EVERGREEN HEALTH SERVICES

1250 EVERGREEN ST
SHAWANO, WI, 54166
7155263107
CCN: 525343
2
Overall
2
Health
3
Staffing
4
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
CIBC BANK USA5% OR GREATER MORTGAGE INTERESTNOT APPLICABLE
CIBC BANK USA5% OR GREATER SECURITY INTERESTNOT APPLICABLE
HOEHN, JEFFREYCORPORATE DIRECTORNOT APPLICABLE
BAUMANN, TROYCORPORATE DIRECTORNOT APPLICABLE
NSH REHAB LLCOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
WIPFLI LLPOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
BAUMANN, TROYOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
BELONGIA, CHRISTINAOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
CHERUKULA, MADHAVI REDDYOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
GEE, DARRENOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
GOSSEN, JENNIFEROPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
GREER, LAURENOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
HOEHN, JEFFREYOPERATIONAL/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
NORTH SHORE HEALTHCARE LLCOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Health Deficiencies (20)
2025-09-16 · Health
E
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
J
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.
E
F677 · Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
2025-08-20 · Health
D
F693 · Quality of Life and Care Deficiencies
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
2025-05-29 · Health
D
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
E
F809 · Nutrition and Dietary Deficiencies
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.
D
F755 · Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
F695 · Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
D
F684 · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
2025-03-19 · Health
G
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.
2024-08-07 · Health
D
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.
2024-05-22 · Health
D
F883 · Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
D
F849 · Administration Deficiencies
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
D
F757 · Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
D
F755 · Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
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.
2024-01-29 · Health
D
F686 · Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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.
2023-05-10 · Health
F
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
F757 · Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day
3.40
3.68
RN Hrs/Resident/Day
0.76
0.54
LPN Hrs/Resident/Day
0.78
0.81
CNA Hrs/Resident/Day
1.86
2.33
PT Hrs/Resident/Day
0.02
0.12
Data as of 2026-03-01