nursing home in Niagara, WI
Maryhill Manor
501 Madison Ave, Niagara, WI 54151 · (715) 251-3172
★★★★★4
Above average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★3
- Staffing★★★★★4
- Quality measures★★★★★5
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Maryhill Manor at a glance
Maryhill Manor is a 50-bed non-profit nursing home in Niagara, Wisconsin (Marinette County).
CMS gives it 4 out of 5 stars on its overall star rating, better than the Wisconsin average of 3.
Residents receive about 3.9 hours of nursing care per day (1 of them from registered nurses), worse than the state average of 4.2 hours.
Its most recent standard health inspection (March 25, 2026) found 6 health citations. The Wisconsin average is 9.5.
Federal regulators fined it 1 time in the past three years, totaling $50,606.
Nursing staff turnover is 45.3% per year (state average 46.9%).
Facility details
- Type
- Nursing home
- Ownership
- Non Profit - Church Related
- Beds
- 50
- Certified for
- Medicare and Medicaid
- Medicare-certified since
- June 1, 1990
- Resident/family council
- Resident
- County
- Marinette County
- CMS Certification Number
- 525467
Ratings
| Measure | This facility | Wisconsin avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 4 / 5 | 3 / 5 | 3 / 5 | Better |
| Health inspection rating ⓘ (higher is better) | 3 / 5 | 2.8 / 5 | 2.8 / 5 | Average |
| Staffing rating ⓘ (higher is better) | 4 / 5 | 3.6 / 5 | 2.9 / 5 | Better |
| Quality measures rating ⓘ (higher is better) | 5 / 5 | 3 / 5 | 3.6 / 5 | Better |
| Long-stay quality rating (higher is better) | 5 / 5 | 3.1 / 5 | 3.8 / 5 | Better |
Staffing
| Measure | This facility | Wisconsin avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.86 hrs | 4.21 hrs | 3.86 hrs | Average |
| Registered nurse hours per resident per day (higher is better) | 0.96 hrs | 0.99 hrs | 0.69 hrs | Better |
| Nurse aide hours per resident per day (higher is better) | 2.61 hrs | 2.58 hrs | 2.32 hrs | Better |
| Weekend nurse staff hours per resident per day (higher is better) | 3.58 hrs | 3.77 hrs | 3.42 hrs | Average |
| Nursing staff turnover (yearly) (lower is better) | 45.3% | 46.9% | 45.8% | Average |
| Registered nurse turnover (yearly) (lower is better) | 50% | 39.7% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 0 | 1 | 1 | Better |
Inspections
| Measure | This facility | Wisconsin avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 6 | 9 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 3 | 4 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 55.8 | 100.3 | 80.6 | Better |
Penalties
| Measure | This facility | Wisconsin avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 1 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $50,606 | $48,150 | $30,972 | Worse |
| All federal penalties in the past 3 years (lower is better) | 1 | 1 | 1 | Average |
Size
| Measure | This facility | Wisconsin avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 50 | 77 | 107 | |
| Average residents per day | 48 | 55 | 86 | |
| Occupancy | 96.6% | 74% | 80.9% |
Long-stay residents
| Measure | This facility | Wisconsin avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 1.8% | 3.3% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 2.3% | 5% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 8.1% | 15.8% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 7.2% | 2.7% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 2.1% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 14.9% | 16.1% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 9.6% | 18.4% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 4.8% | 5.1% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 3.5% | 5.7% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.1% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 9.4% | 16.9% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 15.6% | 24.6% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 95% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 100% | 95.7% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Wisconsin avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0% | 1.2% | 1.6% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 100% | 86.5% | 82% | Better |
Inspection citations
State inspectors cited this home for 18 health deficiencies and 13 fire safety deficiencies in the inspection records CMS currently publishes. 1 citation involved actual harm, including 1 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| June 16, 2026 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected July 7, 2026 |
