Staffing
CMS publishes a 4-star staffing rating for this facility.
RN staffing was 1.15 hours per resident day in 2026Q1, calculated from CMS PBJ records.
View staffing evidenceAsk Trust Hub Network
Also known publicly as Grace Lutheran Communities - River Pines Skilled Nursing & Rehabilitation
ALTOONA, WI
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 4-star staffing rating for this facility.
RN staffing was 1.15 hours per resident day in 2026Q1, calculated from CMS PBJ records.
View staffing evidenceThe latest standard inspection on May 21, 2026 cited 2 deficiencies.
View inspection evidenceCMS-published records list 56 ownership or control parties.
View ownership evidenceOwnership & 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:
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.
Individual · ADP OF THE SNF
Association date reported to CMS: Jul 1, 2016
Individual · ADP OF THE SNF
Association date reported to CMS: Aug 29, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 17, 2020
Individual · ADP OF THE SNF
Association date reported to CMS: May 29, 2022
Individual · ADP OF THE SNF
Association date reported to CMS: Oct 25, 2022
Individual · CORPORATE DIRECTOR
Association date reported to CMS: May 1, 2023
Individual · CORPORATE DIRECTOR
Association date reported to CMS: May 1, 2025
Individual · CORPORATE DIRECTOR
Association date reported to CMS: May 1, 2023
Individual · CORPORATE DIRECTOR
Association date reported to CMS: May 1, 2017
Individual · CORPORATE DIRECTOR
Association date reported to CMS: May 1, 2022
Individual · CORPORATE DIRECTOR
Association date reported to CMS: May 1, 2021
Individual · CORPORATE DIRECTOR
Association date reported to CMS: May 1, 2025
Individual · CORPORATE DIRECTOR
Association date reported to CMS: May 1, 2015
Individual · CORPORATE OFFICER
Association date reported to CMS: Jan 17, 2020
Individual · CORPORATE OFFICER
Association date reported to CMS: May 9, 2022
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jan 1, 2016
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Oct 27, 2023
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jul 13, 2016
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jan 17, 2020
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Mar 15, 2017
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: May 29, 2022
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Apr 29, 2019
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Sep 25, 2014
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Oct 25, 2022
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Sep 19, 2013
Individual · ADP OF THE SNF
Association date reported to CMS: Jul 1, 2016
Individual · ADP OF THE SNF
Association date reported to CMS: Aug 29, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 17, 2020
Individual · ADP OF THE SNF
Association date reported to CMS: Jul 1, 2016
Organization · ADP OF THE SNF
Association date reported to CMS: Aug 22, 2025
Other facilities connected through this exact CMS organization identity: 0 across WI.
Organization · ADP OF THE SNF
Association date reported to CMS: Apr 3, 2025
Other facilities connected through this exact CMS organization identity: 0 across WI.
Organization · ADP OF THE SNF
Association date reported to CMS: Apr 3, 2025
Other facilities connected through this exact CMS organization identity: 0 across WI.
Individual · ADP OF THE SNF
Association date reported to CMS: Jul 1, 2023
Individual · ADP OF THE SNF
Association date reported to CMS: May 29, 2022
Individual · ADP OF THE SNF
Association date reported to CMS: Oct 25, 2022
Individual · CORPORATE DIRECTOR
Association date reported to CMS: May 1, 2023
Individual · CORPORATE DIRECTOR
Association date reported to CMS: May 1, 2025
Individual · CORPORATE DIRECTOR
Association date reported to CMS: May 1, 2023
Individual · CORPORATE DIRECTOR
Association date reported to CMS: May 1, 2017
Individual · CORPORATE DIRECTOR
Association date reported to CMS: May 1, 2022
Individual · CORPORATE DIRECTOR
Association date reported to CMS: May 1, 2021
Individual · CORPORATE DIRECTOR
Association date reported to CMS: May 1, 2025
Individual · CORPORATE DIRECTOR
Association date reported to CMS: May 1, 2015
Individual · CORPORATE OFFICER
Association date reported to CMS: Jan 17, 2020
Individual · CORPORATE OFFICER
Association date reported to CMS: May 9, 2022
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jan 1, 2016
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Oct 27, 2023
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jul 13, 2016
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jan 17, 2020
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Mar 15, 2017
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: May 29, 2022
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Apr 29, 2019
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Sep 25, 2014
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Oct 25, 2022
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Sep 19, 2013
Organization · Medicare-enrolled legal organization
Other facilities connected through this exact CMS organization identity: 1 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.
Inspections & 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.
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
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 (Jun 12, 2026)
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 (Jun 12, 2026)
No health-deficiency rows were deterministically linked to this inspection.
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
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 (Mar 14, 2025)
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 (Mar 14, 2025)
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 (Mar 14, 2025)
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
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 (Mar 14, 2025)
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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 (Mar 14, 2025)
No health-deficiency rows were deterministically linked to this inspection.
No health-deficiency rows were deterministically linked to this inspection.
Penalties & enforcement
No penalty records were found for this provider in the currently loaded CMS Penalties dataset.
Facility history
5 historical events available. Dates and values come from published CMS and official state regulator evidence, not a score.
2 deficiencies were recorded.
CMS · Recorded event date · View related evidence
Total nurse staffing increased from 4.68 to 4.99 hours per resident day between 2025Q4 and 2026Q1. Staffing improved across those reported periods.
4.68 → 4.99
CMS · Reported in a source release · View related evidence
Total nurse staffing increased from 4.39 to 4.66 hours per resident day between 2025Q2 and 2025Q3. Staffing improved across those reported periods.
4.39 → 4.66
CMS · Reported in a source release · View related evidence
5 deficiencies were recorded.
CMS · Recorded event date · View related evidence
No linked health-deficiency findings were recorded for this survey.
CMS · Recorded event date · View related evidence
Staffing
CMS staffing rating: 4 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 | 5.14 | 4.605 |
| RN categories | 1.287 | 0.804 |
Contract staff accounted for 10.7% of reported nursing hours included in this quarter calculation.
Reported RN-category hours per resident day were 0.033 higher 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 | 4.386 | 1.08 | 0.514 | 2.772 | 4.7% | 91 |
| 2025Q3 | 4.663 | 1.179 | 0.545 | 2.907 | 3.3% | 92 |
| 2025Q4 | 4.675 | 1.117 | 0.575 | 2.974 | 10.2% | 92 |
| 2026Q1 | 4.988 | 1.15 | 0.598 | 3.189 | 10.7% | 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.