Milwaukee, WI

Maple Ridge Health Services

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

Compare this facility

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

Facility snapshot

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

Hours and turnover

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

Value-based purchasing

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

How the VBP score is built

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

Medicare quality reporting measures

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

Resident outcomes and process scores

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

Recent inspection cycles

Cycle 1 Health 2025-04-30 · Fire 2025-04-30

3 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

3 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 2 Health 2024-01-25 · Fire 2024-01-25

11 health deficiencies

Top issue: Pharmacy Service (3 deficiencies)

3 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Cycle 3 Health 2022-10-03 · Fire 2022-10-03

22 health deficiencies

Top issue: Quality of Life and Care (9 deficiencies)

9 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-04-30

E20 · Emergency Preparedness Deficiencies

Fire Safety

Establish policies and procedures including evacuation.

Corrected 2025-05-30

F · Potential for more than minimal harm 2025-04-30

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2025-05-09

D · Potential for more than minimal harm 2025-04-30

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2025-05-30

E · Potential for more than minimal harm 2024-01-25

K741 · Miscellaneous Deficiencies

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

D · Potential for more than minimal harm 2024-01-25

K374 · Smoke Deficiencies

Fire Safety

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2024-03-06

D · Potential for more than minimal harm 2024-01-25

K919 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the use of electrical equipment.

Corrected 2024-03-06

F · Potential for more than minimal harm 2022-10-03

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2022-11-01

F · Potential for more than minimal harm 2022-10-03

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2022-11-01

E · Potential for more than minimal harm 2022-10-03

K233 · Egress Deficiencies

Fire Safety

Install resident room doors of proper design and width.

Corrected 2022-11-01

E · Potential for more than minimal harm 2022-10-03

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2022-11-01

E · Potential for more than minimal harm 2022-10-03

K341 · Smoke Deficiencies

Fire Safety

Install a fire alarm system that can be heard throughout the facility.

Corrected 2022-11-01

E · Potential for more than minimal harm 2022-10-03

K741 · Miscellaneous Deficiencies

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

D · Potential for more than minimal harm 2022-10-03

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 2022-11-01

D · Potential for more than minimal harm 2022-10-03

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2022-11-01

D · Potential for more than minimal harm 2022-10-03

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2022-11-01

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-07-01

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 2025-07-18

D · Potential for more than minimal harm 2025-04-30

F656 · Resident Assessment and Care Planning Deficiencies

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

D · Potential for more than minimal harm 2025-04-30

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2025-05-30

J · Immediate jeopardy 2024-10-17

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-11-18

D · Potential for more than minimal harm 2024-10-17

F557 · Resident Rights Deficiencies

Health

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

Corrected 2024-11-18

D · Potential for more than minimal harm 2024-10-17

F584 · Resident Rights Deficiencies

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

D · Potential for more than minimal harm 2024-05-07

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2024-06-03

D · Potential for more than minimal harm 2024-05-07

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-06-03

D · Potential for more than minimal harm 2024-05-07

F699 · Quality of Life and Care Deficiencies

Health

Provide care or services that was trauma informed and/or culturally competent.

Corrected 2024-06-03

F · Potential for more than minimal harm 2024-01-25

F812 · Nutrition and Dietary Deficiencies

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

E · Potential for more than minimal harm 2024-01-25

F657 · Resident Assessment and Care Planning Deficiencies

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

D · Potential for more than minimal harm 2024-01-25

F758 · Pharmacy Service Deficiencies

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

D · Potential for more than minimal harm 2024-01-25

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2024-02-23

D · Potential for more than minimal harm 2024-01-25

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 2024-02-23

F · Potential for more than minimal harm 2023-12-21

F812 · Nutrition and Dietary Deficiencies

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

F · Potential for more than minimal harm 2023-08-28

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-09-28

D · Potential for more than minimal harm 2023-08-28

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2023-09-28

E · Potential for more than minimal harm 2023-06-28

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2023-07-19

D · Potential for more than minimal harm 2023-06-28

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 2023-07-19

D · Potential for more than minimal harm 2023-06-28

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2023-07-19

D · Potential for more than minimal harm 2023-06-28

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2023-07-19

D · Potential for more than minimal harm 2023-06-28

F806 · Nutrition and Dietary Deficiencies

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

J · Immediate jeopardy 2022-10-03

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2022-11-01

E · Potential for more than minimal harm 2022-10-03

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2022-11-01

D · Potential for more than minimal harm 2022-10-03

F557 · Resident Rights Deficiencies

Health

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

Corrected 2022-11-01

D · Potential for more than minimal harm 2022-10-03

F584 · Resident Rights Deficiencies

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

D · Potential for more than minimal harm 2022-10-03

F604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Corrected 2022-11-01

D · Potential for more than minimal harm 2022-10-03

F657 · Resident Assessment and Care Planning Deficiencies

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

D · Potential for more than minimal harm 2022-10-03

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2022-11-01

D · Potential for more than minimal harm 2022-10-03

F687 · Quality of Life and Care Deficiencies

Health

Provide appropriate foot care.

Corrected 2022-11-01

D · Potential for more than minimal harm 2022-10-03

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 2022-11-01

D · Potential for more than minimal harm 2022-10-03

F690 · Quality of Life and Care Deficiencies

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

D · Potential for more than minimal harm 2022-10-03

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2022-11-01

D · Potential for more than minimal harm 2022-10-03

F693 · Quality of Life and Care Deficiencies

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

D · Potential for more than minimal harm 2022-10-03

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2022-11-01

D · Potential for more than minimal harm 2022-10-03

F770 · Administration Deficiencies

Health

Provide timely, quality laboratory services/tests to meet the needs of residents.

Corrected 2022-11-01

Penalties and ownership

What sits behind the stars

$14,433 2024-10-17

Fine

Fine · fine $14,433

Fine

Ownership

Nshf Operations LLC

5% Or Greater Direct Ownership Interest · Organization

100% 20 facilities 2017-07-24
Baumann, Troy

5% Or Greater Indirect Ownership Interest · Individual

40% 59 facilities 2017-06-29
Hoehn, Jeffrey

5% Or Greater Indirect Ownership Interest · Individual

40% 59 facilities 2017-06-29
Mills, David

5% Or Greater Indirect Ownership Interest · Individual

20% 40 facilities 2017-06-29
Baumann, Troy

Corporate Director · Individual

0% 59 facilities 2017-06-29
Hoehn, Jeffrey

Corporate Director · Individual

0% 59 facilities 2017-06-29
Hoehn, Jeffrey

W-2 Managing Employee · Individual

0% 59 facilities 2017-06-29
North Shore Healthcare LLC

Operational/Managerial Control · Organization

0% 56 facilities 2017-10-01

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