Delavan Health Services — nursing home in Delavan, WI

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 50 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 39.3 CMS, MDS-derived
CMS Certification Number: 525324
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Nov 1, 1982
Ownership type: For profit - Corporation
Operator (legal business name): Nsh Delavan LLC
CMS chain: North Shore Healthcare 57 facilities
Phone: (262) 728-6319
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

7

latest Aug 6, 2026

Citations

40

6 health · 34 fire

Harm or worse

0

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D10	E14	F15
Minimal	A·	B·	C1

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

0

$0

Payment denials

0

Latest

—

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 525324
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 50
First approved: Nov 1, 1982
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead. State coverage for Wisconsin.

Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

Date	Domain	Survey types	Citations	Most severe	Open
Aug 6, 2026	Fire safety	Fire Safety Standard	8	Potential harm	1	Open →
Aug 6, 2026	Health	Health Standard	1	Potential harm	—	Open →
Dec 19, 2024	Fire safety	Fire Safety Standard	8	Potential harm	—	Open →
Dec 19, 2024	Health	Health Standard	1	Potential harm	—	Open →
Aug 19, 2024	Health	Health Complaint	1	Potential harm	—	Open →
Sep 27, 2023	Fire safety	Fire Safety Standard	18	Potential harm	—	Open →
Sep 27, 2023	Health	Health Standard	3	Potential harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

No fines or payment denials in the CMS Penalties file for this CCN.

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D10	E14	F15
Minimal	A·	B·	C1

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Aug 6, 2026	K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Sep 4, 2026
Aug 6, 2026	K-0223	Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Egress Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Sep 4, 2026
Aug 6, 2026	K-0241	Have correct number of accessible exits for each story. Egress Deficiencies · Environment & life safety	D · Potential harm Isolated	No plan of correction
Aug 6, 2026	K-0331	Construct fire resistant interior walls. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Sep 4, 2026
Aug 6, 2026	K-0351	Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Sep 4, 2026
Aug 6, 2026	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Sep 21, 2026
Aug 6, 2026	K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Sep 22, 2026
Aug 6, 2026	K-0521	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Sep 4, 2026
Aug 6, 2026	F-0842	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Aug 27, 2026
Dec 19, 2024	K-0241	Have correct number of accessible exits for each story. Egress Deficiencies · Environment & life safety	D · Potential harm Isolated	Waiver granted Jan 17, 2025
Dec 19, 2024	K-0345	Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jan 17, 2025
Dec 19, 2024	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jan 17, 2025
Dec 19, 2024	K-0521	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jan 17, 2025
Dec 19, 2024	K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jan 17, 2025
Dec 19, 2024	K-0918	Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jan 17, 2025
Dec 19, 2024	K-0920	Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jan 17, 2025
Dec 19, 2024	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	F · Potential harm Widespread	Corrected Jan 17, 2025
Dec 19, 2024	K-0712	Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety	C · Minimal Widespread	Corrected Jan 17, 2025
Aug 19, 2024	F-0610	Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Sep 11, 2024	Complaint
Sep 27, 2023	E-0006	Conduct risk assessment and an All-Hazards approach. Emergency Preparedness Deficiencies · Emergency preparedness	F · Potential harm Widespread	Corrected Oct 25, 2023
Sep 27, 2023	K-0222	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. Egress Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Oct 25, 2023
Sep 27, 2023	K-0223	Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Egress Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Oct 25, 2023
Sep 27, 2023	K-0241	Have correct number of accessible exits for each story. Egress Deficiencies · Environment & life safety	E · Potential harm Pattern	Waiver granted Oct 25, 2023
Sep 27, 2023	K-0291	Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Oct 25, 2023
Sep 27, 2023	K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Oct 25, 2023
Sep 27, 2023	K-0324	Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Oct 25, 2023
Sep 27, 2023	K-0346	Follow proper procedures when the fire alarm was out of service for more than 4 hours. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Oct 25, 2023
Sep 27, 2023	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Oct 25, 2023
Sep 27, 2023	K-0354	Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Oct 25, 2023
Sep 27, 2023	K-0363	Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Oct 25, 2023
Sep 27, 2023	K-0521	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Oct 25, 2023
Sep 27, 2023	K-0711	Provide a written emergency evacuation plan. Miscellaneous Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Oct 25, 2023
Sep 27, 2023	K-0712	Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Oct 25, 2023
Sep 27, 2023	K-0753	Have restrictions on the use of highly flammable decorations. Miscellaneous Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Oct 25, 2023
Sep 27, 2023	K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Oct 26, 2023
Sep 27, 2023	K-0914	Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Oct 26, 2023
Sep 27, 2023	K-0918	Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Oct 26, 2023
Sep 27, 2023	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Oct 25, 2023
Sep 27, 2023	F-0758	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. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Oct 25, 2023
Sep 27, 2023	F-0759	Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Oct 25, 2023

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Five-Star ratings

Federal · CMS

Overallstate 3.1

Health inspectionsstate 2.8

Staffingstate 3.7

Quality measuresstate 3.2

Long-stay QM

Short-stay QM

CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.

