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Part of chain: NORTH SHORE HEALTHCARE (59 facilities, chain avg rating 2.7★)
4/5
Health inspection rating (on-site)
inspected Mar 26, 2025
1
Serious findings on record
most recent Jul 3, 2025
$120,900
Fines, last 3 years
4.12
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
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 quality measures from resident assessments and claims.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, isolated · Jul 3, 2025 · F-0686 · triggered by a complaint
The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Why it matters: Bedsores are painful, can become deeply infected, and in serious cases can be life-threatening.
Severity (J): Immediate jeopardy to resident health or safety was cited. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Jul 29, 2025 (Deficient, Provider has date of correction)
Inspection findings in the public record
Showing the latest 3 of 18 inspection findings. Open the full record below to read every finding.
J · Immediate jeopardy, isolated
The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaintF-0686
F · Potential for more than minimal harm, widespread
The facility did not provide its staff with required training on behavioral health — caring for residents with conditions like dementia, depression, or other mental health needs. · from a complaintF-0949
D · Potential for more than minimal harm, isolated
The facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay). · from a complaintF-0628
View all 18 inspection findingsShow only the latest 3 findings
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
Date
Severity
What the facility was cited for
Jul 3, 2025
▲ J · Immediate jeopardy, isolated
The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint · F-0686
Jul 3, 2025
F · Potential for more than minimal harm, widespread
The facility did not provide its staff with required training on behavioral health — caring for residents with conditions like dementia, depression, or other mental health needs. · from a complaint · F-0949
Jul 3, 2025
D · Potential for more than minimal harm, isolated
The facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay). · from a complaint · F-0628
Jul 3, 2025
D · Potential for more than minimal harm, isolated
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 · F-0684
Mar 26, 2025
D · Potential for more than minimal harm, isolated
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689
Mar 26, 2025
D · Potential for more than minimal harm, isolated
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. · F-0880
Mar 26, 2025
C · Potential for minimal harm, widespread
The facility did not electronically submit complete and accurate staffing information to the government, based on payroll and other verifiable records. · F-0851
Feb 8, 2024
E · Potential for more than minimal harm, pattern
The facility did not designate a qualified infection preventionist — a trained person responsible for running the infection prevention and control program. · F-0882
Feb 8, 2024
D · Potential for more than minimal harm, isolated
The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. · F-0758
Feb 8, 2024
D · Potential for more than minimal harm, isolated
The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · F-0760
Oct 10, 2023
D · Potential for more than minimal harm, isolated
The facility did not honor residents' right to receive the visitors they choose, at the times they choose. · from a complaint · F-0563
Oct 10, 2023
D · Potential for more than minimal harm, isolated
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 · F-0755
Oct 10, 2023
D · Potential for more than minimal harm, isolated
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 · F-0880
Oct 17, 2022
D · Potential for more than minimal harm, isolated
The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle. · F-0679
Oct 17, 2022
D · Potential for more than minimal harm, isolated
The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · F-0686
Oct 17, 2022
D · Potential for more than minimal harm, isolated
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689
Oct 17, 2022
D · Potential for more than minimal harm, isolated
The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. · F-0695
Oct 17, 2022
C · Potential for minimal harm, widespread
The facility did not give residents the required written notice of their rights, the facility's rules, the services offered, and what those services cost. · F-0572
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (3 → 3).
Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01
All citationsSerious citations (G–L)
2022
All citations:
5
Serious citations (G–L):
0
2023
All citations:
3
Serious citations (G–L):
0
2024
All citations:
3
Serious citations (G–L):
0
2025
All citations:
7
Serious citations (G–L):
1
All bars start at zero. Exact values and supporting details remain below.
Year
Citations
Serious (G–L)
Worst severity that year
2022
5
0
D
2023
3
0
D
2024
3
0
E
2025
7
1
J ▲
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.
Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.
Date
Type
Amount / length
Jul 3, 2025
Fine
$120,900
Nurse staffing (from payroll records, adjusted for how much care residents need)
Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01
This facilityWisconsin averageU.S. average
Total nurse staffing (hours per resident per day)
This facility:
4.12
Wisconsin average:
4.29
U.S. average:
3.95
Registered Nurse hours
This facility:
1.77
Wisconsin average:
1.01
U.S. average:
0.69
Weekend total nurse staffing
This facility:
3.86
Wisconsin average:
3.84
U.S. average:
3.50
All bars start at zero. Exact values and supporting details remain below.
Measure
This facility
Wisconsin avg
U.S. avg
Where it stands
Total nurse staffing (hours per resident per day)
4.12
4.29
3.95
top 49% in Wisconsin; top 35% in the U.S.
Registered Nurse hours
1.77
1.01
0.69
top 5% in Wisconsin; top 3% in the U.S.
Weekend total nurse staffing
3.86
3.84
3.50
top 42% in Wisconsin; top 27% in the U.S.
Weekend RN hours (not acuity-adjusted)
1.35
0.68
0.48
top 3% in Wisconsin; top 2% in the U.S.
Total nursing staff turnover (%)
37.9
46.9
45.8
top 27% in Wisconsin; top 31% in the U.S.
RN turnover (%)
30.8
39.7
42.9
top 38% in Wisconsin; top 30% in the U.S.
Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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 3.54, RN 1.52, weekend 3.32.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.54 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 4/5.
Quality measures: assessments & claims
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
No verified facility-specific private-pay price is available in our data for Lake Mills Health Services. CMS inspection and staffing records do not tell us what this home will charge you.
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Before you compare prices
Request the room type, effective date and itemized daily rate in writing.
Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
All 6 owning or managing parties CMS has on file are shown — none excluded.
Other facilities in the same chain
CMS lists this facility under the chain North Shore Healthcare — 59 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.
Facility data as of CMS processing date 2026-08-01. CCN 525314.
This page is the printable visit checklist. If your browser did not open the print dialog automatically, use File → Print (Ctrl/⌘-P).
The Care File
Visit checklist — Lake Mills Health Services
901 Mulberry St, Lake Mills, WI 53551 · (920) 648-8344
Health inspection rating 4/5 · CMS overall 4/5· Fines (3y): $120,900
Most serious findings on record:
▲ Jul 3, 2025 (F-0686, Immediate jeopardy, isolated): The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Questions for the administrator:
☐ "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
☐ "What training do your staff receive for caring for residents with dementia or mental health conditions?"
☐ "What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "How do your actual daily staffing levels compare to what's reported on Medicare's Care Compare website?"
☐ "Who is your infection preventionist, and what training do they have?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the plan of correction for the findings in your most recent state inspection?"
☐ "CMS reports 38% total nursing staff turnover here — who on the care team has been with you longest?"
☐ "Can I visit again unannounced, at a mealtime or on a weekend?"
While you're there, notice:
☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)
Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 525314 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)