nursing home in Two Rivers, WI
Hamilton Health Services
1 Hamilton Dr, Two Rivers, WI 54241 · (920) 793-2261
CMS overall star rating
- Health inspections★★★★★4
- Staffing★★★★★3
- Quality measures★★★★★2
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Hamilton Health Services at a glance
Hamilton Health Services is a 125-bed for-profit nursing home in Two Rivers, Wisconsin (Manitowoc County).
CMS gives it 4 out of 5 stars on its overall star rating, better than the Wisconsin average of 3.
Residents receive about 4 hours of nursing care per day (1.2 of them from registered nurses), worse than the state average of 4.2 hours.
Its most recent standard health inspection (January 28, 2026) found 3 health citations. The Wisconsin average is 9.5.
It has not received a federal fine in the past three years.
Nursing staff turnover is 42.1% per year (state average 46.9%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Corporation
- Beds
- 125
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- North Shore Healthcare
- Medicare-certified since
- November 12, 2001
- Resident/family council
- Resident
- County
- Manitowoc County
- CMS Certification Number
- 525664
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) | 3 / 5 | 3.6 / 5 | 2.9 / 5 | Average |
| Quality measures rating ⓘ (higher is better) | 2 / 5 | 3 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 2 / 5 | 3.1 / 5 | 3.8 / 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) | 3.98 hrs | 4.21 hrs | 3.86 hrs | Average |
| Registered nurse hours per resident per day (higher is better) | 1.20 hrs | 0.99 hrs | 0.69 hrs | Better |
| Nurse aide hours per resident per day (higher is better) | 2.23 hrs | 2.58 hrs | 2.32 hrs | Average |
| Weekend nurse staff hours per resident per day (higher is better) | 3.60 hrs | 3.77 hrs | 3.42 hrs | Better |
| Nursing staff turnover (yearly) (lower is better) | 42.1% | 46.9% | 45.8% | Better |
| Registered nurse turnover (yearly) (lower is better) | 50% | 39.7% | 42.9% | Worse |
| 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) | 3 | 9 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 2 | 4 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 29 | 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 | 125 | 77 | 107 | |
| Average residents per day | 21 | 55 | 86 | |
| Occupancy | 16.8% | 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) | 8.2% | 5% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 24.5% | 15.8% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 5.9% | 2.7% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 3.5% | 2.1% | 0.8% | Worse |
| Long-stay residents needing more help with daily activities (lower is better) | 12.5% | 16.1% | 13.9% | Better |
| Long-stay residents who lose too much weight (lower is better) | 1.8% | 5.1% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 3.1% | 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) | 10.3% | 16.9% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 29.6% | 24.6% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 81% | 95% | 95.5% | Worse |
| Long-stay residents given a pneumonia vaccine (higher is better) | 95.7% | 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) | 47.6% | 82.2% | 79.8% | Worse |
| Short-stay residents given a pneumonia vaccine (higher is better) | 46.1% | 86.5% | 82% | Worse |
Inspection citations
State inspectors cited this home for 22 health deficiencies and 24 fire safety deficiencies in the inspection records CMS currently publishes. 1 citation involved actual harm.
