Shorehaven Hlth & Rehab Ctr — nursing home in Oconomowoc, WI

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid · part of a continuing care retirement community (CCRC)
Certified beds: 88 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: 73.4 CMS, MDS-derived
CMS Certification Number: 525560
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Feb 1, 1995
Ownership type: Non profit - Corporation
Operator (legal business name): Lutheran Homes of Oconomowoc Inc
CMS chain: Not part of a CMS-reported chain
Phone: (262) 567-8341
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

8

latest Mar 5, 2026

Citations

18

10 health · 8 fire

Harm or worse

2

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G2	H·	I·
Potential harm	D10	E3	F2
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

1

Latest

Jun 25, 2024

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 525560
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 88
First approved: Feb 1, 1995
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
Mar 5, 2026	Health	Health Complaint	2	Potential harm	—	Open →
Jun 11, 2025	Fire safety	Fire Safety Standard	2	Potential harm	—	Open →
Jun 11, 2025	Health	Health Standard	3	Potential harm	—	Open →
Jun 25, 2024	Health	Health Complaint	1	Actual harm	—	Open →
Feb 22, 2024	Fire safety	Fire Safety Standard	4	Potential harm	—	Open →
Feb 22, 2024	Health	Health Standard	1	Potential harm	—	Open →
Nov 14, 2022	Fire safety	Fire Safety Standard	2	Potential harm	—	Open →
Nov 14, 2022	Health	Health Standard	3	Actual 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.

Date	Type	Amount	Payment denial	Record
Jun 25, 2024	Denial of payment for new admissions	—	Jul 27, 2024 · 13 days	525560\|Payment Denial\|2024-07-27

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G2	H·	I·
Potential harm	D10	E3	F2
Minimal	A·	B·	C1

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Mar 5, 2026	F-0609	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Mar 17, 2026	Complaint
Mar 5, 2026	F-0610	Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Mar 6, 2026	Complaint
Jun 11, 2025	K-0324	Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jun 26, 2025
Jun 11, 2025	K-0712	Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jun 26, 2025
Jun 11, 2025	F-0628	Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jul 8, 2025
Jun 11, 2025	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 Jul 8, 2025
Jun 11, 2025	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 Jul 8, 2025
Jun 25, 2024	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	Corrected Aug 9, 2024	Complaint
Feb 22, 2024	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 Mar 12, 2024
Feb 22, 2024	K-0362	Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Feb 23, 2024
Feb 22, 2024	K-0791	Ensure that any exit in an area undergoing construction, repair, or improvements shall be inspected daily to ensure its ability to be used instantly in case of emergency. Miscellaneous Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Mar 11, 2024
Feb 22, 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	E · Potential harm Pattern	Corrected Mar 14, 2024
Feb 22, 2024	K-0711	Provide a written emergency evacuation plan. Miscellaneous Deficiencies · Environment & life safety	C · Minimal Widespread	Corrected Mar 20, 2024
Nov 14, 2022	F-0686	Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care	G · Actual harm Isolated	Corrected Jan 31, 2023
Nov 14, 2022	K-0293	Have properly located and lighted "Exit" signs. Egress Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Dec 3, 2022
Nov 14, 2022	K-0324	Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Waiver granted Dec 3, 2022
Nov 14, 2022	F-0644	Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jan 4, 2023
Nov 14, 2022	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 Jan 4, 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 staffing5.44

State avg 4.25US avg 3.90

Registered nurse (RN)1.29

State avg 0.98US avg 0.69

Licensed practical nurse0.70

State avg 0.65US avg 0.86

Nurse aide3.45

State avg 2.61US avg 2.35

Weekend total nurse4.89

State avg 3.75US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 5.70 (case-mix index 1.34).

Staff turnover

Total nursing staff turnover36.2%

State avg 46.7%US avg 45.3%

Registered nurse turnover14.3%

State avg 40.1%US avg 42.5%

Administrators who left0

State avg 1US avg 1

Health survey score

Cycle 1 standard survey: Jun 11, 2025
Cycle 1 health score: 32
Total weighted score: 31

Operating entity

Lutheran Homes of Oconomowoc Inc

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

VerifiedLinked by exact legal name

CMS chain

Not part of a CMS-reported chain.

Ownership disclosures

Disclosures

19

Organizations

0

Individuals

19

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
William Cooper	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Nov 27, 2024
Dale Dahlke	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jan 8, 2018
Emily Karls	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Nov 26, 2024
Bryan Polinske	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jun 30, 2018
Johathan Boray	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Oct 20, 2022
Beth Boyer-Ruan	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Oct 19, 2023
Alfonso Buscemi	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Oct 17, 2024
Joel Lammers	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Oct 24, 2021
William Lentz	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Oct 21, 2021
Roger Mayer	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Oct 20, 2022
Mary Miller	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Oct 21, 2021
Mary O'malley	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Oct 24, 2019
Mary Lee Ratzel	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Apr 1, 2015
Mary Sokop	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Oct 24, 2018
Scott Bergin	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Jun 10, 2024
Philip Holland	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Oct 21, 2021
Scott Bergin	Individual	Managing employee	W-2 MANAGING EMPLOYEE	not provided	Jun 10, 2024
William Cooper	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Dec 5, 2024
Emily Karls	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Dec 5, 2024

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: 1305 W Wisconsin Ave, Oconomowoc, WI 53066
ZIP: 53066
County: Waukesha County FIPS 55133
State: Wisconsin
Urban / rural (CMS): Urban

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	CMS overall	Last inspection	Citations (window)	Fines
Lake Country Health Services 2195 North Summit Village Way, Oconomowoc, WI 53066 CCN 525702	7.6 km	100		Aug 27, 2025	583 IJ1 harm	$121k
Masonic Center for Health & Rehab Inc. 400 N Main St, Dousman, WI 53118 CCN 525572	11.7 km	50		Jun 17, 2026	9	—

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	525560	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	525560	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 525560

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