Above average — CMS composite of the measures below.
A standard survey is most likely before around November 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Newcare during CMS and state inspections, most recent first.
The facility failed to develop complete, individualized care plans for several residents with significant needs. A resident who smoked and used oxygen did not have smoking interventions documented, another resident on oxygen also lacked a smoking care plan, a resident’s ADL and nutrition plans did not address how staff should respond when the resident refused meals in a Broda chair or dining room, and a resident with a WanderGuard order had no related safety interventions in the care plan. One resident’s plan also omitted diuretic monitoring and contact/droplet precautions after the resident became symptomatic.
During an influenza outbreak, staff did not consistently follow contact and droplet precautions for a resident with fever, cough, wheezing, and increased O2 needs. A therapist and CNAs entered the room without the full required PPE, one CNA did not perform hand hygiene and handled the resident’s water cup, and staff gave conflicting direction about PPE for tray delivery. The DON also confirmed the resident was not placed on precautions right away and was omitted from the respiratory surveillance line list, while other influenza-positive residents had incomplete symptom-resolved documentation and a unit secretary was observed with a mask off the face.
A resident with severe cognitive impairment was struck multiple times in the chest by another cognitively impaired resident, as witnessed by a CNA. Although the facility's policy required immediate reporting of such abuse to law enforcement, the incident was not reported to authorities, and the DON confirmed this omission during the investigation.
A resident with severe cognitive impairment was struck multiple times by another cognitively impaired resident. Although the incident was documented and steps were taken to separate the residents, staff interviews and record review confirmed that no education on abuse or aggression prevention was provided to staff following the event.
The facility failed to offer or administer the PCV20 vaccine to four residents as per CDC guidelines. The Director of Nursing was unaware of the requirement to offer the PCV20 vaccine, and the facility's vaccination consent/refusal form was outdated. The Nursing Home Administrator expected compliance with CDC recommendations, but the oversight resulted in a deficiency.
A facility failed to report an allegation of sexual abuse involving two residents with severe cognitive impairments. A staff member observed one resident kiss another on the lips, but the incident was not reported to the State Agency as required. The facility's Director of Nursing acknowledged the oversight, despite other similar incidents being reported. The Social Services Director confirmed the residents were unable to consent to sexual contact.
A facility failed to investigate an allegation of sexual abuse involving two residents with severe cognitive impairments. The incident, where one resident kissed another on the lips, was not reported to the abuse team, and no investigation was conducted. Despite the initiation of 1:1 supervision, the Director of Nursing and Nursing Home Administrator were unaware of the incident until informed by a surveyor. The oversight was due to a lapse in communication and documentation review processes, resulting in non-compliance with the facility's policy on abuse investigations.
A facility failed to provide adequate supervision and interventions for a resident with severe cognitive impairment and inappropriate sexual behavior, relying only on redirection despite multiple incidents. Additionally, the facility did not complete a timely smoking assessment for a newly admitted resident who was a known smoker, allowing the resident to smoke without the required assessment. These deficiencies indicate a failure to ensure a safe environment and adherence to facility policies.
A CNA failed to follow infection control precautions for two residents under droplet, airborne, and contact precautions, entering their room without the necessary PPE. Despite clear signage and a PPE cart, the CNA did not don a respirator, gown, or gloves, and later admitted uncertainty about the precautions. The DON confirmed staff training on infection control and the expectation to follow posted precautions.
