Williams Bay Health Services

Location & what’s nearby

Open in Google Maps ↗ · Directions ↗ · Larger map ↗

Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

61.0% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 30 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 47.8% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 23 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.28 therapist hours per resident per day in 2026Q1 — more than 43% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 5% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 50 beds and averages 32.1 residents a day — about 64% occupied, or roughly 18 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.43 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 1.03 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 1.91 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.17 hrs/resident/day on weekends vs 3.53 on weekdays — 10% thinner on weekends. RN hours go from 1.16 to 0.70 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 59% is well above the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

35 citations, most serious first. The 13 most serious are shown; the remaining 22 are one tap away and print in full.

• Immediate jeopardy · J2026-06-03 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
  Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure 1 (R14) of 2 sampled residents with pressure injuries received the necessary care and treatment based upon standards of practice to prevent pressure injuries from developing, promote healing, and prevent new areas from developing.R14 developed an abrasion to her right buttock 13 days after admission. The abrasion deteriorated to a Stage 4 pressure injury (PI) requiring hospitalization, surgical debridement, and a wound VAC. The wound became infected requiring antibiotic treatment, 2 different times. Surveyor's observations of wound care completed by facility staff identified concerns with infection control and care plan interventions not being implemented or in place.The facility's failure to provide care and treatment to a resident who was at risk for pressure injuries and developed a wound that deteriorated to a stage 4 pressure injury requiring antibiotics for infection, hospitalization, surgical debridement, and a wound vac…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2026-06-03 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review the facility did not ensure 4 (R20, R34, R32 and R24) of 4 sampled residents had services that prevented accident hazards. On [DATE] R34 had an unwitnessed fall and was sent to the hospital R34. R34 sustained a left intertrochanter fracture. On [DATE] R20 had an unwitnessed fall and was sent to the hospital. R20 sustained a zygomatic arch (cheek bone) fracture. On [DATE] and [DATE] R32 was observed to be drinking with a straw in her sippy cup. R32 had been assessed and care planned they should not drink through a straw due to swallowing concerns. On [DATE], R24 was overheard by staff calling a physician office and asking for an appointment. When staff asked if R24 needed assistance and why they needed the appointment R24 replied to get an order for a gun to shoot herself with. The facility did not implement interventions to maintain R24's safety. Additionally, R24 was determined to be at risk for falls on admission to the facility. R24 sustained 10 unwitnessed…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2025-03-27 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility did not ensure 2 (R26 and R29) of 2 residents reviewed received adequate supervision, interventions to prevent accidents. * On 02/12/2025, R26 sustained an injury during a transfer resulting in a skin tear to left lower leg requiring R26 to go to the emergency room where Steri-Strips were applied to R26's wound. On 03/03/2025, R26 reinjured R26's left lower leg during a transfer which caused bleeding and R26 was prescribed an antibiotic for Cellulitis. On 03/26/2025, Surveyor observed staff improperly transfer R26. *There was no quarterly smoking assessment for R29 on a quarterly basis. Findings Include: The facility's policy, titled NSG-Safe Resident Handling and transfers, with a last reviewed date of 05/05/2022, documents: Policy: It is the policy of this facility to ensure that residents are handled and transferred safely to prevent or minimize risks for injury and provide and promote a safe, secure and comfortable experience for the resident…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2026-06-03 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, record review, and interview, the facility did not ensure that food was prepared, distributed, and served in accordance with professional standards for food service safety (Wisconsin Food Code) in the main kitchen. This deficient practice has the potential to affect all 33 residents who receive food from the main kitchen. *Three opened cardboard boxes containing cookie dough, turkey breast, and orange juice were observed resting directly on the floor in the walk-in freezer in the main kitchen. Findings include:The Wisconsin Food Code documents to prevent contamination from the premises, food shall be protected from contamination by storing the food in a clean, dry location, where it is not exposed to splash, dust, or other contamination; and at least 6 inches above the floor. On 5/19/26 at 8:09 AM, Surveyor conducted an initial tour of the facility's main kitchen. Surveyor observed three opened cardboard boxes resting directly on the floor of the walk-in freezer. One cardboard box contained cookie dough, one cardboard box contained turkey breast, and one…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2026-06-03 · tag F0867 — failed to act on quality-improvement findings — widespread
  Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility did not implement policies and procedures for feedback, data collections systems, and monitoring, including adverse event monitoring to develop activities to prevent adverse events potentially affecting 33 of 33 residents in the facility. The facility did not develop written documentation of performance improvement activities to facilitate the identification of facility-wide problems, devise plans to address the identified issues, and have a system to monitor the effectiveness of those plans and revise as needed. Findings include: The facility policy and procedure titled Quality Assurance Performance Improvement (QAPI) dated 7/11/2022 documents: QAPI (Quality Assurance Performance Improvement) is the coordinated application of two mutually reinforcing aspects of a quality management system: Quality Assurance (QA) and Performance Improvement (PI). QAPI takes a systematic, comprehensive, and data-driven approach to maintaining and improving safety and quality in nursing homes while involving residents, families, and all nursing home…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2026-06-03 · tag F0949 — failed to train staff on dementia and abuse — widespread
  Provide behavior health training consistent with the requirements and as determined by a facility assessment.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review the facility did not ensure 8 of 8 direct & non-direct staff chosen at random received behavioral health training.Licensed Practical Nurse (LPN)-OO, Housekeeper-PP, Cook-QQ, Certified Nursing Assistant (CNA)-RR, CNA-SS, CNA-TT, CNA-MM, and CNA-UU did not receive behavioral health training.Findings include:On 6/3/26, at 9:30 a.m., Surveyor requested training for CNA-RR, CNA-SS, CNA-TT, CNA-MM, & CNA-UU.On 6/3/26, at 10:19 a.m., Surveyor requested training for LPN-OO, Housekeeper-PP and Cook-QQOn 6/3/26, at 11:30 a.m., Surveyor reviewed LPN-OO's training. LPN-OO has a hire date of 10/13/23. Surveyor noted LPN-OO has received required training for communication; residents rights & facility's responsibility; abuse, neglect, exploitation; infection control; QAPI (quality assurance performance improvement); and compliance & ethics. Surveyor was unable to locate behavioral health training for LPN-OO.On 6/3/26, at 11:40 a.m., Surveyor reviewed Houskeeper-PP's training. Housekeeper-PP has a hire date of 3/28/25. Surveyor noted Housekeeper-PP received…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2026-06-03 · tag F0607 — failed to have anti-abuse policies — pattern
  Develop and implement policies and procedures to prevent abuse, neglect, and theft.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility did not ensure implementation of their policies and procedures to prevent abuse. The facility failed to ensure the criminal background checks were completed prior to employment for 4 of 8 employees reviewed potentially affecting a pattern of the 33 facility residents at the time of the survey. *Registered Nurse (RN)-K was hired on 12/1/2019 and the criminal background check was completed 3/2018, 21 months prior to the hire date and not just prior to employment. A second criminal background check was completed 3/2025, 5 years after the hire date. *Life Enrichment (LE)-L was hired on 8/24/2023 and the criminal background check was completed 1/2024, 4 months after the hire date, and the out-of-state background check was completed 11/2024, 15 months after the hire date. *Certified Nursing Assistant (CNA)-M was hired on 3/14/2024 and the criminal background check was completed 6/2024 and 7/2025, 3-4 months after the hire date. *CNA-N was hired on 7/16/2024 and the criminal background check was completed 10/2025, 15 months after the hire…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2026-06-03 · tag F0726 — failed to have competent, trained nursing staff — pattern
  Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility did not ensure licensed nurses had competencies and skill sets necessary to care for diabetic residents requiring insulin was identified with 1 (R30) of 4 sampled residents. *R30 was administered insulin from an insulin pen. Registered Nurse (RN)-P did not administer the insulin as instructed by the manufacturer or to professional standards. Findings include: The Facility Assessment, last reviewed on 4/27/2026, documents: Prospective Admissions:-When a prospective resident has a diagnosis or condition not recently or previously managed by the facility, a comprehensive evaluation will be conducted.-The facility will educate staff on the new condition and validate that their competencies align with the necessary care requirements.-Training will be provided to ensure staff can effectively manage the conditions within their licensed scope of practice.Current Residents:-If a current resident presents with a new diagnosis or condition that the facility has not recently or previously supported, the same process of staff…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2026-06-03 · tag F0880 — failed to prevent and control infections — pattern
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility did not ensure a sanitary environment for 3 (R4, R14, and R28) of 13 sampled residents and potentially affecting any resident eating in the dining room. *R4 was administered oral medications by Registered Nurse (RN)-P. RN-P touched every pill with bare hands before putting them in the medicine cup. *R14 had a dressing change done to a wound by RN-O where hand hygiene was not performed during the treatment and RN-P provided incontinence care to R14 without performing hand hygiene between dirty and clean areas and touched items in R14's room without performing hand hygiene. *R28 was in enhanced barrier precautions and staff did not don gowns prior to performing cares on R28 and no hand hygiene was performed after incontinence care. *An uncovered rack of unclaimed clothing was observed in the dining room throughout the survey. Findings include: 1.)The facility policy and procedure titled Medication Administration Orals dated 1/2023 documents: 7. Pour…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2026-06-03 · tag F0883 — failed to offer flu and pneumonia vaccines — pattern
