Federal inspection record · CMS data as of October 1, 2026
Lake Country Health Services
2195 North Summit Village Way, Oconomowoc, WI · (262) 560-2400
- Certified beds
- 100
- Residents per day
- 79
- Ownership
- For-Profit
- Chain
- North Shore Healthcare
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- November 23, 2009
1
How this home got 2 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.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Wisconsin.
-
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.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Wisconsin homes
Lake Country Health Services carries 104 inspection points. That is fewer than 29% of Wisconsin's 321 rated homes.
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
42 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
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.
Harm and immediate-jeopardy citations (4)
-
J
Honor 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.
-
J
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
-
J
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Quality of Life and Care10E
- E
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide or get specialized rehabilitative services as required for a resident.
- D
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide enough food/fluids to maintain a resident's health.
- D
Provide safe, appropriate pain management for a resident who requires such services.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
Pharmacy Service9D
- D
Ensure medication error rates are not 5 percent or greater.
- D
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.
- D
Ensure that residents are free from significant medication errors.
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- D
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.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Implement 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.
- D
Ensure medication error rates are not 5 percent or greater.
Resident Rights7E
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
- D
Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide.
- E
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- E
Notify 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.
- D
Ensure that residents are fully informed and understand their health status, care and treatments.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Freedom from Abuse, Neglect, and Exploitation4F
- F
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- F
Respond appropriately to all alleged violations.
- E
Respond appropriately to all alleged violations.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Resident Assessment and Care Planning4D
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Plan the resident's discharge to meet the resident's goals and needs.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Nutrition and Dietary2F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nursing and Physician Services1E
- E
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Infection Control1D
- D
Provide and implement an infection prevention and control program.
Inspection history
2025-08-27
2 health deficiencies · 4 fire-safety deficiencies
Top issue: Pharmacy Service (2 deficiencies)
2024-06-20
26 health deficiencies · 7 fire-safety deficiencies
Top issue: Quality of Life and Care (11 deficiencies)
2023-04-12
14 health deficiencies · 5 fire-safety deficiencies
Top issue: Pharmacy Service (4 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 43 min of nursing staff time a day, 52 min of it from a registered nurse.
This home
3 h 43 min
Wisconsin average
4 h 15 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 46% of nursing staff and 35% 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
Fines and payment denials
$120,868 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-03-12 | Fine | $16,985 |
| 2024-11-04 | Fine | $103,883 |
| 2024-11-04 | Payment Denial · 8 day denial | $0 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.4 pts better | 1.2 | 1.6 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1.4 pts better | 0.8 | 2.2 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.2 pts better | 99.2% | 96.0% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine0.1 pts worse | 95.5% | 95.6% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2.2 pts worse | 5.5% | 3.3% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms3.5 pts worse | 9.5% | 6.0% | 13.5% |
| Percentage of long-stay residents who lose too much weight3.2 pts better | 1.7% | 4.9% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication0.7 pts better | 16.1% | 16.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication4.1 pts better | 11.8% | 15.9% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened6.8 pts worse | 23.8% | 17.0% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased3.1 pts better | 12.7% | 15.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder4 pts worse | 5.9% | 1.9% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.5 pts better | 2.2% | 2.7% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence3 pts worse | 26.6% | 23.6% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1 pts worse | 5.9% | 4.9% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine11.3 pts better | 98.2% | 86.9% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit3.3 pts better | 12.3% | 15.6% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.3 pts better | 0.9% | 1.2% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine15.1 pts better | 97.3% | 82.2% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission0.3 pts better | 22.2% | 22.5% | 23.4% |
