Nursing homes › Wisconsin › Willowcrest Health Services
3821 S Chicago Ave, South Milwaukee, WI 53172 · 4147627336 · 100 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: 3.57 (Wisconsin median: 4.06). RN hours: 0.62. Weekend total: 3.17. Nursing staff turnover: 41%.
All-time on record: 36 deficiency citations, including 2 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2025-06-05 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | F | Health | corrected 2025-07-05 |
| 2025-06-05 | Provide and implement an infection prevention and control program. | F | Health | corrected 2025-07-05 |
| 2025-06-05 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | Health | corrected 2025-07-05 |
| 2025-06-05 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Health | corrected 2025-07-05 |
| 2025-06-05 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Health | corrected 2025-07-05 |
| 2025-06-05 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | Health | corrected 2025-07-05 |
| 2025-06-05 | 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 2025-07-05 |
| 2025-06-05 | 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 | Health | corrected 2025-07-05 |
| 2025-06-05 | Provide safe and appropriate respiratory care for a resident when needed. | D | Health | corrected 2025-07-05 |
| 2025-06-05 | Provide care or services that was trauma informed and/or culturally competent. | D | Health | corrected 2025-07-05 |
| 2025-06-05 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Health | corrected 2025-07-05 |
| 2025-06-05 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Health | corrected 2025-07-05 |
| 2025-06-05 | Ensure that residents are free from significant medication errors. | D | Health | corrected 2025-07-05 |
| 2025-03-05 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | corrected 2025-03-31 |
| 2024-10-14 | Post nurse staffing information every day. | C | complaint | corrected 2024-11-12 |
| 2024-03-29 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | J | complaint | corrected 2024-04-26 |
| 2024-03-29 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | complaint | corrected 2024-04-26 |
| 2024-03-29 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2024-04-26 |
| 2024-03-29 | Provide and implement an infection prevention and control program. | F | Health | corrected 2024-04-26 |
| 2024-03-29 | Observe each nurse aide's job performance and give regular training. | E | Health | corrected 2024-04-26 |
| 2024-03-29 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | E | Health | corrected 2024-04-26 |
| 2024-03-29 | Provide training in compliance and ethics. | E | Health | corrected 2024-04-26 |
| 2024-03-29 | Provide behavior health training consistent with the requirements and as determined by a facility assessment. | E | Health | corrected 2024-04-26 |
| 2024-03-29 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Health | corrected 2024-04-26 |
| 2024-03-29 | 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 2024-04-26 |
| 2024-03-29 | Provide enough food/fluids to maintain a resident's health. | D | Health | corrected 2024-04-26 |
| 2024-03-29 | 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 2024-04-26 |
| 2024-03-29 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | Health | corrected 2024-04-26 |
| 2024-03-29 | Provide safe and appropriate respiratory care for a resident when needed. | D | Health | corrected 2024-04-26 |
| 2024-03-29 | 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 2024-04-26 |
| 2024-03-29 | 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 2024-04-26 |
| 2024-03-29 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | B | Health | corrected 2024-04-26 |
| 2023-01-12 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2023-02-10 |
| 2023-01-12 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Health | corrected 2023-02-10 |
| 2023-01-12 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Health | corrected 2023-02-10 |
| 2023-01-12 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Health | corrected 2023-02-10 |
| Date | Type | Amount |
|---|---|---|
| 2024-03-29 | Fine | $21,285 |
| 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 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 525413. Corrections: data@carerecords.org.