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Cedarburg Health Services

N27 W5707 Lincoln Blvd, Cedarburg, WI 53012 · 2623767676 · 50 certified beds

Overall★★★☆☆ 3/5
Health inspections★★★★☆ 4/5
Staffing★★★★☆ 4/5
Quality measures★☆☆☆☆ 1/5

Ownership group

Per CMS filings, this facility is affiliated with North Shore Healthcare, a group operating 59 facilities in 4 states. Group record: average rating 2.7/5, 2 abuse citation icons, 1 facilities on the Special Focus list, $1,572,870 in federal fines. This facility rates above its group average (2.7/5).

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Staffing (hours per resident per day)

Total nurse staffing: 4.32 (Wisconsin median: 4.06). RN hours: 0.91. Weekend total: 3.96. Nursing staff turnover: 56%.

Inspection deficiencies

All-time on record: 27 deficiency citations. Below: citations from 2023 onward (severity letters explained in methodology).

Survey dateDeficiencySev.TypeStatus
2025-01-23Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. DHealthcorrected 2025-02-19
2025-01-23Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. DHealthcorrected 2025-02-19
2025-01-23Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. DHealthcorrected 2025-02-19
2025-01-23Ensure medication error rates are not 5 percent or greater. DHealthcorrected 2025-02-19
2025-01-23Ensure 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. DHealthcorrected 2025-02-19
2025-01-23Provide and implement an infection prevention and control program. DHealthcorrected 2025-02-19
2024-10-04Reasonably accommodate the needs and preferences of each resident. Dcomplaintcorrected 2024-10-25
2024-10-04Honor 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. Dcomplaintcorrected 2024-10-25
2024-04-04Provide enough food/fluids to maintain a resident's health. Ecomplaintcorrected 2024-04-30
2024-04-04Develop and implement policies and procedures to prevent abuse, neglect, and theft. Dcomplaintcorrected 2024-04-30
2024-04-04Respond appropriately to all alleged violations. Dcomplaintcorrected 2024-04-30
2023-11-29Allow residents to self-administer drugs if determined clinically appropriate. DHealthcorrected 2023-12-29
2023-11-29Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. DHealthcorrected 2023-12-29
2023-11-29Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. DHealthcorrected 2023-12-29
2023-11-29Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. DHealthcorrected 2023-12-29
2023-11-29Provide safe, appropriate dialysis care/services for a resident who requires such services. DHealthcorrected 2023-12-29
2023-11-29Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Dcomplaintcorrected 2023-12-29
2023-11-07Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Dcomplaintcorrected 2023-12-05
2023-11-07Respond appropriately to all alleged violations. Dcomplaintcorrected 2023-12-05

Federal penalties

No federal fines or payment denials on record.

Ownership & control records (CMS filings)

NameRoleType%Since
NSHF OPERATIONS LLC5% Or Greater Direct Ownership InterestOrganization100%since 07/24/2017
MILLS, DAVID5% Or Greater Indirect Ownership InterestIndividual20%since 06/29/2017
NORTH SHORE HEALTHCARE LLCOperational/Managerial ControlOrganizationNOT APPLICABLEsince 10/01/2017

Compare nearby (Ozaukee County)

Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 525578. Corrections: data@carerecords.org.