3 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
3 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Milwaukee, WI
2-star overall rating with 3-star inspections with $14,433 in total fines with 3 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
2730 W Ramsey Ave, Milwaukee, WI
(414) 282-2600
Overall
2 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Beds
80
Certified beds
Average residents
70
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
North Shore Healthcare
Operator or chain grouping
Approved since
1984-04-01
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
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
RN hours / resident day
0.35
Registered nurse staffing · state 0.97 · national 0.68
LPN hours / resident day
1.06
Licensed practical nurse staffing · state 0.64 · national 0.87
Aide hours / resident day
2.04
Nurse aide staffing · state 2.59 · national 2.35
Total nurse hours
3.45
All reported nurse hours · state 4.20 · national 3.89
Licensed hours
1.41
RN + LPN hours · state 1.60 · national 1.54
Weekend hours
3.21
Weekend nurse staffing · state 3.72 · national 3.43
Weekend RN hours
0.15
Weekend registered nurse coverage · state 0.66 · national 0.47
Physical therapist
0.04
Reported PT staffing · state 0.06 · national 0.07
Adjusted RN hours
0.32
CMS adjusted RN staffing hours
Adjusted total hours
3.14
CMS adjusted total nurse staffing hours
Case-mix index
1.50
Higher values indicate more complex resident acuity
RN turnover
75%
Annual RN turnover · state 42% · national 45%
Total nurse turnover
54%
Annual nurse turnover · state 48% · national 46%
SNF VBP
Program rank
13,586
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
3.39
Composite VBP score used to determine payment impact.
Payment multiplier
0.9805
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0
Baseline 20.02% · Performance 23.79% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
0
Baseline 6.43% · Performance 8.68% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
1.35
Baseline 70.00% · Performance 61.63% · Measure score 1.35 · Achievement 0.50 · Improvement 1.35
Adjusted total nurse staffing
0
Baseline 3.03 hours · Performance 3.08 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 12.6% |
10.72%
1.9 pts worse
|
No Different than the National Rate · Eligible stays 100 · Observed rate 19% · Lower 95% interval 8.65% |
| Discharge to community | 42.26% |
50.57%
8.3 pts worse
|
No Different than the National Rate · Eligible stays 68 · Observed rate 29.41% · Lower 95% interval 31.94% |
| Medicare spending per beneficiary | 0.94 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 91.67% |
95.27%
3.6 pts worse
|
Numerator 55 · Denominator 60 |
| Falls with major injury | 5% |
0.77%
4.2 pts worse
|
Numerator 3 · Denominator 60 |
| Discharge self-care score | 43.24% |
53.69%
10.4 pts worse
|
Numerator 16 · Denominator 37 |
| Discharge mobility score | 37.84% |
50.94%
13.1 pts worse
|
Numerator 14 · Denominator 37 |
| Pressure ulcers or injuries, new or worsened | 3.33% |
2.29%
1 pts worse
|
Numerator 2 · Denominator 60 · Adjusted rate 3.15% |
| Healthcare-associated infections requiring hospitalization | 8.68% |
7.12%
1.6 pts worse
|
No Different than the National Rate · Eligible stays 57 · Observed rate 15.79% · Lower 95% interval 5.41% |
| Staff COVID-19 vaccination coverage | 4.46% |
8.2%
3.7 pts worse
|
Numerator 5 · Denominator 112 |
| Staff flu vaccination coverage | 28.05% |
42%
13.9 pts worse
|
Numerator 23 · Denominator 82 |
| Discharge function score | 37.84% |
56.45%
18.6 pts worse
|
Numerator 14 · Denominator 37 |
| Transfer of health information to provider | 91.3% |
95.95%
4.7 pts worse
|
Numerator 21 · Denominator 23 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 21.43% |
25.2%
3.8 pts worse
|
Numerator 6 · Denominator 28 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.1 |
1.6
0.5 pts better
|
1.9
0.8 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.1 · Observed 1.0 · Expected 1.8 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.8 |
2.2
0.4 pts better
|
1.8
About the same
|
Long Stay · 20240701-20250630 · Adjusted 1.8 · Observed 1.7 · Expected 1.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 96.9% |
95.7%
1.2 pts better
|
93.4%
3.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 98.5% · Q3 98.4% · Q4 89.8% · 4Q avg 96.9% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 97.4% |
95.0%
2.4 pts better
|
95.5%
1.9 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 97.4% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.4% |
3.2%
0.8 pts better
|
3.3%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.0% · Q2 1.5% · Q3 3.2% · Q4 1.7% · 4Q avg 2.4% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 5.0% |
5.0%
About the same
|
11.4%
6.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.8% · Q2 5.3% · Q3 5.5% · Q4 2.0% · 4Q avg 5.0% |
| 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 · Q1 8.5% · Q2 0.0% · Q3 0.0% · Q4 4.2% · 4Q avg 3.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 21.1% |
16.6%
4.5 pts worse
|
19.6%
1.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 23.4% · Q2 21.6% · Q3 17.6% · Q4 22.0% · 4Q avg 21.1% |
| Percentage of long-stay residents who received an antipsychotic medication | 12.4% |
16.7%
4.3 pts better
|
16.7%
4.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.3% · Q2 15.0% · Q3 7.7% · Q4 18.4% · 4Q avg 12.4% · 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 ability to walk independently worsened | 43.3% |
21.1%
22.2 pts worse
|
16.3%
27 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 43.3% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 23.1% |
17.3%
5.8 pts worse
|
14.9%
8.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 31.8% · Q2 23.9% · Q3 21.3% · Q4 15.6% · 4Q avg 23.1% · 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% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.4% |
3.0%
0.6 pts better
|
1.7%
