1/5
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.
1/5
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.
Located in Greendale, Wisconsin, Heritage Square Health Care Center stands as a pinnacle of high quality healthcare. Specializing in short-term rehab, long-term care, wound care, palliative care, and respite care, they have earned a prestigious five-star rating for their unparalleled services. They incorporate therapy and treatment programs alongside engaging activities, ensuring seniors receive the best holistic care possible.
The center’s staff, comprising top-notch nurses and therapists, is a testament to their commitment to excellence. Their expertise enables them to cater to complex health needs with unparalleled dedication. Being Medicare certified and offering Medicaid assistance, Heritage Square Health Care Center provides a lush and tranquil environment, making it an ideal home for subacute patients. This close-knit facility excels in offering exceptional support, making it one of the best care nursing homes in the area, where residents receive the highest standard of nursing home qualifications.
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.
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.
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.
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.
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.
This home is ranked 159th out of 178 homes in Wisconsin for nurse hours. 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.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
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.
| 30m per day | ▼ 49% State avg: 58m per day · National avg: 41m per day |
|
LPN / LVN
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.
| 1h 29m per day | ▲ 135% State avg: 38m per day · National avg: 52m per day |
|
Nurse Aide
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 13m per day | ▼ 14% State avg: 2h 35m per day · National avg: 2h 21m per day |
|
Weekend Total Nursing
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 33m per day | ▼ 4% State avg: 3h 43m per day · National avg: 3h 26m per day |
|
Physical Therapist
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.
| 5m per day | ▲ 33% State avg: 4m per day · National avg: 4m per day |
|
Weekend RN
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.
| 14m per day | ▼ 65% State avg: 39m per day · National avg: 29m per day |
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
22% more staff per resident than Wisconsin average
0% compared with Wisconsin average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
31 total: 5 full-time employees and 26 contractors.
31
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.3 hoursAssists with medical care and medications.
47 total: 22 full-time employees and 25 contractors.
47
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hoursHelps with daily care and mobility.
112 total: 53 full-time employees and 59 contractors.
112
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.1 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
1,948 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 53 | 59 | 112 | 12,888 | 92 | 100% | 7.1 |
| Licensed Practical Nurse | 22 | 25 | 47 | 6,704 | 92 | 100% | 8 |
| RN Director of Nursing | 5 | 0 | 5 | 2,140 | 64 | 70% | 7.6 |
| Speech Language Pathologist | 6 | 0 | 6 | 1,332 | 73 | 79% | 7 |
| Clinical Nurse Specialist | 4 | 0 | 4 | 1,317 | 70 | 76% | 7.3 |
| Registered Nurse | 5 | 26 | 31 | 1,131 | 85 | 92% | 7.3 |
| Mental Health Service Worker | 2 | 0 | 2 | 944 | 63 | 68% | 8 |
| Physical Therapy Aide | 3 | 0 | 3 | 685 | 76 | 83% | 5.5 |
| Physical Therapy Assistant | 2 | 0 | 2 | 644 | 73 | 79% | 5.2 |
| Respiratory Therapy Technician | 3 | 0 | 3 | 528 | 69 | 75% | 5.3 |
| Administrator | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Nurse Practitioner | 2 | 0 | 2 | 512 | 64 | 70% | 8 |
| Dental Services Staff | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Other Dietary Services Staff | 1 | 0 | 1 | 436 | 59 | 64% | 7.4 |
| Qualified Activities Professional | 1 | 0 | 1 | 431 | 55 | 60% | 7.8 |
| Medication Aide/Technician | 1 | 0 | 1 | 326 | 46 | 50% | 7.1 |
| Occupational Therapy Aide | 0 | 3 | 3 | 251 | 28 | 30% | 7.2 |
| Feeding Assistant | 0 | 2 | 2 | 223 | 40 | 43% | 3.4 |
| Qualified Social Worker | 1 | 0 | 1 | 35 | 9 | 10% | 3.9 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 24 | 9 | 10% | 2.7 |
| Medical Director | 0 | 1 | 1 | 23 | 20 | 22% | 1.1 |
Includes penalties issued in 2024-2025
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 (Data as of Jan 2026)
184% higher than Wisconsin averageWisconsin average: $95K
45% more fines than Wisconsin averageWisconsin average: 2.1
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
2
202% more payment denials than Wisconsin averageWisconsin average: 0.7
Penalties are imposed by CMS for violations of federal nursing home regulations.
