Willowcrest Health Services
South Milwaukee, Wisconsin
Skilled nursing facility in South Milwaukee, WI with 100 certified beds and a 2-star CMS overall rating.
Willowcrest Health Services is a skilled nursing facility in South Milwaukee, Wisconsin (Milwaukee County), with 100 Medicare/Medicaid-certified beds.
Address: 3821 S Chicago Ave, South Milwaukee, WI 53172. Phone: (414) 762-7336.
Ownership: For profit - Limited Liability company. Certified for Medicare and Medicaid. Automatic sprinkler systems in all required areas. Has a resident council. Part of the North Shore Healthcare chain.
CMS Five-Star ratings (source: Medicare Care Compare): overall 2 of 5, health inspections 2, staffing 2, quality measures 4.
Levels of care
- Skilled nursing
Facility details
- Street address
- 3821 S Chicago Ave
- City
- South Milwaukee
- State
- Wisconsin
- ZIP code
- 53172
- Phone
- (414) 762-7336
- Levels of care
- Skilled nursing
- Payment options accepted
- Medicare, Medicaid
- Cms Ccn
- 525413
- County
- Milwaukee
- Ownership Type
- For profit - Limited Liability company
- Provider Type
- Medicare and Medicaid
- Certified Beds
- 100
- Avg Daily Residents
- 74.9
- Continuing Care Community
- No
- Resident Family Council
- Resident
- Sprinklers All Areas
- Yes
- Medicare Medicaid Approved Date
- 1988-07-21
- Chain Name
- North Shore Healthcare
- Overall Rating
- 2
- Health Inspection Rating
- 2
- Staffing Rating
- 2
- Quality Measure Rating
- 4
- Total Nurse Hours Per Resident Day
- 3.5696
- Rn Hours Per Resident Day
- 0.61717
- Latitude
- 42.8943
- Longitude
- -87.864
Medicare & Medicaid quality data
Published by the Centers for Medicare & Medicaid Services (CMS) [1] , data as of October 1, 2026. CMS ID 525413. Ratings compare this home with other nursing homes; they are not a pass or fail.
How does it compare in South Milwaukee? · Lowest-rated in Wisconsin
CMS overall rating
2 / 5
Below average- Certified beds
- 100
- Residents per day
- 78
- Ownership
- For profit - Limited Liability company
- Health citations (latest)
- 13
- Fines
- 1 ($21,285)
Star ratings
CMS rates every certified nursing home from 1 to 5 stars in three areas and combines them into an overall rating. The ratings compare homes with each other: 5 is much above average, 3 is average, 1 is much below average.
Overall rating
Below averageThe headline score, from 1 to 5 stars.
✗ Worse than the state average. State 3.1 · National 3.0
How is this scored?
Three steps: start with the health inspection stars; add one star if staffing is 5 stars (subtract one if it is 1 star); then add one star if quality measures are 5 stars (subtract one if 1 star). It never goes above 5 or below 1, and a home with 1 health inspection star can gain at most one star from the other two. It compares homes with each other; it is not a pass/fail grade. [11]
Health inspections
Below averageHow the home did in recent state inspections and complaint investigations.
✗ Worse than the state average. State 2.8 · National 2.8
How is this scored?
Based on the two most recent annual inspections plus 36 months of complaint and infection-control inspections, and on how many revisits were needed to confirm fixes. Each citation is weighted by scope and severity. Homes are then ranked within their own state: the best 10% (lowest scores) earn 5 stars, the middle 70% earn 2, 3 or 4 stars in equal shares, and the worst 20% earn 1 star. [11]
Staffing
Below averageHow many nurses care for each resident, and how stable the nursing team is.
✗ Worse than the state average. State 3.7 · National 3.0
How is this scored?
Six measures: three of staffing level (total nurse, registered nurse and weekend nurse hours per resident per day, adjusted for how much care residents need) and three of turnover (nursing staff, RNs and administrators). The hours come from payroll records submitted to CMS each quarter; turnover uses six quarters of that data. [11]
Quality measures
AverageHow residents are actually doing.
