Show Inspection Reports
Total health inspections
9
Wisconsin average 6
Last Health inspection on Mar 2025
Primarily short stays
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
Virginia Highlands Health and Rehabilitation Center
Nursing Home in Germantown
CMS overall rating
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.
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.
Virginia Highlands Health and Rehabilitation Center
Nursing Home in Germantown
CMS overall rating
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.
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.
Overview of Virginia Highlands Health and Rehabilitation Center
A retirement home that aims to transform the lives of seniors through skilled nursing care, Virginia Highlands Health and Rehabilitation Center in Germantown ensures an unparalleled level of care that many families have trusted over the years. With an emphasis on long-term, sub-acute nursing, and memory care services, professional caregivers and nurses are committed to ensuring a sense of home and belonging where everyone is welcome and included.
Virginia Highlands ensures a place for seniors to thrive with full, compassionate, and complete care in a home-like setting. They provide comprehensive and exclusive programs, such as wellness checks, personalized care plans, and housing accommodations (transportation, maintenance, ADLs). Some nursing home activities include rehabilitative therapies (physical, occupational, speech), wound care, cardiac care, colostomy care, respiratory care, and hospice care.
Michael P. Spitzer serves as the Administrator at Virginia Highlands Health and Rehabilitation Center. He leads the team dedicated to supporting each resident’s health and well-being, working alongside skilled nurses, therapists, caregivers, and support staff to help residents achieve their rehabilitation goals.
Quality ratings
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.
Staffing hours breakdown
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.
Total nursing care / resident
This home is ranked 140th out of 181 homes in Wisconsin.
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.
This home is ranked 140th out of 181 homes in Wisconsin.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.
3h 15m per day
vs Wisconsin avg
-23%
Capacity and availability
Medium-capacity home
Offers a balance of services and community atmosphere.
Total beds
121
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
52.3%
Avg. Length of Stay
80 days
Occupancy rate
52.3%
Avg. Length of Stay
80 days
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Post-acute recovery
Temporary care
Transitional stays
Breakdown by payment type
Medicare
27% of new residents, usually for short-term rehab.
Typical stay
22 days
Private pay
68% of new residents, often for short stays.
Typical stay
22 days
Medicaid
5% of new residents, often for long-term daily care.
Typical stay
3 years
Finances and operations
Privately-owned community
Operated by a business corporation.
Home revenue
$8.4M
Profit
$822.1K
Privately-owned community
Operated by a business corporation.
Home revenue
$8.4M
Profit
$822.1K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$3.1M
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.
$4.5M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$7.6M
121-bed community
A larger shared setting that may offer more common spaces and organized community services.
Walk Score: 25 / 100
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
About this community
Facility TypeSkilled Care
CountyWashington
CMS Certification Number525653
Virginia Highlands Health and Rehabilitation Center is legally operated by Virginia Highlands Care And Rehab Center Llc, and administrated by Michael Spitzer.
Profit StatusFOR PROFIT
Rehabilitation Services
Respite Care
Skilled Nursing
24-Hour Staffing
Fax(262) 251-7359
On-Site Beauty Salon And Barbershop
Semi-Private Suites
Diagnostic Testing Service
Wifi Throughout The Nursing Center
Specific ProgramsCardiac Care, Dementia Care, Physical, Occupational & Speech Therapies, Orthopedic Rehab, Audiology Care, Colostomy Care, X-Ray Services, Respiratory Care, Hospice Services, Palliative Services, Dental Services, Podiatry Care, Psychiatric Services, TPN
Food DescriptionThere’s always something delicious on the menu. Our dietary staff works hard to serve you tasty options for breakfast, lunch and dinner.
Types of Care at Virginia Highlands Health and Rehabilitation Center
Skilled Nursing
Memory Care
Inspection History
In Wisconsin, the Department of Health Services, Division of Quality Assurance performs unannounced onsite surveys to ensure that long-term care facilities meet health and safety laws.
8 visits/inspections
Inspections are mandatory, regular evaluations conducted by state health departments or regulatory agencies. They ensure the community provides safe, compliant care, covering areas like resident health, staff and management.
