Shorehaven HLTH & Rehab Ctr
1305 W Wisconsin Ave, Oconomowoc, WI 53066 · Waukesha County · 88 certified beds · avg 73 residents/day · certified since Feb 1, 1995
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5
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)
▲ Actual harm, one-off · Jun 25, 2024 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Aug 9, 2024 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Nov 14, 2022 · F-0686
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 (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Jan 31, 2023 (Deficient, Provider has date of correction)
All citations in the current public record (10)
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 5, 2026 | D · Potential for harm, one-off | 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 |
| Mar 5, 2026 | D · Potential for harm, one-off | The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint |
| Jun 11, 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. |
| Jun 11, 2025 | D · Potential for harm, one-off | 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). |
| Jun 11, 2025 | D · Potential for harm, one-off | 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. |
| Jun 25, 2024 | ▲ G · Actual 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 |
| Feb 22, 2024 | E · Potential for harm, repeated | 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. |
| Nov 14, 2022 | ▲ G · Actual harm, one-off | 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. |
| Nov 14, 2022 | D · Potential for harm, one-off | The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. |
| Nov 14, 2022 | D · Potential for harm, one-off | 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. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (1 → 3).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 3 | 1 | G ▲ |
| 2024 | 2 | 1 | G ▲ |
| 2025 | 3 | 0 | F |
| 2026 | 2 | 0 | D |
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)
0 fines totaling $0, plus 1 Medicare payment denial period.
| Date | Type | Amount / length |
|---|---|---|
| Jun 25, 2024 | Payment Denial | 13 days from Jul 27, 2024 |
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) | 5.55 | 4.29 | 3.95 | top 12% in Wisconsin; top 7% in the U.S. |
| Registered Nurse hours | 1.36 | 1.01 | 0.69 | top 15% in Wisconsin; top 6% in the U.S. |
| Weekend total nurse staffing | 5.00 | 3.84 | 3.50 | top 11% in Wisconsin; top 6% 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 (%) | 38.8 | 46.9 | 45.8 | top 29% in Wisconsin; top 33% in the U.S. |
| RN turnover (%) | 13.6 | 39.7 | 42.9 | top 10% in Wisconsin; top 7% 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 5.41, RN 1.33, weekend 4.87. Staffing rating: 5/5.
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: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Bergin, Scott | Individual | W-2 Managing Employee | NOT APPLICABLE | 06/10/2024 |
| Bergin, Scott | Individual | Corporate Officer | NOT APPLICABLE | 06/10/2024 |
| Boray, Johathan | Individual | Corporate Director | NOT APPLICABLE | 10/20/2022 |
| Boyer-Ruan, Beth | Individual | Corporate Director | NOT APPLICABLE | 10/19/2023 |
| Buscemi, Alfonso | Individual | Corporate Director | NOT APPLICABLE | 10/17/2024 |
| Cooper, William | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/27/2024 |
| Cooper, William | Individual | ADP of the SNF | NOT APPLICABLE | 12/05/2024 |
| Dahlke, Dale | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/08/2018 |
| Holland, Philip | Individual | Corporate Officer | NOT APPLICABLE | 10/21/2021 |
| Karls, Emily | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/26/2024 |
| Karls, Emily | Individual | ADP of the SNF | NOT APPLICABLE | 12/05/2024 |
| Lammers, Joel | Individual | Corporate Director | NOT APPLICABLE | 10/24/2021 |
| Lentz, William | Individual | Corporate Director | NOT APPLICABLE | 10/21/2021 |
| Mayer, Roger | Individual | Corporate Director | NOT APPLICABLE | 10/20/2022 |
| Miller, Mary | Individual | Corporate Director | NOT APPLICABLE | 10/21/2021 |
| O'Malley, Mary | Individual | Corporate Director | NOT APPLICABLE | 10/24/2019 |
| Polinske, Bryan | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/30/2018 |
| Ratzel, Mary Lee | Individual | Corporate Director | NOT APPLICABLE | 04/01/2015 |
| Sokop, Mary | Individual | Corporate Director | NOT APPLICABLE | 10/24/2018 |
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 falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
- "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 |
|---|---|---|---|---|---|
| Lake Country Health Services | 4.7 mi | Oconomowoc, WI | ★★☆☆☆ | 2/5 | |
| Masonic Center for Health & Rehab INC. | 7.3 mi | Dousman, WI | ★★★★★ | 5/5 | |
| Watertown Health Care Center | 10.6 mi | Watertown, WI | ★☆☆☆☆ | 1/5 | SFF |
| Marquardt Memorial Manor | 11.0 mi | Watertown, WI | ★★☆☆☆ | 2/5 | |
| Lindengrove Waukesha | 14.5 mi | Waukesha, WI | ★☆☆☆☆ | 1/5 | |
| Avina of Pewaukee | 14.6 mi | Waukesha, WI | ★☆☆☆☆ | 1/5 | |
| Complete Care at Kensington | 15.7 mi | Waukesha, WI | ★☆☆☆☆ | 2/5 | |
| Aria of Waukesha | 16.8 mi | Waukesha, WI | ★☆☆☆☆ | 2/5 | |
| Alden Estates of Countryside, INC | 17.7 mi | Jefferson, WI | ★☆☆☆☆ | 1/5 | |
| Complete Care at Care Age | 18.4 mi | Brookfield, WI | ★☆☆☆☆ | 1/5 | |
| Franciscan Woods | 18.8 mi | Brookfield, WI | ★☆☆☆☆ | 1/5 | |
| Lindengrove Mukwonago | 18.8 mi | Mukwonago, WI | ★★☆☆☆ | 3/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 525560.