| Date | Citation | Severity | Status |
|---|---|---|---|
| January 28, 2026 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 February 28, 2026 |
| January 28, 2026 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected February 28, 2026 |
| January 28, 2026 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | D Potential harm, isolated | Corrected February 28, 2026 |
| January 28, 2026 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 | D Potential harm, isolated | Corrected February 28, 2026 |
| January 28, 2026 Fire safety | Have exits that are accessible at all times. Egress Deficiencies · Tag K0271 | D Potential harm, isolated | Corrected February 28, 2026 |
| January 28, 2026 Fire safety | Have restrictions on the use of highly flammable decorations. Miscellaneous Deficiencies · Tag K0753 | D Potential harm, isolated | Corrected February 28, 2026 |
| January 28, 2026 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 February 28, 2026 |
| January 28, 2026 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | D Potential harm, isolated | Corrected February 28, 2026 |
| January 28, 2026 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 February 28, 2026 |
| January 28, 2026 Complaint | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | D Potential harm, isolated | Corrected February 28, 2026 |
| January 28, 2026 Standard | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Tag F0804 | D Potential harm, isolated | Corrected February 28, 2026 |
| January 28, 2026 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 February 28, 2026 |
| September 11, 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 October 11, 2024 |
| September 11, 2024 Fire safety | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Tag E0039 | F Potential harm, widespread | Corrected October 18, 2024 |
| September 11, 2024 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected October 18, 2024 |
| September 11, 2024 Fire safety | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Tag K0374 | E Potential harm, pattern | Corrected October 11, 2024 |
| September 11, 2024 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 September 25, 2024 |
| September 11, 2024 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | D Potential harm, isolated | Corrected October 18, 2024 |
| September 11, 2024 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | D Potential harm, isolated | Corrected October 18, 2024 |
| September 11, 2024 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | D Potential harm, isolated | Corrected October 11, 2024 |
| September 11, 2024 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | D Potential harm, isolated | Corrected October 2, 2024 |
| September 11, 2024 Fire safety | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Tag K0761 | D Potential harm, isolated | Corrected September 13, 2024 |
| September 11, 2024 Standard | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Tag F0756 | E Potential harm, pattern | Corrected October 11, 2024 |
| September 11, 2024 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | E Potential harm, pattern | Corrected October 11, 2024 |
| September 11, 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 October 11, 2024 |
| September 11, 2024 Standard | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · Tag F0582 | D Potential harm, isolated | Corrected October 11, 2024 |
| September 11, 2024 Standard | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Tag F0883 | D Potential harm, isolated | Corrected October 11, 2024 |
| September 11, 2024 Standard | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | D Potential harm, isolated | Corrected October 11, 2024 |
| September 11, 2024 Standard | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Tag F0757 | D Potential harm, isolated | Corrected October 11, 2024 |
| September 11, 2024 Standard | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Tag F0692 | D Potential harm, isolated | Corrected October 11, 2024 |
| September 11, 2024 Standard | Assess the resident when there is a significant change in condition Resident Assessment and Care Planning Deficiencies · Tag F0637 | D Potential harm, isolated | Corrected October 11, 2024 |
| July 8, 2024 Complaint | 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 | G Actual harm, isolated | Corrected July 29, 2024 |
| July 8, 2024 Complaint | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | D Potential harm, isolated | Corrected July 29, 2024 |
| July 8, 2024 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 July 29, 2024 |
| July 8, 2024 Complaint | Ensure that the resident and his/her doctor meet face-to-face at all required visits. Nursing and Physician Services Deficiencies · Tag F0712 | D Potential harm, isolated | Corrected July 29, 2024 |
| February 20, 2024 Complaint | Provide timely, quality laboratory services/tests to meet the needs of residents. Administration Deficiencies · Tag F0770 | D Potential harm, isolated | Corrected March 18, 2024 |
| July 12, 2023 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected July 18, 2023 |
| July 12, 2023 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | F Potential harm, widespread | Corrected April 1, 2024 |
| July 12, 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 August 7, 2023 |
