Nursing homes › Wisconsin › Menomonee Falls Health Services
N84 W17049 Menomonee Ave, Menomonee Falls, WI 53051 · 2622551180 · 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: 3.63 (Wisconsin median: 4.06). RN hours: 0.62. Weekend total: 3.39. Nursing staff turnover: 39%.
All-time on record: 46 deficiency citations. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2025-12-03 | Allow residents to self-administer drugs if determined clinically appropriate. | D | complaint | corrected 2025-12-08 |
| 2025-08-04 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Health | corrected 2025-08-26 |
| 2025-08-04 | Provide and implement an infection prevention and control program. | F | Health | corrected 2025-09-03 |
| 2025-08-04 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | F | Health | corrected 2025-08-26 |
| 2025-08-04 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | E | Health | corrected 2025-08-26 |
| 2025-08-04 | Ensure each resident receives an accurate assessment. | E | Health | corrected 2025-08-26 |
| 2025-08-04 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Health | corrected 2025-08-26 |
| 2025-08-04 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Health | corrected 2025-08-26 |
| 2025-08-04 | 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 | Health | corrected 2025-08-26 |
| 2025-08-04 | 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 2025-08-26 |
| 2025-08-04 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Health | corrected 2025-08-30 |
| 2025-08-04 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | D | Health | corrected 2025-08-30 |
| 2024-11-26 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | complaint | corrected 2024-12-24 |
| 2024-11-26 | 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 2024-12-24 |
| 2024-11-26 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | corrected 2024-12-24 |
| 2024-11-26 | Assist a resident in gaining access to vision and hearing services. | D | complaint | corrected 2024-12-24 |
| 2024-11-26 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | complaint | corrected 2024-12-24 |
| 2024-05-01 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Health | corrected 2024-06-06 |
| 2024-05-01 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Health | corrected 2024-06-06 |
| 2024-05-01 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | Health | corrected 2024-06-06 |
| 2024-05-01 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2024-06-06 |
| 2024-05-01 | Dispose of garbage and refuse properly. | F | Health | corrected 2024-06-06 |
| 2024-05-01 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | F | Health | corrected 2024-06-06 |
| 2024-05-01 | Provide and implement an infection prevention and control program. | F | Health | corrected 2024-06-06 |
| 2024-05-01 | 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. | E | complaint | corrected 2024-06-06 |
| 2024-05-01 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | E | Health | corrected 2024-06-06 |
| 2024-05-01 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | Health | corrected 2024-06-06 |
| 2024-05-01 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Health | corrected 2024-06-06 |
| 2024-05-01 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Health | corrected 2024-06-06 |
| 2024-05-01 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Health | corrected 2024-06-06 |
| 2024-05-01 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | D | Health | corrected 2024-06-06 |
| 2024-05-01 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Health | corrected 2024-06-06 |
| 2024-05-01 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Health | corrected 2024-06-06 |
| 2024-05-01 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Health | corrected 2024-06-06 |
| 2024-05-01 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Health | corrected 2024-06-06 |
| 2024-05-01 | Provide enough food/fluids to maintain a resident's health. | D | Health | corrected 2024-06-06 |
| 2024-05-01 | Provide care or services that was trauma informed and/or culturally competent. | D | Health | corrected 2024-06-06 |
| 2024-05-01 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Health | corrected 2024-06-06 |
| 2024-05-01 | Ensure medication error rates are not 5 percent or greater. | D | Health | corrected 2024-06-06 |
| 2024-05-01 | 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 | Health | corrected 2024-06-06 |
| Date | Type | Amount |
|---|---|---|
| 2025-08-04 | Fine | $94,680 |
| 2024-11-26 | Fine | $31,103 |
| 2024-05-01 | Fine | $55,419 |
| 2024-05-01 | Payment Denial | 8 days payment denial |
| 2023-12-18 | Fine | $29,961 |
| 2023-12-11 | Fine | $3,145 |
| 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 |
| CIBC BANK USA | Operational/Managerial Control | Organization | NOT APPLICABLE | since 12/31/2024 |
| CLIFTONLARSONALLEN LLP | Operational/Managerial Control | Organization | NOT APPLICABLE | since 05/22/2018 |
| 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 10/01/2017 |
| 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 10/01/2017 |
| BELONGIA, CHRISTINA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 11/01/2019 |
| GEE, DARREN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 11/30/2021 |
| GREER, LAUREN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 11/29/2023 |
| GROSENICK, KARI | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/06/2025 |
| HOEHN, JEFFREY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 10/01/2017 |
| PATZER, COLLEEN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 02/14/2023 |
| PURTELL, BRIAN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 06/01/2018 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 525415. Corrections: data@carerecords.org.