0.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.5% · Q2 3.0% · Q3 0.0% · Q4 1.8% · 4Q avg 2.4% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 35.0% |
25.5%
9.5 pts worse
|
19.8%
15.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 40.8% · Q2 31.3% · Q3 32.4% · Q4 35.8% · 4Q avg 35.0% |
| 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 4.1% · Q2 1.8% · Q3 3.6% · Q4 3.1% · 4Q avg 3.1% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 80.7% |
86.8%
6.1 pts worse
|
81.7%
1 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 89.3% · Q2 81.9% · Q3 79.8% · Q4 73.2% · 4Q avg 80.7% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 20.5% |
15.0%
5.5 pts worse
|
12.0%
8.5 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 20.5% · Observed 23.6% · Expected 12.9% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.5% |
1.3%
0.8 pts better
|
1.6%
1.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.7% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 81.1% |
82.2%
1.1 pts worse
|
79.7%
1.4 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 81.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 36.3% |
22.7%
13.6 pts worse
|
23.9%
12.4 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 36.3% · Observed 47.3% · Expected 31.0% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (2 deficiencies)
3 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Top issue: Pharmacy Service (3 deficiencies)
3 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Top issue: Quality of Life and Care (9 deficiencies)
9 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Fire safety
Fire Safety
Establish policies and procedures including evacuation.
Corrected 2025-05-30
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2025-05-09
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2025-05-30
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2024-03-06
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2024-03-06
Fire Safety
Meet requirements for the use of electrical equipment.
Corrected 2024-03-06
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2022-11-01
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2022-11-01
Fire Safety
Install resident room doors of proper design and width.
Corrected 2022-11-01
Fire Safety
Provide properly protected cooking facilities.
Corrected 2022-11-01
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2022-11-01
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2022-11-01
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 2022-11-01
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-11-01
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2022-11-01
Inspection history
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-07-18
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-05-30
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-05-30
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-11-18
Health
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected 2024-11-18
Health
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2024-11-18
Health
Respond appropriately to all alleged violations.
Corrected 2024-06-03
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-06-03
Health
Provide care or services that was trauma informed and/or culturally competent.
Corrected 2024-06-03
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-02-23
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-02-23
Health
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.
Corrected 2024-02-23
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-02-23
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 2024-02-23
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-01-10
Health
Provide and implement an infection prevention and control program.
Corrected 2023-09-28
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-09-28
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-07-19
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2023-07-19
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-07-19
Health
Respond appropriately to all alleged violations.
Corrected 2023-07-19
Health
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected 2023-07-19
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2022-11-01
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2022-11-01
Health
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected 2022-11-01
Health
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2022-11-01
Health
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2022-11-01
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2022-11-01
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2022-11-01
Health
Provide appropriate foot care.
Corrected 2022-11-01
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2022-11-01
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2022-11-01
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2022-11-01
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 2022-11-01
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2022-11-01
Health
Provide timely, quality laboratory services/tests to meet the needs of residents.
Corrected 2022-11-01
Penalties and ownership
Fine · fine $14,433
Fine
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Individual
Corporate Director · Individual
Corporate Director · Individual
W-2 Managing Employee · Individual
Operational/Managerial Control · Organization
Nearby options
Milwaukee, WI
1-star overall rating with 1-star inspections with abuse icon flag with $176,440 in total fines with 28 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
Greenfield, WI
4-star overall rating with 3-star inspections with $89,823 in total fines with 2 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle
Greendale, WI
1-star overall rating with 1-star inspections with $271,160 in total fines with 19 recent health deficiencies with 16 fire-safety deficiencies in the latest cycle
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