Nurse staffing · hours per resident per day

Total nurse staffing3.48

State avg 4.25US avg 3.90

Registered nurse (RN)1.17

State avg 0.98US avg 0.69

Licensed practical nurse0.34

State avg 0.65US avg 0.86

Nurse aide1.96

State avg 2.61US avg 2.35

Weekend total nurse3.06

State avg 3.75US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.52 (case-mix index 1.38).

Staff turnover

Total nursing staff turnover28.2%

State avg 46.7%US avg 45.3%

Registered nurse turnover28.6%

State avg 40.1%US avg 42.5%

Administrators who left0

State avg 1US avg 1

Health survey score

Cycle 1 standard survey: Aug 6, 2026
Cycle 1 health score: 8
Total weighted score: 11

Operating entity

Nsh Delavan LLC

CMS legal business name of the certified provider. Operates this facility only.

VerifiedLinked by exact legal name

CMS chain

North Shore Healthcare

57 facilities in 4 states. CMS chain ID 377.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 2.8

Ownership disclosures

Disclosures

35

Organizations

9

Individuals

20

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Nshf Operations LLC	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Jul 24, 2017
David Mills	Individual	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	20%	Jun 29, 2017

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Nshf Operations LLC	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Jul 24, 2017
David Mills	Individual	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	20%	Jun 29, 2017
Cibc Bank USA	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Dec 31, 2024
Cliftonlarsonallen	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	May 22, 2018
Continuum Therapy Partners LLC	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Mar 1, 2025
North Shore Healthcare LLC	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Oct 1, 2017
Nsh Rehab LLC	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Mar 1, 2025
Wipfli LLP	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Feb 1, 2025
Troy Baumann	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Oct 1, 2017
Christina Belongia	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Nov 1, 2019
Darren Gee	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Nov 30, 2021
Lauren Greer	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Nov 29, 2023
Jeffrey Hoehn	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Oct 1, 2017
Laura Holmstrom	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Oct 1, 2017
Colleen Patzer	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Feb 14, 2023
Brian Purtell	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jun 1, 2018
Troy Baumann	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jun 29, 2017
Jeffrey Hoehn	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jun 29, 2017
Cibc Bank USA	Organization	Mortgage / security interest	5% OR GREATER SECURITY INTEREST	not provided	Dec 31, 2024
Cliftonlarsonallen	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Apr 15, 2025
Continuum Therapy Partners LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Apr 15, 2025
North Shore Healthcare LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Apr 15, 2025
Nsh Rehab LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Jun 11, 2025
Nshf Wisconsin LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	May 9, 2025
Willowfield Property Holdings, LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	May 1, 2022
Wipfli LLP	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Apr 15, 2025
Troy Baumann	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Oct 1, 2017
Christina Belongia	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Nov 1, 2019
Alex Canda	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Feb 1, 2023
Darren Gee	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Nov 30, 2021
Lauren Greer	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Nov 29, 2023
Jeffrey Hoehn	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Oct 1, 2017
Laura Holmstrom	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Oct 1, 2017
Colleen Patzer	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Feb 14, 2023
Brian Purtell	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jun 1, 2018

Same chain in Wisconsin

All 56 in chain →

Facility	Beds	Last inspection	Citations (window)	Fines
Wisconsin Rapids Health Services 1350 River Run Dr, Wisconsin Rapids, WI 54494 CCN 525212	114	Feb 25, 2026	573 IJ	$75k
Monroe Health Services 516 26th Ave, Monroe, WI 53566 CCN 525292	50	Dec 3, 2025	37	—
North Shore Healthcare at Marshfield 814 W 14th St, Marshfield, WI 54449 CCN 525304	120	Jun 4, 2026	341 harm1 open	—
Sturgeon Bay Health Services 200 N Seventh Ave, Sturgeon Bay, WI 54235 CCN 525306	50	Mar 4, 2026	401 harm	—
Lake Mills Health Services 901 Mulberry St, Lake Mills, WI 53551 CCN 525314	50	Aug 3, 2026	471 IJ2 harm1 open	$121k
Court Manor Health Services 911 3rd St West, Ashland, WI 54806 CCN 525328	50	Jul 22, 2026	121 IJ1 open	$41k
Rib Lake Health Services 650 Pearl St, Rib Lake, WI 54470 CCN 525329	50	Jul 29, 2026	30	—
Riverview Health Services 428 N 6th St, Tomahawk, WI 54487 CCN 525332	50	Jan 27, 2026	31	$5,286

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 905 E Geneva St, Delavan, WI 53115
ZIP: 53115
County: Walworth County FIPS 55127
State: Wisconsin
Urban / rural (CMS): Rural

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	Last inspection	Citations (window)	Fines
Williams Bay Health Services 146 Clover St, Williams Bay, WI 53191 CCN 525346	9 km	50	Jun 3, 2026	561 IJ2 harm	—
Holton Manor 645 N Church St, Elkhorn, WI 53121 CCN 525541	9.4 km	60	May 6, 2026	343 harm	—
Lakeland Health Care Ctr 1922 Cty Rd Nn, Elkhorn, WI 53121 CCN 525625	9.8 km	90	Jan 26, 2026	373 IJ1 harm1 open	$84k

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	525324	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	525324	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026

Record-level source links for CCN 525324

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction