nursing home in Lake Mills, WI
Lake Mills Health Services
901 Mulberry St, Lake Mills, WI 53551 · (920) 648-8344
★★★★★4
Above average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★4
- Staffing★★★★★4
- Quality measures★★★★★3
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Lake Mills Health Services at a glance
Lake Mills Health Services is a 50-bed for-profit nursing home in Lake Mills, Wisconsin (Jefferson County).
CMS gives it 4 out of 5 stars on its overall star rating, better than the Wisconsin average of 3.
Residents receive about 3.5 hours of nursing care per day (1.5 of them from registered nurses), worse than the state average of 4.2 hours.
Its most recent standard health inspection (March 26, 2025) found 3 health citations. The Wisconsin average is 9.5.
Federal regulators fined it 1 time in the past three years, totaling $120,900.
Nursing staff turnover is 37.9% per year (state average 46.9%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Corporation
- Beds
- 50
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- North Shore Healthcare
- Medicare-certified since
- July 14, 1981
- Resident/family council
- Resident
- County
- Jefferson County
- CMS Certification Number
- 525314
Ratings
| Measure | This facility | Wisconsin avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 4 / 5 | 3 / 5 | 3 / 5 | Better |
| Health inspection rating ⓘ (higher is better) | 4 / 5 | 2.8 / 5 | 2.8 / 5 | Better |
| Staffing rating ⓘ (higher is better) | 4 / 5 | 3.6 / 5 | 2.9 / 5 | Better |
| Quality measures rating ⓘ (higher is better) | 3 / 5 | 3 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 3 / 5 | 3.1 / 5 | 3.8 / 5 | Worse |
| Short-stay (rehab) quality rating (higher is better) | 4 / 5 | 3.1 / 5 | 3.3 / 5 | Better |
Staffing
| Measure | This facility | Wisconsin avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.54 hrs | 4.21 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 1.52 hrs | 0.99 hrs | 0.69 hrs | Better |
| Nurse aide hours per resident per day (higher is better) | 1.85 hrs | 2.58 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 3.32 hrs | 3.77 hrs | 3.42 hrs | Average |
| Nursing staff turnover (yearly) (lower is better) | 37.9% | 46.9% | 45.8% | Better |
| Registered nurse turnover (yearly) (lower is better) | 30.8% | 39.7% | 42.9% | Better |
| Administrators who left in the past year (lower is better) | 1 | 1 | 1 | Worse |
Inspections
| Measure | This facility | Wisconsin avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 3 | 9 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 4 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 37.8 | 100.3 | 80.6 | Better |
Penalties
| Measure | This facility | Wisconsin avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 1 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $120,900 | $48,150 | $30,972 | Worse |
| All federal penalties in the past 3 years (lower is better) | 1 | 1 | 1 | Average |
Size
| Measure | This facility | Wisconsin avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 50 | 77 | 107 | |
| Average residents per day | 28 | 55 | 86 | |
| Occupancy | 56.6% | 74% | 80.9% |
Long-stay residents
| Measure | This facility | Wisconsin avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 0% | 3.3% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 9.1% | 5% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 16% | 15.8% | 15.4% | Average |
| Long-stay residents with a urinary tract infection (lower is better) | 0% | 2.7% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0.6% | 2.1% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 15.9% | 16.1% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 15.7% | 18.4% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 10% | 5.1% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 2.4% | 5.7% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.1% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 31.5% | 16.9% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 17.6% | 24.6% | 19% | Better |
| Long-stay residents given a pneumonia vaccine (higher is better) | 90.6% | 95.7% | 93.6% | Average |
Short-stay residents
| Measure | This facility | Wisconsin avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0% | 1.2% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 76% | 82.2% | 79.8% | Average |
