Staffing
CMS publishes a 2-star staffing rating for this facility.
RN staffing was 0.51 hours per resident day in 2026Q1, calculated from CMS PBJ records.
View staffing evidenceAsk Trust Hub Network
CMS overview
No proprietary TrustHub score. These ratings are published separately by CMS.
Facility information
CMS remains the primary federal record. Public website and additional contact details appear only when independently verified.
Decision guide
Factual evidence to examine before you decide. These summaries are not a score or recommendation.
CMS publishes a 2-star staffing rating for this facility.
RN staffing was 0.51 hours per resident day in 2026Q1, calculated from CMS PBJ records.
View staffing evidenceThe latest standard inspection on Apr 9, 2026 cited 5 deficiencies.
View inspection evidenceCMS-published records list 57 ownership or control parties.
CMS records show an ownership change effective March 2023.
View ownership evidenceCMS groups this facility with a chain covering 124 facilities across 5 states or territories.
View chain evidenceCMS records show a $16,055 fine in the loaded enforcement dataset.
View enforcement evidence →Ownership & operation
Operator, licensee, owner, manager, and chain stay separate. A connected organization is not automatically the party that runs daily operations.
SeniorTrustHub found evidence connecting this facility to:
70 currently connected nursing homes share this CMS organization identity with TRILOGY OPCO LLC.
These figures summarize currently connected CMS-certified nursing homes. Some facilities have incomplete measures; missing values are omitted, not treated as zero. Ownership structures can change. State operator or licensee evidence may differ from CMS ownership disclosures.
Ownership
These are CMS-published ownership disclosures. Medicare enrollment ownership and managerial-control information is reported by enrolled providers through CMS forms; it is not an independent determination of beneficial ownership.
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Mar 1, 2023
Other facilities connected through this exact CMS organization identity: 0 across WI.
Organization · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2026
Other facilities connected through this exact CMS organization identity: 0 across WI.
Organization · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2026
Other facilities connected through this exact CMS organization identity: 0 across WI.
Individual · ADP OF THE SNF
Association date reported to CMS: Feb 5, 2026
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2025
Organization · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2026
Other facilities connected through this exact CMS organization identity: 0 across WI.
Organization · ADP OF THE SNF
Association date reported to CMS: Jul 17, 2025
Other facilities connected through this exact CMS organization identity: 0 across WI.
Organization · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2026
Other facilities connected through this exact CMS organization identity: 0 across WI.
Organization · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2026
Other facilities connected through this exact CMS organization identity: 0 across WI.
Organization · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2026
Other facilities connected through this exact CMS organization identity: 0 across WI.
Individual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
Association date reported to CMS: Mar 16, 2026
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Jan 1, 2026
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Jan 1, 2026
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Jan 1, 2026
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Jan 1, 2026
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Jan 1, 2026
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Mar 1, 2023
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Mar 1, 2023
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Dec 1, 2015
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Mar 1, 2023
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Mar 1, 2025
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jan 1, 2026
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Jan 1, 2026
Other facilities connected through this exact CMS organization identity: 69 across IN, KY, MI, OH, WI.
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Mar 1, 2023
CMS classifications: Holding company
Other facilities connected through this exact CMS organization identity: 69 across IN, KY, MI, OH, WI.
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Mar 1, 2023
CMS classifications: Real estate investment trust (REIT), Parent company
Other facilities connected through this exact CMS organization identity: 68 across IN, KY, MI, OH, WI.
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Mar 1, 2023
Other facilities connected through this exact CMS organization identity: 55 across IN, KY, MI, OH, WI.
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 94%
Association date reported to CMS: Jan 1, 2026
Other facilities connected through this exact CMS organization identity: 69 across IN, KY, MI, OH, WI.
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 6%
Association date reported to CMS: Jan 1, 2026
Other facilities connected through this exact CMS organization identity: 68 across IN, KY, MI, OH, WI.
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Jan 1, 2026
Other facilities connected through this exact CMS organization identity: 68 across IA, IN, KY, MI, OH, WI.
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Jan 1, 2026
Other facilities connected through this exact CMS organization identity: 69 across IN, KY, MI, OH, WI.
