Birch Hill Health Services

1475 Birch Hill Lane
Shawano, WI, 54166
7155263161
CCN: 525412
2
Overall
3
Health
3
Staffing
1
Quality
ChainNORTH SHORE HEALTHCARE
Special FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
Ownership
NameRole%
NSHR OPERATIONS LLC5% OR GREATER DIRECT OWNERSHIP INTEREST100%
ARROWHEAD 123 LLC5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
THE LANE MORRELL BOWEN TRUST5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
BAUMANN, TROY5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
HOEHN, JEFFREY5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
MILLS, DAVID5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
HOEHN, JEFFREYCORPORATE DIRECTORNOT APPLICABLE
BAUMANN, TROYCORPORATE DIRECTORNOT APPLICABLE
HOEHN, JEFFREYOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
MILLS, DAVIDOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
NORTH SHORE HEALTHCARE LLCOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
BAUMANN, TROYOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Health Deficiencies (16)
2025-11-10 · Health
D
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
D
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
F580 · Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
2025-05-20 · Health
D
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
D
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
2024-09-25 · Health
D
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
E
F761 · Pharmacy Service Deficiencies
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.
D
F758 · Pharmacy Service Deficiencies
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.
D
F686 · Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
F684 · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
E
F657 · Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
D
F554 · Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
2023-08-30 · Health
F
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
D
F645 · Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
2022-09-22 · Health
D
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day
3.39
3.68
RN Hrs/Resident/Day
0.52
0.54
LPN Hrs/Resident/Day
0.70
0.81
CNA Hrs/Resident/Day
2.17
2.33
PT Hrs/Resident/Day
0.02
0.12
Data as of 2026-03-01