Lake Mills Health Services

Nursing Home · Lake Mills, WI

CMS overall rating 4/5 For profit - Corporation

CMS certification number525314

Contact & location

901 Mulberry ST
Lake Mills, WI 53551
Jefferson County
Phone
(920) 648-8344
ZIP code
53551 – all care providers

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Facility details

Certified beds
50
Residents per day
28.3 (57% occupied)
Ownership
For profit - Corporation
Legal name
NSH Lake Mills LLC
Chain
North Shore Healthcare (59 facilities, avg 2.7★)
Medicare certified since
July 14, 1981
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 4/5
State avg 3.0
Health inspections★★★★★ 4/5
State avg 2.8
Staffing★★★★★ 4/5
State avg 3.6
Quality measures★★★★★ 3/5
State avg 3.0
Long-stay quality★★★★★ 3/5
Short-stay quality★★★★★ 4/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
3.54 (state 4.21 · U.S. 3.86)
Registered nurses (RN)
1.52 (state 0.99 · U.S. 0.69)
Licensed practical nurses
0.17 (state 0.64 · U.S. 0.86)
Nurse aides
1.85 (state 2.58 · U.S. 2.32)
Weekend total
3.32 (state 3.77 · U.S. 3.42)
Nursing staff turnover
37.9 (state 46.9 · U.S. 45.8)%
RN turnover
30.8 (state 39.7 · U.S. 42.9)%
Administrators who left
1 in the last year

Inspections

Last standard inspection
March 26, 2025
Health deficiencies (last cycle)
3.0 (state 9.5 · U.S. 9.3)
From complaints
0
Citations on record (3 years)
18 health · 29 fire safety · includes immediate jeopardy
DateCitationSeverityStatus
2025-07-03 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies · complaint inspection
J
Immediate jeopardy to resident health or safety
Corrected 2025-07-29
2025-07-03 Provide behavior health training consistent with the requirements and as determined by a facility assessment.
F0949 · Administration Deficiencies · complaint inspection
F
No actual harm, potential for more than minimal harm
Corrected 2025-07-29
2025-07-03 Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
F0628 · Resident Rights Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-07-29
2025-07-03 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-07-29
2025-03-26 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
D
No actual harm, potential for more than minimal harm
Corrected 2025-04-14
2025-03-26 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-04-14
2025-03-26 Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
F0851 · Administration Deficiencies
C
No actual harm, potential for minimal harm
Corrected 2025-04-14
2024-02-08 Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
F0882 · Infection Control Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-03-08
2024-02-08 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
D
No actual harm, potential for more than minimal harm
Corrected 2024-03-08
2024-02-08 Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-03-08
2023-10-10 Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.
F0563 · Resident Rights Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2023-11-09
2023-10-10 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2023-11-09
2023-10-10 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2023-11-09
2022-10-17 Provide activities to meet all resident's needs.
F0679 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2022-11-11
2022-10-17 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2022-11-11
2022-10-17 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
D
No actual harm, potential for more than minimal harm
Corrected 2022-11-11
2022-10-17 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2022-11-11
2022-10-17 Give residents a notice of rights, rules, services and charges.
F0572 · Resident Rights Deficiencies
C
No actual harm, potential for minimal harm
Corrected 2022-11-11

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

1 penalty in the last three years, including $120,900 in fines.

DateTypeAmount
2025-07-03Fine$120,900

Ownership & management

NameRoleSince
Nshf Operations LLC (organization)5%+ Direct Ownership Interest · 100%
Mills, David (individual)5%+ Indirect Ownership Interest · 20%
Baumann, Troy (individual)Corporate Director · NOT APPLICABLE
Hoehn, Jeffrey (individual)Corporate Director · NOT APPLICABLE
North Shore Healthcare LLC (organization)Operational/managerial Control · NOT APPLICABLE
Baumann, Troy (individual)W-2 Managing Employee · NOT APPLICABLE

Frequently asked questions

What is the rating of Lake Mills Health Services?

Lake Mills Health Services has a 4-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.0-star average in Wisconsin.

How many beds does Lake Mills Health Services have?

It has 50 certified beds and cares for about 28 residents per day.

Has Lake Mills Health Services been fined?

Yes. CMS lists 1 penalty totaling $120,900 in the last three years.

Who owns Lake Mills Health Services?

It is part of North Shore Healthcare and is classified as for profit - corporation. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Lake Mills Health Services?

(920) 648-8344. The facility is located at 901 Mulberry ST, Lake Mills, WI 53551.

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.