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Jan 1, 2026
CMS classifications: Real estate investment trust (REIT)
Other facilities connected through this exact CMS organization identity: 69 across IN, KY, MI, OH, WI.
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Jan 1, 2026
Other facilities connected through this exact CMS organization identity: 69 across IN, KY, MI, OH, WI.
Organization · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2026
Other facilities connected through this exact CMS organization identity: 69 across IN, KY, MI, OH, WI.
Organization · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2026
Other facilities connected through this exact CMS organization identity: 68 across IN, KY, MI, OH, WI.
Individual · ADP OF THE SNF
Association date reported to CMS: Feb 5, 2026
Organization · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2026
Other facilities connected through this exact CMS organization identity: 0 across WI.
Organization · ADP OF THE SNF
Association date reported to CMS: Jul 17, 2025
Other facilities connected through this exact CMS organization identity: 0 across WI.
Organization · ADP OF THE SNF
Association date reported to CMS: Mar 1, 2023
Other facilities connected through this exact CMS organization identity: 0 across WI.
Organization · ADP OF THE SNF
Association date reported to CMS: Mar 1, 2023
Other facilities connected through this exact CMS organization identity: 0 across WI.
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2025
Organization · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2026
Other facilities connected through this exact CMS organization identity: 69 across IN, KY, MI, OH, WI.
Organization · ADP OF THE SNF
Association date reported to CMS: Jul 17, 2025
CMS classifications: Chain / home office, Management services company
Other facilities connected through this exact CMS organization identity: 70 across IN, KY, MI, OH, WI.
Organization · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2026
Other facilities connected through this exact CMS organization identity: 11 across IN, MI, OH, WI.
Organization · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2026
CMS classifications: Real estate investment trust (REIT)
Other facilities connected through this exact CMS organization identity: 69 across IN, KY, MI, OH, WI.
Organization · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2026
Other facilities connected through this exact CMS organization identity: 69 across IN, KY, MI, OH, WI.
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Jan 1, 2026
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Jan 1, 2026
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Jan 1, 2026
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Jan 1, 2026
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Jan 1, 2026
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Mar 1, 2023
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Mar 1, 2023
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Dec 1, 2015
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Mar 1, 2023
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Mar 1, 2025
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jan 1, 2026
Organization · Medicare-enrolled legal organization
Other facilities connected through this exact CMS organization identity: 0 across WI.
Roles are shown as CMS publishes them. Different CMS sources can describe different enrollment, ownership, and control concepts, so TrustHub keeps each source-specific disclosure distinct.
Chain context
Chain-level values describe this CMS-defined group, not any one facility. CMS Chain ID 524 is a grouping identifier, not a legal organization.
| Month | Facilities | Overall rating | Staffing rating |
|---|---|---|---|
| Wed Jul | 124 | 4.2 | 3.3 |
| Mon Jun | 124 | 4.2 | 3.2 |
| Fri May | 124 | 4.2 | 3.2 |
| Wed Apr | 125 | 4.1 | 3.2 |
| Sun Mar | 125 | 4 | 3.2 |
| Sun Feb | 125 | 4 | 3.2 |
Nursing Home Chain Performance Measures, fixed version da2db00a-0f3d-40a9-a535-588ff1220c55. Membership comes separately from CMS Skilled Nursing Facility Enrollments.
View official CMS sourceInspections & deficiencies
Scope and severity terms below are CMS classifications. They are not a TrustHub score.
No health-deficiency rows were deterministically linked to this inspection.
Allow residents to self-administer drugs if determined clinically appropriate.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 8, 2026)
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS scope/severity G: Isolated; Actual harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 8, 2026)
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 8, 2026)
Provide safe and appropriate respiratory care for a resident when needed.
CMS scope/severity G: Isolated; Actual harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 8, 2026)
Provide and implement an infection prevention and control program.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 8, 2026)
No health-deficiency rows were deterministically linked to this inspection.
No health-deficiency rows were deterministically linked to this inspection.
PASARR screening for Mental disorders or Intellectual Disabilities
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 21, 2025)
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 21, 2025)
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.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 21, 2025)
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS scope/severity J: Isolated; Immediate jeopardy to resident health or safety.
