ALM's inspection grade is 73 / 100, a C — 9 points below the Wisconsin average for CMS-certified facilities (82/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
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.
ALM's inspection grade is 73 / 100, a C — 9 points below the Wisconsin average for CMS-certified facilities (82/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
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.
The area scores 41 for walking, which means most errands are done by car. A resident who no longer drives will need somebody else’s calendar for a trip to town.
Six care types run inside 40 beds at Spring Valley Health and Rehabilitation Center: nursing home care, skilled nursing, assisted living, memory care, hospice, and respite. Forty beds is a short list of residents, and a needs change usually means a change in care rather than a change in address.
Assisted living covers bathing, dressing, and medication. In a building this size, the staff handling those tasks are the ones who notice when something is off.
Memory care exists partly for the wife who has stopped going anywhere. Dementia can take over a spouse’s entire day, and supervised care hands that job to people who work shifts.
Respite covers the weeks when one adult child takes over, and another is away. The handoff has a date attached at both ends.
Overnight coverage does not thin out, and forty residents is a manageable number to watch through a night. Nursing time reaches 4 hours and 26 minutes per resident each day.
Rehabilitation and therapy services are structured into a resident’s care. Hospice care is available at the end of life.
Medicaid, Medicare, and private pay are accepted. The question with Medicare is how long rather than whether, since it pays for skilled care after a hospital admission and Medicaid answers the years after that. Ryan Zurbuchen serves as administrator, and the Village of Spring Valley operates the community.
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.
Data period: Q4 2025 (October 1 – December 31, 2025).
This nursing home is ranked 66th out of 164 nursing homes we track 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.
4h 26mStandout metric: Physical therapist is +92% above Wisconsin average
2 of 6 metrics below Wisconsin average
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. 18 total: 11 of the facility's own employees and 7 agency contractors.
18 staff · 10-hour shifts
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. 12 total: 8 of the facility's own employees and 4 agency contractors.
12 staff · 8-hour shifts
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. 27 total: 25 of the facility's own employees and 2 agency contractors.
27 staff · 8.7-hour shifts
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.
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.
RN + LPN + aide · Sat–Sun
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.
Sat–Sun
Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
76
49 employees · 27 contractors · 20 on an average day
76 total staff / 33 residents. Residents: CMS Long-Term Care Facility Characteristics (data as of Jun 2026); staff: CMS Payroll-Based Journal (Q4 2025).Residents and staff come from two different CMS releases, so the two counts can be a few months apart.
2.30 : 1
↓ 5% · WI 2.42This facility: 2.30 staff per resident, 5% below the Wisconsin average of 2.42 (among Wisconsin facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
76 staff ÷ 33 residents
See full Wisconsin ranking →
Average hours one staff member works on a day they are on shift, across every role.
8 h
↑ 10% · WI 7.3 hThis facility: 8 h, 10% above the Wisconsin average of 7.3 h (among Wisconsin facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
14,725 staff hours this quarter
See full Wisconsin ranking →80.5% of staff hours were worked by the facility's own employees
Wisconsin average: 88.1% · Contractors 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)
Why it matters: employees work here week after week and get to know each resident's routines and needs. Agency contractors often rotate between facilities, so a higher employee share usually means more consistent care.
A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions.
40
Rank #167 / 197Bed count — State benchmarked This nursing home is ranked 167th out of 197 nursing homes we track 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. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Wisconsin that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Smaller home · May offer a more intimate, personalized care environment.
Car-dependent. A few nearby services may be reachable on foot, but most trips require transportation.
Rank #117 / 191Walk Score — State benchmarked This nursing home is ranked 117th out of 191 nursing homes we track 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. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Wisconsin that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Occupancy between 85% and 95% suggests balanced demand.
Rank #19 / 164Occupancy rate — State benchmarked This nursing home is ranked 19th out of 164 nursing homes we track in Wisconsin for occupancy. Shows this facility's occupancy rate versus the Wisconsin average, with its Statewide rank out of 164. Higher occupancy signals strong local demand and financial stability. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Wisconsin that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Based on 36.4 residents and 40 beds. Source: CMS Provider Information, average daily residents (data as of Aug 2026)
Higher than the Wisconsin average: 71.7%
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.
Spring Valley Health and Rehabilitation Center is administered by Ryan Zurbuchen.
