CEDARBURG HEALTH SERVICES
N27 W5707 LINCOLN BLVD, CEDARBURG, WI 53012 · CCN 525578
Ratings
- Overall
- ★★★☆☆ 3
- Health inspection
- ★★★★☆ 4
- Quality measures
- ★☆☆☆☆ 1
- Staffing
- ★★★★☆ 4
Facility
- Ownership type
- For profit - Corporation
- Certified beds
- 50
- Avg residents/day
- 45.1
- Phone
- 2623767676
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 | 2025-01-23 | 6 | 9.8 | 9.5 | -3.8 better |
| 2 | 2023-11-29 | 10 | 9.2 | 9.8 | +0.8 worse |
| 3 | 2022-08-24 | 11 | 8.3 | 9.3 | +2.7 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 1 |
| Resident rights | 1 |
| Pharmacy service | 3 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 4.38 | 53.1% |
| RN staffing (reported) | 0.74 | 78.6% |
| Total nurse staffing (adjusted) | 4.72 | — |
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 (27)
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2025-01-23 · Health · corrected 2025-02-19
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-01-23 · Health · corrected 2025-02-19
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-01-23 · Health · corrected 2025-02-19
Potential for more than minimal harm
- DF0759Ensure medication error rates are not 5 percent or greater.2025-01-23 · Health · corrected 2025-02-19
Potential for more than minimal harm
- DF0761Ensure 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.2025-01-23 · Health · corrected 2025-02-19
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2025-01-23 · Health · corrected 2025-02-19
Potential for more than minimal harm
- DF0558Reasonably accommodate the needs and preferences of each resident.2024-10-04 · Health · corrected 2024-10-25
Potential for more than minimal harm
- DF0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.2024-10-04 · Health · corrected 2024-10-25
Potential for more than minimal harm
- DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2024-04-04 · Health · corrected 2024-04-30
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2024-04-04 · Health · corrected 2024-04-30
Potential for more than minimal harm
- EF0692Provide enough food/fluids to maintain a resident's health.2024-04-04 · Health · corrected 2024-04-30
Potential for more than minimal harm
- DF0554Allow residents to self-administer drugs if determined clinically appropriate.2023-11-29 · Health · corrected 2023-12-29
Potential for more than minimal harm
- DF0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.2023-11-29 · Health · corrected 2023-12-29
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-11-29 · Health · corrected 2023-12-29
Potential for more than minimal harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2023-11-29 · Health · corrected 2023-12-29
Potential for more than minimal harm
- DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2023-11-29 · Health · corrected 2023-12-29
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-11-29 · Health · corrected 2023-12-29
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-11-07 · Health · corrected 2023-12-05
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2023-11-07 · Health · corrected 2023-12-05
Potential for more than minimal harm
- DF0551Give the resident's representative the ability to exercise the resident's rights.2022-08-24 · Health · corrected 2022-10-08
Potential for more than minimal harm
- DF0645PASARR screening for Mental disorders or Intellectual Disabilities2022-08-24 · Health · corrected 2022-10-08
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2022-08-24 · Health · corrected 2022-10-08
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2022-08-24 · Health · corrected 2022-10-08
Potential for more than minimal harm
- DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2022-08-24 · Health · corrected 2022-10-08
Potential for more than minimal harm
- DF0759Ensure medication error rates are not 5 percent or greater.2022-08-24 · Health · corrected 2022-10-08
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-08-24 · Health · corrected 2022-10-08
Potential for more than minimal harm
- FF0880Provide and implement an infection prevention and control program.2022-08-24 · Health · corrected 2022-10-08
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| NSHF OPERATIONS LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2017-07-24 |
| BAUMANN, TROY | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 40% | 2017-06-29 |
| HOEHN, JEFFREY | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 40% | 2017-06-29 |
| MILLS, DAVID | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 20% | 2017-06-29 |
| NORTH SHORE HEALTHCARE LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2017-10-01 |
| HOEHN, JEFFREY | Individual | W-2 MANAGING EMPLOYEE | — | 2017-10-01 |
Other facilities in CEDARBURG
| 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.