| July 12, 2023 Fire safety | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923 | E Potential harm, pattern | Corrected August 1, 2023 |
| July 12, 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 | D Potential harm, isolated | Corrected July 19, 2023 |
| July 12, 2023 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | F Potential harm, widespread | Corrected August 7, 2023 |
| July 12, 2023 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected August 7, 2023 |
| July 12, 2023 Standard | 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 August 7, 2023 |
| July 12, 2023 Standard | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | D Potential harm, isolated | Corrected August 7, 2023 |
| July 12, 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 August 7, 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 |
|---|---|---|---|
| NSHR OPERATIONS LLC Organization | 5% or greater direct ownership interest | 100% | 10/01/2019 |
| ARROWHEAD 123 LLC Organization | 5% or greater indirect ownership interest | — | 10/01/2019 |
| MILLS, DAVID Individual | 5% or greater indirect ownership interest | 18% | 10/01/2019 |
| THE LANE MORRELL BOWEN TRUST Organization | 5% or greater indirect ownership interest | 10% | 10/01/2019 |
| CIBC BANK USA Organization | 5% or greater mortgage interest | NOT APPLICABLE | 12/31/2024 |
| CIBC BANK USA Organization | 5% or greater security interest | NOT APPLICABLE | 12/31/2024 |
| ARROWHEAD 123 LLC Organization | adp of the snf | NOT APPLICABLE | 12/01/2019 |
| BAUMANN, TROY Individual | adp of the snf | NOT APPLICABLE | 12/01/2019 |
| BELONGIA, CHRISTINA Individual | adp of the snf | NOT APPLICABLE | 12/01/2019 |
| CLIFTONLARSONALLEN LLP Organization | adp of the snf | NOT APPLICABLE | 05/23/2025 |
| CONTINUUM THERAPY PARTNERS LLC Organization | adp of the snf | NOT APPLICABLE | 05/23/2025 |
| GEE, DARREN Individual | adp of the snf | NOT APPLICABLE | 11/30/2021 |
| GREER, LAUREN Individual | adp of the snf | NOT APPLICABLE | 11/29/2023 |
| HLINAK, KATIE Individual | adp of the snf | NOT APPLICABLE | 02/10/2026 |
| HOEHN, JEFFREY Individual | adp of the snf | NOT APPLICABLE | 12/01/2019 |
| NORTH SHORE HEALTHCARE LLC Organization | adp of the snf | NOT APPLICABLE | 05/23/2025 |
| NSH 1 HAMILTON DRIVE LLC Organization | adp of the snf | NOT APPLICABLE | 12/01/2019 |
| NSH REHAB LLC Organization | adp of the snf | NOT APPLICABLE | 05/23/2025 |
| PATZER, COLLEEN Individual | adp of the snf | NOT APPLICABLE | 02/14/2023 |
| PURTELL, BRIAN Individual | adp of the snf | NOT APPLICABLE | 12/01/2019 |
| RAMNANAN, KESHNI Individual | adp of the snf | NOT APPLICABLE | 11/29/2023 |
| THE LANE MORRELL BOWEN TRUST Organization | adp of the snf | NOT APPLICABLE | 12/01/2019 |
| WIPFLI LLP Organization | adp of the snf | NOT APPLICABLE | 05/23/2025 |
| BAUMANN, TROY Individual | corporate director | NOT APPLICABLE | 10/01/2019 |
| HOEHN, JEFFREY Individual | corporate director | NOT APPLICABLE | 10/01/2019 |
| BAUMANN, TROY Individual | operational/managerial control | NOT APPLICABLE | 12/01/2019 |
| BELONGIA, CHRISTINA Individual | operational/managerial control | NOT APPLICABLE | 12/01/2019 |
| CIBC BANK USA Organization | operational/managerial control | NOT APPLICABLE | 12/31/2024 |
| CLIFTONLARSONALLEN LLP Organization | operational/managerial control | NOT APPLICABLE | 12/01/2019 |
| 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 |
| HLINAK, KATIE Individual | operational/managerial control | NOT APPLICABLE | 02/10/2026 |
| HOEHN, JEFFREY Individual | operational/managerial control | NOT APPLICABLE | 12/01/2019 |
| NORTH SHORE HEALTHCARE LLC Organization | operational/managerial control | NOT APPLICABLE | 12/01/2019 |
| 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 | 12/01/2019 |
| RAMNANAN, KESHNI Individual | operational/managerial control | NOT APPLICABLE | 02/01/2023 |
| WIPFLI LLP Organization | operational/managerial control | NOT APPLICABLE | 02/01/2025 |
Other nursing homes near Hamilton Health Services
North Ridge Health and Rehabilitation Center
1445 N 7th St, Manitowoc, WI 54220 · 5.8 mi
For-profit · 94 beds · Part of Champion Care
★★★★★2Below average- ★★★★★5Much above average
St Marys Home for the Aged
1635 S 21st Street, Manitowoc, WI 54220 · 8 mi
Non-profit · 84 beds · Part of Felician Services
- CMS high performer
★★★★★5Much above averageRiver's Bend Health Services
960 S Rapids Rd, Manitowoc, WI 54220 · 8.8 mi
For-profit · 100 beds · Part of North Shore Healthcare
★★★★★3AverageComplete Care at Manitowoc LLC
2021 S Alverno Rd, Manitowoc, WI 54220 · 10.8 mi
For-profit · 150 beds · Part of Complete Care
★★★★★4Above averageKewaunee Health Services
1308 Lincoln St, Kewaunee, WI 54216 · 20.4 mi
For-profit · 50 beds · Part of North Shore Healthcare
- CMS high performer
★★★★★5Much above average
Frequently asked questions
What is Hamilton Health Services's rating?
Hamilton 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 Hamilton 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 Hamilton 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 Hamilton 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 Hamilton Health Services and how do I contact it?
Hamilton Health Services is at 1 Hamilton Dr, Two Rivers, WI 54241. Phone: (920) 793-2261.
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.