Marathon County, Wisconsin · Nursing home
Three Oaks Health Services
2 of 5 overall from CMS
209 Wilderness View Drive, Marshfield, WI 54449
At a glance
- Overall rating 2 of 5 Below the state average of 3.0
- Nurse time per resident, per day 3.51 hours Below the state average of 4.21
- Nursing staff who left in a year 40.9% Below the state average of 46.9%
- Health citations, last 3 inspection cycles 20 2 at the harm level or above
- Fines in 3 years $31,778 2 fines
- Certified beds in use 89.3% of 75 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Three Oaks Health Services is a 75-bed nursing home in Marshfield, Wisconsin (Marathon County). CMS rates it 2 of 5 stars overall as of Sep 2026. It reports 3.51 nurse staffing hours per resident per day, below the Wisconsin average of 4.21. CMS lists 2 fines totaling $31,778 in the past three years.
- Certified beds
- 75
- Residents per day (average)
- 67.0
- Certified since
- 2005 (21 yrs)
For profit - Limited Liability company Participates in Medicare and MedicaidPart of North Shore Healthcare (59 homes)
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask Three Oaks Health Services
Chosen from this home's public data.
- CMS lists 2 fines totaling $31,778 in the past three years. What changed after the most recent one?Penalties in CMS data
- Reported nurse staffing is 3.05 hours per resident on weekends against 3.51 overall. Who covers Saturdays and Sundays?Weekend staffing in CMS data
- Registered nurse time is 0.92 hours per resident per day; the Wisconsin average is 0.99. Is an RN on site overnight?RN staffing in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 2 of 5 Wisconsin average 3.0
- Health inspections 2 of 5 Wisconsin average 2.8
- Staffing 3 of 5 Wisconsin average 3.6
- Quality measures 3 of 5 Wisconsin average 3.0
The vertical line marks the Wisconsin average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 3.51 h Wisconsin average 4.21
- Nurse aides 2.06 h Wisconsin average 2.58
- Licensed practical nurses 0.52 h Wisconsin average 0.64
- Registered nurses 0.92 h Wisconsin average 0.99
- All staff, weekends 3.05 h Wisconsin average 3.77
How much nurse staffing is enough? All bars share one scale, 0 to 10 hours. The vertical line marks the Wisconsin average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover40.9%
- Wisconsin average46.9%
- Registered nurse turnover47.1%
- Wisconsin average39.7%
- Administrators who left3
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the Wisconsin and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | Wisconsin | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 23.8% | 16.1% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 2.0% | 5.1% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.8% | 2.1% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 1.9% | 2.7% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 2.0% | 5.7% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.0% | 0.1% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 4.5% | 3.3% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 81.9% | 95.7% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 24.6% | 18.4% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 10.5% | 16.9% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 93.5% | 95.0% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 4.3% | 5.0% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 29.9% | 24.6% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 4.0% | 15.8% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | 2.22 | 1.66 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | 0.00 | 2.29 | 1.78 |
Short-stay residents
| Measure | This home | Wisconsin | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 50.2% | 86.5% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 1.0% | 1.2% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 60.7% | 82.2% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | 24.1% | 23.1% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | 19.4% | 15.5% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 20 health deficiencies in the three most recent inspection cycles. Of these, 2 were at the immediate jeopardy level; the rest were graded as no actual harm. 8 were cited in connection with a complaint investigation. The most recent citation at the harm level or above was on Mar 11, 2025: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Mar 5, 2026 | 5 | 4 |
| Dec 12, 2024 | 12 | 3 |
| Nov 1, 2023 | 3 | 5 |
Wisconsin homes averaged 9.5 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (20)
-
FPotential for more than minimal harm, widespread
Dispose of garbage and refuse properly.
