Nursing homeActive
Lake Mills Health Services
901 Mulberry St, Lake Mills, WI 53551920648834450 certified beds · 28 residentsFor profit - CorporationMedicare and Medicaid
Surveys on file
5
since 2022
Deficiencies
18
● 2● 15● 1
Penalties · 3 yrs
$120,900
1 fine
Last survey
2025-07-03
Complaint
CMS overall
4 / 5
stars as published by CMS
CMS overall 4/5
Health 4
Staffing 4
Quality 3
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Wisconsin Division of Quality Assurance · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2025-07-03 | Complaint | 031 | CMS-2567 (Care Compare) | — |
| 2025-03-26 | Standard | 120 | CMS-2567 (Care Compare) | — |
| 2024-02-08 | Standard | 030 | CMS-2567 (Care Compare) | — |
| 2023-10-10 | Complaint | 030 | CMS-2567 (Care Compare) | — |
| 2022-10-17 | Standard | 140 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Wisconsin Division of Quality Assurance publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity JHarm
Care planning
Isolated; immediate jeopardy to resident health or safety.Corrected 2025-07-29Record 525314-20250703-F686
F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-29Record 525314-20250703-F628
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-29Record 525314-20250703-F684
F949Provide behavior health training consistent with the requirements and as determined by a facility assessment.Scope/severity FStandard
Records
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-07-29Record 525314-20250703-F949
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-14Record 525314-20250326-F689
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-14Record 525314-20250326-F880
F851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.Scope/severity CPaperwork
Records
Widespread; potential for minimal harm.Corrected 2025-04-14Record 525314-20250326-F851
F758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-08Record 525314-20240208-F758
F760Ensure that residents are free from significant medication errors.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-08Record 525314-20240208-F760
F882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-03-08Record 525314-20240208-F882
F563Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-09Record 525314-20231010-F563
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-09Record 525314-20231010-F755
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-09Record 525314-20231010-F880
F679Provide activities to meet all resident's needs.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-11-11Record 525314-20221017-F679
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-11-11Record 525314-20221017-F686
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-11-11Record 525314-20221017-F689
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-11-11Record 525314-20221017-F695
F572Give residents a notice of rights, rules, services and charges.Scope/severity CPaperwork
Dignity & rights
Widespread; potential for minimal harm.Corrected 2022-11-11Record 525314-20221017-F572
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2025-07-03 | Civil money penalty | $120,900 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day1.52
Facility
Wisconsin
National
Wisconsin 0.99 · National 0.69
Total nurse hours per resident day3.54
Facility
Wisconsin
National
Wisconsin 4.21 · National 3.86
Weekend total nurse hours3.32
Facility
Wisconsin
National
Wisconsin 3.77 · National 3.42
Total nursing staff turnover38%
Facility
Wisconsin
National
Wisconsin 47% · National 46%
Registered nurse turnover31%
Facility
Wisconsin
National
Wisconsin 40% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Wisconsin | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 9.1% | 5.0% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 0.0% | 3.3% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 16.0% | 15.8% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 0.0% | 2.7% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 15.9% | 16.1% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 10.0% | 5.1% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 31.5% | 16.9% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Nshf Operations LLC Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | — | — |
| Mills, David Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 20% | — | — |
| North Shore Healthcare LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Baumann, Troy Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Baumann, Troy Individual | W-2 MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
| Hoehn, Jeffrey Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
Part of a chain
North Shore Healthcare — 59 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Wisconsin.
No county cost figures on file for Jefferson.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Alden Estates of Countryside, Inc Jefferson | 7.5 mi | 2026-06-05 | 1399 |
| Rock River Nursing & Rehab Fort Atkinson | 11.1 mi | 2026-05-06 | 210310 |
| Marquardt Memorial Manor Watertown | 12.7 mi | 2026-07-01 | 0333 |
| Watertown Health Care Center Watertown | 12.9 mi | 2026-06-09 | 05512 |
| Columbus Health and Rehab Columbus | 18.4 mi | 2026-05-21 | 0211 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |