Spring Valley Health and Rehabilitation Center
Nursing Home, Assisted Living, Hospice Care, Memory Care, Respite Care & Skilled Nursing · Spring Valley, 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.

Spring Valley Health and Rehabilitation Center

Nursing Home, Assisted Living, Hospice Care, Memory Care, Respite Care & Skilled Nursing · Spring Valley, 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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Spring Valley Health and Rehabilitation Center accepts Medicaid, Medicare, and private pay.

Overview of Spring Valley Health and Rehabilitation Center

Owned by Kevin Larson, Spring Valley Health and Rehabilitation Center is a nursing community with 40 beds. The facility operates at 95% occupancy. Residents stay an average of 257 days, which includes residents with short-term rehabilitation needs and those under longer-term care stays. Medicaid, Medicare, and private pay are accepted, giving families flexibility when arranging coverage.

The facility focuses on personalized nursing care and rehabilitation services. A doctor is on staff, with 24-hour staffing. Total nurse staffing averages 4 hours and 21 minutes per resident each day. That level of support forms the foundation for the community’s rehabilitation programs and memory care services. Therapy services are available. Respite care is offered for families managing recovery needs or ongoing support arrangements.

Amenities on-site include private baths and therapeutic tubs. The neighborhood-style layout was made with attention to functionality and resident dignity. Residents also have access to a library, a hair salon, and family dining rooms. Aquariums and an aviary add visual interest throughout the community. Meals are provided for residents who need regular dining and nutritional assistance.

The facility is in an area with a Walk Score of 41. Some nearby services can be reached on foot, but most trips require transportation. The location is best-suited for residents and families who prefer a quieter setting and have a personal vehicle or arranged transportation.

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 21m per day
Rank #79 / 178Nurse hours — State benchmarkedThis home is ranked 79th 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. 44m 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. 29m 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 43m 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 33m 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. 8m 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. 47m 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.
257 days
Bed community size
40-bed community Rank #340 / 495Bed count — State benchmarkedThis home is ranked 340th 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 moderately sized community that may balance personal attention with shared amenities and social activities.
Walk Score
Walk Score: 41 / 100 Rank #296 / 580Walk Score — State benchmarkedThis home is ranked 296th 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.
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

About this community

Occupancy

Occupancy rate
86%
Rank #118 / 407Occupancy rate — State benchmarkedThis home is ranked 118th 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.
Higher than the Wisconsin average: 70%
Occupied beds
34 / 40
Average occupied beds in Wisconsin homes 54 beds

Awards

Best Nursing Home for 2020-21 by U.S. News & World Report

License Details

Facility TypeSkilled Care
CountyPierce
CMS Certification Number525466
Certification TypeTitle 18 SNF Title 19 NF

Ownership & Operating Entity

Spring Valley Health and Rehabilitation Center is legally operated by Ryan Zurbuchen.

Owner NameVillage Of Spring Valley
Profit StatusNonprofit

Safety & Compliance

Emergency SystemsYes

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

Contact Information

Fax(715) 778-5575

Additional Policies & Features

Pets not allowed

Amenities & Lifestyle

Private Baths
Neighborhood Design
Family Dining Rooms
Library
Hair Salon
Therapeutic Tubs
Aquariums
Aviary
Spacious Interior Areas
Specific ProgramsPersonalized nursing care, rehabilitative services, supportive services, memory care programs, therapy services
Religious Services

Contact Spring Valley Health and Rehabilitation Center

Health Inspection History

Inspections since 2022
Total health inspections 7

State average N/A


Last Health inspection on Aug 2025

Total health citations
34 Rank #122 / 180Health citations — State benchmarkedThis home is ranked 122nd 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
4.86 Rank #116 / 180Citations per inspection — State benchmarkedThis home is ranked 116th 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.

24 of 34 citations resulted from standard inspections; and 10 of 34 resulted from complaint investigations.

Breakdown of citation severity (last 4 years)
Critical health citations
1
In line with State average

State average: N/A


Serious health citations
1
In line with State average

State average: N/A

1 critical citation State average: N/A

1 serious citation State average: N/A

31 moderate citations State average: N/A

1 minor citation State average: N/A
Citations history (last 4 years)
Abuse/Neglect minor citation Aug 08, 2025

Infection Control moderate citation Aug 01, 2024
Corrected

Nutrition moderate citation Aug 01, 2024
Corrected

Pharmacy moderate citation Aug 01, 2024
Corrected

Staffing Data

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

Total staff 76
Employees 49
Contractors 27
Staff to resident ratio 2.30 : 1
0% compared with State average

State average ratio: 0 : 0

Avg staff/day 20
Average shift 8 hours
0% compared with State average

State average: 0 hours

Total staff hours (quarter) 14,725

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 18 total: 11 full-time employees and 7 contractors. 18
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 10 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info 12 total: 8 full-time employees and 4 contractors. 12
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 27 total: 25 full-time employees and 2 contractors. 27
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.7 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

