nursing home in Delavan, WI
Delavan Health Services
905 E Geneva St, Delavan, WI 53115 · (262) 728-6319
★★★★★4
Above average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★4
- Staffing★★★★★4
- Quality measures★★★★★4
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Delavan Health Services at a glance
Delavan Health Services is a 50-bed for-profit nursing home in Delavan, Wisconsin (Walworth County).
CMS gives it 4 out of 5 stars on its overall star rating, better than the Wisconsin average of 3.
Residents receive about 3.2 hours of nursing care per day (1.1 of them from registered nurses), worse than the state average of 4.2 hours.
Its most recent standard health inspection (December 19, 2024) found 1 health citation. The Wisconsin average is 9.5.
It has not received a federal fine in the past three years.
Nursing staff turnover is 34.2% per year (state average 46.9%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 50
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- North Shore Healthcare
- Medicare-certified since
- November 1, 1982
- Resident/family council
- Resident
- County
- Walworth County
- CMS Certification Number
- 525324
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) | 4 / 5 | 3 / 5 | 3.6 / 5 | Average |
| Long-stay quality rating (higher is better) | 5 / 5 | 3.1 / 5 | 3.8 / 5 | Better |
| Short-stay (rehab) quality rating (higher is better) | 3 / 5 | 3.1 / 5 | 3.3 / 5 | Average |
Staffing
| Measure | This facility | Wisconsin avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.21 hrs | 4.21 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 1.15 hrs | 0.99 hrs | 0.69 hrs | Better |
| Nurse aide hours per resident per day (higher is better) | 1.73 hrs | 2.58 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.88 hrs | 3.77 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 34.2% | 46.9% | 45.8% | Better |
| Registered nurse turnover (yearly) (lower is better) | 33.3% | 39.7% | 42.9% | Better |
| Administrators who left in the past year (lower is better) | 0 | 1 | 1 | Better |
Inspections
| Measure | This facility | Wisconsin avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 1 | 9 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 4 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 16 | 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) | 0 | 1 | 1 | Better |
| Total fines in the past 3 years (lower is better) | $0 | $48,150 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
Size
| Measure | This facility | Wisconsin avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 50 | 77 | 107 | |
| Average residents per day | 42 | 55 | 86 | |
| Occupancy | 83.2% | 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) | 5.1% | 3.3% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 2.9% | 5% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 13.9% | 15.8% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 1.5% | 2.7% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 2.1% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 8.7% | 16.1% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 22.2% | 18.4% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 5% | 5.1% | 5.2% | Average |
| Long-stay residents with depressive symptoms (lower is better) | 6% | 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) | 10.6% | 16.9% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 21.3% | 24.6% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 95% | 95.5% | Average |
| 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) | 100% | 82.2% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 71.9% | 86.5% | 82% | Worse |
Inspection citations
State inspectors cited this home for 12 health deficiencies and 37 fire safety deficiencies in the inspection records CMS currently publishes. 1 citation involved actual harm.
| Date | Citation | Severity | Status |
|---|---|---|---|
| December 19, 2024 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 January 17, 2025 |
| December 19, 2024 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected January 17, 2025 |
| December 19, 2024 Fire safety | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Tag K0761 | E Potential harm, pattern | Corrected January 17, 2025 |
| December 19, 2024 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | E Potential harm, pattern | Corrected January 17, 2025 |
| December 19, 2024 Fire safety | Have correct number of accessible exits for each story. Egress Deficiencies · Tag K0241 | D Potential harm, isolated | Corrected January 17, 2025 |
| December 19, 2024 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | D Potential harm, isolated | Corrected January 17, 2025 |
| December 19, 2024 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | D Potential harm, isolated | Corrected January 17, 2025 |
| December 19, 2024 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | C No harm, widespread | Corrected January 17, 2025 |
| December 19, 2024 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | F Potential harm, widespread | Corrected January 17, 2025 |
| August 19, 2024 Complaint | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | D Potential harm, isolated | Corrected September 11, 2024 |
| September 27, 2023 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected October 25, 2023 |
| September 27, 2023 Fire safety | Conduct risk assessment and an All-Hazards approach. Emergency Preparedness Deficiencies · Tag E0006 | F Potential harm, widespread | Corrected October 25, 2023 |
| September 27, 2023 Fire safety | Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Egress Deficiencies · Tag K0223 | F Potential harm, widespread | Corrected October 25, 2023 |
| September 27, 2023 Fire safety | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Tag K0291 | F Potential harm, widespread | Corrected October 25, 2023 |
| September 27, 2023 Fire safety | Follow proper procedures when the fire alarm was out of service for more than 4 hours. Smoke Deficiencies · Tag K0346 | F Potential harm, widespread | Corrected October 25, 2023 |
| September 27, 2023 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected October 25, 2023 |
| September 27, 2023 Fire safety | Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Smoke Deficiencies · Tag K0354 | F Potential harm, widespread | Corrected October 25, 2023 |
| September 27, 2023 Fire safety | Provide a written emergency evacuation plan. Miscellaneous Deficiencies · Tag K0711 | F Potential harm, widespread | Corrected October 25, 2023 |
