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Kewaunee Health Services

1308 Lincoln St., Kewaunee, WI 54216 · Kewaunee County · (920) 388-4111

50 certified beds, about 23 residents a day · For profit - Corporation · Medicare and Medicaid since 1984

CMS high performing icon Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
5 of 5
Staffing
4 of 5
Quality measures
2 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 525357 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on June 29, 2026, inspectors cited 0 health deficiencies (the Wisconsin average is 9.5, the national average 9.2).

None of its 2 health citations since March 2024 was rated as actual harm or immediate jeopardy.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 3.82 hours per resident per day, against 4.21 across Wisconsin and 3.86 nationally. Registered nurses accounted for 0.85 of those hours.

39.4% 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.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

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 2 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
1D
0E
1F
Potential for minimal harm
0A
0B
0C
June 29, 2026Standard inspection · 0 citations · risk-based survey (a shorter visit CMS gives only to higher performing homes)
April 8, 2025Standard inspection · 0 citations
March 6, 2024Standard inspection · 2 citations
  1. F
    Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
    F851 · Administration · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) April 4, 2024
    Inspectors wroteBased on staff interview and record review, the facility did not ensure they completed mandatory electronic submission of staffing information based on payroll data in a uniformed format to the Centers for Medicare & Medicaid Services (CMS). This had the potential to affect all 27 residents residing in the facility. The facility's staffing information for Quarter 4 (July 1-September 30) of the Payroll Based Journal (PBJ) was not accurately submitted to CMS.
  2. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 4, 2024
    Inspectors wroteBased on observation, staff interview, and record review, the facility did not ensure 1 Resident (R) (R5) of 2 sampled residents with non-pressure wounds received care and treatment in a timely manner. R5 had a skin tear on the left leg. R5's medical record did not indicate the origin of the wound, did not contain treatment orders or monitoring instructions, and did not indicate R5's Power of Attorney (POA), Hospice team or Physician was notified.

Fire safety inspections

21 fire safety citations on file: 4 on June 29, 2026, 8 on April 8, 2025, 9 on March 6, 2024.

Every fire safety citation21 citations
  1. F
    Conduct risk assessment and an All-Hazards approach.
    E 6 · June 29, 2026 · Corrected (the home has a date of correction)
  2. F
    Have a battery powered remote alarm panel in a location accessible by operating personnel.
    K 916 · June 29, 2026 · Corrected (the home has a date of correction)
  3. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · June 29, 2026 · Corrected (the home has a date of correction)
  4. E
    Have proper fire barriers, ventilation and signs for the transfilling of oxygen.
    K 927 · June 29, 2026 · Corrected (the home has a date of correction)
  5. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · April 8, 2025 · Corrected (the home has a date of correction)
  6. F
    Have simulated fire drills held at unexpected times.
    K 712 · April 8, 2025 · Corrected (the home has a date of correction)
  7. F
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · April 8, 2025 · Corrected (the home has a date of correction)
  8. F
    Have restrictions on the use of portable space heaters.
    K 781 · April 8, 2025 · Corrected (the home has a date of correction)
  9. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · April 8, 2025 · Waiver
  10. E
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · April 8, 2025 · Corrected (the home has a date of correction)
  11. E
    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
    K 521 · April 8, 2025 · Corrected (the home has a date of correction)
  12. D
    Have proper medical gas storage and administration areas.
    K 923 · April 8, 2025 · Corrected (the home has a date of correction)
  13. F
    Conduct testing and exercise requirements.
    E 39 · March 6, 2024 · Corrected (the home has a date of correction)
  14. F
    Install emergency lighting that can last at least 1 1/2 hours.
    K 291 · March 6, 2024 · Corrected (the home has a date of correction)
  15. F
    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
    K 521 · March 6, 2024 · Corrected (the home has a date of correction)
  16. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · March 6, 2024 · Corrected (the home has a date of correction)
  17. E
    Have an enclosure around a vertical opening shaft.
    K 311 · March 6, 2024 · Corrected (the home has a date of correction)
  18. E
    Provide properly protected cooking facilities.
    K 324 · March 6, 2024 · Corrected (the home has a date of correction)
  19. E
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · March 6, 2024 · Corrected (the home has a date of correction)
  20. E
    Have restrictions on the use of portable space heaters.
    K 781 · March 6, 2024 · Corrected (the home has a date of correction)
  21. D
    Have proper medical gas storage and administration areas.
    K 923 · March 6, 2024 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeWisconsinUnited States
All nursing staff (RN, LPN and aides)3.824.213.86
Registered nurses0.850.990.69
All nursing staff on weekends3.503.773.42
Nurse aides2.22
Licensed practical nurses0.75
Nursing staff turnover (share who left in a year)39.4%46.9%45.8%
Registered nurse turnover33.3%39.7%42.9%
Administrators who left0

CMS expects 4.16 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 3.95 on weekdays and 3.50 on weekends, 11% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 2.4% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.85 in April to June 2025 to 3.82 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.820.853.953.50 2.4%0 of 9023
Oct to Dec 20253.920.784.043.59 0.7%0 of 9224
Jul to Sep 20253.750.613.843.53 1.6%0 of 9225
Apr to Jun 20253.850.824.043.37 0.1%0 of 9125
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Wisconsin, Jan to Mar 20264.190.954.363.748.8%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.

