Mineral Point, WI

Mineral Point Health Services

3-star overall rating with 4-star inspections with 7 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

109 N Iowa St, Mineral Point, WI

(608) 987-2381

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

1 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

30

Certified beds

Average residents

28

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

North Shore Healthcare

Operator or chain grouping

Approved since

1984-03-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.90

Registered nurse staffing

LPN hours / resident day

0.49

Licensed practical nurse staffing

Aide hours / resident day

2.11

Nurse aide staffing

Weekend hours

3.08

Weekend nurse staffing

RN turnover

29%

Annual RN turnover

Total nurse turnover

36%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 1.9
1.6
0.3 pts worse
1.9
About the same
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 2.6
2.2
0.4 pts worse
1.8
0.8 pts worse
Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
95.7%
4.3 pts better
93.4%
6.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
95.0%
5 pts better
95.5%
4.5 pts better
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 2.7%
3.2%
0.5 pts better
3.3%
0.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 0.0%
5.0%
5 pts better
11.4%
11.4 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 1.1%
4.9%
3.8 pts better
5.4%
4.3 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 14.9%
16.6%
1.7 pts better
19.6%
4.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 13.0%
16.7%
3.7 pts better
16.7%
3.7 pts better
Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents whose ability to walk independently worsened 30.9%
21.1%
9.8 pts worse
16.3%
14.6 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 12.9%
17.3%
4.4 pts better
14.9%
2 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 5.6%
2.3%
3.3 pts worse
1.0%
4.6 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 6.6%
3.0%
3.6 pts worse
1.7%
4.9 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 19.7%
25.5%
5.8 pts better
19.8%
0.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 7.8%
5.5%
2.3 pts worse
5.1%
2.7 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 90.6%
86.8%
3.8 pts better
81.7%
8.9 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who newly received an antipsychotic medication 0.0%
1.3%
1.3 pts better
1.6%
1.6 pts better
Short Stay · 2024Q4-2025Q3

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-04-03 · Fire 2025-04-03

7 health deficiencies

Top issue: Pharmacy Service (3 deficiencies)

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Cycle 2 Health 2024-04-10 · Fire 2024-04-10

0 health deficiencies

No concentrated health issue counts in this cycle.

5 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Cycle 3 Health 2023-03-09 · Fire 2023-03-09

2 health deficiencies

Top issue: Quality of Life and Care (1 deficiency)

7 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2025-04-03

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2025-05-14

E · Potential for more than minimal harm 2024-04-10

K331 · Smoke Deficiencies

Fire Safety

Construct fire resistant interior walls.

Corrected 2024-05-09

D · Potential for more than minimal harm 2024-04-10

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2024-05-09

D · Potential for more than minimal harm 2024-04-10

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-05-03

D · Potential for more than minimal harm 2024-04-10

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-05-03

D · Potential for more than minimal harm 2024-04-10

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2024-05-09

E · Potential for more than minimal harm 2023-03-09

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2023-03-08

D · Potential for more than minimal harm 2023-03-09

K223 · Egress Deficiencies

Fire Safety

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

Corrected 2023-03-08

D · Potential for more than minimal harm 2023-03-09

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2023-03-23

D · Potential for more than minimal harm 2023-03-09

K331 · Smoke Deficiencies

Fire Safety

Construct fire resistant interior walls.

Corrected 2023-04-21

D · Potential for more than minimal harm 2023-03-09

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-03-09

D · Potential for more than minimal harm 2023-03-09

K362 · Smoke Deficiencies

Fire Safety

Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

Corrected 2023-03-09

D · Potential for more than minimal harm 2023-03-09

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 2023-04-21

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-08-22

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2025-09-10

E · Potential for more than minimal harm 2025-04-03

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 2025-04-25

D · Potential for more than minimal harm 2025-04-03

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 2025-04-25

D · Potential for more than minimal harm 2025-04-03

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-04-25

D · Potential for more than minimal harm 2025-04-03

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2025-04-25

D · Potential for more than minimal harm 2025-04-03

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2025-04-25

D · Potential for more than minimal harm 2025-04-03

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-04-25

D · Potential for more than minimal harm 2023-03-09

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 2023-03-28

D · Potential for more than minimal harm 2023-03-09

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 2023-03-28

Penalties and ownership

What sits behind the stars

Ownership

Nshr Operations LLC

5% Or Greater Direct Ownership Interest · Organization

100% 14 facilities 2019-10-01
Arrowhead 123 LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 15 facilities 2019-10-01
Baumann, Troy

5% Or Greater Indirect Ownership Interest · Individual

0% 59 facilities 2019-10-01
Baumann, Troy

Operational/Managerial Control · Individual

0% 59 facilities 2019-10-01
Baumann, Troy

Corporate Director · Individual

0% 59 facilities 2019-10-01
Hoehn, Jeffrey

5% Or Greater Indirect Ownership Interest · Individual

0% 59 facilities 2019-10-01
Hoehn, Jeffrey

Operational/Managerial Control · Individual

0% 59 facilities 2019-10-01
Hoehn, Jeffrey

Corporate Director · Individual

0% 59 facilities 2019-10-01
Mills, David

5% Or Greater Indirect Ownership Interest · Individual

0% 40 facilities 2019-10-01
Mills, David

Operational/Managerial Control · Individual

0% 40 facilities 2019-10-01
North Shore Healthcare LLC

Operational/Managerial Control · Organization

0% 56 facilities 2019-12-01
The Lane Morrell Bowen Trust

5% Or Greater Indirect Ownership Interest · Organization

0% 15 facilities 2019-10-01

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