THREE OAKS HEALTH SERVICES
209 WILDERNESS VIEW DRIVE, MARSHFIELD, WI 54449 · CCN 525684
Ratings
- Overall
- ★★☆☆☆ 2
- Health inspection
- ★★☆☆☆ 2
- Quality measures
- ★★★☆☆ 3
- Staffing
- ★★★☆☆ 3
Facility
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 75
- Avg residents/day
- 64.4
- Phone
- 7153896000
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 | 2024-12-12 | 14 | 9.8 | 9.5 | +4.2 worse |
| 2 | 2023-11-01 | 3 | 9.2 | 9.8 | -6.2 better |
| 3 | 2022-09-14 | 3 | 8.3 | 9.3 | -5.3 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 1 |
| Quality of life and care | 3 |
| Resident rights | 4 |
| Nutrition and dietary | 2 |
| Pharmacy service | 2 |
| Administration | 1 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.51 | 47.3% |
| RN staffing (reported) | 0.74 | 46.7% |
| Total nurse staffing (adjusted) | 3.67 | — |
Fines & penalties
- Total fines
- $41,118
- 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 (20)2 immediate jeopardy
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-12-17 · Health · corrected 2026-01-16
Potential for more than minimal harm
- DF0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.2025-12-17 · Health · corrected 2026-01-16
Potential for more than minimal harm
- DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2025-03-11 · Health · corrected 2025-04-02
Potential for more than minimal harm
- JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-03-11 · Health · corrected 2025-04-02
Immediate jeopardy
- 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.2025-03-11 · Health · corrected 2025-04-02
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-03-11 · Health · corrected 2025-04-02
Potential for more than minimal harm
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-12-12 · Health · corrected 2025-01-12
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-12-12 · Health · corrected 2025-01-12
Potential for more than minimal harm
- EF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2024-12-12 · Health · corrected 2025-01-12
Potential for more than minimal harm
- 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.2024-12-12 · Health · corrected 2025-01-12
Potential for more than minimal harm
- DF0759Ensure medication error rates are not 5 percent or greater.2024-12-12 · Health · corrected 2025-01-12
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-12-12 · Health · corrected 2025-01-12
Potential for more than minimal harm
- FF0851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.2024-12-12 · Health · corrected 2025-01-12
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2024-12-12 · Health · corrected 2025-01-12
Potential for more than minimal harm
- JF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-03-04 · Health · corrected 2024-02-19
Immediate jeopardy
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-11-01 · Health · corrected 2023-11-17
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2023-11-01 · Health · corrected 2023-11-17
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2022-09-14 · Health · corrected 2022-10-10
Potential for more than minimal harm
- DF0759Ensure medication error rates are not 5 percent or greater.2022-09-14 · Health · corrected 2022-10-10
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-09-14 · Health · corrected 2022-10-10
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| NORTH SHORE HEALTHCARE LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2016-12-21 |
| BAUMANN, TROY | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — | 2016-12-21 |
| HOEHN, JEFFREY | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — | 2016-12-21 |
| NORTH SHORE HEALTHCARE LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2016-12-21 |
| NSHC WISCONSIN LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2016-12-21 |
| BAUMANN, TROY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2016-12-21 |
| HOEHN, JEFFREY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2016-12-21 |
| BAUMANN, TROY | Individual | CORPORATE OFFICER | — | 2016-12-21 |
| NSHC WISCONSIN LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — | 2016-12-21 |
| HOEHN, JEFFREY | Individual | CORPORATE OFFICER | — | 2016-12-21 |
Other facilities in MARSHFIELD
| Name | Overall | Beds |
|---|---|---|
| NORWOOD HEALTH CTR-CENTRAL | ★★★★★ | 32 |
| NORTH SHORE HEALTHCARE AT MARSHFIELD | ★★★☆☆ | 120 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.