Best Assisted Living in Wisconsin

Mtilp INC, operated by Mobility Training and Independent Living Program Inc., is a community-based day care service and supported employment center in Madison, Wisconsin. The organization has been serving adults with disabilities in the Madison area since its licensing in January 2022. Along with a capacity of 50 participants, a focused, skills-oriented model specifically designed to support independent living and community integration is also provided.

Regulatory assessments were not provided in detail, so families are encouraged to request the most current inspection record directly from the Wisconsin Department of Health Services Division of Quality Assurance.

The organization’s programming centers on the Day Services Program and the Supported Employment Program, with the day services model focusing on building community participation and daily living skills, while the supported employment program provides job placement services and vocational training. Active volunteer programming is also available. Through this dual-track approach, adults with disabilities are supported to work toward greater vocational independence, which makes the center a functionally distinct option compared to traditional adult day centers that focus solely on socialization or health maintenance.

Mtilp INC is best suited for adults with disabilities in Madison and Dane County seeking independent living skill development, employment readiness, and active community participation. The supported employment component distinguishes this program from standard day service providers, which appeal more to younger adults or those transitioning from school or residential programs into the community.

Adult Day Services: Daybreak/Reflections/Crossroads is an adult day service center operated by Curative Connections Inc. in Green Bay, Wisconsin. Licensed since April 1990 in Brown County, the organization provides adult day services to 122 participants. With over 36 years of experience in the Green Bay senior and disability services market, it has one of the longest operational histories for adult day providers in northeastern Wisconsin.

The community demonstrated a strong regulatory performance during its most recent inspection on December 27, 2023, which resulted in full compliance and zero deficiencies. A complaint investigation in November 2023 regarding a failure to self-report an incident that required emergency room care is also recorded, but the report was unsubstantiated, and no enforcement actions followed. Additionally, a substantiated complaint in September 2023 was reported, which did not result in any formal citations. With only one total deficiency on record compared to the Wisconsin state average of 12, the center’s compliance history is exceptionally positive.

With a program designed to support both the individual and the caregiver, the center provides a combination of support groups, comfort calls, weekly newsletters, and educational webinars, as well as injury prevention equipment. Following a whole-family approach to care, the center stands out among adult day centers with resources specially provided for family caregivers.

Adult Day Services: Daybreak/Reflections/Crossroads is an ideal option for older adults and individuals with disabilities in the Green Bay area who require structured daytime engagement. The community also appeals to family caregivers seeking reliable respite support, along with access to professional education and a supportive community. With its long operating history and diverse program structure of Curative Connections Inc., the community ensures a high level of organizational depth and continuity for the families they serve. It is open Monday through Friday from 8 AM to 5 PM.

Overview of Community Care Adult Day Health

Community Care Adult Day Health is a specialized adult day center operated by the regional nonprofit organization Community Care Inc. in Waukesha, Wisconsin, since June 2012. Serving Waukesha County, this center has more than 13 years of expertise in providing structured daytime programming for adults with long-term care needs.

Licensed as an Adult Day Care Center, the community has a capacity of 40 participants and is currently at approximately 18% occupancy, with an average of 7 daily participants. Medicaid is also accepted, which ensures its programs are accessible to those enrolled in Family Care, Partnership, or the Program of All-Inclusive Care for the Elderly. These publicly funded initiatives are designed to help older adults and people with disabilities maintain their independence with regard to financial needs.

The center focuses on well-being and functional independence, as reflected in its daily activities, which are designed to help members manage their long-term care needs in a community-based environment. As part of the larger Community Care Inc. network, the center offers a variety of resources and organizational infrastructure that is often unavailable at smaller, standalone programs.

Community Care Adult Day Health is an ideal choice for older adults and those with disabilities who prefer to continue living at home while receiving health monitoring, social interaction, and structured daytime support. It is especially well-suited for those participating in Wisconsin’s Medicaid-funded managed care programs and for caregivers seeking a dependable, professional weekday respite option. For those already involved with PACE or Family Care, the program alignment at Community Care Adult Day Health makes it a seamless addition to their existing care coordination.

