Federal inspection record · CMS data as of October 1, 2026

River's Bend Health Services

960 S Rapids Rd, Manitowoc, WI · (920) 684-1144

CMS overall rating

3 of 5

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Certified beds
100
Residents per day
78
Ownership
For-Profit
Chain
North Shore Healthcare
Medicare / Medicaid
Medicare + Medicaid
Certified since
July 1, 1991

1

How this home got 3 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.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Wisconsin.

  2. 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.

  3. Quality measures

    no change

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    3 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Wisconsin homes

River's Bend Health Services carries 48 inspection points. That is fewer than 58% of Wisconsin's 321 rated homes.

5★4★3★2★1★+10 homes above 397.2505102550100200inspection points → fewer is better on the leftThis home · 48 pts · 3★

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

27 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 0 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 21 4 pts
E 5 8 pts
F 1 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 0 0 pts

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 Rights8D
  1. D

    Give the resident's representative the ability to exercise the resident's rights.

    December 18, 2025 · Standard · F551 · Corrected January 18, 2026

  2. D

    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.

    July 1, 2025 · Complaint · F584 · Corrected August 1, 2025

  3. D

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    February 17, 2025 · Complaint · F580 · Corrected March 17, 2025

  4. D

    Allow residents to self-administer drugs if determined clinically appropriate.

    August 28, 2024 · Standard · F554 · Corrected September 27, 2024

  5. D

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    August 28, 2024 · Complaint · F582 · Corrected September 27, 2024

  6. D

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    August 28, 2024 · Complaint · F623 · Corrected September 27, 2024

  7. D

    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

    August 28, 2024 · Complaint · F625 · Corrected September 27, 2024

  8. D

    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

    July 26, 2023 · Standard · F578 · Corrected August 26, 2023

Freedom from Abuse, Neglect, and Exploitation6D
  1. D

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

    July 2, 2026 · Complaint · F609 · Corrected July 29, 2026

  2. D

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    January 28, 2026 · Complaint · F607 · Corrected February 20, 2026

  3. D

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

    January 28, 2026 · Complaint · F609 · Corrected February 20, 2026

  4. D

    Respond appropriately to all alleged violations.

    January 28, 2026 · Complaint · F610 · Corrected February 20, 2026

  5. D

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

    November 24, 2025 · Complaint · F609 · Corrected December 22, 2025

  6. D

    Respond appropriately to all alleged violations.

    November 24, 2025 · Complaint · F610 · Corrected December 22, 2025

Infection Control4E
  1. D

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    December 18, 2025 · Standard · F883 · Corrected January 18, 2026

  2. D

    Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

    December 18, 2025 · Standard · F887 · Corrected January 18, 2026

  3. E

    Provide and implement an infection prevention and control program.

    August 28, 2024 · Standard · F880 · Corrected September 27, 2024

  4. E

    Provide and implement an infection prevention and control program.

    July 26, 2023 · Standard · F880 · Corrected August 26, 2023

Quality of Life and Care3D
  1. D

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    December 18, 2025 · Standard · F677 · Corrected January 18, 2026

  2. D

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

    August 28, 2024 · Standard · F692 · Corrected September 27, 2024

  3. D

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

    August 28, 2024 · Standard · F695 · Corrected September 27, 2024

Nutrition and Dietary3F
  1. E

    Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

    August 28, 2024 · Standard · F809 · Corrected September 27, 2024

  2. E

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    August 28, 2024 · Standard · F812 · Corrected September 27, 2024

  3. F

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    July 26, 2023 · Standard · F812 · Corrected August 26, 2023

Pharmacy Service2E
  1. E

    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.

    August 28, 2024 · Complaint · F761 · Corrected September 27, 2024

  2. D

    Ensure that residents are free from significant medication errors.

    January 17, 2024 · Complaint · F760 · Corrected February 16, 2024

Resident Assessment and Care Planning1D
  1. D

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    February 17, 2025 · Complaint · F657 · Corrected March 17, 2025

Inspection history

  1. 2025-12-18

    10 health deficiencies · 4 fire-safety deficiencies

    Top issue: Freedom from Abuse and Neglect and Exploitation (6 deficiencies)

  2. 2024-08-28

    13 health deficiencies · 7 fire-safety deficiencies

    Top issue: Resident Rights (6 deficiencies)

  3. 2023-07-26

    4 health deficiencies · 6 fire-safety deficiencies

    Top issue: Infection Control (1 deficiency)

4

Nursing time per resident, per day

Each resident here gets about 3 h 42 min of nursing staff time a day, 41 min of it from a registered nurse.

