Serenity Spring Senior Living at Scandia Village

Continuing care retirement community · Door · WI · For profit - Limited Liability company · CONTINUUM HEALTHCARE chain · 50 certified beds · CCN 525494 · SISTER BAY SNF OPCO, LLC


Serenity Spring Senior Living at Scandia Village operates 50 certified beds in Sister Bay, Wisconsin. Its Medicare and Medicaid certification dates to 1992-10-11. It averages 42.3 residents a day.

What harm was found in the violations cited at Serenity Spring Senior Living at Scandia Village?

CMS lists 48 health-inspection deficiencies for Serenity Spring Senior Living at Scandia Village, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is G; the most recent health inspection was 2026-06-03.

Survey dateTagDeficiencySeverity
2026-06-03F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.E
2026-06-03F0578, F0609, F0610, F0628, F0656, F0684, F0686, F0692, F0755, F0880, F0883Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. / Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Provide enough food/fluids to maintain a resident's health. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Provide and implement an infection prevention and control program. / Develop and implement policies and procedures for flu and pneumonia vaccinations.D
2026-06-03F0576Ensure residents have reasonable access to and privacy in their use of communication methods.C
2026-02-10F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.G
2026-02-10F0803Ensure 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.E
2026-02-10F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D
2025-05-07F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2025-05-07F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.E
2025-05-07F0552, F0585, F0605, F0628, F0644, F0657, F0684, F0755, F0756Ensure that residents are fully informed and understand their health status, care and treatments. / Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. / Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. / Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. / Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.D
2024-09-17F0610, F0684, F0689Respond appropriately to all alleged violations. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2024-04-24F0812, F0880, F0882Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide and implement an infection prevention and control program. / Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.F
2024-04-24F0657, F0692Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide enough food/fluids to maintain a resident's health.E
2024-04-24F0552, F0623, F0625, F0641, F0645, F0655, F0656, F0677, F0684, F0689, F0757, F0758Ensure that residents are fully informed and understand their health status, care and treatments. / Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. / Ensure each resident receives an accurate assessment. / PASARR screening for Mental disorders or Intellectual Disabilities / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.D
2024-04-24F0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyC

Has Serenity Spring Senior Living at Scandia Village had payment denied by Medicare?

Payment denial startLength in days
2026-03-07131

How is Serenity Spring Senior Living at Scandia Village staffed relative to the WI average?

MeasureThis facilityWI average
Total nurse staffing hours per resident per day3.448724.21234
Total nursing staff turnover (%)70.446.9
Average number of residents per day42.354.8

Who owns Serenity Spring Senior Living at Scandia Village, and what chain is it in?

Serenity Spring Senior Living at Scandia Village is registered with CMS as For profit - Limited Liability company, operates under the legal business name SISTER BAY SNF OPCO, LLC and belongs to the CONTINUUM HEALTHCARE chain.

RoleOwnerAssociation date
DIRECT OWNERSHIP INTERESTSCANDIA VILLAGE MEMBER LLC, BRUCKSTEIN, DANIELsince 01/25/2024
INDIRECT OWNERSHIP INTERESTEISENBERG, ANDREWsince 01/25/2024
5% OR GREATER MORTGAGE INTERESTSISTER BAY SNF REALTY LLCsince 01/25/2024
CORPORATE DIRECTORLITMAN, WARRENsince 06/01/2024
CORPORATE OFFICERDORN, CHERYL, MANDELBAUM, DANIELsince 01/25/2024
OPERATIONAL/MANAGERIAL CONTROLCONTINUUM HEALTHCARE I INC, FASTEN HALBERSTAM LLP, WIPFLI ADVISORY LLC, DORN, CHERYL, JOHNSON, RORY, LITMAN, WARREN, MANDELBAUM, DANIEL, SCHMITZ, ARTHURsince 01/25/2024
ADP OF THE SNFCONTINUUM HEALTHCARE I INC, FASTEN HALBERSTAM LLP, GRAPE TREE MEDICAL STAFFING LLC, SCANDIA VILLAGE MEMBER LLC, SISTER BAY SNF REALTY LLC, WIPFLI ADVISORY LLC, BRUCKSTEIN, DANIEL, EISENBERG, ANDREW, JOHNSON, RORY, SCHMITZ, ARTHURsince 01/25/2024

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