MeasureThis homeWisconsinUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
15.416.113.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
3.12.10.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
1.22.61.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
6.13.33.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
4.41.21.6
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
8.35.04.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
9.615.815.4

Owners and operators

Legal business name: NSH KEWAUNEE LLC. CMS links this home to North Shore Healthcare, a group of 59 nursing homes averaging 2.7 stars overall.

NameRoleTypeShareSince
Nshr Operations LLC5% or greater direct ownership interestOrganization100%10/01/2019
Arrowhead 123 LLC5% or greater indirect ownership interestOrganization10%10/01/2019
The Lane Morrell Bowen Trust5% or greater indirect ownership interestOrganization10%10/01/2019
Mills, David5% or greater indirect ownership interestIndividual18%10/01/2019
Cibc Bank USA5% or greater mortgage interestOrganization12/31/2024
Cibc Bank USA5% or greater security interestOrganization12/31/2024
Baumann, TroyCorporate directorIndividual10/01/2019
Hoehn, JeffreyCorporate directorIndividual10/01/2019
Cibc Bank USAOperational/managerial controlOrganization12/31/2024
Cliftonlarsonallen LLPOperational/managerial controlOrganization12/01/2019
Continuum Therapy Partners LLCOperational/managerial controlOrganization03/01/2025
North Shore Healthcare LLCOperational/managerial controlOrganization12/01/2019
Nsh Rehab LLCOperational/managerial controlOrganization03/01/2025
Wipfli LLPOperational/managerial controlOrganization02/01/2025
Baumann, TroyOperational/managerial controlIndividual12/01/2019
Belongia, ChristinaOperational/managerial controlIndividual12/01/2019
Dufresne, CassandraOperational/managerial controlIndividual12/01/2019
Gee, DarrenOperational/managerial controlIndividual11/30/2021
Greer, LaurenOperational/managerial controlIndividual11/29/2023
Hoehn, JeffreyOperational/managerial controlIndividual12/01/2019
Lemke, BlakeOperational/managerial controlIndividual02/01/2023
Patzer, ColleenOperational/managerial controlIndividual02/14/2023
Purtell, BrianOperational/managerial controlIndividual12/01/2019
Arrowhead 123 LLCAdp of the SNFOrganization12/01/2019
Cliftonlarsonallen LLPAdp of the SNFOrganization06/06/2025
Continuum Therapy Partners LLCAdp of the SNFOrganization06/06/2025
North Shore Healthcare LLCAdp of the SNFOrganization06/06/2025
Nsh 1308 Lincoln Street LLCAdp of the SNFOrganization12/01/2019
Nsh Rehab LLCAdp of the SNFOrganization06/06/2025
The Lane Morrell Bowen TrustAdp of the SNFOrganization12/01/2019
Wipfli LLPAdp of the SNFOrganization06/06/2025
Baumann, TroyAdp of the SNFIndividual12/01/2019
Belongia, ChristinaAdp of the SNFIndividual12/01/2019
Dufresne, CassandraAdp of the SNFIndividual12/01/2019
Gee, DarrenAdp of the SNFIndividual11/30/2021
Greer, LaurenAdp of the SNFIndividual11/29/2023
Hoehn, JeffreyAdp of the SNFIndividual12/01/2019
Lemke, BlakeAdp of the SNFIndividual02/01/2023
Patzer, ColleenAdp of the SNFIndividual02/14/2023
Purtell, BrianAdp of the SNFIndividual12/01/2019

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.

  1. Who is the administrator and director of nursing, and how long have they been in the job?Inspectors cited 1 problem in this area, most recently on March 6, 2024: "Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data."
  2. 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 March 6, 2024: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
  3. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.50 hours per resident per day, below the Wisconsin average of 3.77.

Other nursing homes nearby

Wisconsin contacts for a concern about a nursing home

These are the official offices in Wisconsin. NursingHomeClear cannot take or act on complaints.

Common questions

What is Kewaunee Health Services's Medicare star rating?
CMS rates Kewaunee Health Services 5 out of 5 stars overall, with 5 for health inspections, 4 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Kewaunee Health Services get at its last inspection?
0 health deficiencies at the standard inspection on June 29, 2026. The Wisconsin average is 9.5.
Has Kewaunee Health Services been fined?
CMS lists no fines in the last three years.
Does Kewaunee 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 Kewaunee Health Services?
CMS lists 40 owners and managers, and links the home to North Shore Healthcare. Legal business name: NSH KEWAUNEE LLC.

Sources

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