This home

3 h 42 min

Wisconsin average

4 h 15 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 39% 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.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days0.2 pts better1.41.61.8
Number of outpatient emergency department visits per 1000 long-stay resident days0.9 pts better1.32.21.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.2 pts better99.2%96.0%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1.3 pts worse94.3%95.6%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury0.6 pts better2.7%3.3%3.2%
Percentage of long-stay residents who have depressive symptoms1 pts worse7.0%6.0%13.5%
Percentage of long-stay residents who lose too much weight1.8 pts worse6.7%4.9%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication12.5 pts worse29.3%16.8%19.5%
Percentage of long-stay residents who received an antipsychotic medication0.7 pts better15.2%15.9%15.4%
Percentage of long-stay residents who were physically restrained0.1 pts better0.0%0.1%0.1%
Percentage of long-stay residents whose ability to walk independently worsened13.5 pts worse30.5%17.0%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased4 pts worse19.8%15.8%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.5 pts better1.4%1.9%0.7%
Percentage of long-stay residents with a urinary tract infection1.9 pts better0.8%2.7%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence1.6 pts worse25.2%23.6%18.3%
Percentage of long-stay residents with pressure ulcers0.4 pts better4.5%4.9%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine9.1 pts worse77.8%86.9%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit6.1 pts worse21.7%15.6%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication0.3 pts better0.9%1.2%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine9.5 pts worse72.7%82.2%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission7.2 pts better15.3%22.5%23.4%

·

Who owns and runs it

7 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Nshf Operations LLC5% Or Greater Direct Ownership Interest · Organization100%20 facilities
Mills, David5% Or Greater Indirect Ownership Interest · Individual20%38 facilities
Baumann, TroyW-2 Managing Employee · Individual0%56 facilities
Baumann, TroyCorporate Director · Individual0%56 facilities
Hoehn, JeffreyCorporate Director · Individual0%57 facilities
Hoehn, JeffreyCorporate Officer · Individual0%57 facilities
North Shore Healthcare LLCOperational/Managerial Control · Organization0%55 facilities

·

Fire safety

17 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Miscellaneous5E
  1. D

    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

    December 18, 2025 · K741 · Corrected January 18, 2026

  2. D

    Have restrictions on the use of highly flammable decorations.

    December 18, 2025 · K753 · Corrected January 18, 2026

  3. C

    Have simulated fire drills held at unexpected times.

    December 18, 2025 · K712 · Corrected January 15, 2026

  4. E

    Have restrictions on the use of flammable curtains.

    August 28, 2024 · K751 · Corrected September 27, 2024

  5. D

    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

    July 26, 2023 · K741 · Corrected August 26, 2023

Smoke5F
  1. F

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

    August 28, 2024 · K321 · Corrected September 27, 2024

  2. F

    Inspect, test, and maintain automatic sprinkler systems.

    August 28, 2024 · K353 · Corrected September 27, 2024

  3. E

    Install corridor and hallway doors that block smoke.

    August 28, 2024 · K363 · Corrected September 27, 2024

  4. C

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

    August 28, 2024 · K345 · Corrected September 27, 2024

  5. E

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

    July 26, 2023 · K321 · Corrected August 26, 2023

Gas, Vacuum, and Electrical Systems4F
  1. F

    Meet requirements for the installation and maintenance of electrical systems.

    August 28, 2024 · K911 · Corrected September 27, 2024

  2. F

    Have a battery powered remote alarm panel in a location accessible by operating personnel.

    July 26, 2023 · K916 · Corrected August 26, 2023

  3. E

    Ensure proper usage of power strips and extension cords.

    July 26, 2023 · K920 · Corrected August 26, 2023

  4. D

    Meet requirements for the use of electrical equipment.

    July 26, 2023 · K919 · Corrected August 26, 2023

Egress2E
  1. E

    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.

    August 28, 2024 · K222 · Corrected September 27, 2024

  2. E

    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.

    July 26, 2023 · K222 · Corrected August 26, 2023

Services1E
  1. E

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    December 18, 2025 · K521 · Corrected December 22, 2025

·

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