Latest inspection
Date
March 5, 2025
Routine30 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Wisconsin average: 12 deficiencies
Inspection Report Summary for Virginia Highlands Health and Rehabilitation Center
The most recent inspection on March 5, 2025, identified deficiencies related to protective placement documentation, Ombudsman notifications for hospital transfers, PASARR Level II screening, and food storage and cooling practices. Earlier inspections showed a pattern of issues including medication administration errors, delayed reporting and investigation of abuse allegations, unresolved resident grievances, and incomplete care plan updates. Complaint investigations revealed failures to timely report abuse and neglect, inadequate grievance follow-up, and lapses in staff background checks and fall investigations, though some abuse allegations were unsubstantiated. Enforcement actions such as fines or license suspensions were not listed in the available reports. The facility’s inspection history indicates ongoing challenges with regulatory compliance, particularly in resident rights, care documentation, and reporting, without a clear trend of improvement or worsening over time.
Health Inspection History
Inspections
Total health citations
32
Wisconsin average 27.3
Citations per inspection
3.56
Wisconsin average 4.19
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
17 of 32 citations resulted from standard inspections; 14 of 32 resulted from complaint investigations; and 1 of 32 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than Wisconsin averageWisconsin average: 0.9
Serious Health citations
0
0
100% better than Wisconsin averageWisconsin average: 1.2
0 critical citations
0 serious citations
32 moderate citations
0 minor citations
Citations history (last 3 years)
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Mar 05, 2025
Issues related to food quality, meal service, and resident's nutritional needs.
Mar 05, 2025
Corrected
Care Planning moderate citation
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Mar 05, 2025
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Mar 05, 2025
Corrected
Resident Rights moderate citation
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Mar 05, 2025
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Mar 05, 2025
Corrected
Resident Rights moderate citation
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Mar 05, 2025
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Mar 05, 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.
Compare Nursing Homes around Germantown The information below is reported by the Wisconsin Department of Health Services, Division of Quality Assurance.
Filter by care type
| Virginia Highlands Health and Rehabilitation Center |
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). | Germantown (Village Of Germantown) | - | 121 | - | 25 | - |
| LindenGrove Menomonee Falls |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). | Menomonee Falls | - | 73 | - | 10 | - |
| Menomonee Falls Health Services |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). | Menomonee Falls | - | 100 | - | 33 | - |
Financial Assistance for
Nursing Home in Wisconsin
Get Financial aid guidance
Places of interest near Virginia Highlands Health and Rehabilitation Center
1.6 miles from city center
Estimated distance in miles from Germantown's city center to Virginia Highlands Health and Rehabilitation Center's address, calculated via Google Maps.
— 3.63 miles to nearest hospital (Froedtert Menomonee Falls Hospital)
Calculate Travel Distance to Virginia Highlands Health and Rehabilitation Center
Add your location
Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
81
Employees
65
Contractors
16
Staff to resident ratio
1.50:1
38% worse than Wisconsin averageWisconsin average ratio: 2.41:1
Avg staff/day
29
Average shift
8.2 hours
12% better than Wisconsin averageWisconsin average: 7.3 hours
Total staff hours (quarter)
21,520
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
12
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
6.9 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
6.9 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
5
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.6 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.6 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
36
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hoursNo contractors work on this role.
Contractor staffing
Total hours from contractors
7.7%
1,667 contractor hours this quarter
Respiratory Therapy Technician: 7
Speech Language Pathologist: 3
Physical Therapy Assistant: 3
Physical Therapy Aide: 2
Qualified Social Worker: 1
Staff by category
| Certified Nursing Assistant | 36 | 0 | 36 | 9,630 | 91 | 100% | 8.9 |
| Registered Nurse | 12 | 0 | 12 | 3,424 | 91 | 100% | 6.9 |
| Licensed Practical Nurse | 5 | 0 | 5 | 1,856 | 91 | 100% | 9.6 |
| RN Director of Nursing | 3 | 0 | 3 | 1,372 | 67 | 74% | 8.3 |
| Medication Aide/Technician | 2 | 0 | 2 | 913 | 79 | 87% | 9.1 |
| Nurse Practitioner | 2 | 0 | 2 | 631 | 64 | 70% | 8 |
| Dietitian | 1 | 0 | 1 | 548 | 59 | 65% | 9.3 |
| Administrator | 2 | 0 | 2 | 520 | 57 | 63% | 7.9 |
| Physical Therapy Assistant | 0 | 3 | 3 | 508 | 65 | 71% | 7.7 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 487 | 61 | 67% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 473 | 62 | 68% | 7.6 |
| Speech Language Pathologist | 0 | 3 | 3 | 471 | 64 | 70% | 6.5 |
| Physical Therapy Aide | 0 | 2 | 2 | 357 | 60 | 66% | 5.8 |
| Respiratory Therapy Technician | 0 | 7 | 7 | 204 | 43 | 47% | 4.5 |
| Qualified Social Worker | 0 | 1 | 1 | 128 | 36 | 40% | 3.6 |
36 Certified Nursing Assistant
% of Days
100%
12 Registered Nurse
% of Days
100%
5 Licensed Practical Nurse
% of Days
100%
3 RN Director of Nursing
% of Days
74%
2 Medication Aide/Technician
% of Days
87%
2 Nurse Practitioner
% of Days
70%
1 Dietitian
% of Days
65%
2 Administrator
% of Days
63%
3 Physical Therapy Assistant
% of Days
71%
1 Clinical Nurse Specialist
% of Days
67%
1 Mental Health Service Worker
% of Days
68%
3 Speech Language Pathologist
% of Days
70%
2 Physical Therapy Aide
% of Days
66%
7 Respiratory Therapy Technician
% of Days
47%
1 Qualified Social Worker
% of Days
40%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
54
Medicare
11
20.4% of residents
Medicaid
43
79.6% 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.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
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.
