Heritage Health Services
1119 N Wisconsin St, Port Washington, WI 53074 · Ozaukee County · 50 certified beds · avg 30 residents/day · certified since Jun 1, 1996
Part of chain: NORTH SHORE HEALTHCARE (59 facilities, chain avg rating 2.7★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, facility-wide · Sep 12, 2024 · F-0725 · triggered by a complaint
The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care.
Why it matters: Understaffing means longer waits for help, missed care, and higher risk of falls and other harm.
Severity (L): A life-threatening or extremely dangerous situation existed throughout the facility. The single most serious citation CMS can issue.
Corrected: Apr 15, 2024 (Past Non-Compliance)
All citations in the current public record (33)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Mar 12, 2025 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Mar 12, 2025 | F · Potential for harm, facility-wide | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Mar 12, 2025 | E · Potential for harm, repeated | The facility's quality committee — the internal group responsible for finding and fixing care problems — did not have the required members or did not meet at least every three months. |
| Mar 12, 2025 | E · Potential for harm, repeated | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. |
| Mar 12, 2025 | D · Potential for harm, one-off | The facility did not allow a resident's chosen representative — often a family member or someone with power of attorney — to exercise the resident's rights on their behalf. When a resident can't speak for themselves, their representative steps into that role. |
| Mar 12, 2025 | D · Potential for harm, one-off | The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. |
| Mar 12, 2025 | D · Potential for harm, one-off | The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave. |
| Mar 12, 2025 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Dec 5, 2024 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint |
| Sep 12, 2024 | ▲ L · Immediate jeopardy, facility-wide | The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. · from a complaint |
| Sep 12, 2024 | E · Potential for harm, repeated | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint |
| Sep 12, 2024 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. · from a complaint |
| Sep 12, 2024 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint |
| Sep 12, 2024 | C · Minimal risk, facility-wide | The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. · from a complaint |
| Feb 6, 2024 | F · Potential for harm, facility-wide | The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing. |
| Feb 6, 2024 | F · Potential for harm, facility-wide | The facility did not employ enough qualified food and nutrition staff, including a qualified dietician, to properly run its food service. |
| Feb 6, 2024 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Feb 6, 2024 | F · Potential for harm, facility-wide | The facility did not electronically submit complete and accurate staffing information to the government, based on payroll and other verifiable records. |
| Feb 6, 2024 | E · Potential for harm, repeated | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · from a complaint |
| Feb 6, 2024 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. |
| Feb 6, 2024 | D · Potential for harm, one-off | The facility did not allow a resident's chosen representative — often a family member or someone with power of attorney — to exercise the resident's rights on their behalf. When a resident can't speak for themselves, their representative steps into that role. |
| Feb 6, 2024 | D · Potential for harm, one-off | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint |
| Feb 6, 2024 | D · Potential for harm, one-off | The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered. |
| Feb 6, 2024 | D · Potential for harm, one-off | The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. |
| Feb 6, 2024 | D · Potential for harm, one-off | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. |
| Feb 6, 2024 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint |
| Feb 6, 2024 | C · Minimal risk, facility-wide | The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. |
| Feb 6, 2024 | C · Minimal risk, facility-wide | The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave. |
| Nov 8, 2023 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Jan 26, 2023 | D · Potential for harm, one-off | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. |
| Jan 26, 2023 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| Jan 26, 2023 | D · Potential for harm, one-off | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. |
| Jan 26, 2023 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (13 → 8).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 5 | 0 | D |
| 2024 | 20 | 1 | L ▲ |
| 2025 | 8 | 0 | F |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
1 fine totaling $17,170.
| Date | Type | Amount / length |
|---|---|---|
| Sep 12, 2024 | Fine | $17,170 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Wisconsin avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.56 | 4.29 | 3.95 | bottom 28% in Wisconsin; bottom 39% in the U.S. |
| Registered Nurse hours | 1.12 | 1.01 | 0.69 | top 33% in Wisconsin; top 12% in the U.S. |
| Weekend total nurse staffing | 3.10 | 3.84 | 3.50 | bottom 25% in Wisconsin; bottom 36% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.83 | 0.68 | 0.48 | top 24% in Wisconsin; top 10% in the U.S. |
| Total nursing staff turnover (%) | 57.5 | 46.9 | 45.8 | bottom 23% in Wisconsin; bottom 20% in the U.S. |
| RN turnover (%) | 64.3 | 39.7 | 42.9 | bottom 13% in Wisconsin; bottom 16% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.72, RN 1.17, weekend 3.25. Staffing rating: 3/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 2/5 · long-stay residents: 2/5 · short-stay residents: 3/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Mills, David | Individual | 5% or Greater Indirect Ownership Interest | 20% | 06/29/2017 |
| NSHF Operations LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 07/24/2017 |
| Baumann, Troy | Individual | W-2 Managing Employee | NOT APPLICABLE | 06/29/2017 |
| Baumann, Troy | Individual | Corporate Director | NOT APPLICABLE | 06/29/2017 |
| Hoehn, Jeffrey | Individual | Corporate Director | NOT APPLICABLE | 06/29/2017 |
| Hoehn, Jeffrey | Individual | Corporate Officer | NOT APPLICABLE | 06/29/2017 |
| North Shore Healthcare LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 10/01/2017 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What is your nurse and aide staffing ratio on each shift, including nights and weekends?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "How does your quality committee work, and can you share an example of a problem it identified and fixed?"
- "What percentage of your residents and staff are vaccinated against flu and pneumonia, and how do you offer the vaccines?"
- "How do you involve a resident's representative in care decisions, and how quickly are they consulted?"
- "If you ever planned to discharge or transfer my family member, how much written notice would we receive and how could we appeal?"
- "If my family member goes to the hospital, how long will you hold their bed, and will we get that in writing?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Samaritan Nursing and Rehab | 9.1 mi | West Bend, WI | ★☆☆☆☆ | 1/5 | abuse |
| Lasata Care Center | 10.6 mi | Cedarburg, WI | ★★★★★ | 4/5 | |
| Cedarburg Health Services | 10.6 mi | Cedarburg, WI | ★★★☆☆ | 4/5 | |
| Newcastle Place | 13.1 mi | Mequon, WI | ★★★☆☆ | 2/5 | |
| Cedar Lake Health and Rehab Center | 14.9 mi | West Bend, WI | ★★★★★ | 4/5 | |
| Avina of Milwaukee | 16.3 mi | Milwaukee, WI | ★☆☆☆☆ | 1/5 | abuse |
| Amethyst Health of Brown Deer | 17.3 mi | Milwaukee, WI | ★☆☆☆☆ | 1/5 | SFF |
| Bradley Estates Nursing and Rehab LLC | 17.6 mi | Milwaukee, WI | ★☆☆☆☆ | 1/5 | abuseSFF |
| Complete Care at Germantown | 18.4 mi | Germantown, WI | ★★★★☆ | 4/5 | |
| Complete Care at Glendale West | 18.9 mi | Glendale, WI | ★★★☆☆ | 2/5 | |
| Pavilion at Glacier Valley | 19.6 mi | Slinger, WI | ★★☆☆☆ | 2/5 | |
| Bayshore Nursing & Rehab | 19.8 mi | Glendale, WI | ★☆☆☆☆ | 1/5 | abuseSFF |
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Facility data as of CMS processing date 2026-08-01. CCN 525586.