nursing home in Cedarburg, WI
Cedarburg Health Services
N27 W5707 Lincoln Blvd, Cedarburg, WI 53012 · (262) 376-7676
★★★★★3
Average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★4
- Staffing★★★★★4
- Quality measures★★★★★1
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Cedarburg Health Services at a glance
Cedarburg Health Services is a 50-bed for-profit nursing home in Cedarburg, Wisconsin (Ozaukee County).
CMS gives it 3 out of 5 stars on its overall star rating, close to the Wisconsin average of 3.
Residents receive about 4.3 hours of nursing care per day (0.9 of them from registered nurses), close to the state average of 4.2 hours.
Its most recent standard health inspection (April 29, 2026) found 4 health citations. The Wisconsin average is 9.5.
It has not received a federal fine in the past three years.
Nursing staff turnover is 55.6% 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 27, 1995
- Resident/family council
- Resident
- County
- Ozaukee County
- CMS Certification Number
- 525578
Ratings
| Measure | This facility | Wisconsin avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 3 / 5 | 3 / 5 | 3 / 5 | Average |
| 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) | 1 / 5 | 3 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 1 / 5 | 3.1 / 5 | 3.8 / 5 | Worse |
| Short-stay (rehab) quality rating (higher is better) | 1 / 5 | 3.1 / 5 | 3.3 / 5 | Worse |
Staffing
| Measure | This facility | Wisconsin avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 4.32 hrs | 4.21 hrs | 3.86 hrs | Better |
| Registered nurse hours per resident per day (higher is better) | 0.91 hrs | 0.99 hrs | 0.69 hrs | Better |
| Nurse aide hours per resident per day (higher is better) | 2.54 hrs | 2.58 hrs | 2.32 hrs | Better |
| Weekend nurse staff hours per resident per day (higher is better) | 3.96 hrs | 3.77 hrs | 3.42 hrs | Better |
| Nursing staff turnover (yearly) (lower is better) | 55.6% | 46.9% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 73.3% | 39.7% | 42.9% | Worse |
| 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) | 4 | 9 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 4 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 27 | 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 | 45 | 55 | 86 | |
| Occupancy | 90.2% | 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) | 3.8% | 3.3% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 8.1% | 5% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 27.5% | 15.8% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 7.6% | 2.7% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 3.2% | 2.1% | 0.8% | Worse |
| Long-stay residents needing more help with daily activities (lower is better) | 22.6% | 16.1% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 33.4% | 18.4% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 4.4% | 5.1% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 0% | 5.7% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 10.6% | 0.1% | 0.1% | Worse |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 14.4% | 16.9% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 30.4% | 24.6% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 95.6% | 95% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 95.6% | 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) | 2.2% | 1.2% | 1.6% | Worse |
| Short-stay residents given a flu vaccine (higher is better) | 62.7% | 82.2% | 79.8% | Worse |
| Short-stay residents given a pneumonia vaccine (higher is better) | 82.8% | 86.5% | 82% | Average |
Inspection citations
State inspectors cited this home for 23 health deficiencies and 13 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.
| Date | Citation | Severity | Status |
|---|---|---|---|
| April 29, 2026 Fire safety | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Tag K0374 | E Potential harm, pattern | Corrected May 22, 2026 |
| April 29, 2026 Fire safety | Install a fire alarm system that can be heard throughout the facility. Smoke Deficiencies · Tag K0341 | E Potential harm, pattern | Corrected May 22, 2026 |
| April 29, 2026 Standard | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Tag F0883 | D Potential harm, isolated | Corrected May 22, 2026 |
| April 29, 2026 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 May 22, 2026 |
| April 29, 2026 Standard | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0604 | D Potential harm, isolated | Corrected May 22, 2026 |
| April 29, 2026 Standard | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected May 22, 2026 |
| January 23, 2025 Fire safety | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Tag K0761 | F Potential harm, widespread | Corrected January 28, 2025 |
| January 23, 2025 Fire safety | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Tag E0039 | F Potential harm, widespread | Corrected February 14, 2025 |
| January 23, 2025 Fire safety | Establish policies and procedures including evacuation. Emergency Preparedness Deficiencies · Tag E0020 | F Potential harm, widespread | Corrected February 17, 2025 |
| January 23, 2025 Fire safety | Provide rooms that can be unlocked from inside without a key. Egress Deficiencies · Tag K0221 | E Potential harm, pattern | Corrected January 24, 2025 |
| January 23, 2025 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | E Potential harm, pattern | Corrected January 28, 2025 |
| January 23, 2025 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 January 30, 2025 |
| January 23, 2025 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | E Potential harm, pattern | Corrected February 5, 2025 |
| January 23, 2025 Standard | 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 February 19, 2025 |
| January 23, 2025 Standard | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | D Potential harm, isolated | Corrected February 19, 2025 |
| January 23, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected February 19, 2025 |
| January 23, 2025 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected February 19, 2025 |
| January 23, 2025 Standard | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | D Potential harm, isolated | Corrected February 19, 2025 |
| January 23, 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 February 19, 2025 |
| October 4, 2024 Complaint | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Tag F0558 | D Potential harm, isolated | Corrected October 25, 2024 |
| October 4, 2024 Complaint | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Resident Rights Deficiencies · Tag F0585 | D Potential harm, isolated | Corrected October 25, 2024 |
| April 4, 2024 Complaint | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Tag F0692 | E Potential harm, pattern | Corrected April 30, 2024 |
| April 4, 2024 Complaint | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607 | D Potential harm, isolated | Corrected April 30, 2024 |
| April 4, 2024 Complaint | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | D Potential harm, isolated | Corrected April 30, 2024 |
| November 29, 2023 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | F Potential harm, widespread | Corrected December 29, 2023 |
| November 29, 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 December 29, 2023 |
| November 29, 2023 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 December 29, 2023 |
| November 29, 2023 Fire safety | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923 | D Potential harm, isolated | Corrected December 29, 2023 |
| November 29, 2023 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 December 29, 2023 |
| November 29, 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 December 29, 2023 |
| November 29, 2023 Standard | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Resident Rights Deficiencies · Tag F0578 | D Potential harm, isolated | Corrected December 29, 2023 |
| November 29, 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 December 29, 2023 |
| November 29, 2023 Standard | Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · Tag F0554 | D Potential harm, isolated | Corrected December 29, 2023 |
| November 29, 2023 Standard | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0698 | D Potential harm, isolated | Corrected December 29, 2023 |
| November 7, 2023 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected December 5, 2023 |
| November 7, 2023 Complaint | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | D Potential harm, isolated | Corrected December 5, 2023 |
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 |
| NORTH SHORE HEALTHCARE LLC Organization | operational/managerial control | NOT APPLICABLE | 10/01/2017 |
| HOEHN, JEFFREY Individual | w-2 managing employee | NOT APPLICABLE | 10/01/2017 |
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Frequently asked questions
What is Cedarburg Health Services's rating?
Cedarburg Health Services has 3 out of 5 stars on the CMS overall star rating. The average for Wisconsin nursing homes is 3 stars.
How many inspection citations did Cedarburg Health Services receive?
Its most recent standard health inspection found 4 citations, compared with a Wisconsin average of 9.5. Every citation is listed on this page with its severity.
Does Cedarburg 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 Cedarburg 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 Cedarburg Health Services and how do I contact it?
Cedarburg Health Services is at N27 W5707 Lincoln Blvd, Cedarburg, WI 53012. Phone: (262) 376-7676.
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.