Williams Bay Health Services

Name: Williams Bay Health Services
Address: 146 CLOVER ST, Williams Bay, WI, 53191, US
Telephone: 2622456400

146 Clover St, Williams Bay, WI 53191 · Walworth County · 50 certified beds · avg 32 residents/day · certified since Jan 1, 1984

Part of chain: NORTH SHORE HEALTHCARE (59 facilities, chain avg rating 2.7★)

1/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.10

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★☆☆☆☆1/5 · CMS overall rating: 1/5

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, one-off · Jun 3, 2026 · 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 (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.

Corrected: Jul 7, 2026 (Deficient, Provider has date of correction)

▲ Actual harm, one-off · Jun 3, 2026 · F-0689

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: Jul 7, 2026 (Deficient, Provider has date of correction)

▲ Actual harm, one-off · Mar 27, 2025 · F-0689

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: Apr 24, 2025 (Deficient, Provider has date of correction)

All citations in the current public record (35)

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
Jun 3, 2026	▲ J · Immediate jeopardy, 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.
Jun 3, 2026	▲ 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.
Jun 3, 2026	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 3, 2026	F · Potential for harm, facility-wide	The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them.
Jun 3, 2026	F · Potential for harm, facility-wide	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.
Jun 3, 2026	E · Potential for harm, repeated	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.
Jun 3, 2026	E · Potential for harm, repeated	The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident.
Jun 3, 2026	E · Potential for harm, repeated	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.
Jun 3, 2026	E · Potential for harm, repeated	The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations.
Jun 3, 2026	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
Jun 3, 2026	D · Potential for harm, one-off	The facility did not keep residents' personal and medical information private and confidential.
Jun 3, 2026	D · Potential for harm, one-off	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Jun 3, 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.
Jun 3, 2026	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 3, 2026	D · Potential for harm, one-off	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.
Jun 3, 2026	D · Potential for harm, one-off	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own.
Jun 3, 2026	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
Jun 3, 2026	D · Potential for harm, one-off	The facility did not provide proper care for residents with a colostomy, urostomy, or ileostomy — surgical openings in the abdomen that let waste leave the body into a pouch. These require regular, skilled attention to stay clean and healthy.
Jun 3, 2026	D · Potential for harm, one-off	The facility did not provide care that took into account residents' past trauma or their cultural backgrounds. Care is supposed to be sensitive to what residents have lived through and where they come from.
Jun 3, 2026	D · Potential for harm, one-off	The facility did not provide necessary behavioral health care and services — support for residents' mental and emotional wellbeing, including conditions like depression and anxiety.
Jun 3, 2026	D · Potential for harm, one-off	The facility did not provide the social services residents need — such as counseling, help with adjustment, or connecting to outside resources — to achieve the best possible quality of life. · from a complaint
Jun 3, 2026	D · Potential for harm, one-off	The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems.
Jun 3, 2026	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.
Jun 3, 2026	D · Potential for harm, one-off	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.
Jun 3, 2026	D · Potential for harm, one-off	The facility did not give all staff the required training on its quality improvement program — the internal system for finding problems and making care better.
Jun 3, 2026	D · Potential for harm, one-off	The facility did not make sure its nurse aides had the skills needed to care for residents, including training in dementia care and abuse prevention.
Jun 3, 2026	C · Minimal risk, facility-wide	The facility did not post the names, addresses, and phone numbers of state agencies and advocacy groups, along with a notice that residents may file complaints with the state survey agency.
Jan 26, 2026	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
Mar 27, 2025	▲ 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.
Mar 27, 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 27, 2025	F · Potential for harm, facility-wide	The facility did not regularly inspect bed frames, mattresses, and bed rails for safety, or the rails and mattresses were not attached safely to the frames.
Mar 27, 2025	D · Potential for harm, one-off	The facility did not provide safe and appropriate pain management for a resident who needed it.
Sep 22, 2023	D · Potential for harm, one-off	The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint
Sep 22, 2023	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
Sep 22, 2023	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

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (4 → 27).

