3540 S 43rd St., Milwaukee, WI 53220 · Milwaukee County · (414) 541-1000
99 certified beds, about 92 residents a day · For profit - Corporation · Medicare and Medicaid since 1992
CMS Care Compare ratings, data as of September 1, 2026 · CCN 525493 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on July 24, 2025, inspectors cited 7 health deficiencies (the Wisconsin average is 9.5, the national average 9.2).
Of 37 health citations since January 2023, 3 were rated as actual harm or immediate jeopardy to residents (3 immediate jeopardy).
CMS lists 2 fines totaling $113,910 in the last three years; the largest was $83,067, and the latest is dated March 19, 2025.
Nurses and nurse aides worked 3.25 hours per resident per day, against 4.21 across Wisconsin and 3.86 nationally. Registered nurses accounted for 0.60 of those hours.
29.8% 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.
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.
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 37 health citations on file.
Inspectors wroteBased on interview, record review, and review of facility policy, the facility failed to thoroughly investigate an allegation of neglect for one resident (Resident (R)4) in a total sample of eight residents. This failure placed residents at risk of further neglect and a diminished quality of life.
Inspectors wroteBased on observation, interview and record review, the facility did not ensure menu items were followed. This was observed with 7 (R31, R16, R54, R88, R50, R26 and R10) of 7 residents receiving an altered textured diet. * R31, R16, R54, R88, R50, R26 and R10 have altered textured diets and did not receive a dinner roll with their lunch meal as stated on the menu.
Inspectors wroteBased on observation, interview and record review, the facility did not ensure food and beverages were maintained in a sanitary manner. This was observed with 2 of 2 kitchenette serving areas. *The lunch meal food temperatures were not obtained in a sanitary manner. * The coolers and freezers in the 1st and 2nd floor kitchenettes were not maintained in a sanitary manner.
Inspectors wroteBased on interviews and record review, the facility did not ensure residents right to formulate an advance directive for do not resuscitate (DNR) was implemented for 1 of 18 (R8) residents advanced directives reviewed. R8 electronic health record indicated full code, CPR preference form date [DATE] indicated R8 was a DNRFindings include: The facility Policy titled Cardiopulmonary Resuscitation (CPR) dated [DATE] documents (in part) . It is the policy of this facility to adhere to residents' rights to formulate advance directives. In accordance to these rights, this facility will implement guidelines regarding cardiopulmonary resuscitation (CPR). 2. If a resident experiences a cardiac arrest, facility staff will provide basic life support, including CPR, prior to the arrival of emergency medical services, and: a. In accordance with the resident's advance directives, orb. [...]
Inspectors wroteBased on interview and record review the facility did not ensure 1 (R2) of 18 residents care plans reviewed were revised after each assessment or determined by resident's needs. R2' care plan was not revised to indicate R2 did not require the use of an abdominal protector with monitoring and need to release the binder due to the need for the use of a gastrointestinal (G-tube) tube.
Inspectors wroteBased on observation, interview, and record review, the facility did not ensure 1 (R2) of 1 resident reviewed for indwelling catheters received appropriate treatment and services. R2's catheter collection bag and tubing were observed during multiple observations to be laying directly on the floor with no barrier.
Inspectors wroteBased on observation, interview and record review, the facility did not ensure drugs and biologicals used in the facility were be labeled in accordance with currently accepted professional principles and include the expiration date when applicable for 1 of 2 medication carts observed. Insulin in the medication cart was not labeled and/or was expired.
Inspectors wroteBased on interview and record review the Facility did not ensure a resident's hospice notes were readily available for communication and collaboration of care in accordance with professional standards of practice for 1 (R88) of 3 residents reviewed for hospice services. Hospice visit notes were not updated in R88's medical record or in R88's hospice binder until Surveyor requested the information. R88 was admitted to the facility on [DATE] with pertinent diagnoses that include type 2 diabetes mellitus (happens when the body cannot use insulin correctly and sugar builds up in the blood), dementia (a syndrome that can be caused by a number of diseases which over time destroy nerve cells and damage the brain, typically leading to deterioration in cognitive function (i.e. [...]