| March 25, 2026 Fire safety | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Tag K0374 | D Potential harm, isolated | Corrected April 8, 2026 |
| March 25, 2026 Fire safety | Meet requirements for the installation and maintenance of electrical systems. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0911 | D Potential harm, isolated | Corrected April 8, 2026 |
| March 25, 2026 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected April 8, 2026 |
| March 25, 2026 Standard | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. Resident Assessment and Care Planning Deficiencies · Tag F0640 | D Potential harm, isolated | Corrected April 8, 2026 |
| March 25, 2026 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected April 8, 2026 |
| February 4, 2026 Complaint | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | D Potential harm, isolated | Corrected February 26, 2026 |
| February 4, 2026 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected February 26, 2026 |
| March 10, 2025 Complaint | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | D Potential harm, isolated | Corrected March 24, 2025 |
| March 10, 2025 Complaint | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected March 24, 2025 |
| December 18, 2024 Complaint | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Tag F0583 | D Potential harm, isolated | Corrected January 7, 2025 |
| November 6, 2024 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | F Potential harm, widespread | Corrected November 18, 2024 |
| November 6, 2024 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected March 25, 2025 |
| November 6, 2024 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | E Potential harm, pattern | Corrected November 18, 2024 |
| November 6, 2024 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | E Potential harm, pattern | Corrected November 18, 2024 |
| November 6, 2024 Fire safety | Establish policies and procedures including evacuation. Emergency Preparedness Deficiencies · Tag E0020 | E Potential harm, pattern | Corrected December 18, 2024 |
| November 6, 2024 Fire safety | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0914 | E Potential harm, pattern | Corrected November 18, 2024 |
| November 6, 2024 Fire safety | Have restrictions on the use of highly flammable decorations. Miscellaneous Deficiencies · Tag K0753 | E Potential harm, pattern | Corrected November 18, 2024 |
| November 6, 2024 Fire safety | Have restrictions on the use of flammable curtains. Miscellaneous Deficiencies · Tag K0751 | E Potential harm, pattern | Corrected November 18, 2024 |
| November 6, 2024 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected November 18, 2024 |
| November 6, 2024 Standard | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Tag F0883 | D Potential harm, isolated | Corrected November 18, 2024 |
| June 25, 2024 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | J Immediate jeopardy, isolated | Corrected July 10, 2024 |
| June 25, 2024 Complaint | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | D Potential harm, isolated | Corrected July 10, 2024 |
| June 25, 2024 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected July 10, 2024 |
| September 27, 2023 Fire safety | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Tag K0374 | D Potential harm, isolated | Corrected October 11, 2023 |
| September 27, 2023 Fire safety | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Tag K0761 | C No harm, widespread | Corrected October 11, 2023 |
| September 27, 2023 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | C No harm, widespread | Corrected October 11, 2023 |
| September 27, 2023 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected October 20, 2023 |
| September 27, 2023 Standard | 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. Nutrition and Dietary Deficiencies · Tag F0803 | F Potential harm, widespread | Corrected October 20, 2023 |
| September 27, 2023 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected October 11, 2023 |
