Pine Crest Nursing Home
Nursing Home, Hospice Care, Memory Care, Palliative Care, Respite Care & Skilled Nursing · Merrill, 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.

Pine Crest Nursing Home

Nursing Home, Hospice Care, Memory Care, Palliative Care, Respite Care & Skilled Nursing · Merrill, 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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Pine Crest Nursing Home accepts Medicaid, Medicare, and private pay.

Overview of Pine Crest Nursing Home

Pine Crest Nursing Home is a 120-bed skilled nursing, memory care, and rehabilitation facility at 2100 E Sixth Street in Merrill, Wisconsin, in Lincoln County. Owned by Lincoln County as a governmental entity and managed by Ensign Services, with Ryan Hanson as administrator, the facility accepts Medicare, Medicaid, and private pay.

CMS rates Pine Crest Nursing Home the highest tier 5 stars, with all 3 regulatory dimensions above the Wisconsin average: health inspection by 44.4 percent, staffing by 38.1 percent, and overall by 66.1 percent. Quality measures run modestly below the Wisconsin average at 8.8 percent. The inspection record is strong. Across 7 surveys since 2023, Pine Crest Nursing Home totaled just 16 citations against a 27.3 Wisconsin average at 2.29 per inspection, ranking 18th of 174 Wisconsin SNFs. No critical or serious citations have been issued. All 16 citations are moderate or minor and corrected. Pharmacy Services is the leading deficiency category at 5 deficiencies (31 percent). No civil money penalties have been imposed in the past three years. Staffing ranks 55th of 172 Wisconsin SNFs at 4 hours 34 minutes per resident per day, 8 percent above Wisconsin average. Q4 2025 data shows 154 total staff with just 4.3 percent contractor hours, among the lowest contractor shares in this batch, and all 64 CNAs are directly employed. Quality measure performance for long-stay residents warrants attention on three metrics: depressive symptoms at 8.1 percent are 60 percent above Wisconsin average, walking decline at 28.9 percent is 27 percent above average, and UTI rate at 4.5 percent is 42 percent above average. Antipsychotic use, weight loss, ADL decline, and incontinence are at or below the Wisconsin benchmark. The current census of 73 residents across 120 beds reflects a 69 percent occupancy rate, consistent with Wisconsin average, with 76.7 percent of current residents funded by Medicaid and an average length of stay of 401 days, indicating a predominantly long-term care population.

In-house therapy covers physical, occupational, and speech services, alongside dental services staff and on-site hospice care. The Stay Active program structures the monthly activity calendar for resident engagement.

Pine Crest Nursing Home suits Lincoln County families seeking a 5-star CMS-rated skilled nursing facility. Those placing long-stay residents must inquire first regarding mental health programming and infection prevention protocols before deciding.

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 34m per day
Rank #58 / 178Nurse hours — State benchmarkedThis home is ranked 58th 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
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. 52m 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. 39m 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 33m 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 36m 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. 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. 26m 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.
401 days
Bed community size
120-bed community Rank #33 / 495Bed count — State benchmarkedThis home is ranked 33rd 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: 60 / 100 Rank #159 / 580Walk Score — State benchmarkedThis home is ranked 159th 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
69%
Rank #259 / 407Occupancy rate — State benchmarkedThis home is ranked 259th 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
83 / 120
Average occupied beds in Wisconsin homes 54 beds

License Details

Facility TypeSkilled Care
CountyLincoln
CMS Certification Number525326
Certification TypeTitle 18 SNF Title 19 NF

Ownership & Operating Entity

Pine Crest Nursing Home is legally operated by Ryan Hanson.

Owner NameLincoln County
Profit StatusGovernment

Payment & Insurance

2 services
Accept Medicaid
Accept Medicare

Therapy & Rehabilitation

2 services
Rehabilitation Services
Respite Care

Staffing & Medical

2 services
Doctor on Staff
24-Hour Staffing

Additional Services

1 service
In-House Therapy

Contact Information

Fax(715) 539-3202

Additional Policies & Features

Pets not allowed

Amenities & Lifestyle

Activities
Specific ProgramsStay Active

Contact Pine Crest Nursing Home

Health Inspection History

Inspections since 2023
Total health inspections 7

State average N/A


Last Health inspection on Aug 2025

Total health citations
16 Rank #66 / 180Health citations — State benchmarkedThis home is ranked 66th 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
2.29 Rank #19 / 180Citations per inspection — State benchmarkedThis home is ranked 19th 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.

12 of 16 citations resulted from standard inspections; and 4 of 16 resulted from complaint investigations.

