Facility Watch Inspection records for every certified US nursing home

Lake Mills Health Services

901 Mulberry ST
Lake Mills, WI 53551
(920) 648-8344

CCN
525314
Certified beds
50
Ownership
For profit - Corporation
Chain
North Shore Healthcare

Nurse staffing

4.06
Total nurse staffing hours per resident per day, case-mix adjusted

Registered nurses: 1.79 hours per resident per day

Nursing staff turnover: 32% a year

Derived by CMS from the Payroll-Based Journal and refreshed quarterly.

Inspection history

Inspected July 3, 2025

4 citations · from a complaint investigation · Health
D
F0628 No actual harm with potential for more than minimal harm · Isolated

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Deficient, Provider has date of correction · corrected July 29, 2025
D
F0684 No actual harm with potential for more than minimal harm · Isolated

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Deficient, Provider has date of correction · corrected July 29, 2025
F
F0949 No actual harm with potential for more than minimal harm · Widespread

Provide behavior health training consistent with the requirements and as determined by a facility assessment.

Deficient, Provider has date of correction · corrected July 29, 2025
J
F0686 Immediate jeopardy to resident health or safety · Isolated

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Deficient, Provider has date of correction · corrected July 29, 2025

Inspected March 26, 2025

3 citations · Health
C
F0851 No actual harm with potential for minimal harm · Widespread

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Deficient, Provider has date of correction · corrected April 14, 2025
D
F0689 No actual harm with potential for more than minimal harm · Isolated

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Deficient, Provider has date of correction · corrected April 14, 2025
D
F0880 No actual harm with potential for more than minimal harm · Isolated

Provide and implement an infection prevention and control program.

Deficient, Provider has date of correction · corrected April 14, 2025

Inspected February 8, 2024

3 citations · Health
D
F0758 No actual harm with potential for more than minimal harm · Isolated

Implement 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.

Deficient, Provider has date of correction · corrected March 8, 2024
D
F0760 No actual harm with potential for more than minimal harm · Isolated

Ensure that residents are free from significant medication errors.

Deficient, Provider has date of correction · corrected March 8, 2024
E
F0882 No actual harm with potential for more than minimal harm · Pattern

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

Deficient, Provider has date of correction · corrected March 8, 2024

Inspected October 10, 2023

3 citations · from a complaint investigation · Health
D
F0563 No actual harm with potential for more than minimal harm · Isolated

Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.

Deficient, Provider has date of correction · corrected November 9, 2023
D
F0755 No actual harm with potential for more than minimal harm · Isolated

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Deficient, Provider has date of correction · corrected November 9, 2023
D
F0880 No actual harm with potential for more than minimal harm · Isolated

Provide and implement an infection prevention and control program.

Deficient, Provider has date of correction · corrected November 9, 2023

Inspected October 17, 2022

5 citations · Health
C
F0572 No actual harm with potential for minimal harm · Widespread

Give residents a notice of rights, rules, services and charges.

Deficient, Provider has date of correction · corrected November 11, 2022
D
F0679 No actual harm with potential for more than minimal harm · Isolated

Provide activities to meet all resident's needs.

Deficient, Provider has date of correction · corrected November 11, 2022
D
F0686 No actual harm with potential for more than minimal harm · Isolated

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Deficient, Provider has date of correction · corrected November 11, 2022
D
F0689 No actual harm with potential for more than minimal harm · Isolated

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Deficient, Provider has date of correction · corrected November 11, 2022
D
F0695 No actual harm with potential for more than minimal harm · Isolated

Provide safe and appropriate respiratory care for a resident when needed.

Deficient, Provider has date of correction · corrected November 11, 2022

Ownership transfers

EffectiveSellerBuyer
10/01/2017FMG Mulberry Street Wisconsin LLCNSH Lake Mills LLC

From the CMS Skilled Nursing Facility Change of Ownership dataset. A sale does not by itself say anything about care quality.