Inspectors wroteBased on record review and staff interviews, the facility did not ensure residents had access to their personal funds when requested. The facility did not have petty cash funds available during the evenings, weekends or holidays.
Inspectors wroteBased on observation, interview, and record review, the facility did not ensure that residents with a pressure injury or at risk for pressure injuries received necessary treatment and services, consistent with professional standards of practice, to prevent the development of pressure injuries and to promote healing for 1 (R2) of 1 resident reviewed for pressure injuries. * R2 was admitted to the facility 1/20/25 without any pressure injuries. Upon admission R2 was identified as being at high risk for pressure injury development. The facility did not develop a potential for skin integrity care plan and R2's care plans do not address repositioning or offloading R2's feet/heels. The endocrine system care plan initiated 1/24/25 includes an intervention of: inspect feet daily for open areas, sores, pressure areas, blisters, edema, or redness. [...]
Inspectors wroteBased on interview and record review, the facility did not ensure 7 of 7 facility staff chosen at random received behavioral health training. Dietary Aide (DA)-DD, Licensed Practical Nurse (LPN)-EE, Certified Nursing Assistants(CNA) CNA-X, CNA-Y, CNA-Z, CNA-AA, CNA-BB did not receive behavioral health training. In addition, contracted employee, Speech Language Pathologist (SLP)-CC did not receive behavioral health training. This practice had the potential to affect all Residents with a psychiatric diagnosis and/or behavioral health issues in the facility. The facility did not provide staff with the required behavioral health training for the following staff: CNA-X, CNA-Y, CNA-Z, CNA-AA, CNA-BB, DA-DD, LPN-EE, and SLP-CC. Findings Include: [...]
Inspectors wroteBased on record review and interviews, the facility did not ensure staff were qualified to provide CPR (cardiopulmonary resuscitation) and where not aware of licensed staffs' CPR certification status. This was observed with 1(R3) of 1 residents who required CPR in the facility. -R3 was observed non-responsive by facility staff and had prior written wishes to have CPR performed. The facility did not ensure Licensed Practical Nurse (LPN)- G was certified to perform CPR. LPN-G was the first to respond to R3's unresponsive, pulseless change of condition.
Inspectors wroteBased on interview and record review, the Facility did not ensure 1 (R1) of 2 residents reviewed received care and treatment in accordance with goals for care, including identifying risk factors and implementing interventions to address the risk factors. The Facility did not recognize or assess the risk factor of R1's knee brace frequently slipping out of place, implement interventions to address the risk factors, and assess the effectiveness of the interventions thus placing Rat increased risk for poor healing. R1's surgical repair of the left patella (kneecap) failed. R1's orthopedic surgeon identified the failure likely occurred due to the fact R1's immobilizer was often not in the correct position.
Inspectors wroteBased on observation, interview, and record review the facility did not ensure 1 (R5) of 4 residents reviewed for accidents received adequate supervision and assistance devices to prevent future accidents. On 11/20/24, at 1:37 PM, R5 had an unwitnessed fall (UWF) while toileting. R5 was assessed to requires partial/moderate assistance for toilet transferring. R5 was left alone while toileting and had an UWF while attempting to self-transfer.
Inspectors wroteBased on interview and record review the facility did not provide pharmaceutical services to meet the needs of each resident for 1 (R2) of 4 Residents. * R2's order from nephrology on 1/31/25 for Sodium Bicarbonate 1300 mg (milligrams) three times a day was never picked up by the facility. On 3/11/25 Surveyor observed R2's morning medication in a medication cup with pudding & crushed medication on an over bed table. Family Friend (FF)-P informed Surveyor the nurse left the medication and she will give R2 the medication.
Inspectors wroteBased on observation, interview, and record review, the facility did not ensure 1(R2) of 1 Resident was as free of accident hazards as is possible and that R2 received adequate supervision and assistance devices to prevent accidents, resulting in a fall from bed *On [DATE] at approximately 1:07 PM, R2 was found on the floor next to R2's bed on the right side unresponsive and with no pulse. The medical examiner's (ME) preliminary autopsy report dated [DATE] documents that R2 suffered possible positional asphyxia, small epidural hemorrhage of spinal cord and hemorrhage of posterior right neck soft tissue which resulted in R2's death. The report documents that R2 was found lying prone on the floor of R2's room upon first observation of the ME. R2's head was tucked under R2's chest and was bent at an extreme angle. The weight of R2's upper body was on R2's head. [...]
