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
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.
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.
February 17, 2026Standard inspection · 4 citations
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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.
- 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.
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.
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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. [...]
- 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.
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
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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.
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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
- D Give the resident's representative the ability to exercise the resident's rights.
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.
- D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
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.
- D Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
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.
- D Provide and implement an infection prevention and control program.
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
- F Develop Emergency Preparedness policies and procedures.
- 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.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E Provide properly protected cooking facilities.
- E Install corridor and hallway doors that block smoke.
- E Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- E Install properly constructed and protected linen or trash chutes.
- D Keep aisles, corridors, and exits free of obstruction in case of emergency.
- F Have generator or other power source capable of supplying service within 10 seconds.
- E Install emergency lighting that can last at least 1 1/2 hours.
- E Inspect, test, and maintain automatic sprinkler systems.
- D Keep aisles, corridors, and exits free of obstruction in case of emergency.
- D Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- F Create arrangements with other facilities to receive patients.
- F Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- 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.
- E Inspect, test, and maintain automatic sprinkler systems.
- D Keep aisles, corridors, and exits free of obstruction in case of emergency.
- D Install properly constructed and protected linen or trash chutes.
- D Meet requirements for the use of electrical equipment.
- C Install an approved automatic sprinkler system.
- C Have simulated fire drills held at unexpected times.
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.
| Measure | This home | Wisconsin | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.54 | 4.21 | 3.86 |
| Registered nurses | 0.72 | 0.99 | 0.69 |
| All nursing staff on weekends | 3.17 | 3.77 | 3.42 |
| Nurse aides | 2.16 | ||
| Licensed practical nurses | 0.66 | ||
| Nursing staff turnover (share who left in a year) | 35.7% | 46.9% | 45.8% |
| Registered nurse turnover | 55.6% | 39.7% | 42.9% |
| Administrators who left | 1 |
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.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.54 | 0.72 | 3.69 | 3.17 | 6.9% | 0 of 90 | 45 |
| Oct to Dec 2025 | 3.38 | 0.72 | 3.50 | 3.06 | 8.3% | 0 of 92 | 46 |
| Jul to Sep 2025 | 3.41 | 0.75 | 3.58 | 3.00 | 7.4% | 0 of 92 | 46 |
| Apr to Jun 2025 | 3.40 | 0.61 | 3.55 | 3.03 | 4.8% | 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 | 19.1 | 16.1 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 4.7 | 2.1 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 2.6 | 2.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 1.9 | 3.3 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.7 | 1.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 20.3 | 18.4 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.1 | 5.0 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 7.8 | 15.8 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 26.8 | 23.1 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 11.8 | 15.5 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.9 | 1.7 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.2 | 2.3 | 1.8 |
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.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Peshek, Paul | 5% or greater direct ownership interest | Individual | 10% | 12/08/2015 |
| Peshek, Paul | Corporate director | Individual | 12/08/2015 | |
| Baumann, Troy | Corporate officer | Individual | 12/08/2015 | |
| Hoehn, Jeffrey | Corporate officer | Individual | 12/08/2015 | |
| Baumann, Troy | Operational/managerial control | Individual | 12/08/2015 | |
| Bruno, James | Operational/managerial control | Individual | 06/01/2026 | |
| Hoehn, Jeffrey | Operational/managerial control | Individual | 12/08/2015 | |
| Peshek, Paul | Operational/managerial control | Individual | 12/08/2015 | |
| Skar, Shannon | Operational/managerial control | Individual | 06/01/2026 | |
| Bruno, James | Adp of the SNF | Individual | 06/01/2026 | |
| Skar, Shannon | Adp of the SNF | Individual | 06/01/2026 |
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.
- 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."
- 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."
- 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."
- 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."
- 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.
- How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.
Other nursing homes nearby
- Evergreen Health Services Shawano, 0.3 mi · 2 of 5 stars · 20 citations
- Birch Hill Health Services Shawano, 0.8 mi · 2 of 5 stars · 22 citations
- The Pines Post Acute and Memory Care Clintonville, 7.1 mi · 4 of 5 stars · 18 citations
- Greentree Health and Rehabilitation Center Clintonville, 11.7 mi · 3 of 5 stars · 22 citations
- Suring Health and Rehab Center Suring, 20.1 mi · 1 of 5 stars · 36 citations
- Good Shepherd Services Ltd Seymour, 21.5 mi · 4 of 5 stars · 14 citations
- Meadowbrook at Oconto Falls Oconto Falls, 23.7 mi · 2 of 5 stars · 50 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 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
- 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.