Overview of Tudor Oaks

Tudor Oaks is a 33-bed nursing home in Muskego, Wisconsin, operated by American Baptist Homes of the Midwest, a nonprofit organization operating since 1930. Situated on a 110-acre campus about three miles from the city center, the facility coordinates skilled nursing, memory care, and rehabilitation services. On-site features include a wellness center, a warm-water pool, a bistro, a theater, and a greenhouse, with daily operations supported by 24-hour nursing teams. The property accepts Medicare, Medicaid, and private pay, recording an average resident stay of 112 days and a 69% occupancy rate in an area with a Walk Score of 3.

Federal files from the Centers for Medicare & Medicaid Services (CMS) assign the facility a two-star overall rating, which includes two stars for health inspections and daily staffing, alongside a three-star rating for quality measures. Nursing care times average 4 hours and 21 minutes per resident daily, with weekend staffing levels tracking 10% above the Wisconsin baseline. Compliance logs since 2023 record eight separate health inspections resulting in 37 total citations and a single $5,000 federal fine, with zero critical citations on file.

Regulatory notes primarily involved quality of life (32%), abuse and neglect protocols (24%), and pharmacy services (11%). Clinical data reveals mixed outcomes: residents recorded higher rates of functional decline, incontinence, and major injuries from falls compared to state averages, but the home achieved a zero percent resident depression rate and high vaccination numbers, including 100% for pneumococcal and 97.4% for influenza.

Interested individuals researching local skilled nursing options can use these multi-year government profiles to weigh the provider’s care patterns. While the public tracking data points to a small historical fine and below-average federal health ratings, it also highlights solid daily staffing hours and positive scores for resident depression and vaccination rates. Setting up an on-site visit is a logical next step to observe the physical layout of the campus, see the nursing staff at work, and talk with the administration about how they address specific quality clinical measures.

Tivoli Terrace at St Anne’s Salvatorian Campus is a 43-bed nursing home in Milwaukee, Wisconsin, run by St Anne’s Home for the Elderly, a nonprofit organization founded in 2001. The campus handles skilled nursing, rehabilitation, memory care, and short-term respite stays alongside adult day care and community programs.

Daily services include outpatient therapies, dental checkups, and massage therapy, with nursing hours averaging 4 hours and 22 minutes per resident each day. Located in a downtown neighborhood with a Walk Score of 98, the facility takes Medicare, Medicaid, and private pay, recording an average resident stay of 109 days and a 40% occupancy rate.

State oversight files show a solid compliance history, capped by a brief review on March 11, 2025, that turned up zero deficiencies. The facility has kept a clean record through its recent history, with public databases showing no formal complaints or state financial penalties. On the clinical side, data from the Centers for Medicare & Medicaid Services (CMS) points to some challenges with long-term resident outcomes.

Local files show that long-stay residents experienced functional decline, urinary tract infections, and injuries from falls at rates higher than the Wisconsin average, while the property’s pneumococcal vaccination rate was 85.3% compared to the state benchmark of 95.9%.

Families looking into local skilled nursing options can use these government summaries to balance the provider’s clean inspection record against its clinical numbers. Since the archives show a history free of citations or fines alongside some struggles with long-term care metrics, the documentation fits a facility that mostly focuses on short-term Medicare rehab. Setting up a visit is a good next step to see the downtown campus firsthand, check out the therapy rooms, and talk with the director about how they track daily resident health outcomes.

Managed by administrator Charlean Adams, The Manor of Kenosha delivers around-the-clock skilled nursing, assisted living, and memory care within a 153-bed residential setup. This facility features restaurant-style dining, religious services, and an on-staff physician, with operations heavily focused on short-term recovery. Private-pay individuals make up 61% of all admissions, followed by Medicare recipients at 34%, with residents staying an average of 128 days. The community maintains a 58% occupancy rate and sits roughly four miles outside the city center in an area carrying a Walk Score of 1.

