Nursing homeActive
Lancaster Health Services
1350 S Madison St, Lancaster, WI 53813608723414350 certified beds · 42 residentsFor profit - Limited Liability companyMedicare and Medicaid
Surveys on file
6
since 2023
Deficiencies
18
● 1● 16● 1
Penalties · 3 yrs
—
none on file
Last survey
2025-08-19
Standard
CMS overall
2 / 5
stars as published by CMS
CMS overall 2/5
Health 2
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 |
|---|---|---|---|---|
| 2025-08-19 | Standard | 061 | CMS-2567 (Care Compare) | — |
| 2025-02-19 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2024-08-27 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2024-07-24 | Standard | 030 | CMS-2567 (Care Compare) | — |
| 2024-04-24 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2023-04-06 | Standard | 130 | 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.
F605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.Scope/severity JHarm
Abuse & neglect
Isolated; immediate jeopardy to resident health or safety.Corrected 2025-09-16Record 525352-20250819-F605
F578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-16Record 525352-20250819-F578
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-16Record 525352-20250819-F657
F759Ensure medication error rates are not 5 percent or greater.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-16Record 525352-20250819-F759
F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-09-16Record 525352-20250819-F804
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-09-16Record 525352-20250819-F812
F881Implement a program that monitors antibiotic use.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-16Record 525352-20250819-F881
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-18Record 525352-20250219-F609
F610Respond appropriately to all alleged violations.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-18Record 525352-20250219-F610
F697Provide safe, appropriate pain management for a resident who requires such services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-27Record 525352-20240827-F697
F757Ensure each resident’s drug regimen must be free from unnecessary drugs.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-23Record 525352-20240724-F757
F851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.Scope/severity FStandard
Records
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-03-05Record 525352-20240724-F851
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 2024-08-23Record 525352-20240724-F880
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-03Record 525352-20240424-F609
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2023-05-02Record 525352-20230406-F812
F880Provide and implement an infection prevention and control program.Scope/severity FStandard
Infection control
Widespread; no actual harm, potential for more than minimal harm.Corrected 2023-05-02Record 525352-20230406-F880
F883Develop and implement policies and procedures for flu and pneumonia vaccinations.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-05-02Record 525352-20230406-F883
F888Ensure staff are vaccinated for COVID-19Scope/severity CPaperwork
Infection control
Widespread; potential for minimal harm.Corrected 2023-04-06Record 525352-20230406-F888
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.69
Facility
Wisconsin
National
Wisconsin 0.99 · National 0.69
Total nurse hours per resident day3.62
Facility
Wisconsin
National
Wisconsin 4.21 · National 3.86
Weekend total nurse hours3.29
Facility
Wisconsin
National
Wisconsin 3.77 · National 3.42
Total nursing staff turnover28%
Facility
Wisconsin
National
Wisconsin 47% · National 46%
Registered nurse turnover29%
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 | 3.5% | 5.0% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 5.0% | 3.3% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 23.9% | 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 | 17.5% | 16.1% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 2.5% | 5.1% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 15.7% | 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 |
|---|---|---|---|---|
| Nshr Operations LLC Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | — | — |
| Arrowhead 123 LLC Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 10% | — | — |
| Mills, David Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 18% | — | — |
| The Lane Morrell Bowen Trust Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 10% | — | — |
| Baumann, Troy Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Belongia, Christina Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Cibc Bank USA Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Cliftonlarsonallen LLP Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Continuum Therapy Partners LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Gee, Darren Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Greer, Lauren Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Hoehn, Jeffrey Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Horstman, Natalie Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| North Shore Healthcare LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Nsh Rehab LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Patzer, Colleen Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Purtell, Brian Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Slane, Eric Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Wipfli LLP Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Arrowhead 123 LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Baumann, Troy Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Baumann, Troy Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Belongia, Christina Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Cibc Bank USA Organization | 5% OR GREATER MORTGAGE INTEREST | NOT APPLICABLE | — | — |
| Cibc Bank USA Organization | 5% OR GREATER SECURITY INTEREST | NOT APPLICABLE | — | — |
| Cliftonlarsonallen LLP Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Continuum Therapy Partners LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Gee, Darren Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Greer, Lauren Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Hoehn, Jeffrey Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Hoehn, Jeffrey Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Horstman, Natalie Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| North Shore Healthcare LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Nsh 1350 South Madison Street LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Nsh Rehab LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Patzer, Colleen Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Purtell, Brian Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Slane, Eric Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| The Lane Morrell Bowen Trust Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Wipfli LLP Organization | ADP OF THE SNF | 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 Grant.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Orchard Manor Lancaster | 1.4 mi | 2025-12-16 | 041 |
| Dove Healthcare - Fennimore Fennimore | 10.3 mi | 2025-12-02 | 0223 |
| Edenbrook of Platteville Platteville | 13.8 mi | 2026-06-11 | 090 |
| Care and Rehab - Boscobel Boscobel | 20.4 mi | 2025-08-07 | 021 |
| Stonehill Care Center Dubuque | 21.1 mi | 2025-08-07 | 020 |
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 |