Birch Hill Health Services
1475 Birch Hill Lane, Shawano, WI 54166 · CCN 525412
Ratings
- Overall
- ★★☆☆☆ 2
- Health inspection
- ★★★☆☆ 3
- Quality measures
- ★☆☆☆☆ 1
- Staffing
- ★★★☆☆ 3
Facility
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 50
- Avg residents/day
- 42.9
- Phone
- 7155263161
Inspection history vs Wisconsin & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Wisconsin avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2024-09-25 | 13 | 9.8 | 9.5 | +3.2 worse |
| 2 | 2023-08-30 | 2 | 9.2 | 9.8 | -7.2 better |
| 3 | 2022-09-22 | 1 | 8.3 | 9.3 | -7.3 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 4 |
| Quality of life and care | 3 |
| Resident assessment and care planning | 1 |
| Resident rights | 2 |
| Pharmacy service | 2 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.39 | 32.5% |
| RN staffing (reported) | 0.52 | 28.6% |
| Total nurse staffing (adjusted) | 3.26 | — |
Fines & penalties
- Total fines
- $0
- Number of fines
- 0
- Number of penalties
- 0
- Payment denials
- 0
Chain
- Chain
- NORTH SHORE HEALTHCARE
- Facilities in chain
- 58
- Chain avg overall
- 2.80 / 5
Inspection citations (16)
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2025-11-10 · Health · corrected 2025-12-18
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-11-10 · Health · corrected 2025-12-18
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2025-11-10 · Health · corrected 2025-12-18
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-11-10 · Health · corrected 2025-12-18
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-05-20 · Health · corrected 2025-06-13
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2025-05-20 · Health · corrected 2025-06-13
Potential for more than minimal harm
- DF0554Allow residents to self-administer drugs if determined clinically appropriate.2024-09-25 · Health · corrected 2024-10-25
Potential for more than minimal harm
- EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-09-25 · Health · corrected 2024-10-25
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-09-25 · Health · corrected 2024-10-25
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-09-25 · Health · corrected 2024-10-25
Potential for more than minimal harm
- DF0758Implement 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.2024-09-25 · Health · corrected 2024-10-25
Potential for more than minimal harm
- EF0761Ensure 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.2024-09-25 · Health · corrected 2024-10-25
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2024-09-25 · Health · corrected 2024-10-25
Potential for more than minimal harm
- DF0645PASARR screening for Mental disorders or Intellectual Disabilities2023-08-30 · Health · corrected 2023-09-30
Potential for more than minimal harm
- FF0880Provide and implement an infection prevention and control program.2023-08-30 · Health · corrected 2023-09-30
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2022-09-22 · Health · corrected 2022-10-12
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| NSHR OPERATIONS LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2019-10-01 |
| ARROWHEAD 123 LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2019-10-01 |
| THE LANE MORRELL BOWEN TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2019-10-01 |
| BAUMANN, TROY | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2019-10-01 |
| HOEHN, JEFFREY | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2019-10-01 |
| MILLS, DAVID | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2019-10-01 |
| NORTH SHORE HEALTHCARE LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-12-01 |
| BAUMANN, TROY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-10-01 |
| HOEHN, JEFFREY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-10-01 |
| MILLS, DAVID | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-10-01 |
| BAUMANN, TROY | Individual | CORPORATE DIRECTOR | — | 2019-10-01 |
| HOEHN, JEFFREY | Individual | CORPORATE DIRECTOR | — | 2019-10-01 |
Other facilities in Shawano
| Name | Overall | Beds |
|---|
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.