Care &Amp; Rehab – Ladysmith 2
Nursing Home, Assisted Living, Hospice Care, Independent Living, Memory Care, Respite Care & Skilled Nursing · Ladysmith, WI
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.

Care &Amp; Rehab – Ladysmith 2

Nursing Home, Assisted Living, Hospice Care, Independent Living, Memory Care, Respite Care & Skilled Nursing · Ladysmith, WI
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
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Care &Amp; Rehab – Ladysmith 2 accepts Medicare, Medicaid, and private pay.

Overview of Care & Rehab – Ladysmith 2

Owned by Annmarie Novak, Care & Rehab – Ladysmith 2 is a nursing home in Ladysmith, Wisconsin. The 30-bed home serves those recovering from illness or injury and residents requiring ongoing nursing care. Medicare, Medicaid, and private pay are accepted, offering families multiple ways to cover short-term rehabilitation and longer-term skilled nursing. The community has a stable occupancy rate of 94%.

Residents stay an average of 203 days, including short-term recovery patients and longer-term care residents. Daily nurse staffing averages 4 hours and 27 minutes per resident. Registered nurses provide about 75 minutes of direct care each day. This level of hands-on nursing hours shows the facility’s emphasis on clinical oversight and rehabilitation support.

The facility focuses on rehabilitation services. Residents are supported by 24-hour staffing. On-site physician services are available around the clock. The care team comprises registered nurses, nurse aides, and licensed practical nurses working together to support recovery and daily living needs. Nutrition and dietitian services are available, and individualized care plans are developed for each resident.

Amenities and activities on-site support residents’ recovery and quality of life. Dining has restaurant-style options with a rotating menu prepared in the kitchen. The home has support groups, religious services, and recreational outings for residents.

Residents have access to spa bathing facilities, a beauty and barber salon, and transportation services. They can also access community rooms to provide additional comfort. The surrounding neighborhood has a Walkability Score of 50. Ladysmith’s location is accessible to visiting families and reasonably convenient for local errands.

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Health Inspection Info Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Staffing Info Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Quality Measures Info Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.

Staffing hours breakdown

Info Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.

Hours per resident per day — compared to state averages

Total nursing care / resident Info Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
4h 27m per day
Rank #69 / 178Nurse hours — State benchmarkedThis home is ranked 69th out of 178 homes in Wisconsin for Nurse Hours. Shows adjusted nurse hours per resident per day benchmarked to the Wisconsin average, with a ranking across 178 Wisconsin facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Wisconsin that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
vs avg

2 of 6 metrics below state avg

Standout metric Registered Nurse (RN) is +29% above state avg
Staff typeHours / Day / Residentvs state avg
Registered Nurse (RN) Info RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes. 1h 15m per day ▲ 29% State avg: 58m per day · National avg: 41m per day
LPN / LVN Info Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care. 19m per day ▼ 51% State avg: 38m per day · National avg: 52m per day
Nurse Aide Info Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life. 2h 51m per day ▲ 10% State avg: 2h 35m per day · National avg: 2h 20m per day
Weekend Total Nursing Info Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours. 3h 57m per day ▲ 6% State avg: 3h 43m per day · National avg: 3h 26m per day
Physical Therapist Info Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation. 1m per day ▼ 87% State avg: 4m per day · National avg: 4m per day
Weekend RN Info Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent. 48m per day ▲ 21% State avg: 40m per day · National avg: 28m per day

Capacity and availability

Avg. Length of Stay Info Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
203 days
Bed community size
30-bed community Rank #404 / 495Bed count — State benchmarkedThis home is ranked 404th out of 495 homes in Wisconsin for Bed Count. Shows this facility's certified or reported bed count compared to other Wisconsin facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Wisconsin that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A moderately sized community that may balance personal attention with shared amenities and social activities.
Walk Score
Walk Score: 50 / 100 Rank #225 / 580Walk Score — State benchmarkedThis home is ranked 225th out of 580 homes in Wisconsin for Walk Score. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Wisconsin facilities. Higher scores benefit residents, families, and staff.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Wisconsin that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

About this community

Occupancy

Occupancy rate
93%
Rank #57 / 407Occupancy rate — State benchmarkedThis home is ranked 57th out of 407 homes in Wisconsin for Occupancy. Shows this facility's occupancy rate versus the Wisconsin average, with its Statewide rank out of 407. Higher occupancy signals strong local demand and financial stability.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Wisconsin that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Higher than the Wisconsin average: 70%
Occupied beds
28 / 30
Average occupied beds in Wisconsin homes 54 beds

License Details

Facility TypeSkilled Care
CountyRusk
CMS Certification Number525592
Certification TypeTitle 18 SNF Title 19 NF

Ownership & Operating Entity

Care &Amp; Rehab – Ladysmith 2 is legally operated by Ann Novak.