9 points below the Wisconsin average for CMS-certified facilities (82/100)
Category breakdown
143 severity-weighted points (37 deficiencies) · 2× higher than the typical CMS-certified WI facility (median: 78)
2 enforcement actions · above the typical CMS-certified WI facility (median: 0) · $27,690 in fines
30 days to fix issues · slower than the typical CMS-certified WI facility (median: 27)
100% corrected
37 of 37 citations corrected Latest inspection: Dec 04, 2025 · 13 citations, all corrected
Most cited category: Quality of Life & Care, 11 of 37 citations · 9 categories in total
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Health citations are formal notices following inspections when they fail to comply with safety and care standards.
28 of 37 citations resulted from standard inspections; 8 of 37 resulted from complaint investigations; and 1 of 37 came from combined inspections (standard and complaint).
Includes all CMS health inspection records for this property, which could include management/ownership changes.
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.
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 Aug 2026
2 penalties in the past 3 years
Latest: Aug 1, 2024 · $12,048 civil money penalty
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$12,048
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$15,642Totals count every penalty on record; the history lists the past 3 years. Wisconsin and US averages are among facilities with a penalty on record.
A civil money penalty is a fine for noncompliance, per day or per instance. A payment denial stops Medicare/Medicaid payments for new residents until issues are fixed.
How residents at this home fare on health outcomes and preventive care, compared with the Wisconsin average.
CMS star rating for the care of long-stay residents, who live at the home for 100 days or more. It is built from the long-stay quality measures below. 5 stars is the best.
1
/ 5
Significantly below average
Average of five long-stay measures: pressure ulcers, falls with major injury, unplanned weight loss, worsening ability to walk, and needing more help with daily activities. Each is the % of residents affected, so lower is better.
12.6
Score · lower is better
↑ 35% · WI 9.4This facility: 12.6, 35% above the WI average of 9.4 (among WI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Average of three long-stay measures: needing more help with daily activities, worsening ability to walk, and loss of bowel or bladder control. Each is the % of residents affected, so lower is better.
19.3
Score · lower is better
↓ 3% · WI 19.8This facility: 19.3, 3% below the WI average of 19.8 (among WI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.11 long-stay measures: 2 better, 7 worse, 2 near WI average
3 short-stay measures: 1 better, 2 worse
People who live at the home · 11 measures
Percent of long-stay residents whose need for help with daily activities has increased
19.6%
↑ 22% · WI 16.1This facility: 19.6, 22% above the WI average of 16.1 (among WI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose ability to move independently worsened
21.6%
↑ 17% · WI 18.4This facility: 21.6, 17% above the WI average of 18.4 (among WI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of low risk long-stay residents who lose control of their bowels or bladder
16.8%
↓ 32% · WI 24.6This facility: 16.8, 32% below the WI average of 24.6 (among WI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents with a urinary tract infection
3.1%
↑ 18% · WI 2.7This facility: 3.1, 18% above the WI average of 2.7 (among WI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents experiencing one or more falls with major injury
3.1%
↓ 6% · WI 3.3This facility: 3.1, 6% below the WI average of 3.3 (among WI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay high risk residents with pressure ulcers
9.6%
↑ 91% · WI 5.0This facility: 9.6, 91% above the WI average of 5.0 (among WI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who lose too much weight
9.4%
↑ 86% · WI 5.1This facility: 9.4, 86% above the WI average of 5.1 (among WI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who have depressive symptoms
13.8%
↑ 143% · WI 5.7This facility: 13.8, 143% above the WI average of 5.7 (among WI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who received an antipsychotic medication
28.4%
↑ 79% · WI 15.8This facility: 28.4, 79% above the WI average of 15.8 (among WI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
96.2%
≈ 0% · WI 95.7This facility: 96.2, level with the WI average of 95.7 (among WI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
94.3%
↓ 1% · WI 95.0This facility: 94.3, 1% below the WI average of 95.0 (among WI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Rehab and recovery after a hospital stay · 3 measures
Percent of short-stay residents who newly received an antipsychotic medication
2.5%
↑ 107% · WI 1.2This facility: 2.5, 107% above the WI average of 1.2 (among WI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
94.6%
↑ 9% · WI 86.5This facility: 94.6, 9% above the WI average of 86.5 (among WI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
61.9%
↓ 25% · WI 82.2This facility: 61.9, 25% below the WI average of 82.2 (among WI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Arrows show whether a figure is above or below the average. Green is better for residents, red is worse, and yellow means within 5% of the average. The line on each bar marks the average.
Quality measures are calculated by CMS from Minimum Data Set (MDS) resident assessments and Medicare claims.
58% of new residents, usually for short-term rehab.
27% of new residents, often for short stays.
15% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jun 2026)
Total residents
33Residents 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 Spring Valley Health and Rehabilitation Center from 2012–2024, based on CMS SNF Cost Reports. Includes all financial data for this property, which could include management/ownership changes.
