Serenity Spring Senior Living at Scandia Village

Overview of Serenity Spring Senior Living at Scandia Village

Serenity Spring Senior Living at Scandia Village is a 50-bed skilled nursing facility at 10560 Applewood Road in Sister Bay, Door County, Wisconsin. Part of the Scandia Village Continuing Care Retirement Community campus, the facility is administered by Katherine Casey and operated by Sister Bay SNF Opco LLC as a for-profit limited liability company. It accepts Medicare, Medicaid, and private pay, with 70 percent of the current residents funded privately.

CMS rates Serenity Spring Senior Living at Scandia Village 2 stars overall, reflecting a health inspection score 27.8 percent below Wisconsin average despite staffing running 10.5 percent above average. Staffing’s headline figure, 4 hours 55 minutes of total adjusted nursing per resident per day, ranks 41st of 172 Wisconsin SNFs and exceeds the state average by 16 percent. Physical therapist hours at 8 minutes per day are double the Wisconsin average. However, the Q4 2025 payroll data reveals a major operational concern: 58.1 percent of all staff hours are delivered by contractors, including 18 contract CNAs alongside just 13 employed CNAs, 6 contract LPNs against 3 employed, and 3 contract RNs against 4 employed. This level of contractor dependency, the highest in this review batch, raises meaningful questions about care continuity and institutional knowledge. Weekend RN coverage at 21 minutes per day is 48 percent below the 40-minute Wisconsin average. The inspection record since 2022 shows 42 total citations, ranked 129th of 174 Wisconsin SNFs, at 6.0 per inspection against a state average of 4.19. Eleven of 42 citations arose from complaint investigations. The leading deficiency categories are Quality of Life and Care (10 deficiencies, 24 percent) and Resident Rights (8 deficiencies, 19 percent), with Abuse, Neglect, and Exploitation accounting for 4 deficiencies. 1 serious citation is on record. No critical citations have been issued, and no penalties have been imposed in the past three years. Quality measure outcomes present a striking split. For long-stay residents, hospitalizations at 0.58 per 1,000 resident days are 64 percent below Wisconsin average, an exceptional result, while ED visits at 4.07 per 1,000 days are 86 percent above average, indicating that medical situations avoiding inpatient hospitalization are frequently resolved via emergency department visits instead. Pressure ulcer rates and antipsychotic use are also above average for long-stay residents. Short-stay re-hospitalization at 15.4 percent is 32 percent better than the Wisconsin average, and falls with major injury are zero for short-stay residents. Financially, the facility recorded a net loss of $2.5 million in 2024 on a total payroll of $5.1 million, with occupancy declining by 11 percent from 2022. The financial trajectory warrants close attention by prospective families as an indicator of operational stability.

The community provides rehabilitation services with a doctor on staff and 24-hour staffing across its skilled nursing, assisted living, memory care, and independent living continuum.

In the scenic Door County peninsula, Serenity Spring Senior Living at Scandia Village fits families seeking a continuum-of-care campus setting in rural Wisconsin. The 2-star CMS rating, high contractor dependency, above-average citations, and ongoing financial losses are crucial considerations families should address with facility leadership before proceeding.

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