Owner NameSenior Management, Inc
Profit StatusFor-profit

Therapy & Rehabilitation

1 service
Rehabilitation Services

Staffing & Medical

1 service
24-Hour Staffing

Contact Information

Fax(715) 532-5498

Additional Policies & Features

Pets not allowed

Amenities & Lifestyle

Support Groups
Beauty/Barber Salon
Chapel Opportunities
Transportation Services
Activity Outings
Laundry
Guest's Meals
Housekeeping
Restaurant Style Dining
Extra Large And Private Rooms
Garden And Patio Retreat Areas
Pet Visitation
Community Rooms For Private Parties
Beautifully Designed Hospice Rooms
Newsletters
Children's Toy Box
Computer Internet Area
Free Wireless Internet Access
Whirlpool Spa Bathing
Diabetic Education
24 Hr On-Call Physician Services
Nutrition/Dietitian Services
Individualized Care Plans
Religious Services

Contact Care &Amp; Rehab – Ladysmith 2

Health Inspection History

Inspections since 2022
Total health inspections 4

State average N/A


Last Health inspection on Aug 2025

Total health citations
11 Rank #41 / 180Health citations — State benchmarkedThis home is ranked 41st out of 180 homes in Wisconsin for Health Citations. Shows this facility's total health deficiency citations benchmarked to the Wisconsin State average, with a ranking across all 180 WI facilities. Lower citation counts earn a better rank.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Wisconsin that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average N/A

Citations per inspection
2.75 Rank #41 / 180Citations per inspection — State benchmarkedThis home is ranked 41st out of 180 homes in Wisconsin for Citations Per Inspection. Shows average deficiency citations per CMS inspection for this facility versus the Wisconsin mean across 180 facilities with citation data. Lower is better.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Wisconsin that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average N/A


Health citations are formal notices following inspections when they fail to comply with safety and care standards.

8 of 11 citations resulted from standard inspections; and 3 of 11 resulted from complaint investigations.

Breakdown of citation severity (last 4 years)
Critical health citations
0
In line with State average

State average: N/A


Serious health citations
0
In line with State average

State average: N/A

0 critical citations State average: N/A

0 serious citations State average: N/A

11 moderate citations State average: N/A

0 minor citations State average: N/A
Citations history (last 4 years)
Abuse/Neglect moderate citation Aug 11, 2025
Corrected

Administration moderate citation Nov 13, 2024
Corrected

Infection Control moderate citation Nov 13, 2024
Corrected

Nutrition moderate citation Nov 13, 2024
Corrected

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 102
Employees 60
Contractors 42
Staff to resident ratio 3.29 : 1
0% compared with State average

State average ratio: 0 : 0

Avg staff/day 23
Average shift 6.9 hours
0% compared with State average

State average: 0 hours

Total staff hours (quarter) 14,628

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info 14 total: 7 full-time employees and 7 contractors. 14
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.4 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info 6 total: 2 full-time employees and 4 contractors. 6
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.4 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info 48 total: 29 full-time employees and 19 contractors. 48
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

10%

1,456 contractor hours this quarter

Certified Nursing Assistant: 19 Registered Nurse: 7 Respiratory Therapy Technician: 4 Licensed Practical Nurse: 4 Physical Therapy Assistant: 2 Speech Language Pathologist: 2 Physical Therapy Aide: 1 Qualified Social Worker: 1 Occupational Therapy Assistant: 1 Medical Director: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant2919487,23092100%8
Registered Nurse77142,40092100%7.4
Other Dietary Services Staff5051,42392100%7.7
Licensed Practical Nurse2468538087%8.4
Clinical Nurse Specialist3035584953%8.7
Nurse Practitioner3034795964%8.1
Medication Aide/Technician3033695054%7.4
Dietitian1012686368%4.2
Administrator2022486368%3.9
Nurse Aide in Training3032222123%8.2
Speech Language Pathologist0222116672%3.2
Physical Therapy Aide0112005661%3.6
Physical Therapy Assistant022422527%1.7
Dental Services Staff10134910%3.8
Qualified Social Worker011252123%1.2
Occupational Therapy Aide101251820%1.4
Respiratory Therapy Technician044243336%0.7
Occupational Therapy Assistant011151617%0.9
Medical Director011533%1.5
48 Certified Nursing Assistant
% of Days 100%
14 Registered Nurse
% of Days 100%
5 Other Dietary Services Staff
% of Days 100%
6 Licensed Practical Nurse
% of Days 87%
3 Clinical Nurse Specialist
% of Days 53%
3 Nurse Practitioner
% of Days 64%
3 Medication Aide/Technician
% of Days 54%
1 Dietitian
% of Days 68%
2 Administrator
% of Days 68%
3 Nurse Aide in Training
% of Days 23%
2 Speech Language Pathologist
% of Days 72%
1 Physical Therapy Aide
% of Days 61%
2 Physical Therapy Assistant
% of Days 27%
1 Dental Services Staff
% of Days 10%
1 Qualified Social Worker
% of Days 23%
1 Occupational Therapy Aide
% of Days 20%
4 Respiratory Therapy Technician
% of Days 36%
1 Occupational Therapy Assistant
% of Days 17%
1 Medical Director
% of Days 3%

Penalties and fines

Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.

