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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J2 | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D33 | E8 | F6 |
| Minimal | A· | B· | C· |
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.
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.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Aug 26, 2026 | Health | Health Complaint | 1 | Actual harm | 1 | Open → |
| Jul 16, 2026 | Health | Health Complaint | 5 | Potential harm | 5 | Open → |
| Jul 1, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Apr 30, 2025 | Fire safety | Fire Safety Standard | 3 | Potential harm | — | Open → |
| Apr 30, 2025 | Health | Health Standard | 2 | Potential harm | — | Open → |
| Oct 17, 2024 | Health | Health Complaint | 3 | Immediate jeopardy | — | Open → |
| May 7, 2024 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Jan 25, 2024 | Fire safety | Fire Safety Standard | 3 | Potential harm | — | Open → |
| Jan 25, 2024 | Health | Health Standard | 5 | Potential harm | — | Open → |
| Dec 21, 2023 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Oct 3, 2022 | Fire safety | Fire Safety Standard | 9 | Potential harm | — | Open → |
| Oct 3, 2022 | Health | Health Standard | 14 | Immediate jeopardy | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Oct 17, 2024 | Civil money penalty (fine) | $14,433 | — | 525359|Fine|61233 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J2 | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D33 | E8 | F6 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Aug 26, 2026 | 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 | G · Actual harm Isolated | Plan of correction, not yet verified Sep 24, 2026 | Complaint |
| Jul 16, 2026 | F-0585 | 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. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm |
“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.
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.
CMS legal business name of the certified provider. Operates this facility only.
57 facilities in 4 states. CMS chain ID 377.
Chain average overall rating (CMS): 2.8
| 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 |
| 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 |
| North Shore Healthcare LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 1, 2017 |
| Troy Baumann | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jun 29, 2017 |
| Facility | Beds | CMS overall | 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 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Autumn Lake Healthcare at Greenfield 5790 S 27th St, Milwaukee, WI 53221 CCN 525504Abuse icon | 0.2 km | 112 | Jun 24, 2026 | 953 IJ7 harm12 open | $153k | |
| Complete Care at Southpointe 4500 W. Loomis Rd., Greenfield, WI 53220 CCN 525604 | 2.8 km | 174 | Mar 12, 2026 | 452 IJ2 harm3 open | — | |
| Greendale Park Nursing and Rehab 5404 W Loomis Rd, Greendale, WI 53129 CCN 525549 | 2.9 km | 105 | Jul 1, 2026 | 1291 IJ9 harm | $281k | |
| Sunrise Health Services 3540 S 43rd St, Milwaukee, WI 53220 CCN 525493 | 5 km | 99 | Feb 25, 2026 | 593 IJ | $114k | |
| Medical Suites at Oak Creek (the) 2700 Honadel Boulevard, Oak Creek, WI 53154 CCN 525730SFF | 5.2 km | 144 | Not rated | May 19, 2026 | 1549 IJ1 harm | $199k |
| Wheaton Franciscan Hc - Terrace at St Francis 3200 S 20th St, Milwaukee, WI 53215 CCN 525552 | 5.5 km | 81 | Jan 6, 2026 | 1031 IJ10 harm | $276k | |
| St Francis Health Services 1915 E Tripoli Ave, Saint Francis, WI 53235 CCN 525477 | 6.7 km | 34 | Feb 18, 2026 | 341 harm | — | |
| Complete Care at Hales Corners 9449 W. Forest Home Ave., Hales Corners, WI 53130 CCN 525596 | 6.8 km | 62 | Feb 19, 2026 | 371 harm | $18k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 525359 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 525359 | 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 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| Plan of correction, not yet verified Aug 7, 2026 |
| Complaint |
| Jul 16, 2026 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Plan of correction, not yet verified Sep 3, 2026 | Complaint |
| Jul 16, 2026 | F-0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Plan of correction, not yet verified Sep 3, 2026 | Complaint |
| Jul 16, 2026 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Plan of correction, not yet verified Sep 24, 2026 | Complaint |
| Jul 16, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Plan of correction, not yet verified Sep 24, 2026 | Complaint |
| Jul 1, 2025 | 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 Jul 18, 2025 | Complaint |
| Apr 30, 2025 | E-0020 | Establish policies and procedures including evacuation. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected May 30, 2025 |
| Apr 30, 2025 | K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 9, 2025 |