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Who owns and runs it
36 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Nshf Operations LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 20 facilities |
| Mills, David | 5% Or Greater Indirect Ownership Interest · Individual | 20% | 38 facilities |
| Baumann, Troy | Corporate Director · Individual | 0% | 56 facilities |
| Baumann, Troy | Operational/Managerial Control · Individual | 0% | 56 facilities |
| Baumann, Troy | Adp Of The SNF · Individual | 0% | 56 facilities |
| Belongia, Christina | Operational/Managerial Control · Individual | 0% | 45 facilities |
| Belongia, Christina | Adp Of The SNF · Individual | 0% | 45 facilities |
| Canyon Woh, LLC | Adp Of The SNF · Organization | 0% | 2 facilities |
| Cibc Bank Usa | 5% Or Greater Security Interest · Organization | 0% | 208 facilities |
| Cibc Bank Usa | Operational/Managerial Control · Organization | 0% | 208 facilities |
| Cliftonlarsonallen | Operational/Managerial Control · Organization | 0% | 124 facilities |
| Cliftonlarsonallen | Adp Of The SNF · Organization | 0% | 124 facilities |
| Continuum Therapy Partners LLC | Operational/Managerial Control · Organization | 0% | 45 facilities |
| Continuum Therapy Partners LLC | Adp Of The SNF · Organization | 0% | 45 facilities |
| Gee, Darren | Operational/Managerial Control · Individual | 0% | 45 facilities |
| Gee, Darren | Adp Of The SNF · Individual | 0% | 45 facilities |
| Greer, Lauren | Operational/Managerial Control · Individual | 0% | 46 facilities |
| Greer, Lauren | Adp Of The SNF · Individual | 0% | 46 facilities |
| Hamm, Cara | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Hamm, Cara | Adp Of The SNF · Individual | 0% | 2 facilities |
| Hoehn, Jeffrey | Corporate Director · Individual | 0% | 57 facilities |
| Hoehn, Jeffrey | Operational/Managerial Control · Individual | 0% | 57 facilities |
| Hoehn, Jeffrey | Adp Of The SNF · Individual | 0% | 57 facilities |
| North Shore Healthcare LLC | Operational/Managerial Control · Organization | 0% | 55 facilities |
| North Shore Healthcare LLC | Adp Of The SNF · Organization | 0% | 55 facilities |
| Nsh Rehab LLC | Operational/Managerial Control · Organization | 0% | 43 facilities |
| Nsh Rehab LLC | Adp Of The SNF · Organization | 0% | 43 facilities |
| Nshw Wisconsin LLC | Adp Of The SNF · Organization | 0% | 2 facilities |
| Patzer, Colleen | Operational/Managerial Control · Individual | 0% | 45 facilities |
| Patzer, Colleen | Adp Of The SNF · Individual | 0% | 45 facilities |
| Perelman, Ana | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Perelman, Ana | Adp Of The SNF · Individual | 0% | 1 facilities |
| Purtell, Brian | Operational/Managerial Control · Individual | 0% | 46 facilities |
| Purtell, Brian | Adp Of The SNF · Individual | 0% | 46 facilities |
| Wipfli Llp | Operational/Managerial Control · Organization | 0% | 102 facilities |
| Wipfli Llp | Adp Of The SNF · Organization | 0% | 102 facilities |
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Fire safety
16 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke7F
- D
Inspect, test, and maintain automatic sprinkler systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Properly select, install, inspect, or maintain portable fire extinguishes.
- E
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- C
Have approved installation, maintenance and testing program for fire alarm systems.
- E
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- D
Provide properly protected cooking facilities.
Egress3F
- E
Have exits that are accessible at all times.
- F
Install proper backup exit lighting.
- E
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.
Miscellaneous3F
- C
Have simulated fire drills held at unexpected times.
- F
Have simulated fire drills held at unexpected times.
- D
Have restrictions on the use of portable space heaters.
Gas, Vacuum, and Electrical Systems2F
- E
Have proper medical gas storage and administration areas.
- F
Have generator or other power source capable of supplying service within 10 seconds.
Services1E
- E
Have an externally vented heating system.
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Other homes nearby
-
Masonic Center for Health & Rehab Inc.
Dousman, WI
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 5 h 13 min
- Fines
- $0
-
Shorehaven HLTH & Rehab CTR
Oconomowoc, WI
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 5 h 27 min
- Fines
- $0
-
Lindengrove Waukesha
Waukesha, WI
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 4 h 1 min
- Fines
- $204,321