Maryhill Manor

501 Madison Ave · Niagara, WI · 54151 · 7152513172

50 certified beds Non profit - Church related

  • Staffing hours comfortably above national benchmarks.
  • Inspection results have improved across recent cycles.

Red flags

1 immediate-jeopardy citation in prior inspection cycles

Serious past findings — check whether the underlying problems were fixed and stayed fixed.

1 abuse-related citation at the actual-harm level

Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.

Score breakdown

Inspection record 30% of score 55
Serious harm & abuse 20% 84
Staffing 20% 81
Federal penalties 15% 65
Trend 10% 86
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 4 of 5 Inspections: 3 of 5 Staffing: 4 of 5 Quality measures: 5 of 5

Total nurse hours / resident-day3.963.48 min · 4.1 strong
RN hours / resident-day1.000.55–0.75
Weekend hours / resident-day3.67≈ weekday level
Nursing turnover / year43%median 45%
Fines (3-yr window)1 · $50,606

Inspection citations (17 in the current record)

  • Potential for harm · D March 25, 2026

    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

    Corrected April 8, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D March 25, 2026

    Ensure each resident receives an accurate assessment.

    Corrected April 8, 2026 · Resident Assessment and Care Planning

  • Potential for harm · F March 25, 2026

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected April 8, 2026 · Nutrition and Dietary

  • Potential for harm · D February 4, 2026 · found via complaint

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected February 26, 2026 · Quality of Life and Care

  • Potential for harm · D February 4, 2026 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected February 26, 2026 · Infection Control

  • Potential for harm · D March 10, 2025 · found via complaint

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected March 24, 2025 · Resident Rights

  • Potential for harm · D March 10, 2025 · found via complaint

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected March 24, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D December 18, 2024 · found via complaint

    Keep residents' personal and medical records private and confidential.

    Corrected January 7, 2025 · Resident Rights

  • Potential for harm · F November 6, 2024

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected November 18, 2024 · Nutrition and Dietary

  • Potential for harm · D November 6, 2024

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Corrected November 18, 2024 · Infection Control

  • Immediate jeopardy · J June 25, 2024 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected July 10, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D June 25, 2024 · found via complaint

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected July 10, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D June 25, 2024 · found via complaint

    Respond appropriately to all alleged violations.

    Corrected July 10, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D September 27, 2023

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected October 20, 2023 · Resident Rights

  • Potential for harm · F September 27, 2023

    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 October 20, 2023 · Nutrition and Dietary

  • Potential for harm · F September 27, 2023

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected October 20, 2023 · Nutrition and Dietary

  • Potential for harm · D September 27, 2023

    Provide and implement an infection prevention and control program.

    Corrected October 11, 2023 · Infection Control

Federal penalties

DateTypeAmount / length
June 25, 2024Fine$50,606

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 525467 · certified since June 1, 1990. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.