Year	Citations	Serious (G–L)	Worst severity that year
2023	3	0	D
2025	4	1	G ▲
2026	28	2	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.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

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)	3.10	4.29	3.95	bottom 8% in Wisconsin; bottom 17% in the U.S.
Registered Nurse hours	0.93	1.01	0.69	bottom 49% in Wisconsin; top 19% in the U.S.
Weekend total nurse staffing	2.87	3.84	3.50	bottom 13% in Wisconsin; bottom 24% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.70	0.68	0.48	top 39% in Wisconsin; top 16% in the U.S.
Total nursing staff turnover (%)	58.8	46.9	45.8	bottom 21% in Wisconsin; bottom 18% in the U.S.
RN turnover (%)	33.3	39.7	42.9	top 40% in Wisconsin; top 33% 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 3.43, RN 1.03, weekend 3.17. 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: 2/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Arrowhead 123 LLC	Organization	5% or Greater Indirect Ownership Interest	10%	10/01/2019
Mills, David	Individual	5% or Greater Indirect Ownership Interest	18%	10/01/2019
NSHR Operations LLC	Organization	5% or Greater Direct Ownership Interest	100%	10/01/2019
The Lane Morrell Bowen Trust	Organization	5% or Greater Indirect Ownership Interest	10%	10/01/2019
Arrowhead 123 LLC	Organization	ADP of the SNF	NOT APPLICABLE	12/01/2019
Baumann, Troy	Individual	Corporate Director	NOT APPLICABLE	10/01/2019
Baumann, Troy	Individual	Operational/Managerial Control	NOT APPLICABLE	12/01/2019
Baumann, Troy	Individual	ADP of the SNF	NOT APPLICABLE	12/01/2019
Belongia, Christina	Individual	Operational/Managerial Control	NOT APPLICABLE	12/01/2019
Belongia, Christina	Individual	ADP of the SNF	NOT APPLICABLE	12/01/2019
Cibc Bank USA	Organization	5% or Greater Mortgage Interest	NOT APPLICABLE	12/31/2024
Cibc Bank USA	Organization	5% or Greater Security Interest	NOT APPLICABLE	12/31/2024
Cibc Bank USA	Organization	Operational/Managerial Control	NOT APPLICABLE	12/31/2024
Cliftonlarsonallen LLP	Organization	Operational/Managerial Control	NOT APPLICABLE	12/01/2019
Cliftonlarsonallen LLP	Organization	ADP of the SNF	NOT APPLICABLE	06/09/2025
Continuum Therapy Partners LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	03/01/2025
Continuum Therapy Partners LLC	Organization	ADP of the SNF	NOT APPLICABLE	06/09/2025
Gee, Darren	Individual	Operational/Managerial Control	NOT APPLICABLE	11/30/2021
Gee, Darren	Individual	ADP of the SNF	NOT APPLICABLE	11/30/2021
Greer, Lauren	Individual	Operational/Managerial Control	NOT APPLICABLE	11/29/2023

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"How does your quality committee work, and can you give an example of a problem it recently identified and fixed?"
"What training do your staff receive for caring for residents with dementia or mental health conditions?"
"What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
"How do you verify that your nurses and aides have the skills to care for residents with needs like my family member's?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"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
Delavan Health Services	5.6 mi	Delavan, WI	★★★★☆	4/5
Geneva Lake Manor	6.2 mi	Lake Geneva, WI	★☆☆☆☆	1/5
Golden Years of Lake Geneva	7.0 mi	Lake Geneva, WI	★★★★☆	5/5
Holton Manor	7.1 mi	Elkhorn, WI	★★☆☆☆	2/5
Lakeland Health Care Ctr	7.1 mi	Elkhorn, WI	★★★☆☆	2/5	abuse
Mercy Harvard Hospital Care Center	13.0 mi	Harvard, IL	★★★★★	5/5
Valley Hi Nursing Home	15.2 mi	Woodstock, IL	★★★★☆	3/5
East Troy Manor	16.0 mi	East Troy, WI	★★☆☆☆	2/5
Burlington Health and Rehabilitation Center	16.0 mi	Burlington, WI	★☆☆☆☆	1/5
Alden Meadow Park HCC	16.5 mi	Clinton, WI	★★★☆☆	3/5
La Bella of Woodstock	18.7 mi	Woodstock, IL	★☆☆☆☆	1/5	abuse
Lindengrove Mukwonago	19.8 mi	Mukwonago, WI	★★☆☆☆	3/5

Compare this facility with the 3 closest →

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Facility data as of CMS processing date 2026-08-01. CCN 525346.

The Care File

Visit checklist — Williams Bay Health Services

146 Clover St, Williams Bay, WI 53191 · 2622456400

Health inspection rating 1/5 · CMS overall 1/5· Fines (3y): $0

Most serious findings on record:

▲ Jun 3, 2026 (F-0686, Immediate jeopardy, 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.
▲ Jun 3, 2026 (F-0689, 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.
▲ Mar 27, 2025 (F-0689, 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.

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 is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "How does your quality committee work, and can you give an example of a problem it recently identified and fixed?"
☐ "What training do your staff receive for caring for residents with dementia or mental health conditions?"
☐ "What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
☐ "How do you verify that your nurses and aides have the skills to care for residents with needs like my family member's?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "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?"

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 525346 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)