Oversight files from the Centers for Medicare & Medicaid Services (CMS) detail significant regulatory and staffing hurdles, noting 10 separate inspections since 2023 that resulted in 52 total citations. This volume runs roughly double the Wisconsin state average, with logs documenting four critical and three serious violations involving resident rights, pharmacy services, and general care quality.

Due to these systemic compliance failures, federal authorities issued $124,000 in financial fines and enforced a five-day payment denial in April 2024 that temporarily paused state-funded admissions. Furthermore, daily nursing care averages three hours per resident, which drops to 2 hours and 57 minutes on weekends, falling below the state benchmark of 4 hours and 14 minutes. Clinical records show mixed outcomes; while long-stay residents perform well in daily activity maintenance and depression tracking, metrics for weight loss and pressure ulcers run worse than the state averages.

Families reviewing regional skilled nursing options should carefully analyze these long-term public health logs during their search. Since the government databases reveal a high frequency of standard and critical citations, substantial financial penalties, and low daily staffing averages, cross-referencing current quality improvements with the administration is a necessary precaution. Scheduling an on-site visit is a practical next step to observe day-to-day staffing levels firsthand, inspect the physical setup of the building, and interview the director about their ongoing regulatory correction plans.

Manor of Fond Du Lac, operating as Mayberry Manor of Fond du Lac and administered by Rosalinda Rhode, is a 50-bed skilled nursing and memory care facility at 517 E Division Street in Fond du Lac, Fond du Lac County, Wisconsin. Owned by Avina On Division as a for-profit entity, the facility specializes in residents living with Alzheimer’s and dementia. Medicare, Medicaid, and private pay are accepted.

Manor of Fond Du Lac is rated 3 stars by CMS, at the Wisconsin average, with quality measures 52 percent above average and health inspection 8.3 percent above average. Staffing scored 72.4 percent below the Wisconsin average, the biggest concern in the profile requiring candid context. Meanwhile, quality measure performance is the facility’s clearest strength. The composite high-risk clinical events score of 6.0 is 43 percent better than the Wisconsin average, while the functional decline score is 24 percent better. ADL decline (68 percent better than Wisconsin average), walking decline (56 percent better), weight loss (53 percent better), and antipsychotic use (47 percent better) are all exceptional for a Medicaid-heavy memory care census, which currently represents 81.8 percent of residents. Pressure ulcers at 8.1 percent (49 percent above the Wisconsin average) and incontinence at 35.0 percent (35 percent above average) are the two long-stay metrics that warrant direct inquiry with the clinical team. Q4 2025 payroll data shows no employed RNs in direct care roles, with 1 RN Director of Nursing overseeing the clinical structure and all bedside clinical care delivered by 9 LPNs and 29 CNAs. This model is consistent with a Wisconsin residential care facility structure and explains the staffing sub-rating, but families with medically complex loved ones should confirm the supervision and escalation protocols on site. No penalties have been issued in the past three years. The inspection record shows 36 total citations across 5 surveys since 2022, ranking 120th of 174 Wisconsin SNFs at 7.2 per inspection against a state average of 4.19. Resident Rights (11 deficiencies, 31 percent) and Quality of Life and Care (7 deficiencies, 19 percent) are dominant deficiency categories, with 9 of 36 citations from complaint investigations. All citations are moderate or minor and corrected.

The facility is built for memory care. Safety features include a secured perimeter, wander management and security system, and user-friendly common areas. Residents live in private bedroom suites with full private bathrooms and access to an outdoor patio, wireless internet, a sprinkler system, and daily activities including games and regular outings. Three home-cooked meals are prepared from scratch daily. A nurse practitioner, mental health service worker, dietitian, and contracted therapy services including physical, occupational, speech, and respiratory are present on-site.

Manor of Fond Du Lac fits families in Fond du Lac County requiring a memory care-focused skilled nursing environment with strong functional outcome measures and private suite accommodations. Families with medically complex loved ones should confirm the supervision and escalation protocols in person. The staffing model and inspection frequency warrant a personal visit for questions about clinical oversight before placement.

