Continuum Healthcare I INC (organization)Operational/managerial Control · NOT APPLICABLE
Dorn, Cheryl (individual)Operational/managerial Control · NOT APPLICABLE
Fasten Halberstam LLP (organization)Operational/managerial Control · NOT APPLICABLE
Johnson, Rory (individual)Operational/managerial Control · NOT APPLICABLE
Litman, Warren (individual)Operational/managerial Control · NOT APPLICABLE
Mandelbaum, Daniel (individual)Operational/managerial Control · NOT APPLICABLE
Schmitz, Arthur (individual)Operational/managerial Control · NOT APPLICABLE
Wipfli Advisory LLC (organization)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Serenity Spring Senior Living at Scandia Village?

Serenity Spring Senior Living at Scandia Village has a 2-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.0-star average in Wisconsin.

How many beds does Serenity Spring Senior Living at Scandia Village have?

It has 50 certified beds and cares for about 42 residents per day.

Has Serenity Spring Senior Living at Scandia Village been fined?

Yes. CMS lists 1 penalty in the last three years.

Who owns Serenity Spring Senior Living at Scandia Village?

It is part of Continuum Healthcare and is classified as for profit - limited liability company. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Serenity Spring Senior Living at Scandia Village?

(920) 854-2317. The facility is located at 10560 Applewood Rd, Sister Bay, WI 54234.

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.