Door County Memorial Hospital SNF
323 S 18TH Ave, Sturgeon Bay, WI 54235
Door County Memorial Hospital SNF is a nursing home in Sturgeon Bay, Wisconsin. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.
At a glance
- CMS overall star rating5 of 5
- Last standard health inspectionApril 28, 2026 (6 months ago)
- Health citations since January 4, 20249 (Wisconsin average 28)
- Fines in the past three yearsNone listed by CMS
- CMS flagsNone listed by CMS
Get an email when CMS publishes something new about this home
One email per CMS update, only when something changed: a new citation, a fine, a star rating change, a new owner. Early access follows one home per address.
Email alerts for this home open soon.
CMS flags
CMS does not list this home as a Special Focus Facility or a candidate. CMS does not show an abuse icon for it. CMS lists no change of ownership in the past 12 months.
Inspections, fines and changes
This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.
Health inspection on April 28, 2026
1 citationCMS lists this as a standard inspection.
Show the 1 citation
Citation F0689. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on June 8, 2026.
Fire safety inspection on April 28, 2026
2 citationsCMS lists this as a standard inspection.
Show the 2 citations
Citation K0345. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have approved installation, maintenance and testing program for fire alarm systems.
CMS lists it as corrected on June 22, 2026.
Citation K0916. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have a battery powered remote alarm panel in a location accessible by operating personnel.
CMS lists it as corrected on May 8, 2026.
CMS update of November 20, 2025
Star rating
The CMS quality measures star rating changed from 4 of 5 to 5 of 5.
CMS update of July 30, 2025
Star rating
The CMS health inspection star rating changed from 5 of 5 to 4 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS quality measures star rating changed from 5 of 5 to 4 of 5.
Health inspection on July 2, 2025
4 citationsCMS lists this as a complaint inspection.
Show the 4 citations
Citation F0610. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Respond appropriately to all alleged violations.
CMS lists it as corrected on July 25, 2025.
CMS has cited this home for F0610 2 times since 2024.
Citation F0580. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
CMS lists it as corrected on July 23, 2025.
CMS has cited this home for F0580 2 times since 2025.
Citation F0609. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
CMS lists it as corrected on July 27, 2025.
Citation F0842. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
CMS lists it as corrected on July 23, 2025.
CMS update of February 26, 2025
Star rating
The CMS quality measures star rating changed from 4 of 5 to 5 of 5. CMS changed how it scores this rating for many homes at once.
Health inspection on February 19, 2025
3 citationsCMS lists this as a standard inspection.
Show the 3 citations
Citation F0880. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on February 27, 2025.
Citation F0580. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
CMS lists it as corrected on February 22, 2025.
Citation F0755. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
CMS lists it as corrected on March 12, 2025.
Fire safety inspection on February 19, 2025
3 citationsCMS lists this as a standard inspection.
Show the 3 citations
Citation K0346. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
CMS lists it as corrected on March 11, 2025.
Citation K0918. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have generator or other power source capable of supplying service within 10 seconds.
CMS lists it as corrected on March 6, 2025.
CMS has cited this home for K0918 2 times since 2024.
Citation K0353. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Inspect, test, and maintain automatic sprinkler systems.
CMS lists it as corrected on March 26, 2025.
CMS has cited this home for K0353 2 times since 2024.
CMS update of July 31, 2024
Star rating
The CMS quality measures star rating changed from 3 of 5 to 4 of 5.
CMS update of April 25, 2024
Star rating
The CMS overall star rating changed from 4 of 5 to 5 of 5.
Star rating
The CMS quality measures star rating changed from 1 of 5 to 3 of 5.
CMS update of January 31, 2024
Star rating
The CMS overall star rating changed from 5 of 5 to 4 of 5.
Star rating
The CMS quality measures star rating changed from 2 of 5 to 1 of 5.
Health inspection on January 4, 2024
1 citationCMS lists this as a standard inspection and a complaint inspection.
Show the 1 citation
Citation F0610. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Respond appropriately to all alleged violations.
CMS lists it as corrected on February 12, 2024.
Fire safety inspection on January 4, 2024
9 citationsCMS lists this as a standard inspection.