| September 27, 2023 Fire safety | Have restrictions on the use of highly flammable decorations. Miscellaneous Deficiencies · Tag K0753 | F Potential harm, widespread | Corrected October 25, 2023 |
| September 27, 2023 Fire safety | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Tag K0761 | F Potential harm, widespread | Corrected October 26, 2023 |
| September 27, 2023 Fire safety | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0914 | F Potential harm, widespread | Corrected October 26, 2023 |
| September 27, 2023 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 October 26, 2023 |
| September 27, 2023 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | E Potential harm, pattern | Corrected October 25, 2023 |
| September 27, 2023 Fire safety | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Tag K0222 | E Potential harm, pattern | Corrected October 25, 2023 |
| September 27, 2023 Fire safety | Have correct number of accessible exits for each story. Egress Deficiencies · Tag K0241 | E Potential harm, pattern | Corrected October 25, 2023 |
| September 27, 2023 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 | E Potential harm, pattern | Corrected October 25, 2023 |
| September 27, 2023 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | E Potential harm, pattern | Corrected October 25, 2023 |
| September 27, 2023 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | E Potential harm, pattern | Corrected October 25, 2023 |
| September 27, 2023 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 October 25, 2023 |
| September 27, 2023 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 October 25, 2023 |
| September 27, 2023 Standard | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | D Potential harm, isolated | Corrected October 25, 2023 |
| June 15, 2022 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected July 13, 2022 |
| June 15, 2022 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected July 13, 2022 |
| June 15, 2022 Fire safety | Follow proper procedures when the fire alarm was out of service for more than 4 hours. Smoke Deficiencies · Tag K0346 | F Potential harm, widespread | Corrected July 13, 2022 |
| June 15, 2022 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 July 13, 2022 |
| June 15, 2022 Fire safety | Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Smoke Deficiencies · Tag K0354 | F Potential harm, widespread | Corrected July 13, 2022 |
| June 15, 2022 Fire safety | Install proper backup exit lighting. Egress Deficiencies · Tag K0281 | E Potential harm, pattern | Corrected July 13, 2022 |
| June 15, 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 July 13, 2022 |
| June 15, 2022 Fire safety | Have correct number of accessible exits for each story. Egress Deficiencies · Tag K0241 | D Potential harm, isolated | Corrected July 13, 2022 |
| June 15, 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 July 13, 2022 |
| June 15, 2022 Fire safety | Install an approved automatic sprinkler system. Smoke Deficiencies · Tag K0351 | C No harm, widespread | Corrected July 13, 2022 |
| June 15, 2022 Fire safety | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0914 | C No harm, widespread | Corrected July 13, 2022 |
| June 15, 2022 Standard | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | G Actual harm, isolated | Corrected July 13, 2022 |
| June 15, 2022 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected July 13, 2022 |
| June 15, 2022 Standard | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Tag F0558 | D Potential harm, isolated | Corrected July 13, 2022 |
| June 15, 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 July 13, 2022 |
| June 15, 2022 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 July 13, 2022 |
| June 15, 2022 Standard | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Tag F0690 | D Potential harm, isolated | Corrected July 13, 2022 |
| June 15, 2022 Standard | 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. Administration Deficiencies · Tag F0838 | C No harm, widespread | Corrected July 13, 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 no federal fines or payment denials in the past three years.
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 |
| CANDA, ALEX Individual | adp of the snf | NOT APPLICABLE | 02/01/2023 |
| 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 |
| HOEHN, JEFFREY Individual | adp of the snf | NOT APPLICABLE | 10/01/2017 |
| HOLMSTROM, LAURA 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 | 05/09/2025 |
| 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 |
| WILLOWFIELD 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 |
| HOEHN, JEFFREY Individual | operational/managerial control | NOT APPLICABLE | 10/01/2017 |
| HOLMSTROM, LAURA 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 | 06/01/2018 |
| WIPFLI LLP Organization | operational/managerial control | NOT APPLICABLE | 02/01/2025 |
Other nursing homes near Delavan Health Services
Williams Bay Health Services
146 Clover St, Williams Bay, WI 53191 · 5.6 mi
For-profit · 50 beds · Part of North Shore Healthcare
★★★★★1Much below averageHolton Manor
645 N Church St, Elkhorn, WI 53121 · 5.8 mi
Non-profit · 60 beds · Part of Wisconsin Illinois Senior Housing, INC.
★★★★★2Below averageLakeland Health Care Ctr
1922 Cty Rd Nn, Elkhorn, WI 53121 · 6.1 mi
Government · 90 beds
- Abuse citation
★★★★★3AverageGeneva Lake Manor
211 S. Curtis St., Lake Geneva, WI 53147 · 11 mi
Non-profit · 60 beds · Part of Wisconsin Illinois Senior Housing, INC.
★★★★★1Much below average- ★★★★★4Above average
Alden Meadow Park Hcc
709 Meadow Park Dr., Clinton, WI 53525 · 12.7 mi
For-profit · 94 beds · Part of The Alden Network
★★★★★3Average
Frequently asked questions
What is Delavan Health Services's rating?
Delavan 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 Delavan Health Services receive?
Its most recent standard health inspection found 1 citation, compared with a Wisconsin average of 9.5. Every citation is listed on this page with its severity.
Does Delavan 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 Delavan Health Services?
It is for profit - limited liability company and part of North Shore Healthcare. The ownership section on this page lists the owners and managers reported to CMS.
Where is Delavan Health Services and how do I contact it?
Delavan Health Services is at 905 E Geneva St, Delavan, WI 53115. Phone: (262) 728-6319.
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.