Evergreen Health Services
Nursing Home · Shawano, WI
CMS certification number525343
Contact & location
1250 Evergreen StShawano, WI 54166
Shawano County
- Phone
- (715) 526-3107
- ZIP code
- 54166 – all care providers
Facility details
- Certified beds
- 50
- Residents per day
- 37.5 (75% occupied)
- Ownership
- For profit - Limited Liability company
- Legal name
- NSH Shawano-Evergreen LLC
- Chain
- North Shore Healthcare (59 facilities, avg 2.7★)
- Medicare certified since
- December 1, 1983
- Participates in
- Medicare and Medicaid
- Council
- Resident council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 3.58 (state 4.21 · U.S. 3.86)
- Registered nurses (RN)
- 0.71 (state 0.99 · U.S. 0.69)
- Licensed practical nurses
- 0.84 (state 0.64 · U.S. 0.86)
- Nurse aides
- 2.03 (state 2.58 · U.S. 2.32)
- Weekend total
- 3.24 (state 3.77 · U.S. 3.42)
- Nursing staff turnover
- 52.4 (state 46.9 · U.S. 45.8)%
- RN turnover
- 57.1 (state 39.7 · U.S. 42.9)%
- Administrators who left
- 0 in the last year
Inspections
- Last standard inspection
- May 29, 2025
- Health deficiencies (last cycle)
- 8.0 (state 9.5 · U.S. 9.3)
- From complaints
- 4
- Citations on record (3 years)
- 20 health · 11 fire safety · includes immediate jeopardy
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2025-09-16 | 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 · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2025-10-09 |
| 2025-09-16 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-10-09 |
| 2025-09-16 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-10-09 |
| 2025-08-20 | 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 · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-09-11 |
| 2025-05-29 | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. F0809 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-06-19 |
| 2025-05-29 | 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 2025-06-19 |
| 2025-05-29 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-06-19 |
| 2025-05-29 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-06-19 |
| 2025-05-29 | 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 2025-06-19 |
| 2025-03-19 | 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 · complaint inspection |
G Actual harm |
Corrected 2025-05-02 |
| 2024-08-07 | 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 · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-08-19 |
| 2024-05-22 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-06-20 |
| 2024-05-22 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-06-20 |
| 2024-05-22 | Ensure each resident’s drug regimen must be free from unnecessary drugs. F0757 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-06-20 |
| 2024-05-22 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. F0849 · Administration Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-06-20 |
| 2024-05-22 | Develop and implement policies and procedures for flu and pneumonia vaccinations. F0883 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-06-20 |
| 2024-01-29 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-02-29 |
| 2024-01-29 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-02-29 |
| 2023-05-10 | 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 |
F No actual harm, potential for more than minimal harm |
Corrected 2023-05-31 |
| 2023-05-10 | Ensure each resident’s drug regimen must be free from unnecessary drugs. F0757 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-06-08 |
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 $14,020 in fines.
| Date | Type | Amount |
|---|---|---|
| 2025-08-20 | Fine | $14,020 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| Nshr Operations LLC (organization) | 5%+ Direct Ownership Interest · 100% | |
| Arrowhead 123 LLC (organization) | 5%+ Indirect Ownership Interest · 10% | |
| Mills, David (individual) | 5%+ Indirect Ownership Interest · 18% | |
| The Lane Morrell Bowen Trust (organization) | 5%+ Indirect Ownership Interest · 10% | |
| Cibc Bank USA (organization) | 5%+ Mortgage Interest · NOT APPLICABLE | |
| Cibc Bank USA (organization) | 5%+ Security Interest · NOT APPLICABLE | |
| Arrowhead 123 LLC (organization) | Administrator · NOT APPLICABLE | |
| Baumann, Troy (individual) | Administrator · NOT APPLICABLE | |
| Belongia, Christina (individual) | Administrator · NOT APPLICABLE | |
| Cherukula, Madhavi (individual) | Administrator · NOT APPLICABLE | |
| Cliftonlarsonallen LLP (organization) | Administrator · NOT APPLICABLE | |
| Continuum Therapy Partners LLC (organization) | Administrator · NOT APPLICABLE | |
| Gee, Darren (individual) | Administrator · NOT APPLICABLE | |
| Gossen, Jennifer (individual) | Administrator · NOT APPLICABLE | |
| Greer, Lauren (individual) | Administrator · NOT APPLICABLE | |
| Hoehn, Jeffrey (individual) | Administrator · NOT APPLICABLE | |
| North Shore Healthcare LLC (organization) | Administrator · NOT APPLICABLE | |
| NSH 1250 Evergreen Street LLC (organization) | Administrator · NOT APPLICABLE | |
| NSH Rehab LLC (organization) | Administrator · NOT APPLICABLE | |
| Patzer, Colleen (individual) | Administrator · NOT APPLICABLE | |
| Purtell, Brian (individual) | Administrator · NOT APPLICABLE | |
| Wipfli LLP (organization) | Administrator · NOT APPLICABLE | |
| Baumann, Troy (individual) | Corporate Director · NOT APPLICABLE | |
| Hoehn, Jeffrey (individual) | Corporate Director · NOT APPLICABLE | |
| Gee, Darren (individual) | Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE | |
| Baumann, Troy (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Belongia, Christina (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Cherukula, Madhavi (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Cibc Bank USA (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Cliftonlarsonallen LLP (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Continuum Therapy Partners LLC (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Gee, Darren (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Gossen, Jennifer (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Greer, Lauren (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Hoehn, Jeffrey (individual) | Operational/managerial Control · NOT APPLICABLE | |
| North Shore Healthcare LLC (organization) | Operational/managerial Control · NOT APPLICABLE | |
| NSH Rehab LLC (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Patzer, Colleen (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Purtell, Brian (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Wipfli LLP (organization) | Operational/managerial Control · NOT APPLICABLE |
Frequently asked questions
What is the rating of Evergreen Health Services?
Evergreen Health Services has a 2-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 Evergreen Health Services have?
It has 50 certified beds and cares for about 38 residents per day.
Has Evergreen Health Services been fined?
Yes. CMS lists 1 penalty totaling $14,020 in the last three years.
Who owns Evergreen Health Services?
It is part of North Shore Healthcare and is classified as for profit - limited liability company. See the ownership table above for all owners and managers reported to CMS.
What is the phone number of Evergreen Health Services?
(715) 526-3107. The facility is located at 1250 Evergreen St, Shawano, WI 54166.
Other nursing homes in Shawano
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Shawano Health Services
Nursing Home · Shawano, WI · 100 beds
★★★★ -
Birch Hill Health Services
Nursing Home · Shawano, WI · 50 beds
★★
Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.