LAKE MILLS HEALTH SERVICES

901 MULBERRY ST
LAKE MILLS, WI, 53551
9206488344
CCN: 525314
2
Overall
2
Health
4
Staffing
3
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%
HOEHN, JEFFREYCORPORATE DIRECTORNOT APPLICABLE
BAUMANN, TROYCORPORATE DIRECTORNOT APPLICABLE
NORTH SHORE HEALTHCARE LLCOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
BAUMANN, TROYW-2 MANAGING EMPLOYEENOT APPLICABLE
Health Deficiencies (18)
2025-07-03 · Health
F
F949 · Administration Deficiencies
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
J
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.
D
F628 · Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
2025-03-26 · Health
D
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
C
F851 · Administration Deficiencies
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
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.
2024-02-08 · Health
E
F882 · Infection Control Deficiencies
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
D
F760 · Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
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.
2023-10-10 · Health
D
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
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
F563 · Resident Rights Deficiencies
Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.
2022-10-17 · Health
D
F695 · Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
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
F686 · Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
F679 · Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
C
F572 · Resident Rights Deficiencies
Give residents a notice of rights, rules, services and charges.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day
3.61
3.68
RN Hrs/Resident/Day
1.61
0.54
LPN Hrs/Resident/Day
0.22
0.81
CNA Hrs/Resident/Day
1.77
2.33
PT Hrs/Resident/Day
0.02
0.12
Data as of 2026-03-01