Starfile / Wisconsin

MENOMONEE FALLS HEALTH SERVICES

N84 W17049 MENOMONEE AVE, MENOMONEE FALLS, WI 53051 · CCN 525415

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

$136,375

Number of fines

4

Number of penalties

5

Payment denials

1

Chain

Chain

NORTH SHORE HEALTHCARE

Facilities in chain

58

Chain avg overall

2.80 / 5

Inspection citations (48)5 actual harm

1. DF0554Allow residents to self-administer drugs if determined clinically appropriate.2025-12-03 · Health · corrected 2025-12-08

   Potential for more than minimal harm

2. DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2025-08-04 · Health · corrected 2025-08-26

   Potential for more than minimal harm

3. EF0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.2025-08-04 · Health · corrected 2025-08-26

   Potential for more than minimal harm

4. EF0641Ensure each resident receives an accurate assessment.2025-08-04 · Health · corrected 2025-08-26

   Potential for more than minimal harm

5. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-08-04 · Health · corrected 2025-08-26

   Potential for more than minimal harm

6. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-08-04 · Health · corrected 2025-08-26

   Actual harm

7. 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.2025-08-04 · Health · corrected 2025-08-26

   Potential for more than minimal harm

8. DF0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.2025-08-04 · Health · corrected 2025-08-26

   Potential for more than minimal harm

9. FF0880Provide and implement an infection prevention and control program.2025-08-04 · Health · corrected 2025-09-03

   Potential for more than minimal harm

10. DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2025-08-04 · Health · corrected 2025-08-30

    Potential for more than minimal harm

11. DF0887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.2025-08-04 · Health · corrected 2025-08-30

    Potential for more than minimal harm

12. FF0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.2025-08-04 · Health · corrected 2025-08-26

    Potential for more than minimal harm

13. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-11-26 · Health · corrected 2024-12-24

    Potential for more than minimal harm

14. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-11-26 · Health · corrected 2024-12-24

    Potential for more than minimal harm

15. DF0685Assist a resident in gaining access to vision and hearing services.2024-11-26 · Health · corrected 2024-12-24

    Potential for more than minimal harm

16. GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-11-26 · Health · corrected 2024-12-24

    Actual harm

17. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-11-26 · Health · corrected 2024-12-24

    Potential for more than minimal harm

18. DF0554Allow residents to self-administer drugs if determined clinically appropriate.2024-05-01 · Health · corrected 2024-06-06

    Potential for more than minimal harm

19. DF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2024-05-01 · Health · corrected 2024-06-06

    Potential for more than minimal harm

20. EF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.2024-05-01 · Health · corrected 2024-06-06

    Potential for more than minimal harm

21. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2024-05-01 · Health · corrected 2024-06-06

    Potential for more than minimal harm

22. DF0625Notify 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.2024-05-01 · Health · corrected 2024-06-06

    Potential for more than minimal harm

23. DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2024-05-01 · Health · corrected 2024-06-06

    Potential for more than minimal harm

24. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-05-01 · Health · corrected 2024-06-06

    Potential for more than minimal harm

25. EF0678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.2024-05-01 · Health · corrected 2024-06-06

    Potential for more than minimal harm

26. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-05-01 · Health · corrected 2024-06-06

    Potential for more than minimal harm

27. GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-05-01 · Health · corrected 2024-06-06

    Actual harm

28. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-05-01 · Health · corrected 2024-06-06

    Actual harm

29. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-05-01 · Health · corrected 2024-06-06

    Potential for more than minimal harm

30. DF0692Provide enough food/fluids to maintain a resident's health.2024-05-01 · Health · corrected 2024-06-06

    Potential for more than minimal harm

31. DF0699Provide care or services that was trauma informed and/or culturally competent.2024-05-01 · Health · corrected 2024-06-06

    Potential for more than minimal harm

32. FF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2024-05-01 · Health · corrected 2024-06-06

    Potential for more than minimal harm

33. EF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2024-05-01 · Health · corrected 2024-06-06

    Potential for more than minimal harm

34. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2024-05-01 · Health · corrected 2024-06-06

    Potential for more than minimal harm

35. DF0759Ensure medication error rates are not 5 percent or greater.2024-05-01 · Health · corrected 2024-06-06

    Potential for more than minimal harm

36. 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.2024-05-01 · Health · corrected 2024-06-06

    Potential for more than minimal harm

37. DF0811Ensure that residents are assessed for appropriateness for a feeding assistant program, receive services as per their plan of care, and feeding assistants are trained and supervised.2024-05-01 · Health · corrected 2024-06-06

    Potential for more than minimal harm

38. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-05-01 · Health · corrected 2024-06-06

    Potential for more than minimal harm

39. FF0814Dispose of garbage and refuse properly.2024-05-01 · Health · corrected 2024-06-06

    Potential for more than minimal harm

40. DF0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.2024-05-01 · Health · corrected 2024-06-06

    Potential for more than minimal harm

41. FF0851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.2024-05-01 · Health · corrected 2024-06-06

    Potential for more than minimal harm

42. FF0880Provide and implement an infection prevention and control program.2024-05-01 · Health · corrected 2024-06-06

    Potential for more than minimal harm

43. DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2024-05-01 · Health · corrected 2024-06-06

    Potential for more than minimal harm

44. GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-12-18 · Health · corrected 2024-01-16

    Actual harm

45. DF0687Provide appropriate foot care.2023-12-18 · Health · corrected 2024-01-16

    Potential for more than minimal harm

46. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-03-23 · Health · corrected 2023-04-21

    Potential for more than minimal harm

47. EF0610Respond appropriately to all alleged violations.2023-03-23 · Health · corrected 2023-04-21

    Potential for more than minimal harm

48. DF0888Ensure staff are vaccinated for COVID-192023-03-23 · Health · corrected 2023-04-21

    Potential for more than minimal harm

Ownership

Other facilities in MENOMONEE FALLS

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