New Holstein, WI

Homestead Health Services

1-star overall rating with 1-star inspections with $83,290 in total fines with 23 recent health deficiencies with 11 fire-safety deficiencies in the latest cycle

1712 Monroe St, New Holstein, WI

(920) 898-4296

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

North Shore Healthcare

Operator or chain grouping

Approved since

1994-09-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

58 facilities

Chain averages 3 overall / 3 health / 4 staffing / 3 quality stars

Changed ownership

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

1.09

Registered nurse staffing · state 0.97 · national 0.68

LPN hours / resident day

0.61

Licensed practical nurse staffing · state 0.64 · national 0.87

Aide hours / resident day

1.98

Nurse aide staffing · state 2.59 · national 2.35

Total nurse hours

3.67

All reported nurse hours · state 4.20 · national 3.89

Licensed hours

1.69

RN + LPN hours · state 1.60 · national 1.54

Weekend hours

3.13

Weekend nurse staffing · state 3.72 · national 3.43

Weekend RN hours

0.82

Weekend registered nurse coverage · state 0.66 · national 0.47

Physical therapist

0.07

Reported PT staffing · state 0.06 · national 0.07

Adjusted RN hours

1.04

CMS adjusted RN staffing hours

Adjusted total hours

3.53

CMS adjusted total nurse staffing hours

Case-mix index

1.43

Higher values indicate more complex resident acuity

RN turnover

82%

Annual RN turnover · state 42% · national 45%

Total nurse turnover

68%

Annual nurse turnover · state 48% · national 46%

SNF VBP

Value-based purchasing

Program rank

11,056

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

18.17

Composite VBP score used to determine payment impact.

Payment multiplier

0.9819

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Total nurse turnover

2.23

Baseline 34.78% · Performance 54.55% · Measure score 2.23 · Achievement 2.23 · Improvement 0

Adjusted total nurse staffing

1.40

Baseline 3.59 hours · Performance 3.48 hours · Measure score 1.40 · Achievement 1.40 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	Not Available	10.72%	Not Available · Eligible stays 20 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Discharge to community	Not Available	50.57%	Not Available · Eligible stays 16 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Medicare spending per beneficiary	Not Available	1.02	Too few residents or stays to report publicly.
Drug regimen review with follow-up	Not Available	95.27%	Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly.
Falls with major injury	Not Available	0.77%	Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly.
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	Not Available	2.29%	Numerator Not Available · Denominator 16 · Adjusted rate Not Available · Too few residents or stays to report publicly.
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays 15 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage	5.26%	8.2% 2.9 pts worse	Numerator 3 · Denominator 57
Staff flu vaccination coverage	85.96%	42% 44 pts better	Numerator 49 · Denominator 57
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 1 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	96.7%	95.7% 1 pts better	93.4% 3.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 96.0% · Q2 96.0% · Q3 95.0% · Q4 100.0% · 4Q avg 96.7%
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 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury	2.2%	3.2% 1 pts better	3.3% 1.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 5.0% · Q4 5.0% · 4Q avg 2.2% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	8.3%	5.0% 3.3 pts worse	11.4% 3.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 8.7% · Q2 9.1% · Q3 10.0% · 4Q avg 8.3%
Percentage of long-stay residents who lose too much weight	8.7%	4.9% 3.8 pts worse	5.4% 3.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 9.5% · 4Q avg 8.7%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	17.4%	16.6% 0.8 pts worse	19.6% 2.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 9.5% · 4Q avg 17.4%
Percentage of long-stay residents who received an antipsychotic medication	16.7%	16.7% About the same	16.7% About the same	Long Stay · 2024Q4-2025Q3 · 4Q avg 16.7% · Used in QM five-star
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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose need for help with daily activities has increased	16.9%	17.3% 0.4 pts better	14.9% 2 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 16.9% · Used in QM five-star
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 · Q1 0.0% · Q2 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	10.0%	3.0% 7 pts worse	1.7% 8.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 16.0% · Q2 16.0% · Q3 5.0% · Q4 0.0% · 4Q avg 10.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	44.6%	25.5% 19.1 pts worse	19.8% 24.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 42.1% · Q2 41.4% · 4Q avg 44.6%
Percentage of long-stay residents with pressure ulcers	3.1%	5.5% 2.4 pts better	5.1% 2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 6.1% · Q2 2.4% · Q3 0.0% · Q4 3.3% · 4Q avg 3.1% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	84.5%	86.8% 2.3 pts worse	81.7% 2.8 pts better	Short Stay · 2024Q4-2025Q3 · Q1 83.3% · Q2 82.8% · 4Q avg 84.5%
Percentage of short-stay residents who newly received an antipsychotic medication	4.5%	1.3% 3.2 pts worse	1.6% 2.9 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 3.7% · 4Q avg 4.5% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	86.7%	82.2% 4.5 pts better	79.7% 7 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 86.7%