Inspectors wroteBased on interview and record review the Facility did not provide appropriate treatment and services for 1 (R1) of 1 resident with a diagnosis of dementia with behavioral symptoms to allow them to attain or maintain his or her highest practicable physical, mental, and psychosocial well-being. R1 has a diagnosis of Alzheimer's Disease and dementia. The December 2023, January 2024, February 2024, & March 2024 MAR (medication administration record) for daily behavior monitoring per shift does not document any behavior. On 4/4/24 R1's behaviors began & escalated. There was no comprehensive assessment with individualized interventions of R1's behaviors, the Facility did not assess the behavior change to identify the cause of R1's behavior, and the care plan was not revised until after R1 chased another Resident down the hall & ran over this resident's foot with her wheelchair. [...]
Inspectors wroteBased on interview and record review the Facility did not ensure 1(R1) of 5 Resident's reviewed resident representative was notified when a new treatment was ordered. R1's POA (power of attorney) was not notified when a CBC (complete blood count) and urinalysis was ordered for R1 on 4/7/24.
Inspectors wroteBased on interview and record review the Facility did not ensure quality of care was provided for 1 (R1) of 5 Residents. R1 sustained a fracture of the left forearm after hitting her elbow on the head board of the bed. The Facility did not consistently monitor R1's left arm and did not implement a care plan regarding R1's fracture. R1 was identified with a concern to the right middle toe which was documented as being purple & painful. There was no monitoring of this toe.
Inspectors wroteBased on staff interviews, and record review, the facility did not ensure therapy services were provided in a timely manner for 1 Resident (R2) of 1 Resident reviewed for therapy services. *R2 was re-admitted into the facility on [DATE]. R2 had physician orders dated [DATE] for evaluation and treatment as indicated and R2 was not evaluated and/or screened for speech (ST), physical (PT) therapy, and occupational (OT) therapy. R2's comprehensive care plan indicated R2 was at risk for loss of range of motion due to prior CVA (cerebral vascular accident) and the intervention established on [DATE] was for therapy evaluation and treatment as ordered. Findings Include: Surveyor was provided the facility's Rehabilitation Services Screening Policy and Procedure effective 10/2029 on [DATE] at 1:48 PM and notes the following applicable to R2: Policy . [...]
Inspectors wroteBased on interview, record review, and review of manufacturer's instructions, the facility failed to ensure bed frames and bed rails, if present, were inspected and maintained per the Manufacturer's Instructions for Use (MIFU) to minimize the risks of bed malfunction or resident injury for four of four residents (Resident (R)46, R47, R53, and R55). This failure had the potential to affect all 94 residents in the facility using a bed.
Inspectors wroteBased on observation, interview, and record review, the facility did not ensure medications were labeled and stored in accordance with facility policy and procedures for 2 of 4 medication carts reviewed for medication storage and 1 of 3 medications rooms reviewed for medication storage. The facility did not ensure expired medications were properly removed from facility stock. * R84, R40, R13, R85, R7, & R1 had medications stored in medication carts with no dates listed as to when medication had been opened, including ophthalmic and liquid medications. Four ophthalmic medications and one liquid medication were noted by Surveyor with no names or open dates on the first floor medication cart. One expired stock medication was noted on the first floor medication cart. Two ophthalmic medications were noted by Surveyor with no names or open dates on the second floor medication cart. [...]
Inspectors wroteBased on record review and staff interviews, the facility did not ensure that 1 out of 1 residents reviewed ( R141) who went out on therapeutic leave, were able to return to the facility based on following a written policy permitting residents to return after they are finished with a therapeutic leave.
Inspectors wroteBased on observation, record review, interview, and facility policy review, the facility failed to ensure that alternatives to bed rails were attempted prior to the use of bed rails, failed to document reasons for failure of alternatives, and failed to advise residents and/or Resident Representatives (RR) of the risks and/or benefits of rail use with informed consent signed prior to the installation of bed rails for two of four residents (Resident (R) 47 and R53) reviewed for bed rail use. This failure had the potential for the resident, or the RR to be uninformed of the risks associated with bed rail use and could put the residents at risk for injury or entrapment.