Incomplete care plans for smoking, medication monitoring, precautions, meal refusal, and WanderGuard safety
Penalty
Summary
The facility did not develop and/or implement individualized, comprehensive care plans for multiple residents based on their assessed needs and current conditions. The report identified deficiencies for 4 of 14 sampled residents: R11, R16, R6, and R13. The facility’s policy required comprehensive, person-centered care plans with measurable objectives and timetables, and the smoking policy required smoking-related privileges, restrictions, and concerns to be noted on the care plan and communicated to all personnel caring for the resident. R11 had diagnoses including CHF, chronic respiratory failure with hypoxia, COPD, and type 2 diabetes, had intact cognition with a BIMS score of 13, received continuous oxygen, and had a smoking assessment completed. The care plan did not indicate that R11 smoked and did not include interventions or safety measures related to smoking. R11 also received torsemide daily, but the care plan did not mention diuretic use or include interventions to monitor for side effects. In addition, after R11 developed fever, increased fatigue, increased cough, and increased oxygen needs, the resident was placed on contact and droplet precautions, but the care plan did not reflect those precautions. Staff interviews confirmed that smoking, diuretic use, and infection precautions should have been included in the care plan. R16 had diagnoses including CHF, chronic respiratory failure with hypoxia, COPD, and chronic kidney disease, had moderate cognitive impairment with a BIMS score of 12, received continuous oxygen, and had a smoking assessment completed. The most recent care plan did not indicate that R16 smoked or contain interventions related to safe smoking. R6 had diagnoses including alcohol dependence with alcohol-induced dementia, mood disorder, major depression, anxiety, and weakness, and had moderate cognitive impairment with a BIMS score of 11. R6’s ADL and nutritional care plans included encouragement to get into a Broda chair or go to the dining room for meals, but did not include recommended approaches for staff to use when R6 refused to eat meals in the Broda chair or dining room. R13 had severe cognitive impairment with a BIMS score of 0 and physician orders for a WanderGuard, including daily use and weekly function testing, plus placement checks every shift, but the care plan did not identify the WanderGuard or include interventions for safety related to its use.
Infection Prevention and Control Program Failure During Influenza Outbreak
Penalty
Summary
The facility did not establish and maintain an infection prevention and control program designed to prevent the development and transmission of communicable disease and infection. During an influenza outbreak in the facility, staff did not consistently follow transmission-based precautions, and respiratory surveillance documentation was incomplete for residents with influenza A and respiratory symptoms. R11 developed fever, increased cough, increased wheezing, increased fatigue, and increased oxygen demands. The physician evaluated R11 and ordered influenza A and COVID-19 testing, a chest X-ray, labs, and DuoNebs. Survey observations showed R11 was transported back into the building after smoking without a mask, and later a therapist worked with R11 while wearing only a mask and no gown or gloves. A CNA later entered R11's room with a mask but without gown, gloves, or eye protection, did not perform hand hygiene before entering, took R11's water cup out of the room, filled it in the dining room, and returned it to R11. Another CNA entered R11's room with a meal tray wearing a mask and gloves but no gown or eye protection, and staff told the CNA that only gloves were needed to deliver the tray. The DON stated R11 should have been placed on precautions when the fever began and confirmed R11 was not included on the respiratory surveillance line list. R13 tested positive for influenza A and was included on the respiratory surveillance line list, but the symptoms resolved date was left blank. R29 also tested positive for influenza A and was included on the line list, but the symptoms resolved date was blank and the DON stated the date had not been documented in the chart. During the influenza outbreak, a unit secretary was observed at the nurses' station with a mask around the neck and off the face, and the DON stated all staff were required to wear a mask in the building at all times. The facility's records and staff interviews showed inconsistent use of contact and droplet precautions and incomplete outbreak surveillance documentation.
Failure to Report Resident-to-Resident Abuse to Law Enforcement
Penalty
Summary
The facility failed to implement its policies and procedures for reporting a reasonable suspicion of a crime as required by section 1150B of the Act. On the evening of 5/23/25, a CNA witnessed one resident strike another resident in the chest multiple times with an open hand. The resident who was struck was found lying on the ground, expressed fear, and cried after the incident. The following day, the resident confirmed feeling scared due to the incident. Both residents involved had severe cognitive impairment, with one having a legal guardian and the other an activated POA for healthcare decisions. Despite the facility's policy requiring immediate reporting of abuse to the Administrator and appropriate authorities, including local law enforcement, the investigation documentation did not show that law enforcement was notified of the incident. The DON confirmed during an interview that the event was considered abuse and acknowledged that law enforcement had not been contacted.
