Federal inspection record · CMS data as of October 1, 2026
Monroe Health Services
516 26th Ave, Monroe, WI · (608) 325-9141
- Certified beds
- 50
- Residents per day
- 37
- Ownership
- For-Profit
- Chain
- North Shore Healthcare
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- September 1, 1978
1
How this home got 4 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
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Wisconsin homes
Monroe Health Services carries 35 inspection points. That is fewer than 68% 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
22 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.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Resident Rights6D
- D
Protect a residents' right to refuse some types of non-requested transfers within the nursing home.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- 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
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Quality of Life and Care6D
- D
Provide enough food/fluids to maintain a resident's health.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide or get specialized rehabilitative services as required for a resident.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
Resident Assessment and Care Planning3D
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- 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.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Freedom from Abuse, Neglect, and Exploitation2D
- D
Protect each resident from the wrongful use of the resident's belongings or money.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Pharmacy Service2D
- D
Ensure medication error rates are not 5 percent or greater.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Infection Control1D
- D
Implement a program that monitors antibiotic use.
Inspection history
2025-12-03
4 health deficiencies · 5 fire-safety deficiencies
Top issue: Resident Rights (2 deficiencies)
2024-08-08
10 health deficiencies · 5 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
2023-04-25
8 health deficiencies · 5 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 50 min of nursing staff time a day, 1 h of it from a registered nurse.
This home
3 h 50 min
Wisconsin average
4 h 15 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 45% of nursing staff and 53% of registered nurses left in the past year, along with 2 administrators.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
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 vaccine5.2 pts worse | 90.8% | 96.0% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine8.9 pts worse | 86.7% | 95.6% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.6 pts worse | 3.9% | 3.3% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms6 pts better | 0.0% | 6.0% | 13.5% |
| Percentage of long-stay residents who lose too much weight3.3 pts better | 1.6% | 4.9% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication11.9 pts worse | 28.7% | 16.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication3.1 pts worse | 19.0% | 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 worsened0.9 pts better | 16.1% | 17.0% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased2.5 pts better | 13.3% | 15.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder1 pts worse | 2.9% | 1.9% | 0.7% |
| Percentage of long-stay residents with a urinary tract infectionAbout the same | 2.7% | 2.7% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence0.1 pts better | 23.5% | 23.6% | 18.3% |
| Percentage of long-stay residents with pressure ulcers3.2 pts worse | 8.1% | 4.9% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine15.3 pts worse | 71.6% | 86.9% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit3.5 pts worse | 19.1% | 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 vaccine16.3 pts worse | 65.9% | 82.2% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission7.8 pts worse | 30.3% | 22.5% | 23.4% |
·
Who owns and runs it
34 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 |
| Basche, Chad | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Basche, Chad | Adp Of The SNF · Individual | 0% | 1 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 |
| Greer, Lauren | Operational/Managerial Control · Individual | 0% | 46 facilities |
| Greer, Lauren | Adp Of The SNF · Individual | 0% | 46 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 |
| Le, Daniel | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Le, Daniel | Adp Of The SNF · Individual | 0% | 1 facilities |
| Monroe Property Holdings, LLC | Adp Of The SNF · Organization | 0% | 1 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 |
| 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
15 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke6F
- E
Install an approved automatic sprinkler system.
- E
Inspect, test, and maintain automatic sprinkler systems.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- E
Construct fire resistant interior walls.
- E
Install an approved automatic sprinkler system.
- E
Inspect, test, and maintain automatic sprinkler systems.
Gas, Vacuum, and Electrical Systems4E
- E
Have power receptacles that are properly grounded.
- D
Meet requirements for the installation and maintenance of electrical systems.
- D
Ensure proper usage of power strips and extension cords.
- D
Have proper medical gas storage and administration areas.
Miscellaneous2F
- F
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- E
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Services2E
- E
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- D
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Egress1E
- E
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
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Other homes nearby
-
Pleasant View Nursing Home
Monroe, WI
★★★★★- Worst citation, 3 yrs
- K
- Nursing / resident / day
- 4 h 43 min
- Fines
- $225,807
-
New Glarus Home
New Glarus, WI · Abuse icon
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 4 h 7 min
- Fines
- $85,311
-
Serenity Estates of Lena
Lena, IL · Serenity Estates
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 2 h 54 min
- Fines
- $0