Inspectors wroteBased on record review, interview and policy review, the facility failed to ensure six of seven residents (Resident (R) 1, R7, R47, R55, R77, and R391), and their representatives, reviewed for facility initiated emergent hospital transfer, from a total sample of 24 residents, were provided with written transfer/discharge notice that stated the reason for transfer, the place of transfer, and how to appeal the transfer. This failure has the potential to affect the resident and their Resident Representative (RR) by not having the knowledge of where and why a resident was transferred, and/or how to appeal the transfer, if desired.
Inspectors wroteBased on record review, interviews, and facility policy review, the facility failed to ensure a physician ordered pressure ulcer treatment was provided for 1 (R11) of 3 sampled residents reviewed for wound care.
Inspectors wroteBased on record review, interviews, and facility policy review, the facility failed to ensure physician ordered catheter care was provided for 1 (R11) of 3 sampled residents reviewed for catheter care.
Inspectors wroteBased on record review and interview, the facility did not ensure reporting of crimes occurring in federally-funded long-term care facilities in accordance with section 1150B of the Act. The facility did not call the local police department to report resident to resident abuse concerns for incidents involving 5 (R85, R20, R11, R4 and R26) of 6 residents reviewed for abuse in facility self-reports. * R11 was involved in a resident to resident altercation with R20 that was not reported to the local police department. * R11 was involved in a resident to resident altercation with R26 that was not reported to the local police department. * R85 was involved in a resident to resident altercation with R4 that was not reported to the local police department.
Inspectors wroteBased on observation, interview, and record review, the facility did not ensure medications requiring refrigeration were stored at the appropriate temperature for 2 of 2 medication room refrigerators reviewed. This has the potential to affect 6 of 6 (R12, R10, R60, R42, R27, and R104) observed to have medications stored in medication room refrigerators. *Observation of the first-floor medication room was observed to not have a temperature log to document the temperatures of the medication room refrigerator storing medications. *Observation of the second-floor medication room refrigerator temperature log documented the facility was not monitoring the medication room refrigerator temperature daily to ensure proper storage of medications that require refrigeration. Monitoring was not completed for 7 days in the month of January. Findings Include: [...]
Inspectors wroteBased on observation, interview and record review, the facility did not fully investigate 2 of 3 reportable incidents reviewed for resident to resident abuse. * R11 was involved in a resident to resident altercation with R26 on 11/4/22 that was not fully investigated including putting interventions in place to prevent further resident to resident abuse. * On 12/12/22, R11 was again involved in a resident to resident altercation with R20. The incident was not fully investigated including documentation and putting interventions in place to prevent further resident to resident abuse.
Inspectors wroteBased on observation, record review and interview the facility did not ensure timely assessment and removal of a gastrostomy tube (g-tube) for 1 (R67) of 1 resident reviewed.
Inspectors wroteBased on observation, record review and staff interview, the facility did not ensure pressure injury prevention measures were implemented per plan of care. This was observed with 2 (R12 and R47) of 2 residents reviewed with risk for pressure injury. * On 1/10/23 and 1/11/23, R12 and R47 were observed with their heels directly on an air mattress and not off-loaded as per their care plan.
Inspectors wroteBased on observation, record review and interview, the facility did ensure that 1 (R23) of 1 resident reviewed for Oxygen (O2) use were provided such care consistent with professional standards of practice. * R23 was observed with O2 administered at 1.5 liters (L) per minute via nasal cannula (NC) during survey. The NC and tubing was also observed dirty and the humidifier bottle was empty. Surveyor noted one observation of the NC tubing not connected to the concentrator. Upon review of the medical record for R23, there was no orders for O2 and no care plan for O2.
Inspectors wroteBased on record review and interview, the facility did not provide dementia care to 1 (R11) of 1 resident reviewed for dementia with behaviors with a diagnosis of dementia. The facility did not provide and R11 did not receive the appropriate dementia treatment and service to attain or maintain his or her highest practicable physical, mental, and psychosocial well-being. * R11 was admitted to the facility on [DATE] with dementia with behaviors. Shortly after admission, R11 started having behaviors included wandering into residents' rooms, taking other resident's things, hitting, screaming, yelling and swearing. The resident was not seen by psych services to assist with behaviors and pharmacological interventions. The resident did not have a behavioral care plan in place to assist staff with non-pharmacological interventions to prevent behaviors. A care plan was put in place on 11/3/22. [...]