| Short-stay residents given a pneumonia vaccine (higher is better) | 84.7% | 86.5% | 82% | Average |
Inspection citations
State inspectors cited this home for 18 health deficiencies and 29 fire safety deficiencies in the inspection records CMS currently publishes. 1 citation involved actual harm, including 1 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| July 3, 2025 Complaint | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | J Immediate jeopardy, isolated | Corrected July 29, 2025 |
| July 3, 2025 Complaint | Provide behavior health training consistent with the requirements and as determined by a facility assessment. Administration Deficiencies · Tag F0949 | F Potential harm, widespread | Corrected July 29, 2025 |
| July 3, 2025 Complaint | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · Tag F0628 | D Potential harm, isolated | Corrected July 29, 2025 |
| July 3, 2025 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected July 29, 2025 |
| March 26, 2025 Fire safety | Provide emergency officials' contact information. Emergency Preparedness Deficiencies · Tag E0031 | F Potential harm, widespread | Corrected April 10, 2025 |
| March 26, 2025 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected April 16, 2025 |
| March 26, 2025 Fire safety | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Tag K0761 | F Potential harm, widespread | Corrected April 15, 2025 |
| March 26, 2025 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected March 31, 2025 |
| March 26, 2025 Fire safety | Develop Emergency Preparedness policies and procedures. Emergency Preparedness Deficiencies · Tag E0013 | F Potential harm, widespread | Corrected April 10, 2025 |
| March 26, 2025 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | E Potential harm, pattern | Corrected April 14, 2025 |
| March 26, 2025 Fire safety | Properly provide smoke detection systems in areas open to corridors. Smoke Deficiencies · Tag K0347 | E Potential harm, pattern | Corrected August 1, 2025 |
| March 26, 2025 Fire safety | Install proper backup exit lighting. Egress Deficiencies · Tag K0281 | E Potential harm, pattern | Corrected April 15, 2025 |
| March 26, 2025 Fire safety | Have restrictions on the use of highly flammable decorations. Miscellaneous Deficiencies · Tag K0753 | D Potential harm, isolated | Corrected April 9, 2025 |
| March 26, 2025 Fire safety | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Tag K0741 | D Potential harm, isolated | Corrected April 16, 2025 |
| March 26, 2025 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | D Potential harm, isolated | Corrected April 9, 2025 |
| March 26, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected April 14, 2025 |
| March 26, 2025 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected April 14, 2025 |
| March 26, 2025 Standard | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. Administration Deficiencies · Tag F0851 | C No harm, widespread | Corrected April 14, 2025 |
| February 8, 2024 Fire safety | Have restrictions on the use of highly flammable decorations. Miscellaneous Deficiencies · Tag K0753 | F Potential harm, widespread | Corrected March 21, 2024 |
| February 8, 2024 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected March 21, 2024 |
| February 8, 2024 Fire safety | Meet requirements for sections of health care facilities separated by fire resistive construction. Construction Deficiencies · Tag K0131 | F Potential harm, widespread | Corrected March 21, 2024 |
| February 8, 2024 Fire safety | Develop Emergency Preparedness policies and procedures. Emergency Preparedness Deficiencies · Tag E0013 | F Potential harm, widespread | Corrected March 21, 2024 |
| February 8, 2024 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | E Potential harm, pattern | Corrected March 26, 2024 |
| February 8, 2024 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | E Potential harm, pattern | Corrected March 21, 2024 |
| February 8, 2024 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | E Potential harm, pattern | Corrected March 21, 2024 |
| February 8, 2024 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | E Potential harm, pattern | Corrected March 21, 2024 |
