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Nursing home report

THREE OAKS HEALTH SERVICES

MARSHFIELD, WI · Medicare-certified · 75 beds

Needs attention
For-profitChain member
2 of 5 overall

Three Oaks Health Services in Marshfield, WI has a 2-star overall rating, with a 2-star health inspection rating, 3-star staffing, and 4-star quality measures. It has recent federal penalties and $17,345 in fines over the last 24 months, and reported nurse staffing is 3.36 hours per resident per day, below the federal benchmark of 4.1.

Facility ratings

Health inspections

Staffing

3.362 hrs/resident/day

Quality measures

Last inspection: March 5, 2026Penalties, last 24 months: $17,345recent federal penalty

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.362.

Staffing detail

Registered nurses
0.85
Licensed practical nurses
0.51
Nurse aides
2.00
Weekend nursing
3.01

Hours per resident per day.

Total staff turnover: 44%
Registered nurse turnover: 42%

Resident outcomes

Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.

Negative outcomes

Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).

Long-stay residents on antipsychotic medication

13.3%2.9%Improving

Residents with a fall causing major injury

1.8%1.8%No change

Residents with pressure ulcers (bedsores)

5.1%6%Worsening

Residents with a urinary tract infection

1.9%1.8%No change

Residents who lost too much weight

2.6%2.6%No change

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

21.6%18.4%Improving

Residents whose ability to walk got worse

19.9%

Long-stay residents on antianxiety or sleep medication

12.8%7.7%Improving

Short-stay residents newly given an antipsychotic

0%0%No change

Residents with a long-term catheter

1.8%0%Improving

Residents with new or worsening incontinence

28.7%25.3%Improving

Residents with depressive symptoms

4.1%5.9%Worsening

Positive outcomes

Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).

Long-stay residents given the seasonal flu vaccine

93.5%

Long-stay residents given the pneumonia vaccine

78.2%80.4%Improving

Short-stay residents given the seasonal flu vaccine

60.7%

Short-stay residents given the pneumonia vaccine

82%37.3%Worsening

What the inspectors found

The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited March 2025 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 689 — 42 CFR §483.25(d) — S/S: J

The nursing home failed to protect residents from abuse and neglect by others. Cited March 2024 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 600 — 42 CFR §483.12 — S/S: J

The home failed to properly dispose of garbage and other waste. Cited March 2026 — widespread issue, potential for harm.

View the original federal record

F-Tag 814 — 42 CFR §483.60 — S/S: F

The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited March 2026 — widespread issue, potential for harm.

View the original federal record

F-Tag 880 — 42 CFR §483.80(a) — S/S: F

The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited March 2025 — widespread issue, potential for harm.

View the original federal record

F-Tag 812 — 42 CFR §483.60(i) — S/S: F

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 3 health deficiencies.

    See what inspectors found
  3. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found
  4. PENALTY

    A federal fine of $17,345 was recorded.

  5. INSPECTION

    Health inspection found 4 health deficiencies.

    See what inspectors found

Penalties & enforcement

On record with Medicare: 2 fines · $31,778 in total fines.

  • Federal fine

    Mar 11, 2025

    $17,345
  • Federal fine

    Mar 4, 2024

    $14,433

Operator & ownership

Ownership
For profit - Limited Liability company
Chain
Part of NORTH SHORE HEALTHCARE · 59 homes · 2.7 stars avg
Occupancy
66 residents on an average day (88% of 75 beds)
Resident voice
Resident council
Medicare history
Certified for 20 years

Things at a nursing home change — inspections, staffing, ownership, news.

Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.