Correction status: Past Non-Compliance (Oct 30, 2024)
Observe each nurse aide's job performance and give regular training.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 6, 2024)
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 12, 2024)
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 6, 2024)
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 3, 2024)
Respond appropriately to all alleged violations.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 3, 2024)
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Oct 18, 2024)
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
CMS scope/severity J: Isolated; Immediate jeopardy to resident health or safety.
Correction status: Deficient, Provider has date of correction (Oct 18, 2024)
No health-deficiency rows were deterministically linked to this inspection.
No health-deficiency rows were deterministically linked to this inspection.
Provide care and assistance to perform activities of daily living for any resident who is unable.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 5, 2024)
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 5, 2024)
Provide enough food/fluids to maintain a resident's health.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 5, 2024)
Penalties & enforcement
Published fine amount: $16,055.00
Published fine amount: $16,801.00
Payment denial length: 44 days
Questions to ask
Facility history
12 historical events available. Dates and values come from published CMS and official state regulator evidence, not a score.
5 deficiencies were recorded. That includes 2 higher-severity deficiencies.
CMS · Recorded event date · View related evidence
Total nurse staffing increased from 3.19 to 3.52 hours per resident day between 2025Q3 and 2025Q4. Staffing improved across those reported periods.
3.19 → 3.52
CMS · Reported in a source release · View related evidence
No linked health-deficiency findings were recorded for this survey.
CMS · Recorded event date · View related evidence
3 deficiencies were recorded.
CMS · Recorded event date · View related evidence
4 deficiencies were recorded. That includes 1 higher-severity deficiency.
CMS · Recorded event date · View related evidence
CMS recorded a $16,055 civil monetary penalty.
CMS · Recorded event date · View related evidence
4 deficiencies were recorded. That includes 1 higher-severity deficiency.
CMS · Recorded event date · View related evidence
CMS recorded a Medicare payment denial lasting 44 days.
CMS · Recorded event date · View related evidence
CMS recorded a $16,801 civil monetary penalty.
CMS · Recorded event date · View related evidence
No linked health-deficiency findings were recorded for this survey.
CMS · Recorded event date · View related evidence
3 deficiencies were recorded.
CMS · Recorded event date · View related evidence
An ownership change was recorded. New organization: AHR WAUNAKEE TRS SUB, LLC.
WAUNAKEE OPERATIONS LLC → AHR WAUNAKEE TRS SUB, LLC
CMS · Recorded event date · View related evidence
Staffing
CMS staffing rating: 2 of 5 stars. CMS calculates that rating separately using its published methodology. The values below are calculations from daily PBJ records for 2026Q1 (current source quarter).
| Measure | Monday–Friday | Saturday–Sunday |
|---|---|---|
| Total nursing | 3.773 | 3.317 |
| RN categories | 0.601 | 0.301 |
Contract staff accounted for 0% of reported nursing hours included in this quarter calculation.
Reported RN-category hours per resident day were 0.082 lower than the prior loaded quarter.
Solid bar: Total nursing · Outlined bar: RN categories
| Quarter | Total nursing | RN categories | LPN/LVN | CNA | Contract share | Days |
|---|---|---|---|---|---|---|
| 2025Q2 | 3.322 | 0.545 | 0.809 | 1.692 | 0% | 91 |
| 2025Q3 | 3.187 | 0.499 | 0.67 | 1.697 | 0% | 92 |
| 2025Q4 | 3.521 | 0.597 | 0.888 | 1.725 | 0% | 92 |
| 2026Q1 | 3.642 | 0.515 | 0.816 | 2.023 | 0% | 90 |
Hours-per-resident-day values are calculated by this platform from CMS-published daily PBJ hours and MDS census. For each displayed period, included hours are summed and divided by the summed census for days with a positive census. They are not CMS case-mix-adjusted staffing measures or a staffing rating.
View official CMS PBJ sourceWhat we can verify today
These measures come from the current successfully ingested CMS Nursing Home Provider Information release.
Planned evidence layers
These areas require separate authoritative CMS datasets. No findings are shown until those sources are ingested and reviewed.
Trust participation
Claims, corrections, and factual context are free. Submissions never replace CMS evidence or affect ranking.
Source register
No paid placements. Facilities cannot pay to rank higher. We cite. You decide.