Starfile / Wisconsin

LAKE COUNTRY HEALTH SERVICES

2195 NORTH SUMMIT VILLAGE WAY, OCONOMOWOC, WI 53066 · CCN 525702

Inspection history vs Wisconsin & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$185,950

Number of fines

2

Number of penalties

3

Payment denials

1

Chain

Chain

NORTH SHORE HEALTHCARE

Facilities in chain

58

Chain avg overall

2.80 / 5

Inspection citations (43)3 immediate jeopardy1 actual harm

1. DF0759Ensure medication error rates are not 5 percent or greater.2025-08-27 · Health · corrected 2025-09-16

   Potential for more than minimal harm

2. 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.2025-08-27 · Health · corrected 2025-09-16

   Potential for more than minimal harm

3. JF0578Honor 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.2025-03-12 · Health · corrected 2025-04-02

   Immediate jeopardy

4. EF0678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.2025-03-12 · Health · corrected 2025-04-02

   Potential for more than minimal harm

5. DF0760Ensure that residents are free from significant medication errors.2025-03-12 · Health · corrected 2025-04-02

   Potential for more than minimal harm

6. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-11-04 · Health · corrected 2024-12-12

   Potential for more than minimal harm

7. 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.2024-11-04 · Health · corrected 2024-12-12

   Potential for more than minimal harm

8. JF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-11-04 · Health · corrected 2024-12-12

   Immediate jeopardy

9. FF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-11-04 · Health · corrected 2024-12-12

   Potential for more than minimal harm

10. FF0610Respond appropriately to all alleged violations.2024-11-04 · Health · corrected 2024-12-12

    Potential for more than minimal harm

11. DF0620Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide.2024-11-04 · Health · corrected 2024-12-12

    Potential for more than minimal harm

12. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-11-04 · Health · corrected 2024-12-12

    Potential for more than minimal harm

13. DF0660Plan the resident's discharge to meet the resident's goals and needs.2024-11-04 · Health · corrected 2024-12-12

    Potential for more than minimal harm

14. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-11-04 · Health · corrected 2024-12-12

    Potential for more than minimal harm

15. JF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-11-04 · Health · corrected 2024-12-12

    Immediate jeopardy

16. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-11-04 · Health · corrected 2024-12-12

    Actual harm

17. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-11-04 · Health · corrected 2024-12-12

    Potential for more than minimal harm

18. EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2024-11-04 · Health · corrected 2024-12-12

    Potential for more than minimal harm

19. DF0825Provide or get specialized rehabilitative services as required for a resident.2024-11-04 · Health · corrected 2024-12-12

    Potential for more than minimal harm

20. EF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2024-06-20 · Health · corrected 2024-07-19

    Potential for more than minimal harm

21. EF0625Notify 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.2024-06-20 · Health · corrected 2024-07-19

    Potential for more than minimal harm

22. DF0678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.2024-06-20 · Health · corrected 2024-07-19

    Potential for more than minimal harm

23. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-06-20 · Health · corrected 2024-07-19

    Potential for more than minimal harm

24. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-06-20 · Health · corrected 2024-07-19

    Potential for more than minimal harm

25. DF0692Provide enough food/fluids to maintain a resident's health.2024-06-20 · Health · corrected 2024-07-19

    Potential for more than minimal harm

26. DF0697Provide safe, appropriate pain management for a resident who requires such services.2024-06-20 · Health · corrected 2024-07-19

    Potential for more than minimal harm

27. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2024-06-20 · Health · corrected 2024-07-19

    Potential for more than minimal harm

28. 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.2024-06-20 · Health · corrected 2024-07-19

    Potential for more than minimal harm

29. DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2024-02-29 · Health · corrected 2024-03-26

    Potential for more than minimal harm

30. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-02-29 · Health · corrected 2024-03-26

    Potential for more than minimal harm

31. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-02-29 · Health · corrected 2024-03-26

    Potential for more than minimal harm

32. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-02-29 · Health · corrected 2024-03-26

    Potential for more than minimal harm

33. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-02-29 · Health · corrected 2024-03-26

    Potential for more than minimal harm

34. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-10-09 · Health · corrected 2023-11-08

    Potential for more than minimal harm

35. EF0610Respond appropriately to all alleged violations.2023-10-09 · Health · corrected 2023-11-08

    Potential for more than minimal harm

36. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-10-09 · Health · corrected 2023-11-08

    Potential for more than minimal harm

37. DF0563Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.2023-04-12 · Health · corrected 2023-05-10

    Potential for more than minimal harm

38. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-04-12 · Health · corrected 2023-05-10

    Potential for more than minimal harm

39. 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.2023-04-12 · Health · corrected 2023-05-10

    Potential for more than minimal harm

40. DF0759Ensure medication error rates are not 5 percent or greater.2023-04-12 · Health · corrected 2023-05-10

    Potential for more than minimal harm

41. EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2023-04-12 · Health · corrected 2023-05-10

    Potential for more than minimal harm

42. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-04-12 · Health · corrected 2023-05-10

    Potential for more than minimal harm

43. DF0880Provide and implement an infection prevention and control program.2023-04-12 · Health · corrected 2023-05-10

    Potential for more than minimal harm

Ownership

Other facilities in OCONOMOWOC

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.