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-12-10 · Fire 2024-12-10

23 health deficiencies

Top issue: Resident Rights (6 deficiencies)

11 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Cycle 2 Health 2023-08-16 · Fire 2023-08-16

6 health deficiencies

Top issue: Infection Control (2 deficiencies)

5 fire-safety deficiencies

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

Cycle 3 Health 2022-08-24 · Fire 2022-08-24

2 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)

5 fire-safety deficiencies

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

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-12-10

E35 · Emergency Preparedness Deficiencies

Fire Safety

Provide family notifications of emergency plan.

Corrected 2025-01-07

F · Potential for more than minimal harm 2024-12-10

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2025-01-07

F · Potential for more than minimal harm 2024-12-10

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2025-01-07

F · Potential for more than minimal harm 2024-12-10

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-01-07

F · Potential for more than minimal harm 2024-12-10

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-01-22

F · Potential for more than minimal harm 2024-12-10

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2025-01-07

F · Potential for more than minimal harm 2024-12-10

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2025-01-07

E · Potential for more than minimal harm 2024-12-10

K232 · Egress Deficiencies

Fire Safety

Have corridors or aisles that are unobstructed and are at least 8 feet in width.

Corrected 2025-01-07

E · Potential for more than minimal harm 2024-12-10

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2025-01-07

E · Potential for more than minimal harm 2024-12-10

K521 · Services Deficiencies

Fire Safety

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

Corrected 2025-01-07

E · Potential for more than minimal harm 2024-12-10

K753 · Miscellaneous Deficiencies

Fire Safety

Have restrictions on the use of highly flammable decorations.

Corrected 2025-01-07

F · Potential for more than minimal harm 2023-08-16

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2023-08-25

F · Potential for more than minimal harm 2023-08-16

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2023-09-11

D · Potential for more than minimal harm 2023-08-16

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2023-09-16

D · Potential for more than minimal harm 2023-08-16

K912 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have power receptacles that are properly grounded.

Corrected 2023-08-17

C · Minimal harm 2023-08-16

K531 · Services Deficiencies

Fire Safety

Have elevators that firefighters can control in the event of a fire.

Corrected 2023-09-11

E · Potential for more than minimal harm 2022-08-24

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 2022-09-14

E · Potential for more than minimal harm 2022-08-24

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2022-09-14

E · Potential for more than minimal harm 2022-08-24

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2022-09-16

D · Potential for more than minimal harm 2022-08-24

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2022-09-14

D · Potential for more than minimal harm 2022-08-24

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2022-09-15

Inspection history

Recent health citations

D · Potential for more than minimal harm 2026-01-21

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2026-02-20

D · Potential for more than minimal harm 2025-09-12

F552 · Resident Rights Deficiencies

Health

Ensure that residents are fully informed and understand their health status, care and treatments.

Corrected 2025-10-10

D · Potential for more than minimal harm 2025-09-12

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2025-10-10

G · Actual harm 2025-06-27

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-07-24

D · Potential for more than minimal harm 2025-06-27

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2025-07-24

J · Immediate jeopardy 2024-12-10

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2025-01-07

F · Potential for more than minimal harm 2024-12-10

F882 · Infection Control Deficiencies

Health

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

Corrected 2025-01-07

E · Potential for more than minimal harm 2024-12-10

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2025-01-07

E · Potential for more than minimal harm 2024-12-10

F761 · Pharmacy Service Deficiencies

Health

Ensure 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.

Corrected 2025-01-07

E · Potential for more than minimal harm 2024-12-10