| February 8, 2024 Fire safety | Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. Smoke Deficiencies · Tag K0362 | D Potential harm, isolated | Corrected March 21, 2024 |
| February 8, 2024 Standard | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. Infection Control Deficiencies · Tag F0882 | E Potential harm, pattern | Corrected March 8, 2024 |
| February 8, 2024 Standard | 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. Pharmacy Service Deficiencies · Tag F0758 | D Potential harm, isolated | Corrected March 8, 2024 |
| February 8, 2024 Standard | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | D Potential harm, isolated | Corrected March 8, 2024 |
| October 10, 2023 Complaint | Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. Resident Rights Deficiencies · Tag F0563 | D Potential harm, isolated | Corrected November 9, 2023 |
| October 10, 2023 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected November 9, 2023 |
| October 10, 2023 Complaint | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected November 9, 2023 |
| October 17, 2022 Fire safety | Develop Emergency Preparedness policies and procedures. Emergency Preparedness Deficiencies · Tag E0013 | L Immediate jeopardy, widespread | Corrected October 21, 2022 |
| October 17, 2022 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected November 16, 2022 |
| October 17, 2022 Fire safety | Have properly located and lighted "Exit" signs. Egress Deficiencies · Tag K0293 | E Potential harm, pattern | Corrected November 11, 2022 |
| October 17, 2022 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | E Potential harm, pattern | Corrected November 11, 2022 |
| October 17, 2022 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | E Potential harm, pattern | Corrected November 11, 2022 |
| October 17, 2022 Fire safety | Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. Smoke Deficiencies · Tag K0343 | E Potential harm, pattern | Corrected November 15, 2022 |
| October 17, 2022 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | D Potential harm, isolated | Corrected November 10, 2022 |
| October 17, 2022 Fire safety | Meet requirements for the installation and maintenance of electrical systems. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0911 | D Potential harm, isolated | Corrected November 11, 2022 |
| October 17, 2022 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | D Potential harm, isolated | Corrected November 11, 2022 |
| October 17, 2022 Standard | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | D Potential harm, isolated | Corrected November 11, 2022 |
| October 17, 2022 Standard | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Tag F0679 | D Potential harm, isolated | Corrected November 11, 2022 |
| October 17, 2022 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected November 11, 2022 |
| October 17, 2022 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected November 11, 2022 |
| October 17, 2022 Standard | Give residents a notice of rights, rules, services and charges. Resident Rights Deficiencies · Tag F0572 | C No harm, widespread | Corrected November 11, 2022 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 1 federal penalty in the past three years, including $120,900 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| July 3, 2025 | Fine | $120,900 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| NSHF OPERATIONS LLC Organization | 5% or greater direct ownership interest | 100% | 07/24/2017 |
| MILLS, DAVID Individual | 5% or greater indirect ownership interest | 20% | 06/29/2017 |
| CIBC BANK USA Organization | 5% or greater security interest | NOT APPLICABLE | 12/31/2024 |
| BAUMANN, TROY Individual | adp of the snf | NOT APPLICABLE | 10/01/2017 |
| BELONGIA, CHRISTINA Individual | adp of the snf | NOT APPLICABLE | 11/01/2019 |
| CLIFTONLARSONALLEN LLP Organization | adp of the snf | NOT APPLICABLE | 04/15/2025 |
| CONTINUUM THERAPY PARTNERS LLC Organization | adp of the snf | NOT APPLICABLE | 04/15/2025 |
| GEE, DARREN Individual | adp of the snf | NOT APPLICABLE | 11/30/2021 |
| GREER, LAUREN Individual | adp of the snf | NOT APPLICABLE | 11/29/2023 |
