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Shawano Health Services

1436 S Lincoln St., Shawano, WI 54166 · Shawano County · (715) 526-6111

100 certified beds, about 45 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1983

Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
3 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 525335 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on February 17, 2026, inspectors cited 4 health deficiencies (the Wisconsin average is 9.5, the national average 9.2).

None of its 12 health citations since December 2023 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 3.54 hours per resident per day, against 4.21 across Wisconsin and 3.86 nationally. Registered nurses accounted for 0.72 of those hours.

35.7% 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 12 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
11D
1E
0F
Potential for minimal harm
0A
0B
0C
February 17, 2026Standard inspection · 4 citations
  1. D
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 13, 2026
    Inspectors wroteBased on observation, staff interview, and record review, the facility did not ensure appropriate treatment to promote healing of a pressure injury was provided for 1 resident (R) (R6) of 1 sampled resident. R6 had a stage 2 pressure injury on the right heel which was present upon re-admission to the facility. During an observation of wound care, Registered Nurse (RN)-F used soiled scissors to cut a clean dressing that was applied to R6's right heel pressure injury.
  2. D
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 13, 2026
    Inspectors wroteBased on observation, staff interview, and record review, the facility did not ensure 1 resident (R) (R5) of 3 sampled residents received appropriate care and services to prevent urinary tract infections (UTIs). The facility did not provide catheter care for R5 in a manner that decreased R5's risk for infection.
  3. D
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 13, 2026
    Inspectors wroteBased on observation, staff and resident interview, and record review, the facility did not provide pharmaceutical services to meet the needs of 3 residents (R) (R2, R42, and R1) of 7 sampled residents. R2 received a 750 milligram (mg) calcium carbonate chewable tablet during the 3:00 PM medication pass on 2/15/26. R2 should have received a 500 mg calcium carbonate chewable tablet. R42's polyethylene glycol 3350 was left at the bedside on 2/16/26. R42 did not have a self-administration of medication assessment or a physician's order that indicated R42 could safely and accurately self-administer the medication. R1 had an order for ipratropium-albuterol inhalation solution 0.5-2.5 mg inhaled via nebulizer four times daily for chronic obstructive pulmonary disease (COPD). On 2/15/26, R1 administered the nebulizer independently. [...]
  4. D
    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
    F803 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 13, 2026
    Inspectors wroteBased on observation, staff interview, and record review, the facility did not ensure physician-ordered diets and menus were followed to meet nutritional needs for 3 residents (R) (R22, R14, and R5) of 3 sampled residents. R22, R14 and R5 had orders for a pureed diet. Staff did not ensure the required serving size of pureed items were served to meet R22, R14, and R5's nutritional needs. Findings inlcude:The facility's (contracted company's) Therapeutic Diets policy, revised 9/2017, indicates: [...]
February 5, 2025Standard inspection · 1 citation
  1. E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) March 5, 2025
    Inspectors wroteBased on observation, staff interview, and record review, the facility did not ensure food was stored and prepared in a sanitary manner. This practice had the potential to affect more than 4 of the 42 residents residing in the facility. (One resident received nutrition via tube feeding.) During multiple observations, Dietary Manager (DM)-C did not wear a beard net in the kitchen.
November 4, 2024Complaint inspection · 2 citations
  1. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 4, 2024
    Inspectors wroteBased on staff and resident interview and record review, the facility failed to implement policies and procedures for ensuring the reporting of a reasonable suspicion of a crime in accordance with section 1150B of the Act for 1 resident (R) (R1) of 4 sampled residents. On 10/19/24, the facility discovered missing doses of narcotic medication for R1 which raised concerns of potential drug diversion and possible exploitation. The facility did not report the suspected crime to the State Agency (SA) or local law enforcement.
  2. D
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 4, 2024
    Inspectors wroteBased on observation, staff and resident interview, and record review, the facility did not ensure accurate and safe administration of pharmaceuticals for 3 residents (R) (R2, R1, and R3) of 4 sampled residents. On 11/4/24, multiple oral medications and an inhaler were left unattended by staff in R2's room. R2 was not assessed as able to self-administer medication. On 11/4/24, R1 indicated nurses sometimes left 2 Tylenol (used to treat mild to moderate pain) at R1's bedside for R1 to take if R1 had pain during the night. R1 was not assessed as able to self-administer medication. On 11/4/24, medication was left unattended by staff in R3's room for R3 to self-administer. R3 was not assessed as able to self-administer medication.
August 29, 2024Complaint inspection · 1 citation
  1. 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 · found on a complaint visit · Corrected (the home has a date of correction) September 29, 2024
    Inspectors wroteBased on staff interview and record review, the facility did not ensure the appropriate parameters for administering a bowel medication were met and did not document bowel movements or abnormal blood pressures for 1 Resident (R) (R1) of 14 sampled residents. R1 was given Miralax (a laxative used to treat constipation) on 8/9/24 after two documented episodes of diarrhea. In addition, R1 had episodes of diarrhea and low blood pressure that were not documented in R1's medical record.
December 20, 2023Standard inspection · 4 citations
  1. D
    Give the resident's representative the ability to exercise the resident's rights.
    F551 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 20, 2024
    Inspectors wroteBased on staff interview and record review, the facility did not ensure 1 Resident (R) (R3) of 2 residents who had a Guardian received services to ensure court-ordered protective placement was obtained. R3 did not have court-ordered protective placement in the facility since admission.
  2. D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F580 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 20, 2024
    Inspectors wroteBased on staff interview and record review, the facility did not ensure a physician was notified of a change in condition for 1 Resident (R) (R93) of 5 sampled residents. R93 had an order to notify the physician if R93's blood sugar level was less than 70 mg/dL (milligrams per deciliter) or greater than 400 mg/dL. The physician was not notified on 12/19/23 when R93's blood sugar level was 479 mg/dL.
  3. D
    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
    F655 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 20, 2024
    Inspectors wroteBased on staff interview and record review, the facility did not ensure a complete baseline care plan was developed or provided within 48 hours of admission for 2 Residents (R) (R20 and R93) of 2 sampled residents. R20's baseline care plan was not complete or provided to R20 within 48 hours of admission. R93's baseline care plan was not complete or provided to R93 within 48 hours of admission.
  4. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 20, 2024
    Inspectors wroteBased on observation, staff interview, and record review, the facility did not establish and maintain an infection control program designed to prevent the development and transmission of disease and infection for 2 Residents (R) (R15 and R25) of 3 residents observed receiving medication. Staff did not appropriately cleanse hands before preparing and administering medication to R15 and R25.