| September 27, 2023 Standard | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | D Potential harm, isolated | Corrected October 20, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 1 federal penalty in the past three years, including $50,606 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| June 25, 2024 | Fine | $50,606 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| FIRST BANK UPPER MICHIGAN Organization | 5% or greater mortgage interest | NOT APPLICABLE | 11/30/2022 |
| BAIER, PATRICIA Individual | adp of the snf | NOT APPLICABLE | 01/01/2016 |
| BRASURE, ANN Individual | adp of the snf | NOT APPLICABLE | 01/01/2024 |
| CROCKFORD, LYNNE Individual | adp of the snf | NOT APPLICABLE | 01/01/2020 |
| DECKER, DAN Individual | adp of the snf | NOT APPLICABLE | 01/01/2024 |
| EBLI, JIM Individual | adp of the snf | NOT APPLICABLE | 01/01/2024 |
| FRANTZ, LANA Individual | adp of the snf | NOT APPLICABLE | 01/01/2016 |
| FREDRICK, AUDREY Individual | adp of the snf | NOT APPLICABLE | 01/01/2024 |
| HAYES, PAUL Individual | adp of the snf | NOT APPLICABLE | 01/01/2021 |
| HEALTHDIRECT INSTITUTIONAL PHARMACY SERVICES INC Organization | adp of the snf | NOT APPLICABLE | 12/02/2025 |
| HERRIGES, ROSEMARY Individual | adp of the snf | NOT APPLICABLE | 01/01/2021 |
| KALDOR, CARRIE Individual | adp of the snf | NOT APPLICABLE | 01/01/1999 |
| MATTSON, ANN Individual | adp of the snf | NOT APPLICABLE | 01/01/2024 |
| PRIME TIME HEALTHCARE LLC Organization | adp of the snf | NOT APPLICABLE | 12/02/2025 |
| PULTZ, ROBERT Individual | adp of the snf | NOT APPLICABLE | 01/01/2016 |
| SIKORA, CHRISTY Individual | adp of the snf | NOT APPLICABLE | 05/18/2021 |
| UP REHAB SERVICES LLC Organization | adp of the snf | NOT APPLICABLE | 12/02/2025 |
| WIPFLI LLP Organization | adp of the snf | NOT APPLICABLE | 12/02/2025 |
| BAIER, PATRICIA Individual | corporate director | NOT APPLICABLE | 01/01/2016 |
| FRANTZ, LANA Individual | corporate director | NOT APPLICABLE | 01/01/2016 |
| FREDRICK, AUDREY Individual | corporate director | NOT APPLICABLE | 01/01/2024 |
| HERRIGES, ROSEMARY Individual | corporate director | NOT APPLICABLE | 01/01/2016 |
| MATTSON, ANN Individual | corporate director | NOT APPLICABLE | 01/01/2024 |
| PULTZ, ROBERT Individual | corporate director | NOT APPLICABLE | 01/01/2016 |
| BRASURE, ANN Individual | corporate officer | NOT APPLICABLE | 01/01/2024 |
| CROCKFORD, LYNNE Individual | corporate officer | NOT APPLICABLE | 01/01/2020 |
| DECKER, DAN Individual | corporate officer | NOT APPLICABLE | 01/01/2024 |
| EBLI, JIM Individual | corporate officer | NOT APPLICABLE | 01/01/2024 |
| BAIER, PATRICIA Individual | operational/managerial control | NOT APPLICABLE | 01/01/2016 |
| BRASURE, ANN Individual | operational/managerial control | NOT APPLICABLE | 01/01/2024 |
| CROCKFORD, LYNNE Individual | operational/managerial control | NOT APPLICABLE | 01/01/2020 |
| DECKER, DAN Individual | operational/managerial control | NOT APPLICABLE | 01/01/2024 |
| EBLI, JIM Individual | operational/managerial control | NOT APPLICABLE | 01/01/2024 |
| FRANTZ, LANA Individual | operational/managerial control | NOT APPLICABLE | 01/01/2016 |
| FREDRICK, AUDREY Individual | operational/managerial control | NOT APPLICABLE | 01/01/2024 |
| HAYES, PAUL Individual | operational/managerial control | NOT APPLICABLE | 01/01/2021 |
| HEALTHDIRECT INSTITUTIONAL PHARMACY SERVICES INC Organization | operational/managerial control | NOT APPLICABLE | 06/01/2018 |
| HERRIGES, ROSEMARY Individual | operational/managerial control | NOT APPLICABLE | 01/01/2021 |
| KALDOR, CARRIE Individual | operational/managerial control | NOT APPLICABLE | 01/01/1999 |
| MATTSON, ANN Individual | operational/managerial control | NOT APPLICABLE | 01/01/2024 |
Showing 40 of 45 records.
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Frequently asked questions
What is Maryhill Manor's rating?
Maryhill Manor has 4 out of 5 stars on the CMS overall star rating. The average for Wisconsin nursing homes is 3 stars.
How many inspection citations did Maryhill Manor receive?
Its most recent standard health inspection found 6 citations, compared with a Wisconsin average of 9.5. Every citation is listed on this page with its severity.
Does Maryhill Manor accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Maryhill Manor?
It is non profit - church related. The ownership section on this page lists the owners and managers reported to CMS.
Where is Maryhill Manor and how do I contact it?
Maryhill Manor is at 501 Madison Ave, Niagara, WI 54151. Phone: (715) 251-3172.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.