Willowcrest Health Services

Nursing Home · South Milwaukee, WI

CMS overall rating 2/5 For profit - Limited Liability company

CMS certification number525413

Contact & location

3821 S Chicago Ave
South Milwaukee, WI 53172
Milwaukee County
Phone
(414) 762-7336
ZIP code
53172 – all care providers

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Facility details

Certified beds
100
Residents per day
74.9 (75% occupied)
Ownership
For profit - Limited Liability company
Legal name
NSH South Milwaukee LLC
Chain
North Shore Healthcare (59 facilities, avg 2.7★)
Medicare certified since
July 21, 1988
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 2/5
State avg 3.0
Health inspections★★★★★ 2/5
State avg 2.8
Staffing★★★★★ 2/5
State avg 3.6
Quality measures★★★★★ 4/5
State avg 3.0
Long-stay quality★★★★★ 3/5
Short-stay quality★★★★★ 5/5

Staffing

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

Total nurse staffing
3.57 (state 4.21 · U.S. 3.86)
Registered nurses (RN)
0.62 (state 0.99 · U.S. 0.69)
Licensed practical nurses
0.98 (state 0.64 · U.S. 0.86)
Nurse aides
1.97 (state 2.58 · U.S. 2.32)
Weekend total
3.17 (state 3.77 · U.S. 3.42)
Nursing staff turnover
41.3 (state 46.9 · U.S. 45.8)%
RN turnover
46.2 (state 39.7 · U.S. 42.9)%
Administrators who left
0 in the last year

Inspections

Last standard inspection
June 5, 2025
Health deficiencies (last cycle)
13.0 (state 9.5 · U.S. 9.3)
From complaints
0
Citations on record (3 years)
36 health · 29 fire safety · includes immediate jeopardy
DateCitationSeverityStatus
2025-06-05 Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
F0851 · Administration Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2025-07-05
2025-06-05 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2025-07-05
2025-06-05 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
D
No actual harm, potential for more than minimal harm
Corrected 2025-07-05
2025-06-05 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 2025-07-05
2025-06-05 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-07-05
2025-06-05 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
D
No actual harm, potential for more than minimal harm
Corrected 2025-07-05
2025-06-05 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
D
No actual harm, potential for more than minimal harm
Corrected 2025-07-05
2025-06-05 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
D
No actual harm, potential for more than minimal harm
Corrected 2025-07-05
2025-06-05 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 2025-07-05
2025-06-05 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 2025-07-05
2025-06-05 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 2025-07-05
2025-06-05 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 2025-07-05
2025-06-05 Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-07-05
2025-03-05 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 2025-03-31
2024-10-14 Post nurse staffing information every day.
F0732 · Nursing and Physician Services Deficiencies · complaint inspection
C
No actual harm, potential for minimal harm
Corrected 2024-11-12
2024-03-29 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 · complaint inspection
J
Immediate jeopardy to resident health or safety
Corrected 2024-04-26
2024-03-29 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 2024-04-26
2024-03-29 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 2024-04-26
2024-03-29 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2024-04-26
2024-03-29 Observe each nurse aide's job performance and give regular training.
F0730 · Nursing and Physician Services Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-04-26
2024-03-29 Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
F0944 · Administration Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-04-26
2024-03-29 Provide training in compliance and ethics.
F0946 · Administration Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-04-26
2024-03-29 Provide behavior health training consistent with the requirements and as determined by a facility assessment.
F0949 · Administration Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-04-26
2024-03-29 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 2024-04-26
2024-03-29 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
D
No actual harm, potential for more than minimal harm
Corrected 2024-04-26
2024-03-29 Provide enough food/fluids to maintain a resident's health.
F0692 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-04-26
2024-03-29 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 2024-04-26
2024-03-29 Provide for the safe, appropriate administration of IV fluids for a resident when needed.
F0694 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-04-26
2024-03-29 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 2024-04-26
2024-03-29 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 2024-04-26
2024-03-29 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
D
No actual harm, potential for more than minimal harm
Corrected 2024-04-26
2024-03-29 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
B
No actual harm, potential for minimal harm
Corrected 2024-04-26
2023-01-12 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 2023-02-10
2023-01-12 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
F0804 · Nutrition and Dietary Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2023-02-10
2023-01-12 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-02-10
2023-01-12 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 2023-02-10

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 $21,285 in fines.

DateTypeAmount
2024-03-29Fine$21,285

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
Hoehn, Jeffrey (individual)W-2 Managing Employee · NOT APPLICABLE

Frequently asked questions

What is the rating of Willowcrest Health Services?

Willowcrest 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 Willowcrest Health Services have?

It has 100 certified beds and cares for about 75 residents per day.

Has Willowcrest Health Services been fined?

Yes. CMS lists 1 penalty totaling $21,285 in the last three years.

Who owns Willowcrest 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 Willowcrest Health Services?

(414) 762-7336. The facility is located at 3821 S Chicago Ave, South Milwaukee, WI 53172.

Other nursing homes in South Milwaukee

Compare all nursing homes in South Milwaukee, WI →

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