Fire safety inspections

26 fire safety citations on file: 10 on February 17, 2026, 6 on February 5, 2025, 10 on December 20, 2023.

Every fire safety citation26 citations
  1. F
    Develop Emergency Preparedness policies and procedures.
    E 13 · February 17, 2026 · Corrected (the home has a date of correction)
  2. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · February 17, 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 · February 17, 2026 · Corrected (the home has a date of correction)
  4. 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.
    K 222 · February 17, 2026 · Corrected (the home has a date of correction)
  5. E
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · February 17, 2026 · Corrected (the home has a date of correction)
  6. E
    Provide properly protected cooking facilities.
    K 324 · February 17, 2026 · Corrected (the home has a date of correction)
  7. E
    Install corridor and hallway doors that block smoke.
    K 363 · February 17, 2026 · Corrected (the home has a date of correction)
  8. E
    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
    K 521 · February 17, 2026 · Corrected (the home has a date of correction)
  9. E
    Install properly constructed and protected linen or trash chutes.
    K 541 · February 17, 2026 · Corrected (the home has a date of correction)
  10. D
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · February 17, 2026 · no revisit needed
  11. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · February 5, 2025 · Corrected (the home has a date of correction)
  12. E
    Install emergency lighting that can last at least 1 1/2 hours.
    K 291 · February 5, 2025 · Corrected (the home has a date of correction)
  13. E
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · February 5, 2025 · Corrected (the home has a date of correction)
  14. D
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · February 5, 2025 · Waiver
  15. D
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · February 5, 2025 · Corrected (the home has a date of correction)
  16. D
    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
    K 521 · February 5, 2025 · Corrected (the home has a date of correction)
  17. F
    Create arrangements with other facilities to receive patients.
    E 25 · December 20, 2023 · Corrected (the home has a date of correction)
  18. F
    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
    K 914 · December 20, 2023 · Corrected (the home has a date of correction)
  19. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · December 20, 2023 · Corrected (the home has a date of correction)
  20. 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.
    K 222 · December 20, 2023 · Corrected (the home has a date of correction)
  21. E
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · December 20, 2023 · Corrected (the home has a date of correction)
  22. D
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · December 20, 2023 · Waiver
  23. D
    Install properly constructed and protected linen or trash chutes.
    K 541 · December 20, 2023 · Corrected (the home has a date of correction)
  24. D
    Meet requirements for the use of electrical equipment.
    K 919 · December 20, 2023 · Corrected (the home has a date of correction)
  25. C
    Install an approved automatic sprinkler system.
    K 351 · December 20, 2023 · Corrected (the home has a date of correction)
  26. C
    Have simulated fire drills held at unexpected times.
    K 712 · December 20, 2023 · 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)3.544.213.86
Registered nurses0.720.990.69
All nursing staff on weekends3.173.773.42
Nurse aides2.16
Licensed practical nurses0.66
Nursing staff turnover (share who left in a year)35.7%46.9%45.8%
Registered nurse turnover55.6%39.7%42.9%
Administrators who left1

CMS expects 4.08 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 3.69 on weekdays and 3.17 on weekends, 14% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 6.9% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.40 in April to June 2025 to 3.54 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.540.723.693.17 6.9%0 of 9045
Oct to Dec 20253.380.723.503.06 8.3%0 of 9246
Jul to Sep 20253.410.753.583.00 7.4%0 of 9246
Apr to Jun 20253.400.613.553.03 4.8%0 of 9147
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
19.116.113.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
4.72.10.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
2.62.61.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
1.93.33.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.71.21.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
20.318.414.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
4.15.04.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
7.815.815.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
26.823.123.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
11.815.512.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.91.71.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.22.31.8

Owners and operators

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

NameRoleTypeShareSince
Peshek, Paul5% or greater direct ownership interestIndividual10%12/08/2015
Peshek, PaulCorporate directorIndividual12/08/2015
Baumann, TroyCorporate officerIndividual12/08/2015
Hoehn, JeffreyCorporate officerIndividual12/08/2015
Baumann, TroyOperational/managerial controlIndividual12/08/2015
Bruno, JamesOperational/managerial controlIndividual06/01/2026
Hoehn, JeffreyOperational/managerial controlIndividual12/08/2015
Peshek, PaulOperational/managerial controlIndividual12/08/2015
Skar, ShannonOperational/managerial controlIndividual06/01/2026
Bruno, JamesAdp of the SNFIndividual06/01/2026
Skar, ShannonAdp of the SNFIndividual06/01/2026

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. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 3 problems in this area, most recently on February 17, 2026: "Provide appropriate pressure ulcer care and prevent new ulcers from developing."
  2. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on February 17, 2026: "Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist."
  3. Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 2 problems in this area, most recently on February 17, 2026: "Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident."
  4. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on December 20, 2023: "Give the resident's representative the ability to exercise the resident's rights."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.17 hours per resident per day, below the Wisconsin average of 3.77.
  6. How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.

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Wisconsin contacts for a concern about a nursing home

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Common questions

What is Shawano Health Services's Medicare star rating?
CMS rates Shawano Health Services 4 out of 5 stars overall, with 4 for health inspections, 3 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Shawano Health Services get at its last inspection?
4 health deficiencies at the standard inspection on February 17, 2026. The Wisconsin average is 9.5.
Has Shawano Health Services been fined?
CMS lists no fines in the last three years.
Does Shawano 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 Shawano Health Services?
CMS lists 11 owners and managers, and links the home to North Shore Healthcare. Legal business name: SHAWANO HEALTH SERVICES LLC.

Sources

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