| Apr 30, 2025 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 30, 2025 |
| Apr 30, 2025 | F-0656 | 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 Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 30, 2025 |
| Apr 30, 2025 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 30, 2025 |
| Oct 17, 2024 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | J · Immediate jeopardy Isolated | Corrected Nov 18, 2024 | Complaint |
| Oct 17, 2024 | F-0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Nov 18, 2024 | Complaint |
| Oct 17, 2024 | F-0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Nov 18, 2024 | Complaint |
| May 7, 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 Jun 3, 2024 | Complaint |
| May 7, 2024 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 3, 2024 | Complaint |
| May 7, 2024 | F-0699 | Provide care or services that was trauma informed and/or culturally competent. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 3, 2024 | Complaint |
| Jan 25, 2024 | K-0374 | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 6, 2024 |
| Jan 25, 2024 | K-0741 | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 6, 2024 |
| Jan 25, 2024 | K-0919 | Meet requirements for the use of electrical equipment. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 6, 2024 |
| Jan 25, 2024 | F-0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Feb 23, 2024 |
| Jan 25, 2024 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Feb 23, 2024 |
| Jan 25, 2024 | F-0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Feb 23, 2024 |
| Jan 25, 2024 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Feb 23, 2024 |
| Dec 21, 2023 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Jan 10, 2024 | Complaint |
| Oct 3, 2022 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | J · Immediate jeopardy Isolated | Corrected Nov 1, 2022 |
| Oct 3, 2022 | 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 | D · Potential harm Isolated | Corrected Nov 1, 2022 |
| Oct 3, 2022 | K-0233 | Install resident room doors of proper design and width. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Nov 1, 2022 |
| Oct 3, 2022 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Nov 1, 2022 |
| Oct 3, 2022 | K-0341 | Install a fire alarm system that can be heard throughout the facility. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Nov 1, 2022 |
| Oct 3, 2022 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Nov 1, 2022 |
| Oct 3, 2022 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Nov 1, 2022 |
| Oct 3, 2022 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Nov 1, 2022 |
| Oct 3, 2022 | K-0741 | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Nov 1, 2022 |
| Oct 3, 2022 | 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 Nov 1, 2022 |
| Oct 3, 2022 | F-0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Nov 1, 2022 |
| Oct 3, 2022 | F-0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Nov 1, 2022 |
| Oct 3, 2022 | F-0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Nov 1, 2022 |
| Oct 3, 2022 | F-0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 1, 2022 |
| Oct 3, 2022 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 1, 2022 |
| Oct 3, 2022 | F-0687 | Provide appropriate foot care. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 1, 2022 |
| Oct 3, 2022 | 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 Nov 1, 2022 |
| Oct 3, 2022 | F-0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 1, 2022 |
| Oct 3, 2022 | F-0692 | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 1, 2022 |
| Oct 3, 2022 | F-0693 | 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. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 1, 2022 |
| Oct 3, 2022 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 1, 2022 |
| Oct 3, 2022 | F-0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Nov 1, 2022 |
| Oct 3, 2022 | F-0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Nov 1, 2022 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.36 (case-mix index 1.47).
| Jeffrey Hoehn |
| Individual |
| Operational / managerial control |
| OPERATIONAL/MANAGERIAL CONTROL |
| not provided |
| Jun 29, 2017 |
| Lindsay Hurley | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2026 |
| 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 |
| Troy Baumann | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jun 29, 2017 |
| Muniba Chohan | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2023 |
| Jeffrey Hoehn | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jun 28, 2017 |
| Lindsay Hurley | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2026 |
| 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 |
| Delavan Health Services 905 E Geneva St, Delavan, WI 53115 CCN 525324 | 50 | Aug 6, 2026 | 401 open | — |
| 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 | — |