DELAVAN HEALTH SERVICES

905 E GENEVA ST
DELAVAN, WI, 53115
2627286319
CCN: 525324
5
Overall
4
Health
4
Staffing
5
Quality
ChainNORTH SHORE HEALTHCARE
Special FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
Ownership
NameRole%
NSHF OPERATIONS LLC5% OR GREATER DIRECT OWNERSHIP INTEREST100%
BAUMANN, TROY5% OR GREATER INDIRECT OWNERSHIP INTEREST40%
HOEHN, JEFFREY5% OR GREATER INDIRECT OWNERSHIP INTEREST40%
MILLS, DAVID5% OR GREATER INDIRECT OWNERSHIP INTEREST20%
CIBC BANK USA5% OR GREATER SECURITY INTERESTNOT APPLICABLE
HOEHN, JEFFREYCORPORATE DIRECTORNOT APPLICABLE
BAUMANN, TROYCORPORATE DIRECTORNOT APPLICABLE
NORTH SHORE HEALTHCARE LLCOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
NSH REHAB LLCOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
WIPFLI LLPOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
BAUMANN, TROYOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
BELONGIA, CHRISTINAOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
GEE, DARRENOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
GREER, LAURENOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
HOEHN, JEFFREYOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
HOLMSTROM, LAURAOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
PATZER, COLLEENOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
PURTELL, BRIANOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
CLIFTONLARSONALLEN LLPOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
CIBC BANK USAOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
CONTINUUM THERAPY PARTNERSOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Health Deficiencies (12)
2024-12-19 · Health
F
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
2024-08-19 · Health
D
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
2023-09-27 · Health
D
F759 · Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
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
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.
2022-06-15 · Health
E
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
C
F838 · Administration Deficiencies
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
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
F690 · Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
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.
G
F686 · Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
F558 · Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day
3.40
3.68
RN Hrs/Resident/Day
1.28
0.54
LPN Hrs/Resident/Day
0.26
0.81
CNA Hrs/Resident/Day
1.86
2.33
PT Hrs/Resident/Day
0.08
0.12
Data as of 2026-03-01