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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.
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.
Middleton Village Nursing and Rehab is a nurturing nursing home in Middletown, WI, that offers skilled nursing and rehabilitation. Those with memory loss, physical disability, and terminal illness receive top-notch support for their unique needs around the clock. Accessible amenities and thoughtfully furnished rooms are also provided in a supportive setting, ensuring residents are comfortable and safe.
Dedicated to residents’ leisure and wellness, recreational activities and light exercises are conducted. The community also provides physical, occupational, and speech therapy to enhance residents’ living experiences. Through its comprehensive care options, residents do not have to worry about their needs and thrive in their golden years.
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.
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
May offer a more intimate, personalized care environment.
Lower occupancy suggests more openings may be available.
Most residents typically stay for a few weeks or months before returning home or moving on.
44% of new residents, usually for short-term rehab.
37% of new residents, often for short stays.
19% of new residents, often for long-term daily care.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Middleton Village Nursing and Rehab is legally operated by Middleton Village Nursing And Rehab Llc, and administrated by Sierra Ballweg.
Key information about the people who lead and staff this community.
Accept Medicaid: Yes
Building Type: Single-story
On-site Medical Care and Health Services
Wisconsin average 6
Last Health inspection on Oct 2025
Wisconsin average 27.3
Wisconsin average 4.19
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
26 of 73 citations resulted from standard inspections; 37 of 73 resulted from complaint investigations; and 10 of 73 came from combined inspections (standard and complaint).
2
122% worse than Wisconsin average
Wisconsin average: 0.9
5
317% worse than Wisconsin average
Wisconsin average: 1.2
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Oct 08, 2025
Corrected
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Oct 08, 2025
Corrected
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
May 07, 2025
Corrected
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
May 07, 2025
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
1.2 miles from city center
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This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
6% better than Wisconsin average
Wisconsin average ratio: 2.41:1
0% compared with Wisconsin average
Wisconsin average: 7.3 hours
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.8 hours
This role is partially covered by contractors.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hours
This role is partially covered by contractors.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.4 hours
This role is partially covered by contractors.
Total hours from contractors
1,762 contractor hours this quarter
| Certified Nursing Assistant | 65 | 54 | 119 | 16,176 | 91 | 100% | 7.4 |
| Licensed Practical Nurse | 12 | 15 | 27 | 4,292 | 91 | 100% | 7.7 |
| Registered Nurse | 10 | 18 | 28 | 2,600 | 90 | 99% | 7.8 |
| Medication Aide/Technician | 4 | 0 | 4 | 1,263 | 72 | 79% | 11.8 |
| RN Director of Nursing | 3 | 0 | 3 | 971 | 67 | 74% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 680 | 85 | 93% | 8 |
| Dietitian | 1 | 0 | 1 | 504 | 63 | 69% | 8 |
| Administrator | 1 | 0 | 1 | 496 | 62 | 68% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 496 | 62 | 68% | 8 |
| Qualified Social Worker | 2 | 0 | 2 | 464 | 63 | 69% | 6.6 |
| Physical Therapy Assistant | 1 | 0 | 1 | 452 | 63 | 69% | 7.2 |
| Respiratory Therapy Technician | 2 | 0 | 2 | 412 | 58 | 64% | 7.1 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 376 | 47 | 52% | 8 |
| Physical Therapy Aide | 1 | 0 | 1 | 334 | 59 | 65% | 5.7 |
| Occupational Therapy Aide | 0 | 1 | 1 | 135 | 26 | 29% | 5.2 |
| Medical Director | 0 | 1 | 1 | 30 | 13 | 14% | 2.3 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 23 | 3 | 3% | 7.7 |
| Other Dietary Services Staff | 1 | 0 | 1 | 1 | 1 | 1% | 1.1 |
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Residents meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
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.
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.
6.6
37% better than Wisconsin average
Wisconsin average: 10.5
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
13.5
39% better than Wisconsin average
Wisconsin average: 22.1
Percent of long-stay residents whose need for help with daily activities has increased
7.6%
57% better than Wisconsin average
Wisconsin average: 17.6%
Percent of long-stay residents whose ability to move independently worsened
6.3%
73% better than Wisconsin average
Wisconsin average: 22.8%
Percent of low risk long-stay residents who lose control of their bowels or bladder
26.8%
In line with Wisconsin average
Wisconsin average: 26.0%
Percent of long-stay residents experiencing one or more falls with major injury
5.6%
76% worse than Wisconsin average
Wisconsin average: 3.2%
Percent of long-stay high risk residents with pressure ulcers
5.5%
In line with Wisconsin average
Wisconsin average: 5.4%
Percent of long-stay residents with a urinary tract infection
2.1%
35% better than Wisconsin average
Wisconsin average: 3.2%
Percent of long-stay residents who lose too much weight
8.1%
66% worse than Wisconsin average
Wisconsin average: 4.9%
Percent of long-stay residents who have depressive symptoms
67.4%
1235% worse than Wisconsin average
Wisconsin average: 5.0%
Percent of long-stay residents who received an antipsychotic medication
17.7%
10% worse than Wisconsin average
Wisconsin average: 16.1%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
In line with Wisconsin average
Wisconsin average: 95.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
90.9%
In line with Wisconsin average
Wisconsin average: 95.0%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
99.7%
14% better than Wisconsin average
Wisconsin average: 87.3%
Percent of short-stay residents who newly received an antipsychotic medication
1.6%
25% worse than Wisconsin average
Wisconsin average: 1.2%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
91.7%
12% better than Wisconsin average
Wisconsin average: 82.2%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
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)
11% lower than Wisconsin average
Wisconsin average: $95K
45% more fines than Wisconsin average
Wisconsin average: 2.1
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
51% more payment denials than Wisconsin average
Wisconsin average: 0.7
Penalties are imposed by CMS for violations of federal nursing home regulations.
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Oct 28, 2024
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Oct 28, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Apr 18, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jun 21, 2023
Last updated: Jan 2026
Historical financial and operational data for Middleton Village Nursing and Rehab based on CMS SNF Cost Reports.
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