Starfile

Starfile / Wisconsin

MERCY HEALTH SERVICES

2727 W MITCHELL ST, MILWAUKEE, WI 53215 · CCN 525414

Ratings

Overall
★★★☆☆ 3
Health inspection
★★★☆☆ 3
Quality measures
★★☆☆☆ 2
Staffing
★★☆☆☆ 2

Facility

Ownership type
For profit - Corporation
Certified beds
60
Avg residents/day
36.1
Phone
4143833699

Inspection history vs Wisconsin & national averages

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

CycleInspection dateThis facilityWisconsin avgNational avgvs state
12025-05-2159.89.5-4.8 better
22024-02-29159.29.8+5.8 worse
32022-12-21118.39.3+2.7 worse

Cycle 1 deficiencies by category

CategoryDeficiencies
Abuse, neglect, exploitation2
Resident rights1
Nutrition and dietary1
Pharmacy service1

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)3.6666.7%
RN staffing (reported)0.8378.6%
Total nurse staffing (adjusted)3.32

Fines & penalties

Total fines
$47,753
Number of fines
2
Number of penalties
2
Payment denials
0

Chain

Chain
NORTH SHORE HEALTHCARE
Facilities in chain
58
Chain avg overall
2.80 / 5

Inspection citations (31)2 actual harm

  1. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-12-03 · Health · corrected 2025-12-16

    Potential for more than minimal harm

  2. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-12-03 · Health · corrected 2025-12-16

    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.2025-05-21 · Health · corrected 2025-06-21

    Potential for more than minimal harm

  4. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2025-05-21 · Health · corrected 2025-06-21

    Potential for more than minimal harm

  5. DF0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.2025-05-21 · Health · corrected 2025-06-21

    Potential for more than minimal harm

  6. DF0584Honor 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.2024-09-19 · Health · corrected 2024-10-18

    Potential for more than minimal harm

  7. EF0610Respond appropriately to all alleged violations.2024-09-19 · Health · corrected 2024-10-18

    Potential for more than minimal harm

  8. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-09-19 · Health · corrected 2024-10-18

    Potential for more than minimal harm

  9. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-08-05 · Health · corrected 2024-09-04

    Potential for more than minimal harm

  10. DF0610Respond appropriately to all alleged violations.2024-08-05 · Health · corrected 2024-09-04

    Potential for more than minimal harm

  11. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-05-13 · Health · corrected 2024-06-07

    Actual harm

  12. 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.2024-02-29 · Health · corrected 2024-04-01

    Potential for more than minimal harm

  13. DF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.2024-02-29 · Health · corrected 2024-04-01

    Potential for more than minimal harm

  14. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-02-29 · Health · corrected 2024-04-01

    Potential for more than minimal harm

  15. DF0610Respond appropriately to all alleged violations.2024-02-29 · Health · corrected 2024-04-01

    Potential for more than minimal harm

  16. GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-02-29 · Health · corrected 2024-04-01

    Actual harm

  17. 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 2024-04-01

    Potential for more than minimal harm

  18. 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.2024-02-29 · Health · corrected 2024-04-01

    Potential for more than minimal harm

  19. DF0759Ensure medication error rates are not 5 percent or greater.2024-02-29 · Health · corrected 2024-04-01

    Potential for more than minimal harm

  20. DF0880Provide and implement an infection prevention and control program.2024-02-29 · Health · corrected 2024-04-01

    Potential for more than minimal harm

  21. DF0554Allow residents to self-administer drugs if determined clinically appropriate.2022-12-21 · Health · corrected 2023-01-26

    Potential for more than minimal harm

  22. DF0645PASARR screening for Mental disorders or Intellectual Disabilities2022-12-21 · Health · corrected 2023-01-26

    Potential for more than minimal harm

  23. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2022-12-21 · Health · corrected 2023-01-26

    Potential for more than minimal harm

  24. DF0695Provide safe and appropriate respiratory care for a resident when needed.2022-12-21 · Health · corrected 2023-01-26

    Potential for more than minimal harm

  25. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2022-12-21 · Health · corrected 2023-01-26

    Potential for more than minimal harm

  26. DF0700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.2022-12-21 · Health · corrected 2023-01-26

    Potential for more than minimal harm

  27. FF0727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.2022-12-21 · Health · corrected 2023-01-26

    Potential for more than minimal harm

  28. EF0759Ensure medication error rates are not 5 percent or greater.2022-12-21 · Health · corrected 2023-01-26

    Potential for more than minimal harm

  29. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-12-21 · Health · corrected 2023-01-26

    Potential for more than minimal harm

  30. DF0880Provide and implement an infection prevention and control program.2022-12-21 · Health · corrected 2023-01-26

    Potential for more than minimal harm

  31. FF0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.2022-12-21 · Health · corrected 2023-01-26

    Potential for more than minimal harm

Ownership

OwnerTypeRolePercentSince
NSHF OPERATIONS LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%2017-07-24
BAUMANN, TROYIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST40%2017-06-29
HOEHN, JEFFREYIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST40%2017-06-29
MILLS, DAVIDIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST20%2017-06-29
NORTH SHORE HEALTHCARE LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL2017-10-01
BAUMANN, TROYIndividualCORPORATE DIRECTOR2017-06-29
HOEHN, JEFFREYIndividualCORPORATE DIRECTOR2017-06-29
HOEHN, JEFFREYIndividualW-2 MANAGING EMPLOYEE2017-06-29

Other facilities in MILWAUKEE

NameOverallBeds
MILWAUKEE CATHOLIC HOME★★★★★107
EASTCASTLE PL BRADFORD TER CONV CTR★★★★★40
JEWISH HOME AND CARE CENTER★★★★☆102
Milwaukee Health and Rehab★★★★☆95
SAINT JOHNS ON THE LAKE★★★★☆27

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