Court Manor Health Services
911 3rd St. West, Ashland, WI 54806 · Ashland County · (715) 682-8172
50 certified beds, about 43 residents a day · For profit - Corporation · Medicare and Medicaid since 1983
CMS Care Compare ratings, data as of September 1, 2026 · CCN 525328 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on July 22, 2026, inspectors cited 1 health deficiency (the Wisconsin average is 9.5, the national average 9.2).
Of 3 health citations since April 2024, 1 was rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).
CMS lists 1 fine totaling $40,590 in the last three years; the largest was $40,590, and the latest is dated May 28, 2025.
Nurses and nurse aides worked 3.92 hours per resident per day, against 4.21 across Wisconsin and 3.86 nationally. Registered nurses accounted for 1.15 of those hours.
15.2% of nursing staff left within the year CMS measured (Wisconsin average 46.9%).
CMS links it to North Shore Healthcare, an affiliated group of 59 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 3 health citations on file.
July 22, 2026Standard inspection · 1 citation
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, and record review, the facility did not ensure 2 of 12 residents (R22, R3) out of a total sample of 15 had appropriate Transmission Based Precautions (TBP) in place.-R22 had a stage 2 pressure injury (PI). No Enhanced Barrier Protection (EBP) were implemented. Staff did not use appropriate Personal Protective Equipment (PPE) when providing direct care. ~R3 had a pressure injury and required EBP. Observations were made of no signage or PPE available for R3.
May 28, 2025Standard inspection · 2 citations
- J Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, record review, and interviews, the facility did not ensure that a resident (R) received tracheal/stoma (soft tissue opening in tracheal airway) suctioning of respiratory secretions to maintain adequate respiratory care in accordance with professional standards of practice for 1 of 1 resident (R17) with a tracheostomy/stoma. R17 has tracheostomy from a laryngectomy. R17 has a build-up of secretions and a history of mucous plugs in R17's airway, which have required emergency room (ER) visits on 7 occasions from 1/13/25 - 4/28/25. On five of these ER visits, suctioning was required to remove mucous plugs and to receive respiratory care. Facility failure to ensure staff provided appropriate tracheal/stoma care including suctioning, created a finding of immediate jeopardy that began on 01/13/2025. [...]
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview and record review, the facility did not establish and maintain an infection prevention and control program designed to provide a safe and sanitary environment to help prevent the development and transmission of communicable disease and infection, for 2 out of 2 residents (R), (R33, R17) observed on Enhanced Barrier Precautions (EBP). Staff did not wear required Personal Protective Equipment (PPE) for R17 who is on droplet precautions. Facility staff did not ensure R33's uncovered urinary catheter bag stayed off the floor and allowed the uncovered urinary catheter to lie directly on the floor.
April 11, 2024Standard inspection · 0 citations
Fire safety inspections
9 fire safety citations on file: 1 on July 22, 2026, 6 on May 28, 2025, 2 on April 11, 2024.
Every fire safety citation9 citations
- D Inspect, test, and maintain automatic sprinkler systems.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Have generator or other power source capable of supplying service within 10 seconds.
- E 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.
- D Provide properly protected cooking facilities.
- D Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.
- D Have restrictions on the use of portable space heaters.
- E Have stairways and smokeproof enclosures used as exits that meet safety requirements.
- D Install corridor and hallway doors that block smoke.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| May 28, 2025 | Fine | $40,590 |
| May 28, 2025 | Payment Denial | 1 days from June 24, 2025 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Wisconsin | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.92 | 4.21 | 3.86 |
| Registered nurses | 1.15 | 0.99 | 0.69 |
| All nursing staff on weekends | 3.44 | 3.77 | 3.42 |
| Nurse aides | 2.17 | ||
| Licensed practical nurses | 0.61 | ||
| Nursing staff turnover (share who left in a year) | 15.2% | 46.9% | 45.8% |
| Registered nurse turnover | 20.0% | 39.7% | 42.9% |
| Administrators who left | 0 |
CMS expects 4.35 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.12 on weekdays and 3.44 on weekends, 17% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.79 in April to June 2025 to 3.92 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.92 | 1.15 | 4.12 | 3.44 | 0.0% | 0 of 90 | 43 |
| Oct to Dec 2025 | 3.79 | 1.06 | 3.99 | 3.29 | 0.0% | 0 of 92 | 47 |
| Jul to Sep 2025 | 3.77 | 1.03 | 3.95 | 3.31 | 0.0% | 0 of 92 | 48 |
| Apr to Jun 2025 | 3.79 | 1.00 | 3.98 | 3.30 | 0.0% | 0 of 91 | 47 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Wisconsin, Jan to Mar 2026 | 4.19 | 0.95 | 4.36 | 3.74 | 8.8% | 0.3% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Wisconsin | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 34.0 | 16.1 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 2.0 | 2.1 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.8 | 2.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 5.0 | 3.3 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 3.9 | 1.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 32.5 | 18.4 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.4 | 5.0 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 23.6 | 15.8 | 15.4 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.1 | 1.7 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 3.0 | 2.3 | 1.8 |
Owners and operators
Legal business name: NSH-COURT MANOR LLC. CMS links this home to North Shore Healthcare, a group of 59 nursing homes averaging 2.7 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Nshc Wisconsin LLC | 5% or greater direct ownership interest | Organization | 100% | 12/21/2016 |
| North Shore Healthcare LLC | 5% or greater indirect ownership interest | Organization | 100% | 12/21/2016 |
| Baumann, Troy | Corporate officer | Individual | 12/21/2016 | |
| Hoehn, Jeffrey | Corporate officer | Individual | 12/21/2016 | |
| North Shore Healthcare LLC | Operational/managerial control | Organization | 12/21/2016 | |
| Nshc Wisconsin LLC | Operational/managerial control | Organization | 12/21/2016 | |
| Baumann, Troy | Operational/managerial control | Individual | 12/21/2016 | |
| Hoehn, Jeffrey | Operational/managerial control | Individual | 12/21/2016 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 2 problems in this area, most recently on July 22, 2026: "Provide and implement an infection prevention and control program."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 1 problem in this area, most recently on May 28, 2025: "Provide safe and appropriate respiratory care for a resident when needed."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.44 hours per resident per day, below the Wisconsin average of 3.77.
Other nursing homes nearby
- Ashland Health Services Ashland, 0.8 mi · 4 of 5 stars · 23 citations
- Northern Lights HCC Washburn, 6.6 mi · 2 of 5 stars · 35 citations
Wisconsin contacts for a concern about a nursing home
These are the official offices in Wisconsin. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Wisconsin Department of Health Services, Division of Quality Assurance, Nursing Homes, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Wisconsin Board on Aging and Long Term Care, Ombudsman Program, 1-800-815-0015. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: Wisconsin DHS Provider Search (Survey History), where Wisconsin publishes its own records on licensed homes.
Common questions
- What is Court Manor Health Services's Medicare star rating?
- CMS rates Court Manor Health Services 4 out of 5 stars overall, with 4 for health inspections, 4 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Court Manor Health Services get at its last inspection?
- 1 health deficiency at the standard inspection on July 22, 2026. The Wisconsin average is 9.5.
- Has Court Manor Health Services been fined?
- Yes. CMS lists 1 fine totaling $40,590 in the last three years.
- Does Court Manor Health Services accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Court Manor Health Services?
- CMS lists 8 owners and managers, and links the home to North Shore Healthcare. Legal business name: NSH-COURT MANOR LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.