Columbia Health Care Center
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.

Columbia Health Care Center

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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Columbia Health Care Center accepts Medicare, Medicaid, and private pay.

Overview of Columbia Health Care Center

Owned and operated by the County of Columbia, Columbia Health Care Center is a skilled nursing home at 323 West Monroe Street in Wyocena, Wisconsin. Medicare, Medicaid, and private pay are accepted, providing options for both short-term rehabilitation and longer-term care. The 85-bed home has a current occupancy rate of 66%. Residents stay an average of 217 days, which includes a mixed population of post-acute residents and those with more extended nursing needs.

Besides the core nursing program, the facility offers rehabilitation services and respite care. Total nurse staffing averages 4 hours and 47 minutes per resident each day. Nurse aides provide 3 hours and 6 minutes of direct hands-on support, and registered nurses spend 1 hour and 16 minutes per resident daily.

The facility’s specialized programs include a Memory Care Neighborhood and a Comfort Care Room. There’s also person-directed care and volunteer-led activities to shape each resident’s daily routine.

The community is located in a rural setting, with a Walk Score of 9. Most errands and visits will require a car. The location is best suited for families who value a quiet, smaller-town environment, with less traffic and noise compared with a busier area. The facility’s county ownership and established nursing program provide a stable foundation for care for potential residents and their families.

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 47m per day
Rank #48 / 178Nurse hours — State benchmarkedThis home is ranked 48th 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 Weekend RN is +58% 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 16m per day ▲ 31% 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. 25m per day ▼ 35% 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. 3h 6m per day ▲ 20% 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. 4h 29m per day ▲ 21% 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. 0m per day ▼ 99% 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. 1h 3m per day ▲ 58% 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.
217 days
Bed community size
85-bed community Rank #108 / 495Bed count — State benchmarkedThis home is ranked 108th 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 larger shared setting that may offer more common spaces and organized community services.
Walk Score
Walk Score: 9 / 100 Rank #512 / 580Walk Score — State benchmarkedThis home is ranked 512th 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.
Car-dependent. Most errands require a car, with limited nearby walkable options.

About this community

Occupancy

Occupancy rate
73%
Rank #234 / 407Occupancy rate — State benchmarkedThis home is ranked 234th 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.
Similar to the Wisconsin average: 70%
Occupied beds
62 / 85
Average occupied beds in Wisconsin homes 54 beds

License Details

Facility TypeSkilled Care
CountyColumbia
CMS Certification Number525372
Certification TypeTitle 18 SNF Title 19 NF

Ownership & Operating Entity

Columbia Health Care Center is legally operated by Amy Yamriska.

Owner NameColumbia County
Profit StatusGovernment

Therapy & Rehabilitation

2 services
Rehabilitation Services
Respite Care

Contact Information

Fax(608) 429-2281

Additional Policies & Features

Pets not allowed

Amenities & Lifestyle

Specific ProgramsMemory Care Neighborhood, Comfort Care Room, Person Directed Care, Volunteer Opportunities

Contact Columbia Health Care Center

Health Inspection History

Inspections since 2023
Total health inspections 2

State average N/A


Last Health inspection on Feb 2025

Total health citations
3 Rank #1 / 180Health citations — State benchmarkedThis home is ranked 1st 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
1.5 Rank #5 / 180Citations per inspection — State benchmarkedThis home is ranked 5th 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.

2 of 3 citations resulted from standard inspections; and 1 of 3 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 3 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

3 moderate citations State average: N/A

0 minor citations State average: N/A
Citations history (last 3 years)
Quality of Care moderate citation Feb 19, 2025
Corrected

Abuse/Neglect moderate citation Jan 05, 2023
Corrected

Care Planning moderate citation Jan 05, 2023
Corrected

Staffing Data

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

Total staff 126
Employees 114
Contractors 12
Staff to resident ratio 2.14 : 1
0% compared with State average

State average ratio: 0 : 0

Avg staff/day 46
Average shift 7.4 hours
0% compared with State average

State average: 0 hours

Total staff hours (quarter) 31,120

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 All 20 RN Staff are full-time employees. No contractors work on this role. 20
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.5 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info All 7 LPN Staff are full-time employees. No contractors work on this role. 7
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info All 72 CNA Staff are full-time employees. No contractors work on this role. 72
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.2 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