✗ Worse than the state average. State 3.2 · National 3.7
How is this scored?
Scores 15 quality measures drawn from resident assessments (the Minimum Data Set) and Medicare claims, such as falls with major injury, pressure ulcers, rehospitalizations and medication use. Long-stay and short-stay residents are rated separately and combined. [11]
This home State average National average
- Long-stay quality
- Residents who live in the home: outcomes such as falls, pressure ulcers and medication use.
- Short-stay quality
- Residents staying for rehab or recovery: outcomes such as rehospitalization and regaining function.
How to read the numbers on this page
- Star ratings — 1 to 5 (no stars = not rated)
- 5 is much above average and 1 is much below average, compared with other nursing homes. A home with too little data may have no rating.
- Health inspection score — 0 and up, lower is better
- Points added up from citations (see the scope and severity grid) and revisits. 0 means a clean record; the state table shows which scores earn which stars.
- Quality measure percentages — 0 to 100%
- The share of residents with an outcome, such as a fall with major injury. For most measures a lower percentage is better; for vaccination measures a higher percentage is better.
- Nurse hours per resident per day — Hours, higher is better
- Paid nursing time divided by residents. For example 4.0 means each resident gets about four hours of nursing care a day, shared across all shifts.
- Staff turnover — 0 to 100%, lower is better
- The share of nursing staff who left during the year. High turnover can mean less continuity of care.
- Case-mix index — Around 1.0 is typical
- How much care the residents need. Above 1 means sicker or more dependent residents who need more staff time.
- Fines — Dollars; payment denials in days
- Penalties CMS imposed for serious or repeated problems. A payment denial stops Medicare/Medicaid payment for new admissions.
Sources: Nursing Home Provider Information [1] ; Nursing Home State & National Averages [9] ; Design for Care Compare Nursing Home Five-Star Quality Rating System: Technical Users' Guide [11]
Staffing & turnover
More nursing time per resident and a steadier team are both signs of better care. Hours come from payroll records the home submits to CMS each quarter.
Nurse hours per resident per day, by role
A resident's day is 24 hours; this is how much paid nursing time each resident gets, shared across all shifts.
RN 0.55 · LPN 0.96 · Nurse aide 1.87. What the home's payroll records show.
RN 0.75 · LPN 0.93 · Nurse aide 2.54. What CMS predicts a home with these residents' needs would staff.
RN 0.51 · LPN 0.88 · Nurse aide 1.71. The reported hours rescaled so homes with sicker or healthier residents can be compared fairly.
Compared with WI and the nation
This home State average National average
- Total nurse hours (hrs/resident/day, higher is better)
- 3.38
✗ Worse than the state average. State 4.25 · National 3.90
- Registered nurse (RN) hours (hrs/resident/day, higher is better)
- 0.55
✗ Worse than the state average. State 0.98 · National 0.69
- Licensed nurse hours (RN + LPN) (hrs/resident/day, higher is better)
- 1.51
✗ Worse than the state average. State 1.63 · National 1.55
- Nurse aide hours (hrs/resident/day, higher is better)
- 1.87
✗ Worse than the state average. State 2.61 · National 2.35
- Weekend total nurse hours (hrs/resident/day, higher is better)
- 2.94
✗ Worse than the state average. State 3.75 · National 3.43
- Weekend RN hours (hrs/resident/day, higher is better)
- 0.34
✗ Worse than the state average. State 0.66 · National 0.48
- Physical therapist hours (hrs/resident/day, higher is better)
- 0.06
✓ Better than the state average. State 0.05 · National 0.07
- Nursing staff turnover (%, lower is better)
- 32.9%
✓ Better than the state average. State 46.7% · National 45.3%
- RN turnover (%, lower is better)
- 53.8%
✗ Worse than the state average. State 40.1% · National 42.5%
- Administrators who left (people, lower is better)
- 0
✓ Better than the state average. State 1 · National 1
- Nursing case-mix index (index)
- 1.52
State 1.39 · National 1.41
Turnover is the share of nursing staff who left over the year. The case-mix index shows how much care residents need: about 1.0 is typical, higher means more dependent residents.
