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

Willowdale Health Services

1610 Hoover St, New Holstein, WI · (920) 898-5706

CMS overall rating

3 of 5

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Certified beds
49
Residents per day
25
Ownership
For-Profit
Chain
North Shore Healthcare
Medicare / Medicaid
Medicare + Medicaid
Certified since
December 11, 1987

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

    −1 star

    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

Willowdale Health Services carries 36 inspection points. That is fewer than 67% of Wisconsin's 321 rated homes.

5★4★3★2★1★+10 homes above 397.2505102550100200inspection points → fewer is better on the leftThis home · 36 pts · 4★

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

19 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 15 4 pts
E 2 8 pts
F 2 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 Assessment and Care Planning7E
  1. D

    Ensure each resident receives an accurate assessment.

    February 11, 2026 · Standard · F641 · Corrected March 10, 2026

  2. D

    PASARR screening for Mental disorders or Intellectual Disabilities

    February 11, 2026 · Standard · F645 · Corrected March 10, 2026

  3. D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    February 11, 2026 · Standard · F656 · Corrected March 10, 2026

  4. D

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

    January 22, 2025 · Complaint · F657 · Corrected February 22, 2025

  5. D

    Ensure each resident receives an accurate assessment.

    October 2, 2024 · Standard · F641 · Corrected November 2, 2024

  6. E

    PASARR screening for Mental disorders or Intellectual Disabilities

    November 8, 2023 · Standard · F645 · Corrected December 8, 2023

  7. D

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    November 8, 2023 · Standard · F644 · Corrected December 8, 2023

Quality of Life and Care3D
  1. D

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

    February 11, 2026 · Standard · F686 · Corrected March 10, 2026

  2. D

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    October 2, 2024 · Standard · F690 · Corrected November 2, 2024

  3. D

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

    October 2, 2024 · Standard · F692 · Corrected November 2, 2024

Freedom from Abuse, Neglect, and Exploitation3D
  1. D

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

    October 2, 2024 · Standard · F607 · Corrected November 2, 2024

  2. D

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

    October 2, 2024 · Complaint · F609 · Corrected November 2, 2024

  3. D

    Respond appropriately to all alleged violations.

    October 2, 2024 · Complaint · F610 · Corrected November 2, 2024

Resident Rights2D
  1. D

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

    February 11, 2026 · Standard · F580 · Corrected March 10, 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.

    November 8, 2023 · Standard · F584 · Corrected December 8, 2023

Nutrition and Dietary2F
  1. F

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

    November 8, 2023 · Standard · F812 · Corrected December 8, 2023

  2. D

    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

    November 8, 2023 · Standard · F803 · Corrected December 8, 2023

Infection Control1F
  1. F

    Provide and implement an infection prevention and control program.

    February 11, 2026 · Standard · F880 · Corrected March 10, 2026

Pharmacy Service1E
  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.

    October 2, 2024 · Standard · F761 · Corrected November 2, 2024

Inspection history

  1. 2026-02-11

    6 health deficiencies · 4 fire-safety deficiencies

    Top issue: Resident Assessment and Care Planning (3 deficiencies)

  2. 2024-10-02

    8 health deficiencies · 9 fire-safety deficiencies

    Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)

  3. 2023-11-08

    5 health deficiencies · 7 fire-safety deficiencies

    Top issue: Nutrition and Dietary (2 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 3 h 47 min of nursing staff time a day, 1 h 16 min of it from a registered nurse.

This home

3 h 47 min

Wisconsin average

4 h 15 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 28% of nursing staff and 13% 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.
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine1.7 pts better97.7%96.0%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine0.4 pts worse95.2%95.6%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury2.5 pts worse5.8%3.3%3.2%
Percentage of long-stay residents who have depressive symptoms6 pts better0.0%6.0%13.5%
Percentage of long-stay residents who lose too much weight2.3 pts better2.6%4.9%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication11.5 pts better5.3%16.8%19.5%
Percentage of long-stay residents who received an antipsychotic medication3 pts better12.9%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 worsened34 pts worse51.0%17.0%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased6.3 pts worse22.1%15.8%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder2.6 pts worse4.5%1.9%0.7%
Percentage of long-stay residents with a urinary tract infection1.5 pts better1.2%2.7%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence9.5 pts worse33.1%23.6%18.3%
Percentage of long-stay residents with pressure ulcers2 pts worse6.9%4.9%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine5.8 pts worse81.1%86.9%82.3%
Percentage of short-stay residents who newly received an antipsychotic medication4.6 pts worse5.8%1.2%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine11.2 pts worse71.0%82.2%80.1%