| HAMM, CARA Individual | adp of the snf | NOT APPLICABLE | 05/04/2026 |
| HOEHN, JEFFREY Individual | adp of the snf | NOT APPLICABLE | 10/01/2017 |
| NORTH SHORE HEALTHCARE LLC Organization | adp of the snf | NOT APPLICABLE | 04/15/2025 |
| NSHF WISCONSIN LLC Organization | adp of the snf | NOT APPLICABLE | 05/12/2025 |
| NSH REHAB LLC Organization | adp of the snf | NOT APPLICABLE | 06/11/2025 |
| PATZER, COLLEEN Individual | adp of the snf | NOT APPLICABLE | 02/14/2023 |
| PURTELL, BRIAN Individual | adp of the snf | NOT APPLICABLE | 06/01/2018 |
| SIDHU, SARFRAZ Individual | adp of the snf | NOT APPLICABLE | 02/01/2023 |
| WILLOWBROOK PROPERTY HOLDINGS, LLC Organization | adp of the snf | NOT APPLICABLE | 05/01/2022 |
| WIPFLI LLP Organization | adp of the snf | NOT APPLICABLE | 04/15/2025 |
| BAUMANN, TROY Individual | corporate director | NOT APPLICABLE | 06/29/2017 |
| HOEHN, JEFFREY Individual | corporate director | NOT APPLICABLE | 06/29/2017 |
| BAUMANN, TROY Individual | operational/managerial control | NOT APPLICABLE | 10/01/2017 |
| BELONGIA, CHRISTINA Individual | operational/managerial control | NOT APPLICABLE | 11/01/2019 |
| CIBC BANK USA Organization | operational/managerial control | NOT APPLICABLE | 12/31/2024 |
| CLIFTONLARSONALLEN LLP Organization | operational/managerial control | NOT APPLICABLE | 05/22/2018 |
| CONTINUUM THERAPY PARTNERS LLC Organization | operational/managerial control | NOT APPLICABLE | 03/01/2025 |
| GEE, DARREN Individual | operational/managerial control | NOT APPLICABLE | 11/30/2021 |
| GREER, LAUREN Individual | operational/managerial control | NOT APPLICABLE | 11/29/2023 |
| HAMM, CARA Individual | operational/managerial control | NOT APPLICABLE | 05/04/2026 |
| HOEHN, JEFFREY Individual | operational/managerial control | NOT APPLICABLE | 10/01/2017 |
| NORTH SHORE HEALTHCARE LLC Organization | operational/managerial control | NOT APPLICABLE | 10/01/2017 |
| NSH REHAB LLC Organization | operational/managerial control | NOT APPLICABLE | 03/01/2025 |
| PATZER, COLLEEN Individual | operational/managerial control | NOT APPLICABLE | 02/14/2023 |
| PURTELL, BRIAN Individual | operational/managerial control | NOT APPLICABLE | 06/18/2018 |
| SIDHU, SARFRAZ Individual | operational/managerial control | NOT APPLICABLE | 02/01/2023 |
| WIPFLI LLP Organization | operational/managerial control | NOT APPLICABLE | 02/01/2025 |
Other nursing homes near Lake Mills Health Services
Alden Estates of Countryside, INC
1130 Collins Road, Jefferson, WI 53549 · 7.5 mi
For-profit · 120 beds · Part of The Alden Network
★★★★★1Much below averageRock River Nursing & Rehab
430 Wilcox St, Fort Atkinson, WI 53538 · 11.1 mi
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★★★★★1Much below averageMarquardt Memorial Manor
1020 Hill St., Watertown, WI 53098 · 12.7 mi
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★★★★★2Below averageWatertown Health Care Center
121 Hospital Dr., Watertown, WI 53098 · 12.9 mi
For-profit · 112 beds · Part of Bedrock Healthcare
- Special Focus candidate
★★★★★1Much below averageSun Prairie Senior Living
228 W. Main St., Sun Prairie, WI 53590 · 17.2 mi
For-profit · 52 beds · Part of Trilogy Health Services
★★★★★3AverageAvina of Sun Prairie
41 Rickel Rd., Sun Prairie, WI 53590 · 18.2 mi
For-profit · 50 beds · Part of Avina Healthcare
★★★★★5Much above average
Frequently asked questions
What is Lake Mills Health Services's rating?
Lake Mills Health Services has 4 out of 5 stars on the CMS overall star rating. The average for Wisconsin nursing homes is 3 stars.
How many inspection citations did Lake Mills Health Services receive?
Its most recent standard health inspection found 3 citations, compared with a Wisconsin average of 9.5. Every citation is listed on this page with its severity.
Does Lake Mills Health Services accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Lake Mills Health Services?
It is for profit - corporation and part of North Shore Healthcare. The ownership section on this page lists the owners and managers reported to CMS.
Where is Lake Mills Health Services and how do I contact it?
Lake Mills Health Services is at 901 Mulberry St, Lake Mills, WI 53551. Phone: (920) 648-8344.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.