About Pavilion at Glacier Valley
Pavilion At Glacier Valley, located in Slinger, WI, is a for-profit organization that accepts Medicare and Medicaid.
Why Families Choose Pavilion at Glacier Valley
Key Performance Indicators
- CMS Overall Rating 2 Stars
- Nursing Hours 3.35 hrs
- Safety Record Clean
Chain Affiliations & Network
This facility is part of the FUNDAMENTAL HEALTHCARE network. This chain operates 69 facilities.
Chain Performance Overview
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Nursing Staff Analysis
Staffing levels are a critical indicator of quality care. We analyze the daily hours of care provided by Registered Nurses (RNs), Licensed Practical Nurses (LPNs), and Certified Nursing Assistants (CNAs).
Below Average Staffing
Pavilion at Glacier Valley provides less care hours than the state average and less than the national average.
Registered Nurses (RN)
Licensed Practical Nurses
Certified Assistants
CMS Quality Ratings
| Category | Rating | Stars |
|---|---|---|
| Overall Rating | 2 |
|
| Health Inspection | 2 |
|
| Quality Measures | 3 |
|
| Staffing | 3 |
|
Health Inspection History
| Inspection Cycle | Score | Date |
|---|---|---|
| Cycle 1 (Most Recent) | 84 | Nov 12, 2024 |
| Weighted Average | 98 | Combined Score |
Detailed Quality Measures
Rates are from CMS quality measures (claims-based and MDS-based) for the reporting period ending May 01, 2026. Some measures may be omitted when CMS does not report a numeric rate for this facility.
Medicare claims-based measures
Typically includes short-stay outcomes, hospitalizations, and ED use from Medicare claims.
| Measure | Rate |
|---|---|
| Percentage of short-stay residents who were rehospitalized after a nursi... (QM521) | 20.5% |
| Percentage of short-stay residents who had an outpatient emergency depar... (QM522) | 10.2% |
| Number of hospitalizations per 1000 long-stay resident days (QM551) | 2.7% |
| Number of outpatient emergency department visits per 1000 long-stay resi... (QM552) | 2.2% |
MDS-based measures
Resident assessment data; often used for long-stay care quality.
| Measure | Rate |
|---|---|
| Percentage of long-stay residents whose need for help with daily activit... (QM401) | 9.3% |
| Percentage of long-stay residents who lose too much weight (QM404) | 4.3% |
| Percentage of long-stay residents with a catheter inserted and left in t... (QM406) | 0.5% |
| Percentage of long-stay residents with a urinary tract infection (QM407) | 5.0% |
| Percentage of long-stay residents who have depressive symptoms (QM408) | 3.0% |
| Percentage of long-stay residents who were physically restrained (QM409) | 0.0% |
| Percentage of long-stay residents experiencing one or more falls with ma... (QM410) | 3.1% |
| Percentage of long-stay residents assessed and appropriately given the p... (QM415) | 94.7% |
| Percentage of short-stay residents assessed and appropriately given the... (QM430) | 85.9% |
| Percentage of short-stay residents who newly received an antipsychotic m... (QM434) | 0.0% |
| Percentage of long-stay residents whose ability to walk independently wo... (QM451) | 45.6% |
| Percentage of long-stay residents who received an antianxiety or hypnoti... (QM452) | 11.1% |
| Percentage of long-stay residents assessed and appropriately given the s... (QM454) | 100.0% |
| Percentage of short-stay residents who were assessed and appropriately g... (QM472) | 91.4% |
| Percentage of long-stay residents with pressure ulcers (QM479) | 8.2% |
| Percentage of long-stay residents with new or worsened bowel or bladder... (QM480) | 21.3% |
| Percentage of long-stay residents who received an antipsychotic medicati... (QM481) | 10.5% |
Complaints & Deficiencies
Complaint History by Year
This chart shows the number of complaints filed each year.