Failure to Investigate and Educate Staff Following Resident-to-Resident Abuse
Penalty
Summary
The facility failed to thoroughly investigate and respond to an allegation of abuse involving two residents, both with severe cognitive impairment. One resident was witnessed striking another multiple times in the chest, after which the victim expressed fear and distress. The incident was documented, and the aggressor was removed from the area, but the investigation did not include documented staff education to prevent further abuse or altercations among residents. Subsequent review of records and staff interviews revealed that no education on abuse or aggression prevention was provided to staff following the incident. Although interventions were implemented to keep the two residents separated, staff, including LPNs, RNs, and CNAs, confirmed they did not receive specific training or education on preventing abuse or aggression. The Director of Nursing also confirmed that no such education was provided, and only a sign was posted and care plans updated.
Failure to Administer Pneumococcal Vaccines
Penalty
Summary
The facility failed to ensure that pneumococcal vaccinations were reviewed, offered, or administered to four residents, as per CDC recommendations. Resident 11, who had a history of Alzheimer's disease, dementia, atrial fibrillation, congestive heart failure, and pneumonia, was due for a PCV20 vaccine but was neither offered nor administered the vaccine. Similarly, Resident 16, with diagnoses including atrial fibrillation, congestive heart failure, pneumonia, and COPD, was also due for the PCV20 vaccine but did not receive it. Resident 21, who had cerebral infarction, type 2 diabetes, and other conditions, refused previous vaccines but was not offered the PCV20 vaccine after the refusal. Resident 22, with Alzheimer's disease, dementia, congestive heart failure, and COPD, was due for the PCV20 vaccine but was not offered or administered the vaccine. The Director of Nursing (DON) acknowledged that the facility's vaccination consent/refusal form was outdated and did not include the PCV20 vaccine. The DON admitted to being unaware of the requirement to offer the PCV20 vaccine and the need for annual immunization offerings. The Nursing Home Administrator expected staff to follow CDC recommendations and facility policy, but the oversight led to the deficiency in offering and administering the appropriate vaccines to the residents.
Failure to Report Allegation of Sexual Abuse
Penalty
Summary
The facility failed to report an allegation of sexual abuse involving two residents to the State Agency (SA) as required by their policy. On March 21, 2024, a staff member observed Resident 29, who has severe cognitive impairment and a history of socially inappropriate behavior, kiss Resident 94 on the lips after being redirected. Despite the incident being documented in Resident 29's medical record, it was not reported to the SA, which is a violation of the facility's policy that mandates reporting such incidents within 24 hours. Resident 29 has a history of dementia and other cognitive disorders, with a documented tendency to exhibit inappropriate behaviors towards other residents. The care plan for Resident 29 included strategies to prevent such behaviors, but on the day of the incident, the resident was able to approach and kiss Resident 94, who also has severe cognitive impairment and is unable to consent to sexual contact. The staff initiated 1:1 supervision for Resident 29 following the incident to ensure the safety of Resident 94. Interviews with facility staff, including the Registered Nurse who witnessed the incident and the Director of Nursing, revealed that the incident was not reported to the SA due to an oversight. The Director of Nursing acknowledged that the incident should have been reported and expressed uncertainty about how it was missed, despite other similar incidents being reported and investigated. The Social Services Director confirmed that both residents were unable to consent to sexual contact and that the incident should have been reported as an allegation of sexual abuse.
