LAKE MILLS HEALTH SERVICES
901 MULBERRY ST, LAKE MILLS, WI 53551 · CCN 525314
Ratings
- Overall
- ★★☆☆☆ 2
- Health inspection
- ★★☆☆☆ 2
- Quality measures
- ★★★☆☆ 3
- Staffing
- ★★★★☆ 4
Facility
- Ownership type
- For profit - Corporation
- Certified beds
- 50
- Avg residents/day
- 28.6
- Phone
- 9206488344
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 | 2025-03-26 | 7 | 9.8 | 9.5 | -2.8 better |
| 2 | 2024-02-08 | 3 | 9.2 | 9.8 | -6.2 better |
| 3 | 2022-10-17 | 8 | 8.3 | 9.3 | -0.3 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 3 |
| Resident rights | 1 |
| Administration | 2 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.61 | 40.9% |
| RN staffing (reported) | 1.61 | 50.0% |
| Total nurse staffing (adjusted) | 4.15 | — |
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 (18)1 immediate jeopardy
- DF0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.2025-07-03 · Health · corrected 2025-07-29
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-07-03 · Health · corrected 2025-07-29
Potential for more than minimal harm
- JF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-07-03 · Health · corrected 2025-07-29
Immediate jeopardy
- FF0949Provide behavior health training consistent with the requirements and as determined by a facility assessment.2025-07-03 · Health · corrected 2025-07-29
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-03-26 · Health · corrected 2025-04-14
Potential for more than minimal harm
- CF0851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.2025-03-26 · Health · corrected 2025-04-14
Potential for minimal harm
- DF0880Provide and implement an infection prevention and control program.2025-03-26 · Health · corrected 2025-04-14
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.2024-02-08 · Health · corrected 2024-03-08
Potential for more than minimal harm
- DF0760Ensure that residents are free from significant medication errors.2024-02-08 · Health · corrected 2024-03-08
Potential for more than minimal harm
- EF0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.2024-02-08 · Health · corrected 2024-03-08
Potential for more than minimal harm
- DF0563Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.2023-10-10 · Health · corrected 2023-11-09
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.2023-10-10 · Health · corrected 2023-11-09
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2023-10-10 · Health · corrected 2023-11-09
Potential for more than minimal harm
- CF0572Give residents a notice of rights, rules, services and charges.2022-10-17 · Health · corrected 2022-11-11
Potential for minimal harm
- DF0679Provide activities to meet all resident's needs.2022-10-17 · Health · corrected 2022-11-11
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2022-10-17 · Health · corrected 2022-11-11
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2022-10-17 · Health · corrected 2022-11-11
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2022-10-17 · Health · corrected 2022-11-11
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 |
| BAUMANN, TROY | Individual | CORPORATE DIRECTOR | — | 2017-06-29 |
| HOEHN, JEFFREY | Individual | CORPORATE DIRECTOR | — | 2017-06-29 |
| BAUMANN, TROY | Individual | W-2 MANAGING EMPLOYEE | — | 2017-06-29 |
Other facilities in LAKE MILLS
| 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.