Sources: Nursing Home Provider Information [1] ; Nursing Home State & National Averages [9] ; Design for Care Compare Nursing Home Five-Star Quality Rating System: Technical Users' Guide [11]
Inspections
State inspectors visit each home about once a year and investigate complaints. Every problem they cite is a deficiency, lettered A to L by how serious and how widespread it was.
Health inspection score
119.5 points — in WI that earns (Below average).
Lower is better. The score adds up points for every citation (more for serious, widespread problems) and for revisits needed to confirm fixes, then weights recent inspections most. [11]
Score needed for each star in WI [10]
- 5 ★
- 0.000-11.000
- 4 ★
- 11.001-37.000
- 3 ★
- 37.001-76.000
- 2 ★ (this home)
- 76.001-130.750
- 1 ★
- >130.750
| Period | Inspection | Citations (complaint) | Citation points | Revisits | Revisit points | Total |
|---|---|---|---|---|---|---|
| Most recent cycle | Jun 5, 2025 | 13 (0) | 76 | 1 | 0 | 76 |
| Prior cycles (2 and 3) | Mar 29, 2024 | 19 (5) | 250 | 1 | 0 | 250 |
Health citations per inspection
Jun 5, 2025
Mar 29, 2024
Jan 12, 2023
State average for that cycle. Fewer is better.
Fire-safety citations per inspection
Jun 5, 2025
Mar 29, 2024
Jan 12, 2023
State average for that cycle. Fewer is better.
What the latest health inspection cited
- Quality of Life and Care 6
- Pharmacy Service 3
- Freedom from Abuse and Neglect and Exploitation 1
- Resident Rights 1
- Administration 1
- Infection Control 1
- Emergency Preparedness 1
What the latest fire-safety inspection cited
- Smoke 4
- Miscellaneous 2
- Services 1
- Egress 1
- Gas and Vacuum and Electrical Systems 1
How serious were the citations?
Each health citation gets a letter. The number in each cell is how many of this home's citations got that letter; the points show what each letter adds to the health inspection score. Citations where care was substandard score higher than shown. [11]
| Isolated (a few residents) | Pattern (some residents) | Widespread (many residents) | |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J · 50 pts 2 | K · 100 pts 0 | L · 150 pts 0 |
| Actual harm, not immediate jeopardy | G · 20 pts 0 | H · 35 pts 0 | I · 45 pts 0 |
| No actual harm, potential for more than minimal harm | D · 4 pts 22 | E · 8 pts 5 | F · 16 pts 5 |
| No actual harm, potential for minimal harm only | A · 0 pts 0 | B · 0 pts 1 | C · 0 pts 1 |
Darker cells mean more citations. Counts cover every health citation CMS lists for this home.
All health citations (36) [2]
Inspection on Jun 5, 2025 · 13 citations
-
F
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
F0851 · Administration Deficiencies · Deficient, Provider has date of correction (Jul 5, 2025)
-
D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies · Deficient, Provider has date of correction (Jul 5, 2025)
-
D
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
F0688 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Jul 5, 2025)
-
D
Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies · Deficient, Provider has date of correction (Jul 5, 2025)
-
D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
F0757 · Pharmacy Service Deficiencies · Deficient, Provider has date of correction (Jul 5, 2025)
-
D
Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Jul 5, 2025)
-
D
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
F0605 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (Jul 5, 2025)
-
D
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
F0693 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Jul 5, 2025)
-
D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Jul 5, 2025)
-
D
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
F0628 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Jul 5, 2025)
-
D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
F0690 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Jul 5, 2025)
-
D
Provide care or services that was trauma informed and/or culturally competent.
F0699 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Jul 5, 2025)
-
F
Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · Deficient, Provider has date of correction (Jul 5, 2025)
Inspection on Mar 5, 2025 · 1 citation
-
D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Mar 31, 2025) · From a complaint
Inspection on Oct 14, 2024 · 1 citation
-
C
Post nurse staffing information every day.
