Total health inspections
5
Wisconsin average 6
Last Health inspection on Mar 2025
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.
Three Oaks Health Services
Nursing Home
Three Oaks Health Services
Nursing Home
Three Oaks Health is a primary care clinic located in Johnson Creek, WI. It is led by Dr. Jim Milford and his team, who are dedicated to helping families make positive changes in their health. The clinic offers comprehensive medical care, including adult medicine, women's health, pediatric care, dermatology services, and minor surgery.
Quality ratings
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
Nursing care per resident
Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
75
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
55.1%
Residents per day (avg)
62
Occupancy rate
55.1%
Residents per day (avg)
62
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Flexible care needs
Breakdown by payment type
Medicare
22% of new residents, usually for short-term rehab.
Typical stay
27 days
Private pay
49% of new residents, often for short stays.
Typical stay
2 - 3 months
Medicaid
29% of new residents, often for long-term daily care.
Typical stay
5 - 6 months
Finances and operations
Proprietary home
Corporation
Home revenue
$9.1M
Profit
$703.5K
Proprietary home
Corporation
Home revenue
$9,126,985.00
Profit
$703,522.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$3.2M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$5.3M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$8.4M
75-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
About this community
Facility Type
Skilled Care
Additional licensing details
CMS Certification Number:
525684
Certification type:
Title 18 SNF Title 19 NF
County:
MARATHON
Ownership & operating entity
Three Oaks Health Services is administrated by KEVIN QUIGLEY.
Owner name:
NSH THREE OAKS LLC
Profit status:
LIMITED LIABILITY COMPANY
Care Services
Doctor on Staff
Nursing Services
Licensed Nurses/CNAs
Contact Information
Fax:
(715) 389-6090
Programs & Activities
Specific Programs
Adult Medicine, Women’s Health, Pediatric & Adolescent Medicine, Dermatology Services, Minor Surgery & Urgent Care
Operating Hours
Monday | 8 a.m. - 5 p.m., Tuesday | 8 a.m. - 7 p.m., Wednesday | 7 a.m. - 4 p.m., Thursday | 8 a.m. - 5 p.m., Friday | 8 a.m. - 4 p.m.
Compare Nursing Homes around Wisconsin
The information below is reported by the Wisconsin Department of Health Services, Division of Quality Assurance.
American Lutheran Home-Mondovi
-24%
-1%
-24%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
WI 54755
35
No
DUHR, AMY
53.5%
$2,677,272.00
$1,238,551.00
46.3%
19.40
4.2152
1
6
-
-24%-1%-24%
Three Oaks Health Services
+19%
-12%
-21%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
WI 54449
110
No
-
55.1%
$9,000,133.00
$3,161,421.00
35.1%
62.00
3.7572
2
18
2
+19%-12%-21%
Alden Meadow Park Health Care Center, Inc
+11%
-30%
-1%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
WI 53525
94
No
MICHALSEN, PAUL
69.0%
$7,956,437.00
$3,356,781.00
42.2%
62.50
3.0135
-
16
-
+11%-30%-1%
Alden Estates of Jefferson
+81%
-28%
+38%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
WI 53549
120
No
BODALSKI, GERARD
96.5%
$15,621,800.00
$6,311,949.00
40.4%
108.40
3.0768
3
53
9
+81%-28%+38%
Allis Care Center
-70%
-36%
-8%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
WI 53214
152
No
LEXINGTON HEALTHCARE LLC
64.5%
$11,839,719.00
$6,679,960.00
56.4%
82.50
2.7526
4
66
9
-70%-36%-8%
American Lutheran Home-Mondovi
Type of care:
SNF
AL
Community:
WI 54755
Bed Count:
35
Pets Allowed:
No
Operator:
DUHR, AMY
CCN:
525383
Occupancy:
53.5%
Home Revenue:
$2,677,272.00
Payroll Costs:
$1,238,551.00
Payroll %:
46.3%
Avg Residents/Day:
19.40
Overall Rating:
Adj Nurse Hours:
4.2152
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
1
Citations:
6
RN share vs State Avg:
-24%
-24%
Staffing vs State Avg:
-1%
-1%
Occupancy vs State Avg:
-24%
-24%
Three Oaks Health Services
Type of care:
SNF
AL
Community:
WI 54449
Bed Count:
110
Pets Allowed:
No
CCN:
525684
Occupancy:
55.1%
Home Revenue:
$9,000,133.00
Payroll Costs:
$3,161,421.00
Payroll %:
35.1%
Avg Residents/Day:
62.00
Overall Rating:
Adj Nurse Hours:
3.7572
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
2
Citations:
18
Severe Citations:
2
RN share vs State Avg:
+19%
+19%
Staffing vs State Avg:
-12%
-12%
Occupancy vs State Avg:
-21%
-21%
Alden Meadow Park Health Care Center, Inc
Type of care:
SNF
AL
Community:
WI 53525
Bed Count:
94
Pets Allowed:
No
Operator:
MICHALSEN, PAUL
CCN:
525508
Occupancy:
69.0%
Home Revenue:
$7,956,437.00
Payroll Costs:
$3,356,781.00
Payroll %:
42.2%
Avg Residents/Day:
62.50
Overall Rating:
Adj Nurse Hours:
3.0135
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
16
RN share vs State Avg:
+11%
+11%
Staffing vs State Avg:
-30%
-30%
Occupancy vs State Avg:
-1%
-1%
Alden Estates of Jefferson
Type of care:
SNF
AL
Community:
WI 53549
Bed Count:
120
Pets Allowed:
No
Operator:
BODALSKI, GERARD
CCN:
525271
Occupancy:
96.5%
Home Revenue:
$15,621,800.00
Payroll Costs:
$6,311,949.00
Payroll %:
40.4%
Avg Residents/Day:
108.40
Overall Rating:
Adj Nurse Hours:
3.0768
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
3
Citations:
53
Severe Citations:
9
RN share vs State Avg:
+81%
+81%
Staffing vs State Avg:
-28%
-28%
Occupancy vs State Avg:
+38%
+38%
Allis Care Center
Type of care:
SNF
AL
Community:
WI 53214
Bed Count:
152
Pets Allowed:
No
Operator:
LEXINGTON HEALTHCARE LLC
CCN:
525108
Occupancy:
64.5%
Home Revenue:
$11,839,719.00
Payroll Costs:
$6,679,960.00
Payroll %:
56.4%
Avg Residents/Day:
82.50
Overall Rating:
Adj Nurse Hours:
2.7526
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
4
Citations:
66
Severe Citations:
9
RN share vs State Avg:
-70%
-70%
Staffing vs State Avg:
-36%
-36%
Occupancy vs State Avg:
-8%
-8%Places of interest near Three Oaks Health Services
0.0 miles from city center
MARSHFIELD, WI 54449
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Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
127
Total Staff
92
Employees
35
Contractors
24,141
Total Hours (Quarter)
36
Avg Staff/Day
7.4
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 20 | 7.7 | Yes |
| Licensed Practical Nurse | 17 | 7.6 | Yes |
| Certified Nursing Assistant | 59 | 7.6 | Yes |
Staff by Category
Administration ⓘ
2 staff
8hs shift avg
Nursing Staff ⓘ
97 staff
7.6hs shift avg
Physicians & Practitioners ⓘ
6 staff
7.9hs shift avg
Therapy Services ⓘ
13 staff
5.8hs shift avg
Activities & Recreation ⓘ
0 staff
0hs shift avg
Social Services ⓘ
3 staff
1.9hs shift avg
Dietary Services ⓘ
4 staff
7.1hs shift avg
Other Services ⓘ
2 staff
8.4hs shift avg
Contractor Analysis
14.1%
of total hours from contractors
3,396 contractor hours this quarter
Registered Nurse: 6
Certified Nursing Assistant: 9
Occupational Therapy Assistant: 2
Licensed Practical Nurse: 5
Respiratory Therapy Technician: 1
Physical Therapy Aide: 2
Speech Language Pathologist: 1
Qualified Social Worker: 3
Physical Therapy Assistant: 4
Nurse Practitioner: 2
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| Certified Nursing Assistant | 50 | 9 | 59 | 11,807 | 91 | 100% | 7.6 |
| Registered Nurse | 14 | 6 | 20 | 3,537 | 91 | 100% | 7.7 |
| Licensed Practical Nurse | 12 | 5 | 17 | 3,020 | 91 | 100% | 7.6 |
| Clinical Nurse Specialist | 3 | 0 | 3 | 1,130 | 68 | 75% | 7.3 |
| Dietitian | 4 | 0 | 4 | 788 | 81 | 89% | 7.1 |
| Nurse Practitioner | 1 | 2 | 3 | 732 | 69 | 76% | 9.1 |
| Administrator | 2 | 0 | 2 | 512 | 63 | 69% | 8 |
| Physical Therapy Aide | 0 | 2 | 2 | 502 | 64 | 70% | 7.8 |
| Speech Language Pathologist | 0 | 1 | 1 | 475 | 63 | 69% | 7.5 |
| Respiratory Therapy Technician | 0 | 1 | 1 | 470 | 64 | 70% | 7.4 |
| RN Director of Nursing | 1 | 0 | 1 | 331 | 42 | 46% | 7.9 |
| Mental Health Service Worker | 1 | 0 | 1 | 296 | 35 | 38% | 8.5 |
| Occupational Therapy Aide | 3 | 0 | 3 | 259 | 48 | 53% | 3.8 |
| Dental Services Staff | 1 | 0 | 1 | 114 | 14 | 15% | 8.2 |
| Physical Therapy Assistant | 0 | 4 | 4 | 84 | 48 | 53% | 1.7 |
| Occupational Therapy Assistant | 0 | 2 | 2 | 53 | 7 | 8% | 7.5 |
| Qualified Social Worker | 0 | 3 | 3 | 30 | 16 | 18% | 1.9 |
Health Inspection History
Inspections
Total health citations
18
Citations per inspection
3.6
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
12 of 18 citations resulted from standard inspections; 5 of 18 resulted from complaint investigations; and 1 of 18 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical Health citations
2
2
122% worse than Wisconsin averageWisconsin average: 0.9
Serious Health citations
0
0
100% better than Wisconsin averageWisconsin average: 1.2
2 critical citations
0 serious citations
16 moderate citations
0 minor citations
Citations history (last 3 years)
Nutrition moderate citation
Mar 11, 2025
Corrected
Pharmacy moderate citation
Mar 11, 2025
Corrected
Quality of Care critical citation
Mar 11, 2025
Corrected
Resident Rights moderate citation
Mar 11, 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.