3 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Mar 19, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jul 18, 2024
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Jul 18, 2024Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
13.8
32% worse than Wisconsin averageWisconsin average: 10.5
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
30.9
40% worse than Wisconsin averageWisconsin average: 22.1
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
21.6%
23% worse than Wisconsin averageWisconsin average: 17.6%
Percent of long-stay residents whose ability to move independently worsened
32.0%
40% worse than Wisconsin averageWisconsin average: 22.8%
Percent of low risk long-stay residents who lose control of their bowels or bladder
39.1%
50% worse than Wisconsin averageWisconsin average: 26.0%
Percent of long-stay residents experiencing one or more falls with major injury
3.9%
21% worse than Wisconsin averageWisconsin average: 3.2%
Percent of long-stay high risk residents with pressure ulcers
7.2%
33% worse than Wisconsin averageWisconsin average: 5.4%
Percent of long-stay residents with a urinary tract infection
1.3%
58% better than Wisconsin averageWisconsin average: 3.2%
Percent of long-stay residents who lose too much weight
4.2%
14% better than Wisconsin averageWisconsin average: 4.9%
Percent of long-stay residents who have depressive symptoms
9.8%
94% worse than Wisconsin averageWisconsin average: 5.0%
Percent of long-stay residents who received an antipsychotic medication
12.0%
25% better than Wisconsin averageWisconsin average: 16.1%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
87.2%
9% worse than Wisconsin averageWisconsin average: 95.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
77.8%
18% worse than Wisconsin averageWisconsin average: 95.0%
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
84.0%
In line with Wisconsin averageWisconsin average: 87.3%
Percent of short-stay residents who newly received an antipsychotic medication
0.7%
41% better than Wisconsin averageWisconsin average: 1.2%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
64.5%
22% worse than Wisconsin averageWisconsin average: 82.2%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
26.2%
15% worse than Wisconsin averageWisconsin average: 22.7%
Percentage of short-stay residents who had an outpatient emergency department visit.
10.3%
31% better than Wisconsin averageWisconsin average: 15.0%
Percentage of SNF residents who experience falls with major injury during their stay.
0.5%
36% better than Wisconsin averageWisconsin average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
43.3%
19% worse than Wisconsin averageWisconsin average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
64.2%
27% better than Wisconsin averageWisconsin average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
30% of new residents, usually for short-term rehab.
69% of new residents, often for short stays.
2% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
76Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Heritage Square Health Care Center from 2011–2023, based on CMS SNF Cost Reports.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
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."
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."
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."
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."
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.
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 #25 / 183Payroll — State benchmarkedThis home is ranked 25th out of 183 homes in Wisconsin. 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.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.
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 #77 / 183Payroll % — State benchmarkedThis home is ranked 77th out of 183 homes in Wisconsin. 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.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.
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).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
Most new residents arrive under private pay (69% of admissions), and a typical private pay stay runs around 17 days.
Coverage residents most often arrive under.
Coverage residents most often leave under.
3.9 miles from city center
Estimated distance in miles from Greendale's city center to Heritage Square Health Care Center's address, calculated via Google Maps.
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The information below is reported by the Wisconsin Department of Health Services, Division of Quality Assurance.
| Heritage Square Health Care Center | NH AL RC | Greendale (West Loomis Road) | - | 105
Facility
105
WI AVG
61
Rank
#59 / 496 | - |
33
Facility
33
WI AVG
42
Rank
#357 / 580 | - |
| Clement Manor Inc | NH AL IL MC PC RC | Greenfield | - | 47
Facility
47
WI AVG
61
Rank
#304 / 496 | - |
41
Facility
41
WI AVG
42
Rank
#296 / 580 | - |
Heritage Square Health Care Center is located in Greendale, Wisconsin.
Here are the financial assistance programs available to residents in Wisconsin.
Heritage Square Health Care Center is in the West Loomis Road neighborhood.
Heritage Square Health Care Center has a walk score of 33. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
Heritage Square Health Care Center's occupancy is 61.5%.
Heritage Square Health Care Center is registered as a for-profit.
Yes — there are 23 photos of Heritage Square Health Care Center in the photo gallery on this page.
Heritage Square Health Care Center is located at 5404 W Loomis Rd, Greendale, WI 53129.
(414) 421-0088 will put you in contact with the team at Heritage Square Health Care Center.
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