Show the 9 citations
Citation K0712. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have simulated fire drills held at unexpected times.
CMS lists it as corrected on January 31, 2024.
Citation K0918. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have generator or other power source capable of supplying service within 10 seconds.
CMS lists it as corrected on June 11, 2024.
Citation K0281. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Install proper backup exit lighting.
CMS lists it as corrected on June 11, 2024.
Citation K0362. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
CMS lists it as corrected on January 8, 2024.
Citation K0363. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Install corridor and hallway doors that block smoke.
CMS lists it as corrected on January 31, 2024.
Citation K0753. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Have restrictions on the use of highly flammable decorations.
CMS lists it as corrected on January 8, 2024.
Citation K0200. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Meet other general requirements.
CMS lists it as corrected on January 8, 2024.
Citation K0353. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Inspect, test, and maintain automatic sprinkler systems.
CMS lists it as corrected on February 16, 2024.
Citation K0372. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
CMS lists it as corrected on January 8, 2024.
CMS star ratings
- 5 of 5CMS overall star rating
- 4 of 5CMS health inspection star rating
- 5 of 5CMS staffing star rating
- 5 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (920) 743-5566
- Last standard health inspection
- April 28, 2026 (6 months ago)
- Certified beds
- 32
- Residents per day, on average
- 30.9
- Ownership type
- Non profit - Corporation
- Legal business name
- Door County Memorial Hospital
- Chain
- Not listed by CMS
- Takes part in
- Medicare and Medicaid
Fewer health citations than the Wisconsin average (9 vs 28).
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCISOperational/managerial control · not applicable · since 10/28/2016
- ALBERTS, JAMIEOperational/managerial control · not applicable · since 01/01/2021
- ANDREAE, BRADLEYOperational/managerial control · not applicable · since 01/01/2024
- ANTONIO, MARIA CHONAOperational/managerial control · not applicable · since 07/01/2024
- BOHRMAN, NANCYOperational/managerial control · not applicable · since 07/01/2024
Show 18 more
- COLLISON, EDGAROperational/managerial control · not applicable · since 05/14/2025
- DAHL, CORWINOperational/managerial control · not applicable · since 01/01/2021
- ERICKSON, ROBERTOperational/managerial control · not applicable · since 05/15/2024
- HELGESON, ERINOperational/managerial control · not applicable · since 01/01/2024
- HELM, PAULINEOperational/managerial control · not applicable · since 01/01/2023
- JAROSH, JONATHANOperational/managerial control · not applicable · since 01/01/2024
- KITCHENS, JOELOperational/managerial control · not applicable · since 01/01/2021
- LALUZERNE, ANDREWOperational/managerial control · not applicable · since 10/29/2018
- RABAS, JEFFREYOperational/managerial control · not applicable · since 01/01/2022
- REBHAN, JOSEPHOperational/managerial control · not applicable · since 01/01/2026
- RICHMOND, ANDREWOperational/managerial control · not applicable · since 10/01/2017
- SEILER, PAMELAOperational/managerial control · not applicable · since 05/27/2026
- ST JEAN, MICHAELOperational/managerial control · not applicable · since 01/01/2025
- STEPHENS, BRIANOperational/managerial control · not applicable · since 01/06/2019
- STERNARD, TAMMYOperational/managerial control · not applicable · since 01/01/2025
- URBAN, CAROLINEOperational/managerial control · not applicable · since 07/01/2024
- VICKMAN, PATRICIAOperational/managerial control · not applicable · since 10/01/2017
- ZIEGELBAUER, MARTHAOperational/managerial control · not applicable · since 01/01/2022
Questions
When was Door County Memorial Hospital SNF last inspected?
CMS lists April 28, 2026 as the date of its most recent standard health inspection.
How many citations (violations) does Door County Memorial Hospital SNF have?
CMS lists 9 health citations since January 4, 2024. CMS also calls these deficiencies.
Has Door County Memorial Hospital SNF been fined?
CMS lists no fines for this home in the past three years.
What is the CMS star rating of Door County Memorial Hospital SNF?
Its CMS overall star rating is 5 of 5.
Is Door County Memorial Hospital SNF a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.