Nursing homes › Wisconsin › Evergreen Health Services
1250 Evergreen St, Shawano, WI 54166 · 7155263107 · 50 certified beds
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 below its group average (2.7/5).
Total nurse staffing: 3.58 (Wisconsin median: 4.06). RN hours: 0.71. Weekend total: 3.24. Nursing staff turnover: 52%.
All-time on record: 20 deficiency citations, including 1 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2025-09-16 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | complaint | corrected 2025-10-09 |
| 2025-09-16 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | complaint | corrected 2025-10-09 |
| 2025-09-16 | Provide and implement an infection prevention and control program. | E | complaint | corrected 2025-10-09 |
| 2025-08-20 | 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. | D | complaint | corrected 2025-09-11 |
| 2025-05-29 | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | E | Health | corrected 2025-06-19 |
| 2025-05-29 | Provide safe and appropriate respiratory care for a resident when needed. | D | Health | corrected 2025-06-19 |
| 2025-05-29 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Health | corrected 2025-06-19 |
| 2025-05-29 | Provide and implement an infection prevention and control program. | D | Health | corrected 2025-06-19 |
| 2025-05-29 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | corrected 2025-06-19 |
| 2025-03-19 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | complaint | corrected 2025-05-02 |
| 2024-08-07 | 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. | D | complaint | corrected 2024-08-19 |
| 2024-05-22 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Health | corrected 2024-06-20 |
| 2024-05-22 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Health | corrected 2024-06-20 |
| 2024-05-22 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Health | corrected 2024-06-20 |
| 2024-05-22 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | Health | corrected 2024-06-20 |
| 2024-05-22 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Health | corrected 2024-06-20 |
| 2024-01-29 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | complaint | corrected 2024-02-29 |
| 2024-01-29 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | complaint | corrected 2024-02-29 |
| 2023-05-10 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2023-05-31 |
| 2023-05-10 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Health | corrected 2023-06-08 |
| Date | Type | Amount |
|---|---|---|
| 2025-08-20 | Fine | $14,020 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| NSHR OPERATIONS LLC | 5% Or Greater Direct Ownership Interest | Organization | 100% | since 10/01/2019 |
| ARROWHEAD 123 LLC | 5% Or Greater Indirect Ownership Interest | Organization | 10% | since 10/01/2019 |
| THE LANE MORRELL BOWEN TRUST | 5% Or Greater Indirect Ownership Interest | Organization | 10% | since 10/01/2019 |
| MILLS, DAVID | 5% Or Greater Indirect Ownership Interest | Individual | 18% | since 10/01/2019 |
| BAUMANN, TROY | Corporate Director | Individual | NOT APPLICABLE | since 10/01/2019 |
| HOEHN, JEFFREY | Corporate Director | Individual | NOT APPLICABLE | since 10/01/2019 |
| CIBC BANK USA | Operational/Managerial Control | Organization | NOT APPLICABLE | since 12/01/2019 |
| CLIFTONLARSONALLEN LLP | Operational/Managerial Control | Organization | NOT APPLICABLE | since 12/01/2019 |
| CONTINUUM THERAPY PARTNERS LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 03/01/2025 |
| NORTH SHORE HEALTHCARE LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 12/01/2019 |
| NSH REHAB LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 03/01/2025 |
| WIPFLI LLP | Operational/Managerial Control | Organization | NOT APPLICABLE | since 02/01/2025 |
| BAUMANN, TROY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 10/01/2019 |
| BELONGIA, CHRISTINA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 11/01/2019 |
| CHERUKULA, MADHAVI | Operational/Managerial Control | Individual | NOT APPLICABLE | since 02/01/2023 |
| GEE, DARREN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 11/30/2021 |
| GOSSEN, JENNIFER | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/05/2026 |
| GREER, LAUREN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 11/29/2023 |
| HOEHN, JEFFREY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 10/01/2019 |
| PATZER, COLLEEN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 02/14/2023 |
| PURTELL, BRIAN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 10/01/2019 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 525343. Corrections: data@carerecords.org.