Federal inspection record · CMS data as of October 1, 2026

Kewaunee Health Services

1308 Lincoln St, Kewaunee, WI · (920) 388-4111

  • CMS high-performer trophy

CMS overall rating

5 of 5

Compare with a nearby home →
Certified beds
50
Residents per day
24
Ownership
For-Profit
Chain
North Shore Healthcare
Medicare / Medicaid
Medicare + Medicaid
Certified since
April 1, 1984

1

How this home got 5 stars

The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Wisconsin.

  2. Staffing

    no change

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    no change

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    5 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Wisconsin homes

Kewaunee Health Services carries 0 inspection points, the cleanest record possible.

5★4★3★2★1★+10 homes above 397.2505102550100200inspection points → fewer is better on the leftThis home · 0 pts · 5★

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Wisconsin: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.

  • 5★ 0–11 pts
  • 4★ 11–37 pts
  • 3★ 37–76 pts
  • 2★ 76–130.75 pts
  • 1★ over 130.75 pts

Bars show every rated home in Wisconsin by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.

3

What inspectors found

2 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 0 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 1 4 pts
E 0 8 pts
F 1 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 0 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

No citation on record at the harm or immediate-jeopardy level.

Everything else, by area of care

Administration1F
  1. F

    Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

    March 6, 2024 · Standard · F851 · Corrected April 4, 2024

Quality of Life and Care1D
  1. D

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    March 6, 2024 · Standard · F684 · Corrected April 4, 2024

Inspection history

  1. 2026-06-29

    0 health deficiencies · 4 fire-safety deficiencies

    No concentrated health issue counts in this cycle.

  2. 2025-04-08

    0 health deficiencies · 8 fire-safety deficiencies

    No concentrated health issue counts in this cycle.

  3. 2024-03-06

    2 health deficiencies · 9 fire-safety deficiencies

    Top issue: Administration (1 deficiency)

4

Nursing time per resident, per day

Each resident here gets about 3 h 54 min of nursing staff time a day, 44 min of it from a registered nurse.

This home

3 h 54 min

Wisconsin average

4 h 15 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 53% of nursing staff and 40% of registered nurses left in the past year.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine0.3 pts better96.3%96.0%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4.4 pts better100.0%95.6%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury0.8 pts better2.5%3.3%3.2%
Percentage of long-stay residents who have depressive symptoms2.9 pts better3.1%6.0%13.5%
Percentage of long-stay residents who lose too much weight6.4 pts worse11.3%4.9%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication0.9 pts better15.9%16.8%19.5%
Percentage of long-stay residents who received an antipsychotic medication0.4 pts worse16.3%15.9%15.4%
Percentage of long-stay residents who were physically restrained0.1 pts better0.0%0.1%0.1%
Percentage of long-stay residents whose need for help with daily activities has increased6.2 pts better9.6%15.8%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts worse2.2%1.9%0.7%
Percentage of long-stay residents with a urinary tract infection0.2 pts better2.5%2.7%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence1.4 pts better22.2%23.6%18.3%
Percentage of long-stay residents with pressure ulcers0.7 pts worse5.6%4.9%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine9.8 pts worse77.1%86.9%82.3%
Percentage of short-stay residents who newly received an antipsychotic medication3 pts worse4.2%1.2%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine3.8 pts better86.0%82.2%80.1%