Nutrition and Dietary · Deficient, Provider has date of correction (Apr 3, 2026)
-
FPotential for more than minimal harm, widespread
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Apr 3, 2026)
-
DPotential for more than minimal harm, isolated
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care · Deficient, Provider has date of correction (Apr 3, 2026)
-
DPotential for more than minimal harm, isolated
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Jan 16, 2026)
-
DPotential for more than minimal harm, isolated
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.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Jan 16, 2026)
Show 15 more
-
JImmediate jeopardy, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Apr 2, 2025)
-
FPotential for more than minimal harm, widespread
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Complaint investigation · Nutrition and Dietary · Deficient, Provider has date of correction (Apr 2, 2025)
-
DPotential for more than minimal harm, isolated
Ensure that residents are fully informed and understand their health status, care and treatments.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Apr 2, 2025)
-
DPotential for more than minimal harm, isolated
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.
Complaint investigation · Pharmacy Service · Deficient, Provider has date of correction (Apr 2, 2025)
-
FPotential for more than minimal harm, widespread
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · Deficient, Provider has date of correction (Jan 12, 2025)
-
FPotential for more than minimal harm, widespread
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Administration · Deficient, Provider has date of correction (Jan 12, 2025)
-
EPotential for more than minimal harm, pattern
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights · Deficient, Provider has date of correction (Jan 12, 2025)
-
EPotential for more than minimal harm, pattern
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.
Resident Rights · Deficient, Provider has date of correction (Jan 12, 2025)
-
DPotential for more than minimal harm, isolated
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights · Deficient, Provider has date of correction (Jan 12, 2025)
-
DPotential for more than minimal harm, isolated
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Jan 12, 2025)
-
DPotential for more than minimal harm, isolated
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service · Deficient, Provider has date of correction (Jan 12, 2025)
-
DPotential for more than minimal harm, isolated
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Jan 12, 2025)
-
JImmediate jeopardy, isolated
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Past Non-Compliance (Feb 19, 2024)
-
DPotential for more than minimal harm, isolated
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Nov 17, 2023)
-
DPotential for more than minimal harm, isolated
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Nov 17, 2023)
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
| Date | Type | Amount |
|---|---|---|
| Mar 11, 2025 | Fine | $17,345 |
| Mar 4, 2024 | Fine | $14,433 |
Wisconsin homes averaged 0.9 fines and $48,150 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within Wisconsin
- Size144 of 323 by certified beds
- Wisconsin average residents per day54.7
- ChainNorth Shore Healthcare
- Chain average overall rating2.7 of 5
- Resident or family councilResident
- Homes in Marshfield3
- Homes in Marathon County8
Common questions
What is the CMS star rating for Three Oaks Health Services?
Three Oaks Health Services has an overall rating of 2 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 2, staffing is 3 and quality measures is 3.
How many beds does Three Oaks Health Services have?
Three Oaks Health Services has 75 certified beds. It averages 67.0 residents per day, about 89.3% of its certified beds.
How much nursing care do residents get at Three Oaks Health Services?
The home reports 3.51 hours of nurse staffing per resident per day, including 0.92 hours from registered nurses. The Wisconsin average is 4.21 hours and 0.99 hours from registered nurses.
Has Three Oaks Health Services been fined?
Yes. CMS lists 2 fines totaling $31,778 in the past three years.
Does Three Oaks Health Services accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 5 of 5 Norwood Health Ctr-Central 32beds 72.8%in use 6.12nurse hours a day
- 4 of 5 North Shore Healthcare at Marshfield 120beds 51.2%in use 3.64nurse hours a day
- 2 of 5 Colonial Health Services 70beds 84.4%in use 3.57nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Marathon County
Who to call in Wisconsin
These offices serve residents of every nursing home in Wisconsin.
- Long-term care ombudsman Wisconsin Long Term Care Ombudsman Program 1-800-815-0015 (Email: BOALTC@wisconsin.gov.) An advocate for residents and their families.
- File a complaint about a nursing home Division of Quality Assurance (DQA) complaint line 800-642-6552 (Toll-free. DQA also takes complaints through an online Complaint Intake Survey (form F-00607) and its nursing home regional offices.) The state agency that inspects nursing homes.
Wisconsin staffing, bed-hold and Medicaid rules · Residents' rights in every state
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 525684. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.