·

Who owns and runs it

36 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, TroyCorporate Director · Individual0%56 facilities
Baumann, TroyOperational/Managerial Control · Individual0%56 facilities
Baumann, TroyAdp Of The SNF · Individual0%56 facilities
Beine, AndrewOperational/Managerial Control · Individual0%2 facilities
Beine, AndrewAdp Of The SNF · Individual0%2 facilities
Belongia, ChristinaOperational/Managerial Control · Individual0%45 facilities
Belongia, ChristinaAdp Of The SNF · Individual0%45 facilities
Cibc Bank Usa5% Or Greater Security Interest · Organization0%208 facilities
Cibc Bank UsaOperational/Managerial Control · Organization0%208 facilities
CliftonlarsonallenOperational/Managerial Control · Organization0%124 facilities
CliftonlarsonallenAdp Of The SNF · Organization0%124 facilities
Continuum Therapy Partners LLCOperational/Managerial Control · Organization0%45 facilities
Continuum Therapy Partners LLCAdp Of The SNF · Organization0%45 facilities
Gee, DarrenOperational/Managerial Control · Individual0%45 facilities
Gee, DarrenAdp Of The SNF · Individual0%45 facilities
Greer, LaurenOperational/Managerial Control · Individual0%46 facilities
Greer, LaurenAdp Of The SNF · Individual0%46 facilities
Hoehn, JeffreyCorporate Director · Individual0%57 facilities
Hoehn, JeffreyOperational/Managerial Control · Individual0%57 facilities
Hoehn, JeffreyAdp Of The SNF · Individual0%57 facilities
North Shore Healthcare LLCOperational/Managerial Control · Organization0%55 facilities
North Shore Healthcare LLCAdp Of The SNF · Organization0%55 facilities
Nsh Rehab LLCOperational/Managerial Control · Organization0%43 facilities
Nsh Rehab LLCAdp Of The SNF · Organization0%43 facilities
Nshf Wisconsin LLCAdp Of The SNF · Organization0%12 facilities
Patzer, ColleenOperational/Managerial Control · Individual0%45 facilities
Patzer, ColleenAdp Of The SNF · Individual0%45 facilities
Purtell, BrianOperational/Managerial Control · Individual0%46 facilities
Purtell, BrianAdp Of The SNF · Individual0%46 facilities
Streu, AshleyOperational/Managerial Control · Individual0%1 facilities
Streu, AshleyAdp Of The SNF · Individual0%1 facilities
Willowdale Property Holdings, LLCAdp Of The SNF · Organization0%1 facilities
Wipfli LlpOperational/Managerial Control · Organization0%102 facilities
Wipfli LlpAdp Of The SNF · Organization0%102 facilities

·

Fire safety

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

Smoke8F
  1. F

    Inspect, test, and maintain automatic sprinkler systems.

    February 11, 2026 · K353 · Corrected March 24, 2026

  2. E

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

    February 11, 2026 · K341 · Corrected March 10, 2026

  3. E

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

    February 11, 2026 · K372 · Corrected March 10, 2026

  4. F

    Have an enclosure around a vertical opening shaft.

    October 2, 2024 · K311 · Corrected November 2, 2024

  5. F

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

    October 2, 2024 · K345 · Corrected November 2, 2024

  6. E

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

    October 2, 2024 · K372 · Corrected November 2, 2024

  7. F

    Install an approved automatic sprinkler system.

    November 8, 2023 · K351 · Corrected December 8, 2023

  8. D

    Properly provide smoke detection systems in areas open to corridors.

    November 8, 2023 · K347 · Corrected December 8, 2023

Emergency Preparedness4F
  1. F

    Establish policies and procedures including evacuation.

    October 2, 2024 · E20 · Corrected November 2, 2024

  2. F

    Provide emergency officials' contact information.

    October 2, 2024 · E31 · Corrected November 2, 2024

  3. F

    Provide family notifications of emergency plan.

    October 2, 2024 · E35 · Corrected November 2, 2024

  4. F

    Conduct testing and exercise requirements.

    October 2, 2024 · E39 · Corrected November 2, 2024

Miscellaneous3F
  1. F

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

    October 2, 2024 · K761 · Corrected November 2, 2024

  2. E

    Have restrictions on the use of portable space heaters.

    November 8, 2023 · K781 · Corrected December 8, 2023

  3. D

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

    November 8, 2023 · K741 · Corrected December 8, 2023

Gas, Vacuum, and Electrical Systems3F
  1. F

    Meet requirements for the installation and maintenance of electrical systems.

    November 8, 2023 · K911 · Corrected December 8, 2023

  2. D

    Have proper medical gas storage and administration areas.

    November 8, 2023 · K923 · Corrected December 8, 2023

  3. C

    Have generator or other power source capable of supplying service within 10 seconds.

    November 8, 2023 · K918 · Corrected December 8, 2023

Egress1E
  1. E

    Have properly located and lighted "Exit" signs.

    February 11, 2026 · K293 · Corrected March 10, 2026

Services1E
  1. E

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

    October 2, 2024 · K521 · Corrected November 2, 2024

·

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