Hammond, WI

Hammond Health Services

4-star overall rating with 5-star inspections with 1 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

425 Davis St, Hammond, WI

(715) 796-2218

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

5 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

1 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

50

Certified beds

Average residents

33

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

North Shore Healthcare

Operator or chain grouping

Approved since

1992-12-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

1.21

Registered nurse staffing

LPN hours / resident day

0.46

Licensed practical nurse staffing

Aide hours / resident day

2.21

Nurse aide staffing

Weekend hours

3.40

Weekend nurse staffing

RN turnover

33%

Annual RN turnover

Total nurse turnover

31%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
95.7%
4.3 pts better
93.4%
6.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
95.0%
5 pts better
95.5%
4.5 pts better
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 5.3%
3.2%
2.1 pts worse
3.3%
2 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 4.2%
5.0%
0.8 pts better
11.4%
7.2 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 3.1%
4.9%
1.8 pts better
5.4%
2.3 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 8.7%
16.6%
7.9 pts better
19.6%
10.9 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 10.9%
16.7%
5.8 pts better
16.7%
5.8 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who were physically restrained 0.0%
0.1%
0.1 pts better
0.1%
0.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose ability to walk independently worsened 37.2%
21.1%
16.1 pts worse
16.3%
20.9 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 31.6%
17.3%
14.3 pts worse
14.9%
16.7 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.0%
2.3%
2.3 pts better
1.0%
1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 3.7%
3.0%
0.7 pts worse
1.7%
2 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 18.9%
25.5%
6.6 pts better
19.8%
0.9 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 3.2%
5.5%
2.3 pts better
5.1%
1.9 pts better
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 95.8%
86.8%
9 pts better
81.7%
14.1 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who newly received an antipsychotic medication 3.8%
1.3%
2.5 pts worse
1.6%
2.2 pts worse
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 96.9%
82.2%
14.7 pts better
79.7%
17.2 pts better
Short Stay · 2024Q3-2025Q2

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-02-05 · Fire 2025-02-05

1 health deficiencies

Top issue: Resident Assessment and Care Planning (1 deficiency)

2 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Cycle 2 Health 2024-01-31 · Fire 2024-01-31

2 health deficiencies

Top issue: Nutrition and Dietary (1 deficiency)

2 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Cycle 3 Health 2023-01-05 · Fire 2023-01-05

1 health deficiencies

Top issue: Resident Rights (1 deficiency)

5 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Fire safety

Fire-safety citations

D · Potential for more than minimal harm 2025-02-05

K919 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the use of electrical equipment.

Corrected 2025-02-28

C · Minimal harm 2025-02-05

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2025-02-28

F · Potential for more than minimal harm 2024-01-31

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-03-01

D · Potential for more than minimal harm 2024-01-31

K751 · Miscellaneous Deficiencies

Fire Safety

Have restrictions on the use of flammable curtains.

Corrected 2024-03-01

F · Potential for more than minimal harm 2023-01-05

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2023-01-30

F · Potential for more than minimal harm 2023-01-05

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2023-03-24

D · Potential for more than minimal harm 2023-01-05

K222 · Egress Deficiencies

Fire Safety

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2023-01-30

D · Potential for more than minimal harm 2023-01-05

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2023-01-30

C · Minimal harm 2023-01-05

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2023-01-30

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-02-05

F659 · Resident Assessment and Care Planning Deficiencies

Health

Provide care by qualified persons according to each resident's written plan of care.

Corrected 2025-03-03

F · Potential for more than minimal harm 2024-01-31

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-03-01

D · Potential for more than minimal harm 2024-01-31

F693 · Quality of Life and Care Deficiencies

Health

Ensure 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.

Corrected 2024-03-01

B · Minimal harm 2023-01-05

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2023-01-30

Penalties and ownership

What sits behind the stars

Ownership

Nshf Operations LLC

5% Or Greater Direct Ownership Interest · Organization

100% 20 facilities 2017-07-24
Baumann, Troy

5% Or Greater Indirect Ownership Interest · Individual

40% 59 facilities 2017-06-29
Hoehn, Jeffrey

5% Or Greater Indirect Ownership Interest · Individual

40% 59 facilities 2017-06-29
Mills, David

5% Or Greater Indirect Ownership Interest · Individual

20% 40 facilities 2017-06-29
Baumann, Troy

Operational/Managerial Control · Individual

0% 59 facilities 2017-10-01
Baumann, Troy

Corporate Director · Individual

0% 59 facilities 2017-06-29
Belongia, Christina

Operational/Managerial Control · Individual

0% 16 facilities 2019-11-01
Cibc Bank Usa

Operational/Managerial Control · Organization

0% 121 facilities 2024-12-31
Cibc Bank Usa

5% Or Greater Security Interest · Organization

0% 121 facilities 2024-12-31
Cliftonlarsonallen Llp

Operational/Managerial Control · Organization

0% 23 facilities 2018-05-22
Continuum Therapy Partners

Operational/Managerial Control · Organization

0% 16 facilities 2025-03-01
Edelman, Laurie

Operational/Managerial Control · Individual

0% 1 facilities 2017-10-01
Gee, Darren

Operational/Managerial Control · Individual

0% 16 facilities 2021-11-30
Greer, Lauren

Operational/Managerial Control · Individual

0% 16 facilities 2023-11-29
Hoehn, Jeffrey

Operational/Managerial Control · Individual

0% 59 facilities 2017-10-01
Hoehn, Jeffrey

Corporate Director · Individual

0% 59 facilities 2017-06-29
North Shore Healthcare LLC

Operational/Managerial Control · Organization

0% 56 facilities 2017-10-01
Nsh Rehab LLC

Operational/Managerial Control · Organization

0% 15 facilities 2025-02-01
Patzer, Colleen

Operational/Managerial Control · Individual

0% 16 facilities 2023-02-14
Purtell, Brian

Operational/Managerial Control · Individual

0% 16 facilities 2018-06-01
Wipfli Llp

Operational/Managerial Control · Organization

0% 32 facilities 2025-02-01

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