428 N 6th St, Tomahawk, WI 54487 (opens Google Maps) · Lincoln County · (715) 453-2511· 50 certified beds · avg 31 residents/day · certified since Jul 1, 1983 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Part of chain: NORTH SHORE HEALTHCARE (59 facilities, chain avg rating 2.7★)
3/5
Health inspection rating (on-site)
inspected Jan 27, 2026
0
Serious findings on record
$5,286
Fines, last 3 years
2.91
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.
Inspection findings in the public record
Showing the latest 3 of 14 inspection findings. Open the full record below to read every finding.
F · Potential for more than minimal harm, widespread
The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. F-0726
D · Potential for more than minimal harm, isolated
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. F-0550
D · Potential for more than minimal harm, isolated
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. F-0580
View all 14 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
Jan 27, 2026
F · Potential for more than minimal harm, widespread
The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. · F-0726
Jan 27, 2026
D · Potential for more than minimal harm, isolated
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. · F-0550
Jan 27, 2026
D · Potential for more than minimal harm, isolated
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. · F-0580
Jan 27, 2026
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). · F-0628
Jan 27, 2026
D · Potential for more than minimal harm, isolated
The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services. · F-0645
Jan 27, 2026
D · Potential for more than minimal harm, isolated
The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · F-0656
Nov 6, 2024
F · Potential for more than minimal harm, widespread
The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. · F-0803
Nov 6, 2024
F · Potential for more than minimal harm, widespread
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. · F-0812
Nov 6, 2024
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. · F-0755
Nov 6, 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
Nov 6, 2024
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
Sep 27, 2023
F · Potential for more than minimal harm, widespread
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. · F-0812
Sep 27, 2023
E · Potential for more than minimal harm, pattern
The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · F-0804
Sep 27, 2023
D · Potential for more than minimal harm, isolated
The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. · F-0688
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (5 → 6).
Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01
All citationsSerious citations (G–L)
2023
All citations:
3
Serious citations (G–L):
0
2024
All citations:
5
Serious citations (G–L):
0
2026
All citations:
6
Serious citations (G–L):
0
All bars start at zero. Exact values and supporting details remain below.
Year
Citations
Serious (G–L)
Worst severity that year
2023
3
0
F
2024
5
0
F
2026
6
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.
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
Feb 20, 2024
Fine
$1,899
Jan 30, 2024
Fine
$3,387
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:
2.91
Wisconsin average:
4.29
U.S. average:
3.95
Registered Nurse hours
This facility:
0.69
Wisconsin average:
1.01
U.S. average:
0.69
Weekend total nurse staffing
This facility:
2.64
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)
2.91
4.29
3.95
bottom 3% in Wisconsin; bottom 11% in the U.S.
Registered Nurse hours
0.69
1.01
0.69
bottom 22% in Wisconsin; top 37% in the U.S.
Weekend total nurse staffing
2.64
3.84
3.50
bottom 4% in Wisconsin; bottom 14% in the U.S.
Weekend RN hours (not acuity-adjusted)
0.57
0.68
0.48
bottom 42% in Wisconsin; top 26% in the U.S.
Total nursing staff turnover (%)
37.5
46.9
45.8
top 24% in Wisconsin; top 30% in the U.S.
RN turnover (%)
11.1
39.7
42.9
top 6% in Wisconsin; top 4% 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 3.58, RN 0.85, weekend 3.24.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.58 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 3/5.
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 Riverview Health Services. CMS inspection and staffing records do not tell us what this home will charge you.
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Showing 20 of 33 parties CMS has on file for this facility; 13 are not displayed. The full list is in the CMS Ownership dataset.
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.
CMS records place this facility in Lincoln, WI — 3 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.