Overview of Schmitt Woodland Hills INC

Schmitt Woodland Hills INC is a 30-bed skilled nursing, assisted living, and independent living community at 1400 W Seminary Street in Richland Center, Richland County, Wisconsin. Family-owned and self-administered as a corporation under the Schmitt Woodland Hills INC. entity, the facility has operated since August 1988, ranking 12th of 330 Wisconsin SNFs for years in operation. Medicare is accepted. The walk score of 70 places the Seminary Street location among the most walkable SNF settings in Wisconsin.

Despite its small census, Schmitt Woodland Hills INC delivers quality measure performance well above state benchmarks. Long-stay hospitalizations at 0.79 per 1,000 resident days are 51 percent better than the Wisconsin average of 1.61, an exceptional result indicating effective chronic condition management for long-term residents. Short-stay measures are rated significantly above average by CMS: re-hospitalization at 17.0 percent is 25 percent better than Wisconsin’s average, emergency department visits are 19 percent better, and falls with major injury during SNF stays are zero, 100 percent better than the state benchmark. Return to home at 46.1 percent is modestly below Wisconsin’s average, the only short-stay metric of concern. Staffing reflects the community’s CNA-centered care model. CNA hours at 3 hours 23 minutes per resident per day are 31 percent above Wisconsin’s average and the facility’s defining strength. Weekend total nursing at 4 hours 8 minutes per day is 11 percent above average. RN and LPN hours run modestly below Wisconsin averages, and physical therapist hours are minimal at 1 minute per day, likely reflecting referral to outpatient therapy for rehabilitation needs. Families of residents with complex clinical needs should ask about RN supervision arrangements. The latest inspection, an abbreviated survey conducted with 23 residents on February 14, 2024, found zero deficiencies. No enforcement actions or fines appear in the available inspection record. Earlier surveys noted some care and documentation deficiencies that have since been resolved, with complaint investigations in prior periods largely unsubstantiated. The overall inspection trajectory is positive.

The campus offers a full continuum of care encompassing independent apartments, the Westview Assisted Living program, skilled nursing, memory care, and rehabilitation services, alongside a volunteer program.

Schmitt Woodland Hills INC suits Richland County families seeking a long-established, small, continuum-of-care community with outstanding quality outcomes, strong CNA staffing, and a clean recent inspection record in a walkable central Richland Center location. Those with complex clinical needs should ask about RN supervision arrangements.

St Francis Health Services is a 34-bed skilled nursing facility administered by Ann Lopez at 1915 E Tripoli Avenue in Saint Francis, Wisconsin, in Milwaukee County. Privately owned and operated by NSH South Shore LLC, the facility accepts Medicare, Medicaid, and private pay, with 72.4 percent of its current census funded privately. Occupancy is at 94 percent, ranked 56th of 404 Wisconsin SNFs, signaling strong local demand.

CMS rates St Francis Health Services at 4 stars overall, driven by an exceptional health inspection record rated 44.4 percent above Wisconsin’s average and a quality measures score 21.6 percent above average. Staffing runs 17.1 percent below the Wisconsin benchmark. The inspection profile is the facility’s clearest strength. Across 3 surveys since 2024, St Francis Health Services garnered just 7 total citations against a 27.3 Wisconsin average, ranked 20th of 174 Wisconsin SNFs, with a per-inspection rate of 2.33 against a state average of 4.19, ranked 18th. No critical or serious citations have been issued. All 7 are moderate and corrected. No penalties have been imposed in the past three years. Short-stay quality measures are rated significantly above average. Re-hospitalization at 14.7 percent is 35 percent better than Wisconsin’s average, falls with major injury are zero, self-care ability at discharge is 12 percent above average, and no short-stay residents were newly started on antipsychotic medication. These are strong rehabilitation outcomes for a small 34-bed community. Long-stay quality measures run below average on functional metrics, with ADL decline (30.6 percent vs WI avg 17.6 percent), walking decline (31.1 percent vs 22.8 percent), and incontinence (36.1 percent vs 26.0 percent) all elevated. This likely reflects a higher-acuity long-stay population rather than a care delivery failure, given the concurrent strengths in pressure ulcers (1.8 percent, 67 percent better), weight loss (0 percent), and depressive symptoms (0 percent). Families placing long-stay residents should ask about the functional maintenance program. Staffing is below average overall at 3 hours 36 minutes per resident per day, with LPN hours at 49 minutes, the one standout at 29 percent above Wisconsin benchmark. RN hours at 28 minutes per day are 52 percent below Wisconsin’s average, the most significant gap in a small-facility model where LPNs carry substantial direct care responsibility.