Source: CMS Penalties Database

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 12.7
21% worse than State average

State average: 10.5

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 26.6
20% worse than State average

State average: 22.1

Long-stay resident measures
Below average State avg: 3.0 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 24.7%
40% worse than State average

State average: 17.6%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 27.3%
20% worse than State average

State average: 22.8%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 27.8%
7% worse than State average

State average: 26.0%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 3.3%
In line with State average

State average: 3.2%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 3.6%
34% better than State average

State average: 5.4%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 3.3%
In line with State average

State average: 3.2%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 4.6%
7% better than State average

State average: 4.9%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 0.0%
100% better than State average

State average: 5.0%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 33.9%
111% worse than State average

State average: 16.1%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 97.6%
In line with State average

State average: 95.9%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 91.4%
In line with State average

State average: 95.0%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 81.8%
6% worse than State average

State average: 87.3%

Breakdown by payment type

Medicare

16% of new residents, usually for short-term rehab.

Typical stay 27 days

Private pay

53% of new residents, often for short stays.

Typical stay 2 - 3 months

Medicaid

31% of new residents, often for long-term daily care.

Typical stay 1 - 2 years

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 31
Medicaid
24
77.4% of residents
Private pay or other
7
22.6% of residents
Programs & Services
Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Nurse Aide Training

State-approved Nurse Aide Training and Competency Evaluation Program on-site

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

For-profit
Individual
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$3.7M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$379.9K
For-profit Individual
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$3.7M Rank #178 / 183Revenue — State benchmarkedThis home is ranked 178th out of 183 homes in Wisconsin for Revenue. Shows this facility's annual revenue compared to the Wisconsin average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Wisconsin that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$379.9K
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$12.4K
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #174 / 183Payroll — State benchmarkedThis home is ranked 174th out of 183 homes in Wisconsin for Payroll. Shows total annual staff payroll benchmarked to the Wisconsin average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Wisconsin that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$2.2M 59% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #46 / 183Payroll % — State benchmarkedThis home is ranked 46th out of 183 homes in Wisconsin for Payroll %. Shows payroll as a percentage of revenue versus the Wisconsin average. Well-run Wisconsin facilities typically land around 62–74% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Wisconsin that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$1.1M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$3.3M

Who this home usually serves

TYPE OF STAY

Mostly long-term care residents

Most residents stay for extended periods and receive ongoing daily care.

Most new residents arrive under private pay (53% of admissions), and a typical private pay stay runs around 2 - 3 months.

Admissions
55 total

Coverage residents most often arrive under.

Medicare 16%
Private pay 53%
Medicaid 31%
Discharges
58 total

Coverage residents most often leave under.

Medicare 19%
Private pay 57%
Medicaid 24%

Places of interest near Care &Amp; Rehab – Ladysmith 2

Address 0.0 miles from city center Info Estimated distance in miles from Ladysmith's city center to Care &Amp; Rehab – Ladysmith 2's address, calculated via Google Maps.

Calculate Travel Distance to Care &Amp; Rehab – Ladysmith 2

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The information below is reported by the Wisconsin Department of Health Services, Division of Quality Assurance.

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Frequently Asked Questions about Care &Amp; Rehab – Ladysmith 2

Who is the owner of Care &Amp; Rehab – Ladysmith 2?

Care &Amp; Rehab – Ladysmith 2 is legally operated by Ann Novak.

Is Care &Amp; Rehab – Ladysmith 2 in a walkable area?

Care &Amp; Rehab – Ladysmith 2 has a walk score of 50. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

What is the occupancy rate at Care &Amp; Rehab – Ladysmith 2?

Care &Amp; Rehab – Ladysmith 2's occupancy is 93%.

Are pets allowed at Care &Amp; Rehab – Ladysmith 2?

No, Care &Amp; Rehab – Ladysmith 2 has a no-pet policy.

Does Care &Amp; Rehab – Ladysmith 2 operate as a for-profit or non-profit?

Care &Amp; Rehab – Ladysmith 2 is registered as a for-profit in WI.

Who is the administrator of Care &Amp; Rehab – Ladysmith 2?

Ann Novak is the administrator of Care &Amp; Rehab – Ladysmith 2.

How many beds does Care &Amp; Rehab – Ladysmith 2 have?

Care &Amp; Rehab – Ladysmith 2 has 30 beds.

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