  Develop and implement policies and procedures for flu and pneumonia vaccinations.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility did not ensure pneumonia immunizations were offered to residents affecting 4 (R4, R17, R20, And R22) of 5 sampled residents reviewed for pneumonia immunizations. *R4 was not current in their pneumococcal vaccination, and no vaccine was offered. *R17 was not current in their pneumococcal vaccination, and no vaccine was offered. *R20 was not current in their pneumococcal vaccination, and no vaccine was offered. *R22 was not current in their pneumococcal vaccination, and no vaccine was offered. Findings include: The facility policy and procedure titled Pneumococcal Vaccine (Series) dated 3/25/2025 documents: 1. Each resident will be assessed for pneumococcal immunization upon admission. Self-report of immunization shall be accepted. Any additional efforts to obtain information shall be documented, including efforts to determine date of immunization or type of vaccine received. 2. Each resident will be offered a pneumococcal immunization unless it is medically contraindicated or the resident has already been immunized. Following…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-06-03 · tag F0580 — failed to tell family and doctor about changes — isolated
  Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review the facility did not ensure a resident's physician was consulted with for 1 (R28) of 13 residents reviewed. *The Facility did not ensure the physician was notified/consulted after R28 reported mild knee pain to Physical Therapy on 1/29/2026. R28 continued to experience left knee swelling and the physician was not notified until 2/12/2026. Findings include: The Facility policy, titled Change in Condition of the Resident, last review/revised on 9/20/2022, indicates . a.Immediate notification: Immediate notification for any symptom, sign or apparent discomfort that is:i. Acute or sudden onset, and:ii. A marked change (i.e., more severe in relation to usual symptoms and signs, . b. Non-immediate notification R28 was admitted to the facility on [DATE] for therapy services focused on strengthening following a hospital stay with influenza. R28 was a stand to pivot assistance at home prior to hospitalization. R8 was admitted with diagnoses including weakness, multiple sclerosis (a…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-06-03 · tag F0583 — failed to protect personal privacy — isolated
  Keep residents' personal and medical records private and confidential.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation and record review the facility did not ensure 1 (R14) of 15 sampled residents were provided with privacy during treatments/cares. On 5/20/26 at 10:25 a.m. Surveyor observed R14 receive wound treatment to the right buttock. During the treatment, R14's window blinds were not closed and the window faced the outside where people could possibly walk by and observe R14 receiving care. Findings include: R14 was admitted to the facility on [DATE] with diagnoses of cerebral palsy, deaf and quadriplegia. The quarterly Minimum Data Set (MDS) dated [DATE] documents R14 is cognitively intact and is dependent for all activities of daily living (ADL), transfers and bed mobility. It also documents R14 is incontinent of bladder and bowel. On 5/20/26 at 10:25 a.m. Surveyor observed R14's pressure injury treatment being completed to their right buttock. Registered Nurse (RN)-O performed the treatment while RN-P assisted with holding R14 on her left side. R14's window blinds were not closed prior to or during…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-06-03 · tag F0584 — failed to keep a safe, clean, comfortable home — isolated
  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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation and interview, the facility did not ensure a safe, clean, comfortable, and homelike environment for 2 (R4, and R30) of 13 sampled residents. *R4 had a large hole in R4's wall in R4's room on the right side.*R30 had a large amount of paint missing on R30's wall on the right side. Findings include: 1) R4 was admitted to the facility on [DATE] with diagnoses of Chronic Obstructive Pulmonary Disease(lung disease that block airflow and make it difficult to breathe), Type 2 Diabetes Mellitus(adult onset of trouble controlling blood sugar), Anxiety Disorder(mental health disorder characterized by feelings of worry, fear that interfere with daily activities), and Schizophrenia(chronic brain disorder characterized by distortions in thinking, perception, emotions, and behavior).R4's Quarterly Minimum Data Set (MDS) assessment, dated 3/12/26, indicated that R4's Brief Interview for Mental Status (BIMS) score was 11, which indicated that R4 demonstrated moderately impaired skills for daily decision…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to NORTH SHORE HEALTHCARE — 59 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

CMS files one row per role, so the 40 rows in the source record cover these 20 parties — each is shown once here with every role it holds. Nothing is omitted.

10 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

This home reported $217K paid to related parties (affiliated landlords or management companies) in its most recent cost report.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in WI