WILLOW RIDGE
NPI 1275689903
Skilled Nursing Facility in Amery, WI

Active since January 26, 2007CLIA 52D0726045 · Waiver
2/5
Overall Rating
400 DERONDA ST, AMERY, WI 54001(715) 268-8171 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Willow Ridge NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WILLOW RIDGE (NPI 1275689903) is a healthcare organization registered as a skilled nursing facility in Amery, Wisconsin and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Dawn M. Marsh, Vice President Operations, as its authorized official.

NPPES Registry Identity

NPI1275689903
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameWILLOW RIDGE HEALTHCARE FACILITIES, LLC
Location Address400 DERONDA STAmery, WI 54001-1404
Mailing Address400 Deronda StAmery, WI 54001-1404 · (715) 268-8171
Organization SubpartNo
Authorized OfficialDawn M. MarshVice President Operations · (608) 225-2516
Enumeration DateJanuary 26, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1275689903 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in WI · 2642
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
400 DERONDA ST, Amery, WI 54001

Other Names 1

Doing Business AsWillow Ridge

Other Identifiers 1

Medicaid20186400WI

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 52D0726045

Willow Ridge Healthcare Facility LLC · Amery, WI
Active · expires Aug 31, 2026
CLIA Number52D0726045
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorMason May
Laboratory Phone(715) 268-8171
Laboratory LocationWillow Ridge Healthcare Facility LLC400 Deronda St, Amery, WI 54001
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Willow Ridge Healthcare (CMS certification number 525402), from CMS Care Compare.

Willow Ridge Healthcare

Nursing home · Amery, WI
2/5 CMS Overall Rating
OwnershipFor profit - Corporation
CMS Certification Number525402
Certified Beds83 beds32 residents per day on average
Medicare & Medicaid Participant SinceJuly 1, 1986
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
4/5
Long-Stay Quality
Quality of care delivered to long-term residents.
4/5
Staffing
Based on nursing staff hours relative to resident needs.
4/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
57.33
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 2.1 · LPN 1.18 · RN 0.79
4.08 hrs per resident per day
Weekend Nurse Staffing
3.68 hrs per resident per day
Physical Therapist Staffing
0.01 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
55.6%
Registered Nurse Turnover
37.5%
Administrators Who Have Left
In the past year.
1
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
0
Substantiated Complaints
2
Fines
1 totaling $16,674.42
Medicare Payment Denials
0
Total Penalties
1
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
400 DERONDA ST
AMERY, WI 54001
Physical Therapy Assistant
400 DERONDA ST
AMERY, WI 54001
Physical Therapist
400 DERONDA ST
AMERY, WI 54001
Physical Therapy Assistant
400 DERONDA ST
AMERY, WI 54001

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Willow Ridge Healthcare Facilities, LLC's NPI number?

The NPI number for Willow Ridge Healthcare Facilities, LLC is 1275689903. It was assigned to this organization in the NPPES registry on January 26, 2007. The provider is doing business as Willow Ridge.

Where is Willow Ridge Healthcare Facilities, LLC located?

Willow Ridge Healthcare Facilities, LLC is located at 400 Deronda St, Amery, WI 54001. The listed phone number is (715) 268-8171.

What is Willow Ridge Healthcare Facilities, LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Willow Ridge Healthcare Facilities, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D0726045) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Willow Ridge Healthcare Facilities, LLC a Medicare-certified nursing home?

Yes. Willow Ridge Healthcare is a Medicare-certified nursing home with 83 certified beds.

What quality rating does Willow Ridge Healthcare Facilities, LLC have?

CMS rates Willow Ridge Healthcare 2 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

What insurance does Willow Ridge Healthcare Facilities, LLC accept?

Health plans from Security Health Plan list Willow Ridge Healthcare Facilities, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Willow Ridge Healthcare Facilities, LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.