Three Oaks Health Services
209 Wilderness View Drive · Marshfield, WI · 54449 · 7153896000
75 certified beds For profit - Limited Liability company Chain: North Shore Healthcare
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
2 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 3 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.36 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.85 | 0.55–0.75 |
| Weekend hours / resident-day | 3.01 | ≈ weekday level |
| Nursing turnover / year | 44% | median 45% |
| Fines (3-yr window) | 2 · $31,778 |
Inspection citations (20 in the current record)
-
Potential for harm · D March 5, 2026
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected April 3, 2026 · Quality of Life and Care
-
Potential for harm · F March 5, 2026
Dispose of garbage and refuse properly.
Corrected April 3, 2026 · Nutrition and Dietary
-
Potential for harm · F March 5, 2026
Provide and implement an infection prevention and control program.
Corrected April 3, 2026 · Infection Control
-
Potential for harm · D December 17, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected January 16, 2026 · Quality of Life and Care
-
Potential for harm · D December 17, 2025 · found via complaint
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected January 16, 2026 · Quality of Life and Care
-
Immediate jeopardy · J March 11, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 2, 2025 · Quality of Life and Care
-
Potential for harm · D March 11, 2025 · found via complaint
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected April 2, 2025 · Resident Rights
-
Potential for harm · D March 11, 2025 · found via complaint
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected April 2, 2025 · Pharmacy Service
-
Potential for harm · F March 11, 2025 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 2, 2025 · Nutrition and Dietary
-
Potential for harm · D December 12, 2024
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected January 12, 2025 · Resident Rights
-
Potential for harm · E December 12, 2024
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected January 12, 2025 · Resident Rights
-
Potential for harm · E December 12, 2024
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected January 12, 2025 · Resident Rights
-
Potential for harm · D December 12, 2024
Ensure medication error rates are not 5 percent or greater.
Corrected January 12, 2025 · Pharmacy Service
-
Potential for harm · F December 12, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected January 12, 2025 · Nutrition and Dietary
-
Potential for harm · F December 12, 2024
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected January 12, 2025 · Administration
-
Potential for harm · D December 12, 2024
Provide and implement an infection prevention and control program.
Corrected January 12, 2025 · Infection Control
-
Potential for harm · D December 12, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected January 12, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Immediate jeopardy · J March 4, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected February 19, 2024 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D November 1, 2023
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected November 17, 2023 · Resident Assessment and Care Planning
-
Potential for harm · D November 1, 2023
Provide and implement an infection prevention and control program.
Corrected November 17, 2023 · Infection Control
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| March 11, 2025 | Fine | $17,345 |
| March 4, 2024 | Fine | $14,433 |
Better-scoring options nearby
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 525684 · certified since June 30, 2005. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.