CareRecords.org

Nursing homesWisconsin › Pavilion at Glacier Valley

Pavilion at Glacier Valley

1900 American Eagle Drive, Slinger, WI 53086 · 2622976300 · 106 certified beds

Overall★★☆☆☆ 2/5
Health inspections★★☆☆☆ 2/5
Staffing★★★☆☆ 3/5
Quality measures★★☆☆☆ 2/5

Ownership group

Per CMS filings, this facility is affiliated with Fundamental Healthcare, a group operating 67 facilities in 6 states. Group record: average rating 2.4/5, 6 abuse citation icons, 3 facilities on the Special Focus list, $2,196,040 in federal fines. This facility rates below its group average (2.4/5).

See all 67 facilities in this group →

Staffing (hours per resident per day)

Total nurse staffing: 3.49 (Wisconsin median: 4.06). RN hours: 0.65. Weekend total: 3.22. Nursing staff turnover: 49%.

Inspection deficiencies

All-time on record: 47 deficiency citations. Below: citations from 2023 onward (severity letters explained in methodology).

Survey dateDeficiencySev.TypeStatus
2026-02-17Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Dcomplaintcorrected 2026-03-12
2025-10-08Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. Dcomplaintcorrected 2025-12-05
2025-08-08Provide and implement an infection prevention and control program. Dcomplaintcorrected 2025-08-29
2024-11-12Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. FHealthcorrected 2024-12-06
2024-11-12Provide care and assistance to perform activities of daily living for any resident who is unable. EHealthcorrected 2024-12-06
2024-11-12Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Ecomplaintcorrected 2024-12-06
2024-11-12Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. EHealthcorrected 2024-12-06
2024-11-12Reasonably accommodate the needs and preferences of each resident. DHealthcorrected 2024-12-06
2024-11-12Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. DHealthcorrected 2024-12-06
2024-11-12Provide appropriate pressure ulcer care and prevent new ulcers from developing. DHealthcorrected 2024-12-06
2024-11-12Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. DHealthcorrected 2024-12-06
2024-11-12Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. DHealthcorrected 2024-12-06
2024-11-12Provide safe and appropriate respiratory care for a resident when needed. DHealthcorrected 2024-12-06
2024-11-12Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. DHealthcorrected 2024-12-06
2024-11-12Provide and implement an infection prevention and control program. DHealthcorrected 2024-12-06
2024-11-12Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Dcomplaintcorrected 2024-12-06
2024-07-10Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Ecomplaintcorrected 2024-08-05
2024-07-10Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Dcomplaintcorrected 2024-08-05
2024-07-10Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Dcomplaintcorrected 2024-08-05
2024-07-10Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Dcomplaintcorrected 2024-08-05
2024-07-10Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Dcomplaintcorrected 2024-08-05
2024-01-16Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Dcomplaintcorrected 2024-02-05
2024-01-16Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Dcomplaintcorrected 2024-02-05
2023-12-13Provide and implement an infection prevention and control program. EHealthcorrected 2024-01-08
2023-12-13Give the resident's representative the ability to exercise the resident's rights. DHealthcorrected 2024-01-05
2023-12-13Respond appropriately to all alleged violations. Dcomplaintcorrected 2024-01-08
2023-12-13Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. DHealthcorrected 2024-01-08
2023-12-13Ensure each resident receives an accurate assessment. DHealthcorrected 2024-01-08
2023-12-13Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. DHealthcorrected 2024-01-08
2023-12-13Ensure that the resident and his/her doctor meet face-to-face at all required visits. DHealthcorrected 2023-12-18
2023-12-13Ensure each resident’s drug regimen must be free from unnecessary drugs. DHealthcorrected 2024-01-05
2023-12-13Ensure that residents are free from significant medication errors. DHealthcorrected 2024-01-05
2023-10-04Allow resident to participate in the development and implementation of his or her person-centered plan of care. Dcomplaintcorrected 2023-10-27
2023-10-04Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Dcomplaintcorrected 2023-10-27
2023-10-04Provide appropriate treatment and care according to orders, resident’s preferences and goals. Dcomplaintcorrected 2023-10-27
2023-10-04Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Dcomplaintcorrected 2023-10-27
2023-10-04Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Dcomplaintcorrected 2023-10-27
2023-10-04Implement 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. Dcomplaintcorrected 2023-10-27

Federal penalties

No federal fines or payment denials on record.

Ownership & control records (CMS filings)

NameRoleType%Since
THI OF WISCONSIN, LLC5% Or Greater Direct Ownership InterestOrganization100%since 08/30/2003
GORDON, DAWNCorporate OfficerIndividualNOT APPLICABLEsince 06/26/2017

Compare nearby (Washington County)

Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 525461. Corrections: data@carerecords.org.