·

Who owns and runs it

40 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Nshr Operations LLC5% Or Greater Direct Ownership Interest · Organization100%14 facilities
Mills, David5% Or Greater Indirect Ownership Interest · Individual18%38 facilities
Arrowhead 123 LLC5% Or Greater Indirect Ownership Interest · Organization10%15 facilities
The Lane Morrell Bowen Trust5% Or Greater Indirect Ownership Interest · Organization10%14 facilities
Arrowhead 123 LLCAdp Of The SNF · Organization0%15 facilities
Baumann, TroyCorporate Director · Individual0%56 facilities
Baumann, TroyOperational/Managerial Control · Individual0%56 facilities
Baumann, TroyAdp Of The SNF · Individual0%56 facilities
Belongia, ChristinaOperational/Managerial Control · Individual0%45 facilities
Belongia, ChristinaAdp Of The SNF · Individual0%45 facilities
Cibc Bank Usa5% Or Greater Mortgage Interest · Organization0%208 facilities
Cibc Bank Usa5% Or Greater Security Interest · Organization0%208 facilities
Cibc Bank UsaOperational/Managerial Control · Organization0%208 facilities
CliftonlarsonallenOperational/Managerial Control · Organization0%124 facilities
CliftonlarsonallenAdp Of The SNF · Organization0%124 facilities
Continuum Therapy Partners LLCOperational/Managerial Control · Organization0%45 facilities
Continuum Therapy Partners LLCAdp Of The SNF · Organization0%45 facilities
Dufresne, CassandraOperational/Managerial Control · Individual0%1 facilities
Dufresne, CassandraAdp Of The SNF · Individual0%1 facilities
Gee, DarrenOperational/Managerial Control · Individual0%45 facilities
Gee, DarrenAdp Of The SNF · Individual0%45 facilities
Greer, LaurenOperational/Managerial Control · Individual0%46 facilities
Greer, LaurenAdp Of The SNF · Individual0%46 facilities
Hoehn, JeffreyCorporate Director · Individual0%57 facilities
Hoehn, JeffreyOperational/Managerial Control · Individual0%57 facilities
Hoehn, JeffreyAdp Of The SNF · Individual0%57 facilities
Lemke, BlakeOperational/Managerial Control · Individual0%1 facilities
Lemke, BlakeAdp Of The SNF · Individual0%1 facilities
North Shore Healthcare LLCOperational/Managerial Control · Organization0%55 facilities
North Shore Healthcare LLCAdp Of The SNF · Organization0%55 facilities
Nsh 1308 Lincoln Street LLCAdp Of The SNF · Organization0%1 facilities
Nsh Rehab LLCOperational/Managerial Control · Organization0%43 facilities
Nsh Rehab LLCAdp Of The SNF · Organization0%43 facilities
Patzer, ColleenOperational/Managerial Control · Individual0%45 facilities
Patzer, ColleenAdp Of The SNF · Individual0%45 facilities
Purtell, BrianOperational/Managerial Control · Individual0%46 facilities
Purtell, BrianAdp Of The SNF · Individual0%46 facilities
The Lane Morrell Bowen TrustAdp Of The SNF · Organization0%14 facilities
Wipfli LlpOperational/Managerial Control · Organization0%102 facilities
Wipfli LlpAdp Of The SNF · Organization0%102 facilities

·

Fire safety

21 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Gas, Vacuum, and Electrical Systems7F
  1. F

    Have a battery powered remote alarm panel in a location accessible by operating personnel.

    June 29, 2026 · K916 · Corrected October 15, 2026

  2. F

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

    June 29, 2026 · K918 · Corrected October 15, 2026

  3. E

    Have proper fire barriers, ventilation and signs for the transfilling of oxygen.

    June 29, 2026 · K927 · Corrected August 5, 2026

  4. F

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

    April 8, 2025 · K918 · Corrected May 15, 2025

  5. D

    Have proper medical gas storage and administration areas.

    April 8, 2025 · K923 · Corrected April 30, 2025

  6. F

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

    March 6, 2024 · K918 · Corrected April 4, 2024

  7. D

    Have proper medical gas storage and administration areas.

    March 6, 2024 · K923 · Corrected April 4, 2024

Smoke5F
  1. F

    Inspect, test, and maintain automatic sprinkler systems.

    April 8, 2025 · K353 · Corrected April 15, 2025

  2. E

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

    April 8, 2025 · K345 · Corrected May 2, 2025

  3. E

    Have an enclosure around a vertical opening shaft.

    March 6, 2024 · K311 · Corrected April 4, 2024

  4. E

    Provide properly protected cooking facilities.

    March 6, 2024 · K324 · Corrected April 4, 2024

  5. E

    Inspect, test, and maintain automatic sprinkler systems.

    March 6, 2024 · K353 · Corrected April 4, 2024

Miscellaneous4F
  1. F

    Have simulated fire drills held at unexpected times.

    April 8, 2025 · K712 · Corrected April 29, 2025

  2. F

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

    April 8, 2025 · K761 · Corrected April 19, 2025

  3. F

    Have restrictions on the use of portable space heaters.

    April 8, 2025 · K781 · Corrected May 15, 2025

  4. E

    Have restrictions on the use of portable space heaters.

    March 6, 2024 · K781 · Corrected April 4, 2024

Emergency Preparedness2F
  1. F

    Conduct risk assessment and an All-Hazards approach.

    June 29, 2026 · E6 · Corrected August 5, 2026

  2. F

    Conduct testing and exercise requirements.

    March 6, 2024 · E39 · Corrected April 4, 2024

Services2F
  1. E

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

    April 8, 2025 · K521 · Corrected April 21, 2025

  2. F

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

    March 6, 2024 · K521 · Corrected April 4, 2024

Egress1F
  1. F

    Install emergency lighting that can last at least 1 1/2 hours.

    March 6, 2024 · K291 · Corrected April 4, 2024

·

Other homes nearby

  1. Worst citation, 3 yrs
    J
    Nursing / resident / day
    3 h 36 min
    Fines
    $153,808
  2. Hamilton Health Services

    Two Rivers, WI · North Shore Healthcare

    Worst citation, 3 yrs
    G
    Nursing / resident / day
    3 h 46 min
    Fines
    $0
  3. Worst citation, 3 yrs
    F
    Nursing / resident / day
    4 h 45 min
    Fines
    $0