F0732 · Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction (Nov 12, 2024) · From a complaint
Inspection on Mar 29, 2024 · 17 citations
-
D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Apr 26, 2024)
-
B
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
F0623 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Apr 26, 2024)
-
D
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
F0694 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Apr 26, 2024)
-
D
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
F0761 · Pharmacy Service Deficiencies · Deficient, Provider has date of correction (Apr 26, 2024)
-
D
Provide enough food/fluids to maintain a resident's health.
F0692 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Apr 26, 2024)
-
E
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
F0949 · Administration Deficiencies · Deficient, Provider has date of correction (Apr 26, 2024)
-
F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction (Apr 26, 2024)
-
J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Apr 26, 2024) · From a complaint
-
E
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
F0944 · Administration Deficiencies · Deficient, Provider has date of correction (Apr 26, 2024)
-
D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
F0690 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Apr 26, 2024)
-
D
Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Apr 26, 2024)
-
E
Provide training in compliance and ethics.
F0946 · Administration Deficiencies · Deficient, Provider has date of correction (Apr 26, 2024)
-
J
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
F0678 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Apr 26, 2024) · From a complaint
-
E
Observe each nurse aide's job performance and give regular training.
F0730 · Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction (Apr 26, 2024)
-
D
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
F0693 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Apr 26, 2024) · From a complaint
-
D
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
F0758 · Pharmacy Service Deficiencies · Deficient, Provider has date of correction (Apr 26, 2024)
-
F
Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · Deficient, Provider has date of correction (Apr 26, 2024)
Inspection on Jan 12, 2023 · 4 citations
-
D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Feb 10, 2023)
-
E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
F0804 · Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction (Feb 10, 2023)
-
F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction (Feb 10, 2023)
-
D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Feb 10, 2023)
All fire-safety citations (29) [3]
Inspection on Jun 5, 2025 · 10 citations
-
F
Have simulated fire drills held at unexpected times.
K0712 · Miscellaneous Deficiencies · Deficient, Provider has date of correction (Jul 5, 2025)
-
F
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.
K0343 · Smoke Deficiencies · Deficient, Provider has date of correction (Jul 5, 2025)
-
F
Have generator or other power source capable of supplying service within 10 seconds.
K0918 · Gas, Vacuum, and Electrical Systems Deficiencies · Deficient, Provider has date of correction (Jul 5, 2025)
-
F
Provide emergency officials' contact information.
E0031 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (Jul 5, 2025)
-
E
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
K0222 · Egress Deficiencies · Deficient, Provider has date of correction (Jul 5, 2025)
-
D
Have properly installed electrical wiring and gas equipment.
K0511 · Services Deficiencies · Deficient, Provider has date of correction (Jul 5, 2025)
-
F
Install an approved automatic sprinkler system.
K0351 · Smoke Deficiencies · Deficient, Provider has date of correction (Apr 24, 2026)
-
E
Inspect, test, and maintain automatic sprinkler systems.
K0353 · Smoke Deficiencies · Deficient, Provider has date of correction (Jul 5, 2025)
-
D
Provide properly protected cooking facilities.
K0324 · Smoke Deficiencies · Deficient, Provider has date of correction (Jul 5, 2025)
-
F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
K0761 · Miscellaneous Deficiencies · Deficient, Provider has date of correction (Jul 5, 2025)
Inspection on Mar 29, 2024 · 10 citations
-
F
Install emergency lighting that can last at least 1 1/2 hours.
K0291 · Egress Deficiencies · Deficient, Provider has date of correction (Apr 26, 2024)
-
F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
K0914 · Gas, Vacuum, and Electrical Systems Deficiencies · Deficient, Provider has date of correction (Apr 26, 2024)
-
F
Provide properly protected cooking facilities.
K0324 · Smoke Deficiencies · Deficient, Provider has date of correction (Apr 26, 2024)
-
F
Have elevators that firefighters can control in the event of a fire.
K0531 · Services Deficiencies · Waiver has been granted (Aug 30, 2024)
-
E
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
K0222 · Egress Deficiencies · Waiver has been granted (Sep 30, 2024)
-
F
Inspect, test, and maintain automatic sprinkler systems.
K0353 · Smoke Deficiencies · Deficient, Provider has date of correction (Apr 26, 2024)
-
D
Install resident room doors of proper design and width.
K0233 · Egress Deficiencies · Deficient, Provider has date of correction (Apr 26, 2024)
-
E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
K0321 · Smoke Deficiencies · Deficient, Provider has date of correction (Apr 26, 2024)
-
F
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
K0521 · Services Deficiencies · Waiver has been granted (Jul 30, 2024)
-
E
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
K0223 · Egress Deficiencies · Waiver has been granted (Sep 30, 2024)
Inspection on Jan 12, 2023 · 9 citations
-
D
Provide properly protected cooking facilities.
K0324 · Smoke Deficiencies · Waiver has been granted (Jul 6, 2023)
-
D
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
K0741 · Miscellaneous Deficiencies · Deficient, Provider has date of correction (Feb 10, 2023)
-
D
Inspect, test, and maintain automatic sprinkler systems.
K0353 · Smoke Deficiencies · Deficient, Provider has date of correction (Feb 10, 2023)
-
E
Have proper medical gas storage and administration areas.
K0923 · Gas, Vacuum, and Electrical Systems Deficiencies · Waiver has been granted (Jul 6, 2023)
-
F
Have simulated fire drills held at unexpected times.
K0712 · Miscellaneous Deficiencies · Deficient, Provider has date of correction (Feb 10, 2023)
-
F
Have generator or other power source capable of supplying service within 10 seconds.
K0918 · Gas, Vacuum, and Electrical Systems Deficiencies · Deficient, Provider has date of correction (Feb 10, 2023)
-
E
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
K0521 · Services Deficiencies · Deficient, Provider has date of correction (Feb 10, 2023)
-
E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
K0321 · Smoke Deficiencies · Deficient, Provider has date of correction (Feb 10, 2023)
-
E
Ensure proper usage of power strips and extension cords.
K0920 · Gas, Vacuum, and Electrical Systems Deficiencies · Deficient, Provider has date of correction (Feb 10, 2023)
Sources: Nursing Home Provider Information [1] ; Nursing Home Survey Summary [4] ; Nursing Home Health Deficiencies [2] ; Nursing Home Fire Safety Deficiencies [3] ; Nursing Home Health Inspection Cut Points [10] ; Design for Care Compare Nursing Home Five-Star Quality Rating System: Technical Users' Guide [11]
Fines & penalties
CMS can fine a home or stop Medicare and Medicaid payments for new admissions when problems are serious or keep recurring. Most homes have none.
- Fines
- 1 State avg 0.9 · National 0.9
- Total fined
- $21,285 State avg 48,278 · National 30,351
- Payment denials
- 0 Periods with no Medicare/Medicaid payment for new admissions
Fines by year
| Date | Type | Amount | Payment denial |
|---|---|---|---|
| Mar 29, 2024 | Fine | $21,285 | — |
Sources: Nursing Home Provider Information [1] ; Nursing Home Penalties [5] ; Nursing Home State & National Averages [9]
Resident quality measures
These measure what actually happens to residents, as a percentage from 0 to 100 (or events per 1,000 resident days). For almost all of them a lower number is better; the vaccination measures are the exception and are marked. A star means the measure counts toward the quality star rating.
This home State average National average
Long-stay residents (14) [7]
Residents who live in the home. From their regular health assessments (the Minimum Data Set), averaged over four quarters. Period: 2025Q3-2026Q2.
- Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Higher is better
- 99.6
✓ Better than the state average. State 96.0 · National 93.7
- Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Higher is better
- 100.0
✓ Better than the state average. State 95.6 · National 95.3
- Percentage of long-stay residents experiencing one or more falls with major injury ★ Lower is better
- 1.6
✓ Better than the state average. State 3.3 · National 3.2
- Percentage of long-stay residents who have depressive symptoms Lower is better
- 0.5
✓ Better than the state average. State 6.0 · National 13.5
- Percentage of long-stay residents who lose too much weight Lower is better
- 1.9
✓ Better than the state average. State 4.9 · National 5.1
- Percentage of long-stay residents who received an antianxiety or hypnotic medication Lower is better
- 9.1
✓ Better than the state average. State 16.8 · National 19.5
- Percentage of long-stay residents who received an antipsychotic medication ★ Lower is better
- 6.1
✓ Better than the state average. State 15.9 · National 15.4
- Percentage of long-stay residents who were physically restrained Lower is better
- 0.0
✓ Better than the state average. State 0.1 · National 0.1
- Percentage of long-stay residents whose ability to walk independently worsened ★ Lower is better
- 34.3
✗ Worse than the state average. State 17.0 · National 12.7
- Percentage of long-stay residents whose need for help with daily activities has increased ★ Lower is better
- 17.1
✗ Worse than the state average. State 15.8 · National 13.5
- Percentage of long-stay residents with a catheter inserted and left in their bladder ★ Lower is better
- 0.6
✓ Better than the state average. State 1.9 · National 0.7
- Percentage of long-stay residents with a urinary tract infection ★ Lower is better
- 1.7
✓ Better than the state average. State 2.7 · National 1.5
- Percentage of long-stay residents with new or worsened bowel or bladder incontinence Lower is better
- 24.2
✗ Worse than the state average. State 23.6 · National 18.3
- Percentage of long-stay residents with pressure ulcers ★ Lower is better
- 4.2
✓ Better than the state average. State 4.9 · National 4.5
Short-stay residents (3) [7]
Residents staying for rehab or recovery. From their health assessments, averaged over four quarters. Period: 2025Q3-2026Q2.
- Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Higher is better
- 97.1
✓ Better than the state average. State 86.9 · National 82.3
- Percentage of short-stay residents who newly received an antipsychotic medication ★ Lower is better
- 0.4
✓ Better than the state average. State 1.2 · National 1.5
- Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Higher is better
- 94.5
✓ Better than the state average. State 82.2 · National 80.1
Long-stay residents: hospital use (2) [8]
Hospital stays and emergency visits found in Medicare claims, adjusted for how sick residents were. Period: 20250401-20260331.
- Number of hospitalizations per 1000 long-stay resident days ★ Lower is better · Expected for these residents: 1.7
- 1.9
✗ Worse than the state average. State 1.6 · National 1.8
- Number of outpatient emergency department visits per 1000 long-stay resident days ★ Lower is better · Expected for these residents: 1.5
- 2.7
✗ Worse than the state average. State 2.2 · National 1.7
Short-stay residents: hospital use (2) [8]
Rehospitalizations and emergency visits after admission, found in Medicare claims and adjusted for how sick residents were. Period: 20250401-20260331.
- Percentage of short-stay residents who had an outpatient emergency department visit ★ Lower is better · Expected for these residents: 9.8
- 13.6
✓ Better than the state average. State 15.6 · National 11.8
- Percentage of short-stay residents who were rehospitalized after a nursing home admission ★ Lower is better · Expected for these residents: 21.1
- 36.6
✗ Worse than the state average. State 22.5 · National 23.4
Sources: Nursing Home MDS Quality Measures [7] ; Nursing Home Medicare Claims Quality Measures [8] ; Nursing Home State & National Averages [9] ; Design for Care Compare Nursing Home Five-Star Quality Rating System: Technical Users' Guide [11]
Ownership & operator
Who owns and runs a home can matter: for-profit, non-profit and chain-owned homes tend to differ on staffing and inspection results.