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Ownership: For-Profit LLC
Part of: North Shore Health
Resident Census by Payment Source
66
Total Residents
Medicare
6
(9.1%)
ⓘ
Medicaid
52
(78.8%)
ⓘ
Private Pay/Other
8
(12.1%)
ⓘ
Specialized Care Beds
20
Total Specialty Beds
18.2%
of Bed Capacity
20
Alzheimer's / Dementia Beds ⓘ
18.2%
Programs & Services
Residents' Group
ⓘ
Family Engagement
Active councils help families stay involved in care decisions and facility operations.
Active
Resident Council
ⓘ
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
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
10.7
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
10.7
In line with Wisconsin averageWisconsin average: 10.5
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
24.8
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
24.8
12% worse than Wisconsin averageWisconsin average: 22.1
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
20.7%
Percent of long-stay residents whose need for help with daily activities has increased
20.7%
17% worse than Wisconsin averageWisconsin average: 17.6%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
23.3%
Percent of long-stay residents whose ability to move independently worsened
23.3%
In line with Wisconsin averageWisconsin average: 22.8%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
30.3%
Percent of low risk long-stay residents who lose control of their bowels or bladder
30.3%
16% worse than Wisconsin averageWisconsin average: 26.0%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
2.2%
Percent of long-stay residents experiencing one or more falls with major injury
2.2%
31% better than Wisconsin averageWisconsin average: 3.2%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
5.4%
Percent of long-stay high risk residents with pressure ulcers
5.4%
In line with Wisconsin averageWisconsin average: 5.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
2.7%
Percent of long-stay residents with a urinary tract infection
2.7%
16% better than Wisconsin averageWisconsin average: 3.2%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
2.0%
Percent of long-stay residents who lose too much weight
2.0%
60% better than Wisconsin averageWisconsin average: 4.9%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
3.9%
Percent of long-stay residents who have depressive symptoms
3.9%
23% better than Wisconsin averageWisconsin average: 5.0%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
13.8%
Percent of long-stay residents who received an antipsychotic medication
13.8%
14% better than Wisconsin averageWisconsin average: 16.1%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
83.6%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
83.6%
13% worse than Wisconsin averageWisconsin average: 95.9%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
93.6%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
93.6%
In line with Wisconsin averageWisconsin average: 95.0%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
71.6%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
71.6%
18% worse than Wisconsin averageWisconsin average: 87.3%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.6%
Percent of short-stay residents who newly received an antipsychotic medication
0.6%
54% better than Wisconsin averageWisconsin average: 1.2%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
60.7%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
60.7%
26% worse than Wisconsin averageWisconsin average: 82.2%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
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 (Data as of Jan 2026)
Total fines amount
$41K
57% lower than Wisconsin averageWisconsin average: $95K
Number of fines
2
In line with Wisconsin averageWisconsin average: 2.1
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Wisconsin averageWisconsin average: 0.7
Fines amount comparison
Fines amount comparison
This facility
$41K
Wisconsin average
$95K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Mar 11, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Mar 11, 2025
$27K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Mar 4, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Mar 4, 2024
$14K
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Three Oaks Health Services based on CMS SNF Cost Reports.
Occupancy Rate
55.1%
↓ 0.9pp vs 2022
Net Income
$703,522
↓ ~$806K vs 2022
Total Payroll
$4,097,761
↑ ~$304K vs 2022
Profit Margin
7.8%
↓ 9.2pp vs 2022
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