Failure to Investigate Allegation of Sexual Abuse
Penalty
Summary
The facility failed to investigate an allegation of sexual abuse involving two residents, R29 and R94. The facility's policy mandates that any allegations of abuse be immediately investigated by an abuse team, which includes the Nursing Home Administrator, Director of Nursing, and Social Services Designee. However, in this case, the incident was not investigated as required. The incident involved R29, who has severe cognitive impairment and a history of socially inappropriate behavior, kissing R94, who also has severe cognitive impairment, on the lips in the dining room. The incident occurred when R29 sought out R94 in the dining room and kissed R94 on the lips after being redirected by staff. Despite the initiation of 1:1 supervision for R29 to ensure R94's safety, the incident was not reported to the abuse team, and no investigation was conducted. The Director of Nursing (DON) and the Nursing Home Administrator (NHA) were unaware of the incident until it was brought to their attention by the surveyor. The Social Service Director (SSD), who is part of the abuse investigation team, was also unaware of the incident and confirmed that such allegations should be thoroughly investigated. The failure to investigate the incident was attributed to a lapse in communication and documentation review processes. Although the DON reviewed daily documentation, the incident on 3/21/24 was overlooked, and no investigation was initiated. The DON acknowledged that the incident should have been investigated, as previous and subsequent incidents were. This oversight resulted in a failure to comply with the facility's policy on investigating allegations of abuse, leaving the incident unaddressed and undocumented in the administrative file.
Inadequate Supervision and Assessment for Residents
Penalty
Summary
The facility failed to ensure a safe environment free from accident hazards and did not provide adequate supervision to prevent accidents for two residents. Resident R29, who had severe cognitive impairment and a history of inappropriate sexual behavior, was not adequately monitored or provided with effective interventions to prevent unwanted touching and kissing of other residents. Despite multiple documented incidents of R29's behavior, the care plan was not updated with specific monitoring interventions, and staff relied solely on redirection, which proved insufficient. Additionally, the facility did not complete a timely smoking assessment for Resident R142, who was a known smoker. R142 was admitted with various diagnoses, including liver cell carcinoma and mild intellectual disabilities, and had an activated Power of Attorney for Health Care. The facility's policy required a smoking assessment before a resident could smoke, but R142's assessment was only completed after the surveyor's request, several days after the resident had already been smoking at the facility. The deficiencies highlight the facility's failure to implement appropriate behavioral and monitoring interventions for residents with specific needs and to adhere to its own policies regarding resident safety. The lack of timely assessments and updates to care plans contributed to an environment that was not as free from accident hazards as possible, potentially compromising resident safety.
Inadequate Adherence to Infection Control Precautions
Penalty
Summary
The facility failed to maintain an effective infection prevention and control program, as evidenced by the actions of a Certified Nursing Assistant (CNA) who did not adhere to the required transmission-based precautions for two residents sharing a room. The residents were under droplet, airborne, and contact precautions, as indicated by signs posted outside their room. On the morning of June 19, 2024, the CNA entered the room without donning the necessary personal protective equipment (PPE), such as a respirator, gown, or gloves, despite the clear signage and the presence of a PPE cart nearby. The CNA performed personal care tasks and exited the room with soiled items, still not wearing the appropriate PPE. Upon interview, the CNA acknowledged the failure to follow the precautionary measures and admitted to being uncertain about which resident the precautions applied to, despite the signage indicating both residents. The Director of Nursing (DON) confirmed that staff are expected to follow the transmission-based precautions as indicated by the signs and that all staff receive training on infection control and precautions upon hire, annually, and as needed. The DON also noted that one of the residents had active respiratory symptoms and was awaiting test results, necessitating the precautions.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Crivitz
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Rennes Health And Rehab Center-west | 16.8 mi | ★★★★★ | 3 | 0 |
| Rennes Health And Rehab Center-east | 17.8 mi | ★★★★★ | 3 | 0 |
| Menominee Health Services | 20.6 mi | ★★★★★ | 3 | 0 |
| Luther Home | 22 mi | ★★★★★ | 16 | 0 |
| Roubal Care And Rehabilitation Center | 22.9 mi | ★★★★★ | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.