The Pines Post Acute and Memory Care

CCN 525497 · CLOVERLEAF HEALTHCARE LLC · For profit - Corporation · THE ENSIGN GROUP chain · 50 certified beds · Waupaca · WI


The Pines Post Acute and Memory Care is a 50-bed nursing home in Clintonville, Wisconsin. CMS has certified it for Medicare and Medicaid since 1992-11-01. It averages 44.9 residents a day.

What harm was found in the violations cited at The Pines Post Acute and Memory Care?

CMS lists 18 health-inspection deficiencies for The Pines Post Acute and Memory Care since 2023-05-10, 15 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is J; the most recent health inspection was 2025-07-17.

Survey dateTagDeficiencySeverity
2025-07-17F0761, F0812Ensure 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E
2025-07-17F0558, F0628, F0689, F0692Reasonably accommodate the needs and preferences of each resident. / Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide enough food/fluids to maintain a resident's health.D
2025-06-19F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G
2025-06-19F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.D
2025-05-01F0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.J
2025-05-01F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.D
2024-05-15F0761, F0812Ensure 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E
2024-05-15F0690, F0755, F0880Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / 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.D
2023-05-10F0610, F0689, F0805Respond appropriately to all alleged violations. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.D

Why was The Pines Post Acute and Memory Care fined?

DateTypeAmount
2025-06-19Fine$11,960

How is The Pines Post Acute and Memory Care staffed relative to the WI average?

MeasureThis facilityWI average
Total nurse staffing hours per resident per day3.404614.21234
Total nursing staff turnover (%)52.746.9
Average number of residents per day44.954.8

Who owns The Pines Post Acute and Memory Care, and what chain is it in?

The Pines Post Acute and Memory Care is registered with CMS as For profit - Corporation, operates under the legal business name CLOVERLEAF HEALTHCARE LLC and belongs to the THE ENSIGN GROUP chain.

RoleOwnerAssociation date
DIRECT OWNERSHIP INTERESTGATEWAY HEALTHCARE LLCsince 02/01/2014
INDIRECT OWNERSHIP INTERESTTHE ENSIGN GROUP INCsince 05/23/2011
MANAGING CONTROL - GOVERNING BODYBELL, CODY, KAMIN, SHAYNAsince 06/01/2014
CORPORATE OFFICERBURNAM, SOON, JORGENSEN, DAVID, KEETCH, CHADsince 03/01/2011
OPERATIONAL/MANAGERIAL CONTROLJ THOMPSON STAFFING INC, KELSTAR LLC, PRN HEALTH SERVICES, INC., BELL, CODY, KAMIN, SHAYNAsince 06/01/2014
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFPORT, BARRYsince 10/15/2025
ADP OF THE SNFENSIGN SERVICES INC, LEGEND LAKE HEALTH HOLDINGS LLC, STANDARD BEARER HEALTHCARE OP, LP, THE ENSIGN GROUP INC, BELL, CODY, KAMIN, SHAYNAsince 06/01/2014

Were you or a family member harmed at The Pines Post Acute and Memory Care?