- Ownership type
- For profit - Limited Liability company
- Legal business name
- NSH SOUTH MILWAUKEE LLC
- Certified for
- Medicare and Medicaid
- Certified beds
- 100
- Residents per day (average)
- 77.9
- In Medicare/Medicaid since
- Jul 21, 1988
- Resident and family council
- Resident
- Sprinklers in all required areas
- Yes
- County
- Milwaukee
- Located in a hospital
- No
Company profiles: North Shore Healthcare (57 homes, average 2.8 stars), North Shore Healthcare LLC (55 homes, average 2.8 stars), Nshf Operations LLC (20 homes, average 2.9 stars)
Part of NORTH SHORE HEALTHCARE
One of 57 homes in this chain. Average star ratings across the chain (1 to 5):
- Overall
- 2.8
- Health inspections
- 2.9
- Staffing
- 3.5
- Quality
- 2.8
Owners, officers and managers (6) [6]
Corporate Director
- BAUMANN, TROY (individual, NOT APPLICABLE, since 06/29/2017)
- HOEHN, JEFFREY (individual, NOT APPLICABLE, since 06/29/2017)
W-2 Managing Employee
- HOEHN, JEFFREY (individual, NOT APPLICABLE, since 06/29/2017)
5% Or Greater Indirect Ownership Interest
- MILLS, DAVID (individual, 20%, since 06/29/2017)
Operational/Managerial Control
- NORTH SHORE HEALTHCARE LLC (organization, NOT APPLICABLE, since 10/01/2017)
5% Or Greater Direct Ownership Interest
- NSHF OPERATIONS LLC (organization, 100%, since 07/24/2017)
Sources: Nursing Home Provider Information [1] ; Nursing Home Ownership [6]
Sources
All figures on this page come from the U.S. government's published nursing home data, as of October 1, 2026. We reproduce them without change except for rounding and layout; ratings, scores and flags are CMS's, not ours. Averages and comparisons use the state and national figures CMS publishes in the same release.
- 1. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home Provider Information. Star ratings, staffing, turnover, inspection scores, fines, chain and flag data. https://data.cms.gov/provider-data/dataset/4pq5-n9py
- 2. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home Health Deficiencies. Each health deficiency cited, with scope and severity. https://data.cms.gov/provider-data/dataset/r5ix-sfxw
- 3. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home Fire Safety Deficiencies. Each fire-safety deficiency cited. https://data.cms.gov/provider-data/dataset/ifjz-ge4w
- 4. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home Survey Summary. Deficiency totals by inspection cycle and category. https://data.cms.gov/provider-data/dataset/tbry-pc2d
- 5. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home Penalties. Fines and payment denials. https://data.cms.gov/provider-data/dataset/g6vv-u9sr
- 6. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home Ownership. Owners, officers, directors and managers. https://data.cms.gov/provider-data/dataset/y2hd-n93e
- 7. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home MDS Quality Measures. Quarterly quality measure scores from resident assessments. https://data.cms.gov/provider-data/dataset/djen-97ju
- 8. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home Medicare Claims Quality Measures. Risk-adjusted quality measures from Medicare claims. https://data.cms.gov/provider-data/dataset/ijh5-nb2v
- 9. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home State & National Averages. State and national averages used for comparison. https://data.cms.gov/provider-data/dataset/xcdc-v8bm
- 10. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home Health Inspection Cut Points. Score ranges that earn each health inspection star in a state. https://data.cms.gov/provider-data/dataset/hicp-9999
- 11. Centers for Medicare & Medicaid Services. Design for Care Compare Nursing Home Five-Star Quality Rating System: Technical Users' Guide. How the star ratings, scope and severity points, and abuse and Special Focus flags are defined. https://www.cms.gov/medicare/provider-enrollment-and-certification/certificationandcomplianc/downloads/usersguide.pdf
- 12. Centers for Medicare & Medicaid Services. Medicare Care Compare. CMS's own consumer site, with the latest figures. https://www.medicare.gov/care-compare/
Attendant Homes is not affiliated with or endorsed by CMS. The data describes past inspections and reported figures and can be out of date or contain errors; it is not a recommendation. Confirm current information with the facility and on Medicare Care Compare [12] .
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