3.7%

1,166 contractor hours this quarter

Qualified Social Worker: 4 Physical Therapy Assistant: 2 Speech Language Pathologist: 1 Physical Therapy Aide: 1 Occupational Therapy Aide: 1 Occupational Therapy Assistant: 1 Respiratory Therapy Technician: 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 Assistant7207217,69892100%7.2
Registered Nurse200205,37192100%8.5
Licensed Practical Nurse7072,34992100%8
Clinical Nurse Specialist4041,4676470%8.5
Other Dietary Services Staff3031,1587784%6.5
Speech Language Pathologist0115186672%7.8
Mental Health Service Worker1014645863%8
Dietitian1014485661%8
Nurse Practitioner1014425762%7.7
Administrator1014405560%8
Physical Therapy Aide0114076368%6.5
Medication Aide/Technician4041181617%6.9
Occupational Therapy Aide011791112%7.2
Qualified Social Worker044673235%2
Physical Therapy Assistant022603639%1.7
Occupational Therapy Assistant0112133%7
Medical Director011121011%1.2
Respiratory Therapy Technician011322%1.5
72 Certified Nursing Assistant
% of Days 100%
20 Registered Nurse
% of Days 100%
7 Licensed Practical Nurse
% of Days 100%
4 Clinical Nurse Specialist
% of Days 70%
3 Other Dietary Services Staff
% of Days 84%
1 Speech Language Pathologist
% of Days 72%
1 Mental Health Service Worker
% of Days 63%
1 Dietitian
% of Days 61%
1 Nurse Practitioner
% of Days 62%
1 Administrator
% of Days 60%
1 Physical Therapy Aide
% of Days 68%
4 Medication Aide/Technician
% of Days 17%
1 Occupational Therapy Aide
% of Days 12%
4 Qualified Social Worker
% of Days 35%
2 Physical Therapy Assistant
% of Days 39%
1 Occupational Therapy Assistant
% of Days 3%
1 Medical Director
% of Days 11%
1 Respiratory Therapy Technician
% of Days 2%

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. 7.9
25% better 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. 13.5
39% better than State average

State average: 22.1

Long-stay resident measures
Significantly above 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 16.2%
8% better than State average

State average: 17.6%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 13.3%
42% better 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 11.2%
57% better 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 4.5%
41% worse than State average

State average: 3.2%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 2.6%
52% better than State average

State average: 5.4%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.5%
86% better than State average

State average: 3.2%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 2.8%
44% 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 16.9%
5% worse than State average

State average: 16.1%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
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 98.3%
In line with State average

State average: 95.0%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 0.97
40% better than State average

State average: 1.61

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 1.35
38% better than State average

State average: 2.19

Short-stay resident measures
Significantly above average State avg: 2.9 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 95.2%
9% better than State average

State average: 87.3%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.0%
100% better than State average

State average: 1.2%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 95.6%
16% better than State average

State average: 82.2%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 7.4%
67% better than State average

State average: 22.7%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 17.8%
19% worse than State average

State average: 15.0%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 2.5%
225% worse than State average

State average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 35.9%
33% worse than State average

State average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 54.6%
8% better than State average

State average: 50.6%

Breakdown by payment type

Medicare

48% of new residents, usually for short-term rehab.

Typical stay 29 days

Private pay

47% of new residents, often for short stays.

Typical stay 8 - 9 months

Medicaid

6% of new residents, often for long-term daily care.

Typical stay 4 years

Facility Characteristics

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

Total residents 59
Medicare
5
8.5% of residents
Medicaid
31
52.5% of residents
Private pay or other
23
39% 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.

Government
Operated by federal authorities.
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."
$7.7M
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."
-$162.6K
Government Operated by federal authorities.
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."
$7.7M Rank #111 / 183Revenue — State benchmarkedThis home is ranked 111th 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."
-$162.6K
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.
$162.4K
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 #57 / 183Payroll — State benchmarkedThis home is ranked 57th 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.
$6.2M 79.8% 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 #10 / 183Payroll % — State benchmarkedThis home is ranked 10th 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).
$1.7M
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).
$7.9M

Who this home usually serves

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

New residents most often arrive under Medicare (48% of admissions), and a typical Medicare stay runs around 29 days.

Admissions
107 total

Coverage residents most often arrive under.

Medicare 48%
Private pay 47%
Medicaid 6%
Discharges
106 total

Coverage residents most often leave under.

Medicare 39%
Private pay 45%
Medicaid 16%

Places of interest near Columbia Health Care Center

Address 0.3 miles from city center Info Estimated distance in miles from Wyocena's city center to Columbia Health Care Center's address, calculated via Google Maps.

Calculate Travel Distance to Columbia Health Care Center

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Address

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Frequently Asked Questions about Columbia Health Care Center

Who is the owner of Columbia Health Care Center?

Columbia Health Care Center is legally operated by Amy Yamriska.

Is Columbia Health Care Center in a walkable area?

Columbia Health Care Center has a walk score of 9. Car-dependent. Most errands require a car, with limited nearby walkable options.

What is the occupancy rate at Columbia Health Care Center?

Columbia Health Care Center's occupancy is 73%.

Are pets allowed at Columbia Health Care Center?

No, Columbia Health Care Center has a no-pet policy.

Is Columbia Health Care Center a government-operated facility?

Columbia Health Care Center is a government-operated nursing facility in WI.

Who is the administrator of Columbia Health Care Center?

Amy Yamriska is the administrator of Columbia Health Care Center.

How many beds does Columbia Health Care Center have?

Columbia Health Care Center has 85 beds.

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