Public Record
Three Oaks Health Services
From CMS
Facility profile
- CMS overall rating
- 2 / 5
- Certified beds
- 75
- Avg. residents per day
- 66
*CMS Five-Star
*CMS
*CMS
Inspection record
On record from CMS
- Citations on record
- 39
- Inspections on file
- 11
- Last inspection
- 2026-03-05
*CMS
*CMS
*CMS
Citations
39 citations on record
Each deficiency cited on a CMS health inspection of this facility, sourced from the federal record. Open a report for the raw CMS Scope and Severity grade on each finding.
What do CMS severity letters mean?
Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.
General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.
Each letter combines severity with scope: how many residents the deficiency affected.
- 0814Generalpotential for harm
Dispose of garbage and refuse properly.
- 0321Generalpotential for harm
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- 0712Generalpotential for harm
Have simulated fire drills held at unexpected times.
- 0912Generalpotential for harm
Have power receptacles that are properly grounded.
- 0918Generalpotential for harm
Have generator or other power source capable of supplying service within 10 seconds.
- 0698Generalpotential for harm
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
- 0693Generalpotential for harm
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.
- 0684Generalpotential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- 0758Generalpotential for harm
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.
- 0812Generalpotential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- 0689Seriousimmediate jeopardy
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- 0552Generalpotential for harm
Ensure that residents are fully informed and understand their health status, care and treatments.
- 0609Generalpotential for harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- 0812Generalpotential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- 0851Generalpotential for harm
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
- 0580Generalpotential for harm
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- 0623Generalpotential for harm
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- 0625Generalpotential for harm
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.
- 0712Generalpotential for harm
Have simulated fire drills held at unexpected times.
- 0321Generalpotential for harm
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- 0211Generalpotential for harm
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- 0759Generalpotential for harm
Ensure medication error rates are not 5 percent or greater.
- 0600Seriousimmediate jeopardy
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- 0656Generalpotential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- 0222Generalpotential for harm
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- 0321Generalpotential for harm
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- 0353Generalpotential for harm
Inspect, test, and maintain automatic sprinkler systems.
- 0511Generalpotential for harm
Have properly installed electrical wiring and gas equipment.
- 0712Generalpotential for harm
Have simulated fire drills held at unexpected times.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
- 0372Generalpotential for harm
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- 0353Generalpotential for harm
Inspect, test, and maintain automatic sprinkler systems.
- 0345Generalpotential for harm
Have approved installation, maintenance and testing program for fire alarm systems.
- 0341Generalno actual harm
Install a fire alarm system that can be heard throughout the facility.
- 0759Generalpotential for harm
Ensure medication error rates are not 5 percent or greater.
- 0812Generalpotential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- 0686Generalpotential for harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspection history
Every health inspection on record
Each CMS health inspection of this facility, and the deficiencies the surveyors cited. Where the verbatim Form 2567 statement of deficiencies is on file, it links to the full report.
- View inspection reportInspection7 deficiencies
- View inspection reportInspection7 deficiencies
- View inspection reportInspection2 deficiencies
- View inspection reportInspection4 deficiencies
- View inspection reportInspection11 deficiencies
- View inspection reportInspection11 deficiencies
- View inspection reportInspection1 deficiency
- View inspection reportInspection7 deficiencies
- View inspection reportInspection7 deficiencies
- View inspection reportInspection7 deficiencies
Showing the 10 most recent inspections. 1 earlier inspection is also on record.
FAQ
Questions and answers
- What is Three Oaks Health Services?
- Three Oaks Health Services is a Medicare- and Medicaid-certified nursing home in Marshfield, WI, tracked by the Centers for Medicare & Medicaid Services (CMS). Its CMS Certification Number (CCN) is 525684.
- What is the CMS rating for Three Oaks Health Services?
- Three Oaks Health Services has a CMS overall rating of 2 out of 5 stars. CMS rates nursing homes on health inspections, staffing, and quality measures.
- How many beds does Three Oaks Health Services have?
- Three Oaks Health Services is certified for 75 beds. It serves an average of 66 residents per day.
- How many citations does Three Oaks Health Services have?
- Three Oaks Health Services has 39 citations on record from CMS health inspections, each tied to a federal deficiency tag.
- When was Three Oaks Health Services last inspected?
- Three Oaks Health Services was last inspected on March 5, 2026. CMS surveys nursing homes about once a year and after complaints.
- What can I do if I have concerns about care at this facility?
- Start by raising the concern with the facility administrator or director of nursing. Every state also runs a free long-term care ombudsman program that advocates for residents and families; the federal Eldercare Locator at eldercare.acl.gov can connect you with yours. Complaints about quality of care can also be filed with your state survey agency.
*Sourced from the Centers for Medicare & Medicaid Services (CMS). See the official record on CMS Care Compare. If you believe any information is inaccurate, report it here.
/nursing-home/525684-three-oaks-health-services