Programs list Public Health, Environmental Health, and Community Resources, reflecting the facility’s positioning within the broader Saint Francis community health infrastructure in Milwaukee County. On-site contracted staff cover respiratory therapy, physical therapy, occupational therapy, and speech-language pathology. Two qualified social workers are also on staff.

St Francis Health Services suits Milwaukee-area families seeking a small, well-inspected, short-stay rehabilitation-focused SNF with excellent outcomes for post-acute residents. Long-stay placement families should discuss the functional maintenance approach with the care team.

Overview of Serenity Spring Senior Living at Scandia Village

Serenity Spring Senior Living at Scandia Village is a 50-bed skilled nursing facility at 10560 Applewood Road in Sister Bay, Door County, Wisconsin. Part of the Scandia Village Continuing Care Retirement Community campus, the facility is administered by Katherine Casey and operated by Sister Bay SNF Opco LLC as a for-profit limited liability company. It accepts Medicare, Medicaid, and private pay, with 70 percent of the current residents funded privately.

CMS rates Serenity Spring Senior Living at Scandia Village 2 stars overall, reflecting a health inspection score 27.8 percent below Wisconsin average despite staffing running 10.5 percent above average. Staffing’s headline figure, 4 hours 55 minutes of total adjusted nursing per resident per day, ranks 41st of 172 Wisconsin SNFs and exceeds the state average by 16 percent. Physical therapist hours at 8 minutes per day are double the Wisconsin average. However, the Q4 2025 payroll data reveals a major operational concern: 58.1 percent of all staff hours are delivered by contractors, including 18 contract CNAs alongside just 13 employed CNAs, 6 contract LPNs against 3 employed, and 3 contract RNs against 4 employed. This level of contractor dependency, the highest in this review batch, raises meaningful questions about care continuity and institutional knowledge. Weekend RN coverage at 21 minutes per day is 48 percent below the 40-minute Wisconsin average. The inspection record since 2022 shows 42 total citations, ranked 129th of 174 Wisconsin SNFs, at 6.0 per inspection against a state average of 4.19. Eleven of 42 citations arose from complaint investigations. The leading deficiency categories are Quality of Life and Care (10 deficiencies, 24 percent) and Resident Rights (8 deficiencies, 19 percent), with Abuse, Neglect, and Exploitation accounting for 4 deficiencies. 1 serious citation is on record. No critical citations have been issued, and no penalties have been imposed in the past three years. Quality measure outcomes present a striking split. For long-stay residents, hospitalizations at 0.58 per 1,000 resident days are 64 percent below Wisconsin average, an exceptional result, while ED visits at 4.07 per 1,000 days are 86 percent above average, indicating that medical situations avoiding inpatient hospitalization are frequently resolved via emergency department visits instead. Pressure ulcer rates and antipsychotic use are also above average for long-stay residents. Short-stay re-hospitalization at 15.4 percent is 32 percent better than the Wisconsin average, and falls with major injury are zero for short-stay residents. Financially, the facility recorded a net loss of $2.5 million in 2024 on a total payroll of $5.1 million, with occupancy declining by 11 percent from 2022. The financial trajectory warrants close attention by prospective families as an indicator of operational stability.

The community provides rehabilitation services with a doctor on staff and 24-hour staffing across its skilled nursing, assisted living, memory care, and independent living continuum.

In the scenic Door County peninsula, Serenity Spring Senior Living at Scandia Village fits families seeking a continuum-of-care campus setting in rural Wisconsin. The 2-star CMS rating, high contractor dependency, above-average citations, and ongoing financial losses are crucial considerations families should address with facility leadership before proceeding.