Inspectors wroteBased on interview and record review, the facility did not provide medically-related social services for 3 (R11, R20, and R26) of 3 residents reviewed for social services assessments and follow-up to attain or maintain the highest practicable physical, mental and psychosocial well-being. R11 was admitted to the facility on [DATE] with dementia with behaviors. R11 had a psychosocial assessment completed on 9/11/22 that documented no behaviors or concerns with behaviors. Shortly after admission, R11 started having behaviors included wandering into residents' rooms, taking other resident's things, hitting, screaming, yelling and swearing. There were no psychosocial reassessments for R11 to reflect the behaviors. Social Services stated they were unaware of these behaviors. Social Services also did not involve psych services for R11 until Surveyor brought it to the attention of the facility. [...]
Inspectors wroteBased on observation, interview and record review the facility did not ensure 2 (R48 and R82) of 2 residents reviewed for narcotic medications, had accurate records of the controlled substance record and MAR (medication administration record). * R48 had a physician order for Oxycodone 5mg every 4 hours PRN (as needed). Surveyor reviewed the December 2022 controlled substance record and the MAR. The controlled substance record indicate when and how much medication was dispensed. The MAR indicates when and how much medication was administered. R48's December controlled substance record and MAR do not equal. * R82 had a physician order for Oxycodone 5mg every 6 hours PRN. Surveyor reviewed the December controlled substance record and the MAR. The controlled substance record indicate when and how much medication was dispensed. The MAR indicates when and how much medication was administered. [...]
Inspectors wroteBased on interview and record review, the facility did not act timely or did not act on recommendations by the pharmacist for 1 (R21) of 5 residents reviewed for unnecessary medications. * R21 had pharmacist recommendation in September, October and November 2022 that were not followed up on by the facility or the Physician.
22 fire safety citations on file: 6 on July 24, 2025, 6 on April 4, 2024, 10 on January 17, 2023.
| Date | Penalty | Amount or length |
|---|---|---|
| March 19, 2025 | Fine | $83,067 |
| April 4, 2024 | Fine | $30,843 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
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) | 3.25 | 4.21 | 3.86 |
| Registered nurses | 0.60 | 0.99 | 0.69 |
| All nursing staff on weekends | 2.92 | 3.77 | 3.42 |
| Nurse aides | 1.98 | ||
| Licensed practical nurses | 0.68 | ||
| Nursing staff turnover (share who left in a year) | 29.8% | 46.9% | 45.8% |
| Registered nurse turnover | 25.0% | 39.7% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.63 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
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 3.39 on weekdays and 2.92 on weekends, 14% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 2.6% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.41 in April to June 2025 to 3.25 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 | 3.25 | 0.60 | 3.39 | 2.92 | 2.6% | 0 of 90 | 92 |
| Oct to Dec 2025 | 3.37 | 0.49 | 3.50 | 3.02 | 4.7% | 0 of 92 | 90 |
| Jul to Sep 2025 | 3.44 | 0.53 | 3.57 | 3.12 | 2.6% | 0 of 92 | 89 |
| Apr to Jun 2025 | 3.41 | 0.53 | 3.50 | 3.16 | 3.2% | 0 of 91 | 92 |
| 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.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Wisconsin, all employers | |||
| CNAs (nursing assistants) | $21.70 | $19.03 to $22.75 | 28,370 |
| LPNs and LVNs | $30.65 | $28.67 to $36.06 | 7,390 |
| Registered nurses | $45.93 | $39.39 to $49.33 | 68,060 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
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 | 19.3 | 16.1 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.2 | 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 | 3.2 | 3.3 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 26.1 | 18.4 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 3.0 | 5.0 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 8.6 | 15.8 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 22.1 | 23.1 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 23.1 | 15.5 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.7 | 1.7 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.6 | 2.3 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Sunrise Health Services's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (57.7% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
57.7% this home
No different from the national rate
US median of homes 51.5% · Wisconsin: 52 better, 26 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 79 eligible stays.