Key figures below are for fiscal year ending in 12/2024.
Based on CMS SNF Cost Report for fiscal year ending in 12/2024.
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 #144 / 164Payroll costs — State benchmarked This nursing home is ranked 144th out of 164 nursing homes we track in Wisconsin. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Wisconsin average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Wisconsin that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
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 #117 / 164Payroll % of net patient revenue — State benchmarked This nursing home is ranked 117th out of 164 nursing homes we track in Wisconsin. Shows payroll as a percentage of net patient revenue versus the Wisconsin average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Wisconsin that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
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).
Most residents typically stay for a few weeks or months before returning home or moving on.
Most new residents arrive under Medicare (58% of admissions), and a typical Medicare stay runs around 1 - 2 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
0.0 miles from city center
Estimated distance in miles from Spring Valley's city center to Spring Valley Health and Rehabilitation Center's address, calculated via Google Maps.
Add your location
Info below is compiled from CMS reports & the WI Dept. of Health Services (DHS), senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest-ranked to lowest-ranked based on our methodology.
Official facility name used in federal/state reporting (may differ slightly from the marketing name).
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Care Types in This Table
AL (Assisted Living):
Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing.
NH (Nursing Home):
24/7 skilled nursing care for residents with complex, ongoing medical needs.
SNF (Skilled Nursing Facility):
Round-the-clock nursing care, often for recovery after surgery, injury, or illness.
MC (Memory Care):
Secured, specialized care for people living with Alzheimer's or dementia.
RC (Respite Care):
Short-term temporary care that gives family caregivers a break.
IL (Independent Living):
Community living with dining, activities, and transportation for active seniors who need little personal care.
HOS (Hospice Care):
Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
PC (Palliative Care):
Comfort-focused care for serious illness at any stage, including alongside curative treatment.
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City and state of the facility. Used for mapping and state-average comparisons.
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Estimated monthly cost range for the facility.
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Licensed bed capacity (maximum allowed). Not the same as how many beds are currently filled.
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Better Business Bureau grade for the operating company. Reflects complaint handling and business practices, not clinical care quality.
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Third-party neighborhood walkability score (0–100). Convenience/context metric, not a healthcare quality measure.
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Housing or bed configuration options (e.g. studio, shared), often from facility-reported amenities and licensing details.
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|---|---|---|---|---|---|---|---|
| Harbor Haven Health & Rehabilitation | NH HOS MC PC SNF | Fond Du Lac | - | 85
Facility
85
WI AVG
78
Rank
#81 / 197 | - |
57
Facility
57
WI AVG
48
Rank
#69 / 191 | Private / Semi-Private Rooms |
| Shady Lane Nursing Care Center | NH AL MC RC SNF | Manitowoc | - | 50
Facility
50
WI AVG
78
Rank
#114 / 197 | A+ |
75
Facility
75
WI AVG
48
Rank
#29 / 191 | - |
| St Camillus | NH AL HOS IL MC SNF | Wauwatosa | - | 86
Facility
86
WI AVG
78
Rank
#79 / 197 | - |
12
Facility
12
WI AVG
48
Rank
#174 / 191 | - |
| Spring Valley Health and Rehabilitation Center | NH AL HOS MC RC SNF | Spring Valley | - | 40
Facility
40
WI AVG
78
Rank
#167 / 197 | - |
41
Facility
41
WI AVG
48
Rank
#117 / 191 | - |
| Sheboygan Senior Community Inc | NH AL RC SNF | Y Sheboygan | - | 31
Facility
31
WI AVG
78
Rank
#179 / 197 | - | - | - |
Rank badges are statewide and care-type specific: each nursing home is ranked against every other WI nursing home we track that reports that metric, not just the 5 on this page. See how we rank facilities
Spring Valley Health and Rehabilitation Center is legally operated by Village Of Spring Valley, and administered by Ryan Zurbuchen.
Spring Valley Health and Rehabilitation Center has a walk score of 41. Car-dependent. A few nearby services may be reachable on foot, but most trips require transportation.
Spring Valley Health and Rehabilitation Center's occupancy is 91%.
No, Spring Valley Health and Rehabilitation Center has a no-pet policy.
Spring Valley Health and Rehabilitation Center is registered as a non-profit in WI.
Ryan Zurbuchen is the administrator of Spring Valley Health and Rehabilitation Center.
Spring Valley Health and Rehabilitation Center received a 1-star overall rating from the CMS (Centers for Medicare and Medicaid Services). This score combines results from staffing levels, quality measures, and health inspections.
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