DELAVAN HEALTH SERVICES
905 E GENEVA ST, DELAVAN, WI 53115 · CCN 525324
Ratings
- Overall
- ★★★★★ 5
- Health inspection
- ★★★★☆ 4
- Quality measures
- ★★★★★ 5
- Staffing
- ★★★★☆ 4
Facility
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 50
- Avg residents/day
- 39.4
- Phone
- 2627286319
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 | 2024-12-19 | 1 | 9.8 | 9.5 | -8.8 better |
| 2 | 2023-09-27 | 4 | 9.2 | 9.8 | -5.2 better |
| 3 | 2022-06-15 | 7 | 8.3 | 9.3 | -1.3 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.40 | 45.7% |
| RN staffing (reported) | 1.28 | 38.5% |
| Total nurse staffing (adjusted) | 3.43 | — |
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 (12)1 actual harm
- FF0880Provide and implement an infection prevention and control program.2024-12-19 · Health · corrected 2025-01-17
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2024-08-19 · Health · corrected 2024-09-11
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-09-27 · Health · corrected 2023-10-25
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.2023-09-27 · Health · corrected 2023-10-25
Potential for more than minimal harm
- DF0759Ensure medication error rates are not 5 percent or greater.2023-09-27 · Health · corrected 2023-10-25
Potential for more than minimal harm
- DF0558Reasonably accommodate the needs and preferences of each resident.2022-06-15 · Health · corrected 2022-07-13
Potential for more than minimal harm
- GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2022-06-15 · Health · corrected 2022-07-13
Actual harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2022-06-15 · Health · corrected 2022-07-13
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.2022-06-15 · Health · corrected 2022-07-13
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.2022-06-15 · Health · corrected 2022-07-13
Potential for more than minimal harm
- CF0838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.2022-06-15 · Health · corrected 2022-07-13
Potential for minimal harm
- EF0880Provide and implement an infection prevention and control program.2022-06-15 · Health · corrected 2022-07-13
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 |
| CIBC BANK USA | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-12-31 |
| CLIFTONLARSONALLEN LLP | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2018-05-22 |
| CONTINUUM THERAPY PARTNERS | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-03-01 |
| NORTH SHORE HEALTHCARE LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2017-10-01 |
| NSH REHAB LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-03-01 |
| WIPFLI LLP | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-02-01 |
| BAUMANN, TROY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2017-10-01 |
| BELONGIA, CHRISTINA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-11-01 |
| GEE, DARREN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-11-30 |
| GREER, LAUREN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-11-29 |
| HOEHN, JEFFREY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2017-10-01 |
| HOLMSTROM, LAURA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2017-10-01 |
| PATZER, COLLEEN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-02-14 |
| PURTELL, BRIAN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2018-06-01 |
| BAUMANN, TROY | Individual | CORPORATE DIRECTOR | — | 2017-06-29 |
| HOEHN, JEFFREY | Individual | CORPORATE DIRECTOR | — | 2017-06-29 |
| CIBC BANK USA | Organization | 5% OR GREATER SECURITY INTEREST | — | 2024-12-31 |
Other facilities in DELAVAN
| 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.