Williams Bay Health Services

Nursing Home · Williams Bay, WI

CMS overall rating 1/5 For profit - Corporation

CMS certification number525346

Contact & location

146 Clover ST
Williams Bay, WI 53191
Walworth County
Phone
(262) 245-6400
ZIP code
53191 – all care providers

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Facility details

Certified beds
50
Residents per day
32.1 (64% occupied)
Ownership
For profit - Corporation
Legal name
NSH Williams Bay LLC
Chain
North Shore Healthcare (59 facilities, avg 2.7★)
Medicare certified since
January 1, 1984
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 1/5
State avg 3.0
Health inspections★★★★★ 1/5
State avg 2.8
Staffing★★★★★ 3/5
State avg 3.6
Quality measures★★★★★ 2/5
State avg 3.0
Long-stay quality★★★★★ 2/5
Short-stay quality★★★★★ 2/5

Staffing

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

Total nurse staffing
3.43 (state 4.21 · U.S. 3.86)
Registered nurses (RN)
1.03 (state 0.99 · U.S. 0.69)
Licensed practical nurses
0.49 (state 0.64 · U.S. 0.86)
Nurse aides
1.91 (state 2.58 · U.S. 2.32)
Weekend total
3.17 (state 3.77 · U.S. 3.42)
Nursing staff turnover
58.8 (state 46.9 · U.S. 45.8)%
RN turnover
33.3 (state 39.7 · U.S. 42.9)%
Administrators who left
0 in the last year

Inspections

Last standard inspection
June 3, 2026
Health deficiencies (last cycle)
28.0 (state 9.5 · U.S. 9.3)
From complaints
4
Citations on record (3 years)
35 health · 24 fire safety · includes immediate jeopardy
DateCitationSeverityStatus
2026-06-03 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies
J
Immediate jeopardy to resident health or safety
Corrected 2026-07-07
2026-06-03 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
G
Actual harm
Corrected 2026-07-07
2026-06-03 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 2026-07-07
2026-06-03 Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
F0867 · Administration Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2026-07-07
2026-06-03 Provide behavior health training consistent with the requirements and as determined by a facility assessment.
F0949 · Administration Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2026-07-07
2026-06-03 Develop and implement policies and procedures to prevent abuse, neglect, and theft.
F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2026-07-07
2026-06-03 Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
F0726 · Nursing and Physician Services Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2026-07-07
2026-06-03 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2026-07-07
2026-06-03 Develop and implement policies and procedures for flu and pneumonia vaccinations.
F0883 · Infection Control Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2026-07-07
2026-06-03 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 2026-07-07
2026-06-03 Keep residents' personal and medical records private and confidential.
F0583 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-07-07
2026-06-03 Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
F0584 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-07-07
2026-06-03 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-07-07
2026-06-03 Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
F0628 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-07-07
2026-06-03 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-07-07
2026-06-03 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-07-07
2026-06-03 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 2026-07-07
2026-06-03 Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
F0691 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-07-07
2026-06-03 Provide care or services that was trauma informed and/or culturally competent.
F0699 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-07-07
2026-06-03 Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
F0740 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-07-07
2026-06-03 Provide medically-related social services to help each resident achieve the highest possible quality of life.
F0745 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-07-07
2026-06-03 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
F0756 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-07-07
2026-06-03 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 2026-07-07
2026-06-03 Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-07-07
2026-06-03 Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
F0944 · Administration Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-07-07
2026-06-03 Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
F0947 · Nursing and Physician Services Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-07-07
2026-06-03 Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.
F0575 · Resident Rights Deficiencies
C
No actual harm, potential for minimal harm
Corrected 2026-07-07
2026-01-26 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 · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-02-23
2025-03-27 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
G
Actual harm
Corrected 2025-04-24
2025-03-27 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2025-04-24
2025-03-27 Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
F0909 · Environmental Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2025-04-24
2025-03-27 Provide safe, appropriate pain management for a resident who requires such services.
F0697 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-04-24
2023-09-22 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2023-10-23
2023-09-22 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2023-10-23
2023-09-22 Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2023-10-23

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

No federal fines or payment denials in the last three years.

Ownership & management

NameRoleSince
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
Cliftonlarsonallen LLP (organization)Administrator · NOT APPLICABLE
Continuum Therapy Partners LLC (organization)Administrator · NOT APPLICABLE
Gee, Darren (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 146 Clover 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
Schellhorn, Katherine (individual)Administrator · NOT APPLICABLE
Sidhu, Sarfraz (individual)Administrator · NOT APPLICABLE
The Lane Morrell Bowen Trust (organization)Administrator · NOT APPLICABLE
Wipfli LLP (organization)Administrator · NOT APPLICABLE
Baumann, Troy (individual)Corporate Director · NOT APPLICABLE
Hoehn, Jeffrey (individual)Corporate Director · NOT APPLICABLE
Baumann, Troy (individual)Operational/managerial Control · NOT APPLICABLE
Belongia, Christina (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
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
Schellhorn, Katherine (individual)Operational/managerial Control · NOT APPLICABLE
Sidhu, Sarfraz (individual)Operational/managerial Control · NOT APPLICABLE
Wipfli LLP (organization)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Williams Bay Health Services?

Williams Bay Health Services has a 1-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 Williams Bay Health Services have?

It has 50 certified beds and cares for about 32 residents per day.

Has Williams Bay Health Services been fined?

CMS lists no federal fines or payment denials in the last three years.

Who owns Williams Bay 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 Williams Bay Health Services?

(262) 245-6400. The facility is located at 146 Clover ST, Williams Bay, WI 53191.

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