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

14 moderate citations State average: N/A

2 minor citations State average: N/A
Citations history (last 3 years)
Pharmacy moderate citation Aug 27, 2025
Corrected

Abuse/Neglect moderate citation Jun 18, 2025
Corrected

Infection Control moderate citation May 01, 2025
Corrected

Nursing Services minor citation May 01, 2025
Corrected

Staffing Data

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

Total staff 154
Employees 141
Contractors 13
Staff to resident ratio 2.11 : 1
0% compared with State average

State average ratio: 0 : 0

Avg staff/day 54
Average shift 7.4 hours
0% compared with State average

State average: 0 hours

Total staff hours (quarter) 36,991

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 26 total: 22 full-time employees and 4 contractors. 26
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.3 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info 16 total: 9 full-time employees and 7 contractors. 16
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.2 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info All 64 CNA Staff are full-time employees. No contractors work on this role. 64
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.3 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

4.3%

1,603 contractor hours this quarter

Licensed Practical Nurse: 7 Registered Nurse: 4 Medical Director: 1 Occupational Therapy Assistant: 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 Assistant6406416,55392100%7.3
Licensed Practical Nurse97164,94892100%8.2
Registered Nurse224263,77592100%7.3
Clinical Nurse Specialist5052,3586874%7.7
Medication Aide/Technician110112,15392100%7.3
Other Dietary Services Staff4041,0787784%7
Nurse Aide in Training7077816571%7.1
Physical Therapy Aide1015776166%9.5
Qualified Social Worker4045556874%7.1
Administrator1015286672%8
Occupational Therapy Aide1015286672%8
Nurse Practitioner1015126672%7.8
Mental Health Service Worker1015086470%7.9
Dietitian1014836470%7.5
Respiratory Therapy Technician1014476470%7
Dental Services Staff1013935257%7.6
Physical Therapy Assistant5053875560%5.4
Speech Language Pathologist2023765762%6.5
Occupational Therapy Assistant0113067%5
Medical Director011241415%1.7
64 Certified Nursing Assistant
% of Days 100%
16 Licensed Practical Nurse
% of Days 100%
26 Registered Nurse
% of Days 100%
5 Clinical Nurse Specialist
% of Days 74%
11 Medication Aide/Technician
% of Days 100%
4 Other Dietary Services Staff
% of Days 84%
7 Nurse Aide in Training
% of Days 71%
1 Physical Therapy Aide
% of Days 66%
4 Qualified Social Worker
% of Days 74%
1 Administrator
% of Days 72%
1 Occupational Therapy Aide
% of Days 72%
1 Nurse Practitioner
% of Days 72%
1 Mental Health Service Worker
% of Days 70%
1 Dietitian
% of Days 70%
1 Respiratory Therapy Technician
% of Days 70%
1 Dental Services Staff
% of Days 57%
5 Physical Therapy Assistant
% of Days 60%
2 Speech Language Pathologist
% of Days 62%
1 Occupational Therapy Assistant
% of Days 7%
1 Medical Director
% of Days 15%

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. 11.9
13% 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. 23.5
6% worse than State average

State average: 22.1

Long-stay resident measures
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 16.8%
5% better than State average

State average: 17.6%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 28.9%
27% 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 24.7%
5% 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 3.1%
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 5.9%
8% worse than State average

State average: 5.4%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 4.5%
42% worse than State average

State average: 3.2%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 4.6%
6% better than State average

State average: 4.9%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 8.1%
60% worse than State average

State average: 5.0%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 14.7%
8% better than State average

State average: 16.1%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 92.8%
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 98.7%
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 96.2%
10% 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 97.4%
19% better than State average

State average: 82.2%

Breakdown by payment type

Medicare

33% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

52% of new residents, often for short stays.

Typical stay 2 - 3 months

Medicaid

16% of new residents, often for long-term daily care.

Typical stay 3 - 4 years

Facility Characteristics

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

Total residents 73
Medicare
7
9.6% of residents
Medicaid
56
76.7% of residents
Private pay or other
10
13.7% of residents
Programs & Services
Residents Group

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

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."
$11.6M
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."
-$2.1M
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."
$11.6M Rank #38 / 183Revenue — State benchmarkedThis home is ranked 38th 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."
-$2.1M
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.
$2.6M
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 #26 / 183Payroll — State benchmarkedThis home is ranked 26th 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.
$8.2M 71% 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 #73 / 183Payroll % — State benchmarkedThis home is ranked 73rd 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).
$5.4M
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).
$13.7M

Who this home usually serves

TYPE OF STAY

Mix of rehab and long-term care

This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.

Most new residents arrive under private pay (52% of admissions), and a typical private pay stay runs around 2 - 3 months.

Admissions
116 total

Coverage residents most often arrive under.

Medicare 33%
Private pay 52%
Medicaid 16%
Discharges
75 total

Coverage residents most often leave under.

Medicare 39%
Private pay 55%
Medicaid 7%

Places of interest near Pine Crest Nursing Home

Address 0.0 miles from city center Info Estimated distance in miles from Merrill's city center to Pine Crest Nursing Home's address, calculated via Google Maps.

Calculate Travel Distance to Pine Crest Nursing Home

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Address

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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 Pine Crest Nursing Home

Who is the owner of Pine Crest Nursing Home?

Pine Crest Nursing Home is legally operated by Ryan Hanson.

Is Pine Crest Nursing Home in a walkable area?

Pine Crest Nursing Home has a walk score of 60. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

What is the occupancy rate at Pine Crest Nursing Home?

Pine Crest Nursing Home's occupancy is 69%.

Are pets allowed at Pine Crest Nursing Home?

No, Pine Crest Nursing Home has a no-pet policy.

Is Pine Crest Nursing Home a government-operated facility?

Pine Crest Nursing Home is a government-operated nursing facility in WI.

Who is the administrator of Pine Crest Nursing Home?

Ryan Hanson is the administrator of Pine Crest Nursing Home.

How many beds does Pine Crest Nursing Home have?

Pine Crest Nursing Home has 120 beds.

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