7.9
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
7.9
24% better than Wisconsin averageWisconsin average: 10.5
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
17.1
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
17.1
23% better 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
11.6%
Percent of long-stay residents whose need for help with daily activities has increased
11.6%
34% better than Wisconsin averageWisconsin average: 17.6%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
11.5%
Percent of long-stay residents whose ability to move independently worsened
11.5%
50% better than 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
28.3%
Percent of low risk long-stay residents who lose control of their bowels or bladder
28.3%
9% worse than Wisconsin averageWisconsin average: 26.0%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
5.4%
Percent of long-stay residents experiencing one or more falls with major injury
5.4%
70% worse than Wisconsin averageWisconsin average: 3.2%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
4.2%
Percent of long-stay high risk residents with pressure ulcers
4.2%
23% better than Wisconsin averageWisconsin average: 5.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
1.8%
Percent of long-stay residents with a urinary tract infection
1.8%
42% better than Wisconsin averageWisconsin average: 3.2%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
6.9%
Percent of long-stay residents who lose too much weight
6.9%
41% worse than Wisconsin averageWisconsin average: 4.9%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
19.2%
Percent of long-stay residents who have depressive symptoms
19.2%
281% worse than Wisconsin averageWisconsin average: 5.0%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
10.7%
Percent of long-stay residents who received an antipsychotic medication
10.7%
33% better than Wisconsin averageWisconsin average: 16.1%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
In line with Wisconsin averageWisconsin average: 95.9%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
5% better than Wisconsin averageWisconsin average: 95.0%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
95.1%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
95.1%
9% better than Wisconsin averageWisconsin average: 87.3%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Wisconsin averageWisconsin average: 1.2%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
94.1%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
94.1%
14% better 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.
Financial Trends
Historical financial and operational data for Virginia Highlands Health and Rehabilitation Center based on CMS SNF Cost Reports.
Occupancy Rate
52.3%
↑ 6.2pp vs 2022
Net Income
$822.1K
↑ ~$1.0M vs 2022
Total Payroll
$3.9M
↑ ~$1.7M vs 2022
Profit Margin
9.8%
↑ 14.6pp vs 2022
Loading trend charts...
Guides for Better Senior Living
Care Cost Calculator: See Prices in Your Area
Nursing Home Data Explorer
Don’t Wait Too Long: 7 Red Flag Signs Your Parent Needs Assisted Living Now
The True Cost of Assisted Living in 2025 – And How Families Are Paying For It
Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
Contact Us
Planning a tour? Check our touring checklist.
Thinking of living here? We can help you speak to a current resident
Thinking about senior living? Use our bidding system to get competitive quotes from the best homes in your area.
Touring Checklist for Senior Living
Touring a community? Use this expert-backed checklist to stay organized, ask the right questions, and find the perfect fit.
Location
Community Spaces and Overall Environment
Services
Staffing
Accommodations
Finances
Other Notes
0/250
Send Checklist to Your Email
We'll send you a PDF version of the touring checklist.
Feedback
Write a review for Virginia Highlands Health and Rehabilitation Center
Rate your overall experience with this community
Explore Open Rooms
1
Contact details
2
What type of senior care service are you looking for?
3
What budget do you have in mind for senior care?
4
How soon do you need to find care?
5
Additional details
Thank you for your interest!
Our team will be in touch shortly to help with next steps.
Need Help?
Let us help you or a loved one find the perfect senior home.