12.1% this home
No different from the national rate
US median of homes 10.7% · Wisconsin: 0 better, 6 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 88 eligible stays.
8.3% this home
No different from the national rate
US median of homes 7.1% · Wisconsin: 0 better, 0 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 57 eligible stays.
41.3% this home
Median of homes: Wisconsin54.2% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 46 residents counted.
3.3% this home
Median of homes: Wisconsin0.0% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 60 residents counted.
1.6% this home
Median of homes: Wisconsin2.2% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 60 residents counted.
96.4% this home
Median of homes: Wisconsin100.0% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 28 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: NSH SUNRISE 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 |
|---|---|---|---|---|
| Nshf Operations LLC | 5% or greater direct ownership interest | Organization | 100% | 07/24/2017 |
| Mills, David | 5% or greater indirect ownership interest | Individual | 20% | 06/29/2017 |
| Cibc Bank USA | 5% or greater security interest | Organization | 12/03/2025 | |
| Baumann, Troy | Corporate director | Individual | 06/29/2017 | |
| Hoehn, Jeffrey | Corporate director | Individual | 06/29/2017 | |
| Cibc Bank USA | Operational/managerial control | Organization | 12/03/2025 | |
| Cliftonlarsonallen LLP | Operational/managerial control | Organization | 05/22/2018 | |
| Continuum Therapy Partners LLC | Operational/managerial control | Organization | 03/01/2025 | |
| North Shore Healthcare LLC | Operational/managerial control | Organization | 10/01/2017 | |
| Nsh Rehab LLC | Operational/managerial control | Organization | 03/01/2025 | |
| Wipfli LLP | Operational/managerial control | Organization | 02/01/2025 | |
| Baumann, Troy | Operational/managerial control | Individual | 10/01/2017 | |
| Belongia, Christina | Operational/managerial control | Individual | 11/01/2019 | |
| Chohan, Muniba | Operational/managerial control | Individual | 01/01/2023 | |
| Gee, Darren | Operational/managerial control | Individual | 11/30/2021 | |
| Greer, Lauren | Operational/managerial control | Individual | 11/29/2023 | |
| Hoehn, Jeffrey | Operational/managerial control | Individual | 10/01/2017 | |
| Mays, Anthony | Operational/managerial control | Individual | 06/08/2026 | |
| Patzer, Colleen | Operational/managerial control | Individual | 02/14/2023 | |
| Purtell, Brian | Operational/managerial control | Individual | 06/01/2018 | |
| Canyon Woh, LLC | Adp of the SNF | Organization | 10/21/2022 | |
| Cliftonlarsonallen LLP | Adp of the SNF | Organization | 04/15/2025 | |
| Continuum Therapy Partners LLC | Adp of the SNF | Organization | 04/15/2025 | |
| North Shore Healthcare LLC | Adp of the SNF | Organization | 04/15/2025 | |
| Nsh Rehab LLC | Adp of the SNF | Organization | 06/13/2025 | |
| Nshw Wisconsin LLC | Adp of the SNF | Organization | 05/12/2025 | |
| Wipfli LLP | Adp of the SNF | Organization | 04/15/2025 | |
| Baumann, Troy | Adp of the SNF | Individual | 10/01/2017 | |
| Belongia, Christina | Adp of the SNF | Individual | 11/01/2019 | |
| Chohan, Muniba | Adp of the SNF | Individual | 01/01/2023 | |
| Gee, Darren | Adp of the SNF | Individual | 11/30/2021 | |
| Greer, Lauren | Adp of the SNF | Individual | 11/29/2023 | |
| Hoehn, Jeffrey | Adp of the SNF | Individual | 10/01/2017 | |
| Mays, Anthony | Adp of the SNF | Individual | 06/08/2026 | |
| Patzer, Colleen | Adp of the SNF | Individual | 02/14/2023 | |
| Purtell, Brian | Adp of the SNF | Individual | 06/01/2018 |
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.
Chosen from this home's own inspection record.
These are the official offices in Wisconsin. NursingHomeClear cannot take or act on complaints.