Nursing homes › Wisconsin › Lake Mills Health Services
901 Mulberry St, Lake Mills, WI 53551 · (920) 648-8344 · 50 certified beds
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Open your comparisonCMS overall star rating: this provider 4/5; median among 321 providers with a published value in the same state and provider category: 3/5.
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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, 0 facilities on the Special Focus list, $1,552,238 in federal fines. This facility rates above its group average (2.7/5).
Total nurse staffing: 3.54 (Wisconsin median: 4.02). RN hours: 1.52. Weekend total: 3.32. Nursing staff turnover: 38%.
In the downloaded CMS dataset: 18 deficiency citations, including 1 at immediate-jeopardy level. Below: up to 40 most recent citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2025-07-03 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | J | complaint | corrected 2025-07-29 |
| 2025-07-03 | Provide behavior health training consistent with the requirements and as determined by a facility assessment. | F | complaint | corrected 2025-07-29 |
| 2025-07-03 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | complaint | corrected 2025-07-29 |
| 2025-07-03 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | corrected 2025-07-29 |
| 2025-03-26 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Health | corrected 2025-04-14 |
| 2025-03-26 | Provide and implement an infection prevention and control program. | D | Health | corrected 2025-04-14 |
| 2025-03-26 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | C | Health | corrected 2025-04-14 |
| 2024-02-08 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | E | Health | corrected 2024-03-08 |
| 2024-02-08 | 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. | D | Health | corrected 2024-03-08 |
| 2024-02-08 | Ensure that residents are free from significant medication errors. | D | Health | corrected 2024-03-08 |
| 2023-10-10 | Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | D | complaint | corrected 2023-11-09 |
| 2023-10-10 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | complaint | corrected 2023-11-09 |
| 2023-10-10 | Provide and implement an infection prevention and control program. | D | complaint | corrected 2023-11-09 |
| Date | Type | Amount |
|---|---|---|
| 2025-07-03 | Fine | $120,900 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| NSHF OPERATIONS LLC | 5% Or Greater Direct Ownership Interest | Organization | 100% | since 07/24/2017 |
| MILLS, DAVID | 5% Or Greater Indirect Ownership Interest | Individual | 20% | since 06/29/2017 |
| BAUMANN, TROY | Corporate Director | Individual | NOT APPLICABLE | since 06/29/2017 |
| HOEHN, JEFFREY | Corporate Director | Individual | NOT APPLICABLE | since 06/29/2017 |
| NORTH SHORE HEALTHCARE LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 10/01/2017 |
How to cite this page: CareRecords, “Lake Mills Health Services — compliance, penalty and ownership record” (CCN 525314), compiled from the CMS Provider Data Catalog, August 2026 release. https://carerecords.org/nursing-home/lake-mills-health-services-lake-mills-wi/
Source: CMS Provider Data Catalog (August 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 525314. Corrections: data@carerecords.org.