Summary:
- 2023: 16 complaints
- 2024: 10 complaints
- 2025: 2 complaints
- 2026: 1 complaint
- Total: 29 complaints on record
Recent Complaints (Since Jan 2023)
| Date | Description |
|---|---|
| Mar 12, 2026 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. |
| Dec 05, 2025 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. |
| Aug 29, 2025 | Provide and implement an infection prevention and control program. |
| Dec 06, 2024 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. |
| Dec 06, 2024 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. |
| Aug 05, 2024 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. |
| Aug 05, 2024 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. |
| Aug 05, 2024 | Honor 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. |
| Aug 05, 2024 | Provide 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. |
| Aug 05, 2024 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. |
| Feb 05, 2024 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. |
| Feb 05, 2024 | Provide 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. |
| Jan 08, 2024 | Respond appropriately to all alleged violations. |
| Oct 27, 2023 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| Oct 27, 2023 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. |
| Oct 27, 2023 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. |
| Oct 27, 2023 | Provide appropriate treatment and care according to orders, resident?s preferences and goals. |
| Oct 27, 2023 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. |
| Oct 27, 2023 | 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. |
| Jun 26, 2023 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. |
| Jun 26, 2023 | Honor 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. |
| Jun 26, 2023 | Respond appropriately to all alleged violations. |
| Jun 26, 2023 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. |
| Jun 26, 2023 | Provide appropriate treatment and care according to orders, resident?s preferences and goals. |
| Jun 26, 2023 | Provide 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. |
| Jun 26, 2023 | Ensure medication error rates are not 5 percent or greater. |
| Jun 26, 2023 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. |
| Jun 26, 2023 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. |
| Jun 26, 2023 | Provide and implement an infection prevention and control program. |
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Owner & Operator Information
Business Entity
THI OF WISCONSIN AT HARTFORD, LLC
Ownership Structure
- THI OF WISCONSIN LLC Direct: 100%
Management & Direction
- DAWN GORDON W-2 MANAGING EMPLOYEE
- DAWN GORDON CORPORATE OFFICER
Associated Doctors
Local Comparison
| Facility | Distance | Rating |
|---|---|---|
| Clearview Brain Injury Center | N/A | 5 |
| Clement Manor Health Care Center | N/A | 5 |
| Lasata Care Center | N/A | 5 |
| Masonic Center For Health and Rehab Inc | N/A | 5 |
| Milwaukee Catholic Home | N/A | 5 |
| Milwaukee Health and Rehab | N/A | 4 |
| Complete Care at Germantown | N/A | 4 |
| Shorehaven Hlth and Rehab Ctr | N/A | 5 |
| Cedarburg Health Services | N/A | 3 |
| Clearview | N/A | 5 |
Related Analysis
Best Nursing Homes in Slinger, WI
Compare Pavilion at Glacier Valley to the top-rated facilities in the area.
Ownership Details
Complete list of registered owners, including direct and indirect ownership.
Noted Deficiencies
Detailed history of deficiencies with descriptions and correction dates.
Nursing Hours Analysis
Detailed breakdown of staffing hours per resident by role.
Frequently Asked Questions
- Skilled Nursing Care: 24/7 medical supervision and complex medical treatments
- Long-term Residential Care: Assistance with daily living activities for extended stays
- Short-term Rehabilitation: Recovery services after hospital stays or surgeries
- Memory Care: Specialized programs for residents with dementia and Alzheimer's disease
- Level of care needed (skilled nursing vs. long-term care)
- Room type (private vs. semi-private)
- Insurance coverage (Medicare, Medicaid, private insurance)
- Length of stay and specific services required
For current rates and to discuss payment options, contact Pavilion at Glacier Valley directly at 2622976300. Their admissions team can help determine coverage and out-of-pocket expenses.
Environment & Cleanliness
- Overall cleanliness and odors
- Resident room conditions
- Common area maintenance
- Safety features and accessibility
Staff & Care Quality
- Staff-to-resident ratios
- How staff interact with residents
- Response time to resident needs
- Staff knowledge and professionalism
Ask to speak with current residents and their families, tour at different times of day, and review the facility's most recent inspection reports.