SHOREHAVEN HLTH & REHAB CTR

1305 W WISCONSIN AVE
OCONOMOWOC, WI, 53066
2625678341
CCN: 525560
5
Overall
4
Health
5
Staffing
4
Quality
Special FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
Ownership
NameRole%
O'MALLEY, MARYCORPORATE DIRECTORNOT APPLICABLE
SOKOP, MARYCORPORATE DIRECTORNOT APPLICABLE
MILLER, MARYCORPORATE DIRECTORNOT APPLICABLE
RATZEL, MARY LEECORPORATE DIRECTORNOT APPLICABLE
BORAY, JOHATHANCORPORATE DIRECTORNOT APPLICABLE
BOYER-RUAN, BETHCORPORATE DIRECTORNOT APPLICABLE
BUSCEMI, ALFONSOCORPORATE DIRECTORNOT APPLICABLE
LAMMERS, JOELCORPORATE DIRECTORNOT APPLICABLE
LENTZ, WILLIAMCORPORATE DIRECTORNOT APPLICABLE
MAYER, ROGERCORPORATE DIRECTORNOT APPLICABLE
BERGIN, SCOTTCORPORATE OFFICERNOT APPLICABLE
HOLLAND, PHILIPCORPORATE OFFICERNOT APPLICABLE
COOPER, WILLIAMOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
DAHLKE, DALEOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
KARLS, EMILYOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
POLINSKE, BRYANOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
BERGIN, SCOTTW-2 MANAGING EMPLOYEENOT APPLICABLE
Penalties (1)
DateTypeAmount
2024-06-25Payment Denial13 days
Health Deficiencies (8)
2025-06-11 · 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
F695 · Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
D
F628 · Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
2024-06-25 · 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.
2024-02-22 · Health
E
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.
2022-11-14 · Health
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.
G
F686 · Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
F644 · Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day
5.04
3.68
RN Hrs/Resident/Day
1.17
0.54
LPN Hrs/Resident/Day
0.73
0.81
CNA Hrs/Resident/Day
3.15
2.33
PT Hrs/Resident/Day
0.05
0.12
Data as of 2026-03-01