19.5%

2,878 contractor hours this quarter

Registered Nurse: 7 Licensed Practical Nurse: 4 Nurse Practitioner: 3 Physical Therapy Aide: 2 Speech Language Pathologist: 2 Physical Therapy Assistant: 2 Certified Nursing Assistant: 2 Qualified Social Worker: 2 Respiratory Therapy Technician: 1 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 Assistant252277,98592100%8.7
Registered Nurse117181,7208491%10
Licensed Practical Nurse84121,5278693%8
Medication Aide/Technician1016246571%9.6
Nurse Practitioner0335286672%8
Administrator1014886166%8
Physical Therapy Aide0224576368%7.2
Respiratory Therapy Technician0114456166%7.3
Dental Services Staff1014255257%8.2
Dietitian1012392932%8.2
Physical Therapy Assistant0221005054%2
Clinical Nurse Specialist101801718%4.7
Speech Language Pathologist022633033%2
Qualified Social Worker022211718%1.2
Medical Director0112078%2.9
Occupational Therapy Assistant011422%2
27 Certified Nursing Assistant
% of Days 100%
18 Registered Nurse
% of Days 91%
12 Licensed Practical Nurse
% of Days 93%
1 Medication Aide/Technician
% of Days 71%
3 Nurse Practitioner
% of Days 72%
1 Administrator
% of Days 66%
2 Physical Therapy Aide
% of Days 68%
1 Respiratory Therapy Technician
% of Days 66%
1 Dental Services Staff
% of Days 57%
1 Dietitian
% of Days 32%
2 Physical Therapy Assistant
% of Days 54%
1 Clinical Nurse Specialist
% of Days 18%
2 Speech Language Pathologist
% of Days 33%
2 Qualified Social Worker
% of Days 18%
1 Medical Director
% of Days 8%
1 Occupational Therapy Assistant
% of Days 2%

Penalties and fines

Includes penalties issued in 2024

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)

Total fines amount $28K Rank #126 / 180Federal fines — State benchmarkedThis home is ranked 126th out of 180 homes in Wisconsin for Federal Fines. Shows this facility's cumulative CMS federal fine dollars versus the Wisconsin average among facilities with fines, and where it ranks among 180 facilities in the pool. Lower total dollars mean 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.
71% lower than State average

State average: $95K

Number of fines 2
In line with State average

State average: 2.1

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 0
100% fewer payment denials than State average

State average: 0.7

Fines amount comparison
Fines amount comparison
This facility $28K
State average $95K
Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

2 penalties in the past 3 years

Multiple penalties were reported in the last 3 years.

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Aug 1, 2024
$12K
Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Apr 25, 2024
$16K

Last updated: Jan 2026

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. 10.2
In line with 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. 20.0
10% better 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 17.3%
In line with State average

State average: 17.6%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 19.8%
13% 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 22.8%
12% 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 3.0%
5% better than State average

State average: 3.2%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 7.0%
29% worse than State average

State average: 5.4%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.0%
100% better than State average

State average: 3.2%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 3.7%
25% better than State average

State average: 4.9%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 14.4%
185% worse than State average

State average: 5.0%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 21.5%
34% worse than State average

State average: 16.1%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 95.5%
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 94.3%
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 77.0%
12% worse 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 61.9%
25% worse than State average

State average: 82.2%

Breakdown by payment type

Medicare

45% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

32% of new residents, often for short stays.

Typical stay 1 years

Medicaid

23% of new residents, often for long-term daily care.

Typical stay 1 years

Facility Characteristics

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

Total residents 33
Medicare
2
6.1% of residents
Medicaid
24
72.7% of residents
Private pay or other
7
21.2% 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 06/2024.

Nonprofit
Other Nonprofit
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."
$5.0M
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."
-$160.3K
Nonprofit Other Nonprofit
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."
$5.0M Rank #152 / 183Revenue — State benchmarkedThis home is ranked 152nd 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."
-$160.3K
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.
$113.9K
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 #142 / 183Payroll — State benchmarkedThis home is ranked 142nd 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.
$2.5M 50% 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 #40 / 183Payroll % — State benchmarkedThis home is ranked 40th 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).
$2.7M
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).
$5.2M

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 (45% of admissions), and a typical Medicare stay runs around 1 - 2 months.

Admissions
60 total

Coverage residents most often arrive under.

Medicare 45%
Private pay 32%
Medicaid 23%
Discharges
54 total

Coverage residents most often leave under.

Medicare 43%
Private pay 39%
Medicaid 19%

Places of interest near Spring Valley Health and Rehabilitation Center

Address 0.0 miles from city center Info Estimated distance in miles from Spring Valley's city center to Spring Valley Health and Rehabilitation Center's address, calculated via Google Maps.

Calculate Travel Distance to Spring Valley Health and Rehabilitation Center

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Frequently Asked Questions about Spring Valley Health and Rehabilitation Center

Who is the owner of Spring Valley Health and Rehabilitation Center?

Spring Valley Health and Rehabilitation Center is legally operated by Ryan Zurbuchen.

Is Spring Valley Health and Rehabilitation Center in a walkable area?

Spring Valley Health and Rehabilitation Center has a walk score of 41. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

What is the occupancy rate at Spring Valley Health and Rehabilitation Center?

Spring Valley Health and Rehabilitation Center's occupancy is 86%.

Are pets allowed at Spring Valley Health and Rehabilitation Center?

No, Spring Valley Health and Rehabilitation Center has a no-pet policy.

Does Spring Valley Health and Rehabilitation Center operate as a for-profit or non-profit?

Spring Valley Health and Rehabilitation Center is registered as a non-profit in WI.

Who is the administrator of Spring Valley Health and Rehabilitation Center?

Ryan Zurbuchen is the administrator of Spring Valley Health and Rehabilitation Center.

How many beds does Spring Valley Health and Rehabilitation Center have?

Spring Valley Health and Rehabilitation Center has 40 beds.

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