Federal inspection record · CMS data as of October 1, 2026
Lake Mills Health Services
901 Mulberry St, Lake Mills, WI · (920) 648-8344
- Certified beds
- 50
- Residents per day
- 28
- Ownership
- For-Profit
- Chain
- North Shore Healthcare
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- July 14, 1981
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.
-
Overall
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Wisconsin homes
Lake Mills Health Services carries 77.75 inspection points. That is fewer than 41% 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
20 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 (3)
-
G
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
J
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Everything else, by area of care
Pharmacy Service4D
- D
Ensure medication error rates are not 5 percent or greater.
- 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 that residents are free from significant medication errors.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Infection Control4E
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- D
Provide and implement an infection prevention and control program.
- E
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
- D
Provide and implement an infection prevention and control program.
Quality of Life and Care3D
- D
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Administration3F
- D
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
- F
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
- C
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Resident Rights2D
- D
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- D
Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.
Resident Assessment and Care Planning1E
- E
Ensure services provided by the nursing facility meet professional standards of quality.
Inspection history
2026-08-03
7 health deficiencies · 7 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2025-03-26
7 health deficiencies · 11 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2024-02-08
6 health deficiencies · 9 fire-safety deficiencies
Top issue: Pharmacy Service (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 41 min of nursing staff time a day, 1 h 35 min of it from a registered nurse.
This home
3 h 41 min
Wisconsin average
4 h 15 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 33% of nursing staff and 31% of registered nurses left in the past year, along with 1 administrator.
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
$120,900 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-07-03 | Fine | $120,900 |
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. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine7 pts worse | 89.0% | 96.0% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4.4 pts better | 100.0% | 95.6% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2.3 pts better | 1.0% | 3.3% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms2.6 pts better | 3.4% | 6.0% | 13.5% |
| Percentage of long-stay residents who lose too much weight3.1 pts worse | 8.0% | 4.9% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication14 pts worse | 30.8% | 16.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication4.6 pts better | 11.3% | 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 worsened0.4 pts better | 16.6% | 17.0% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased3.6 pts worse | 19.4% | 15.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.8 pts better | 1.1% | 1.9% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection2.7 pts better | 0.0% | 2.7% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence3.2 pts better | 20.4% | 23.6% | 18.3% |
| Percentage of long-stay residents with pressure ulcers4 pts worse | 8.9% | 4.9% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine5.2 pts worse | 81.7% | 86.9% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit3.8 pts worse | 19.4% | 15.6% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.2 pts better | 0.0% | 1.2% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine0.6 pts better | 82.8% | 82.2% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission1.2 pts better | 21.3% | 22.5% | 23.4% |
·
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 |
| 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 |
| Nshf Wisconsin LLC | Adp Of The SNF · Organization | 0% | 12 facilities |
| Patzer, Colleen | Operational/Managerial Control · Individual | 0% | 45 facilities |
| Patzer, Colleen | Adp Of The SNF · Individual | 0% | 45 facilities |
| Purtell, Brian | Operational/Managerial Control · Individual | 0% | 46 facilities |
| Purtell, Brian | Adp Of The SNF · Individual | 0% | 46 facilities |
| Sidhu, Sarfraz | Operational/Managerial Control · Individual | 0% | 28 facilities |
| Sidhu, Sarfraz | Adp Of The SNF · Individual | 0% | 28 facilities |
| Willowbrook Property Holdings, LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Wipfli Llp | Operational/Managerial Control · Organization | 0% | 102 facilities |
| Wipfli Llp | Adp Of The SNF · Organization | 0% | 102 facilities |
·
Fire safety
27 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke11F
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Provide properly protected cooking facilities.
- E
Install corridor and hallway doors that block smoke.
- E
Properly provide smoke detection systems in areas open to corridors.
- E
Install corridor and hallway doors that block smoke.
- D
Inspect, test, and maintain automatic sprinkler systems.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- E
Provide properly protected cooking facilities.
- E
Inspect, test, and maintain automatic sprinkler systems.
- E
Install corridor and hallway doors that block smoke.
- D
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Emergency Preparedness5F
- F
List the names and contact information of those in the facility.
- F
Conduct risk assessment and an All-Hazards approach.
- F
Develop Emergency Preparedness policies and procedures.
- F
Provide emergency officials' contact information.
- F
Develop Emergency Preparedness policies and procedures.
Miscellaneous5F
- F
Have simulated fire drills held at unexpected times.
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- D
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- D
Have restrictions on the use of highly flammable decorations.
- F
Have restrictions on the use of highly flammable decorations.
Gas, Vacuum, and Electrical Systems3F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- E
Ensure proper usage of power strips and extension cords.
Egress2E
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- E
Install proper backup exit lighting.
Construction1F
- F
Meet requirements for sections of health care facilities separated by fire resistive construction.
·
Other homes nearby
-
Alden Estates of Countryside, Inc
Jefferson, WI · The Alden Network
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 52 min
- Fines
- $397,046
-
Rock River Nursing & Rehab
Fort Atkinson, WI · Bedrock Healthcare
★★★★★- Worst citation, 3 yrs
- K
- Nursing / resident / day
- 3 h 50 min
- Fines
- $211,101
-
Marquardt Memorial Manor
Watertown, WI · Illuminus
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 15 min
- Fines
- $26,706