Senior Care Records.

Lake Mills Health Services

901 MULBERRY ST, Lake Mills, WI, 53551

Nursing home50 licensed beds0 citations on record
LocationOpen in Maps
Has this facility been cited?

Yes. Federal inspectors cited 7 deficiencies against Lake Mills Health Services in Lake Mills, Wisconsin at its most recent standard inspection on 2025-03-26, 4 of them arising from complaints. 1 finding has been recorded at the immediate-jeopardy level, the most serious CMS uses, meaning a resident was placed in immediate danger. Medicare has fined it 1 time, totalling $120,900. Medicare rates it 2 out of 5 overall.

2 / 5Medicare overall rating
50certified beds
7deficiencies at the last inspection
1immediate-jeopardy findings on record
0actual-harm findings on record
1federal fines, $120,900
What the inspectors found

Every deficiency on record, by how serious CMS judged it

CMS grades each finding from A to L on two axes: how badly residents were affected, and how many. These are its bands, not ours. The figures cover every standard and complaint survey on record, which is a longer window than the rating cycle above.

Immediate jeopardyA resident was placed in immediate danger. The most serious band CMS uses.1
Actual harmA resident was harmed, but not placed in immediate danger.0
Potential for more than minimal harmNo resident was harmed, but the failing could have caused it.15
Potential for minimal harmThe least serious band.2
Most recent

The last 18 findings, newest first

Each is the federal requirement the home was found not to meet, in CMS’s own wording, with the tag number so it can be looked up against the inspection report.

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Quality of Life and Care Deficiencies · F0686 · 2025-07-03 · from a complaint · Immediate jeopardy to resident health or safety

J

Provide behavior health training consistent with the requirements and as determined by a facility assessment.

Administration Deficiencies · F0949 · 2025-07-03 · from a complaint · No actual harm, potential for more than minimal harm

F

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Resident Rights Deficiencies · F0628 · 2025-07-03 · from a complaint · No actual harm, potential for more than minimal harm

D

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Quality of Life and Care Deficiencies · F0684 · 2025-07-03 · from a complaint · No actual harm, potential for more than minimal harm

D

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies · F0689 · 2025-03-26 · standard survey · No actual harm, potential for more than minimal harm

D

Provide and implement an infection prevention and control program.

Infection Control Deficiencies · F0880 · 2025-03-26 · standard survey · No actual harm, potential for more than minimal harm

D

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Administration Deficiencies · F0851 · 2025-03-26 · standard survey · No actual harm, potential for minimal harm

C

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

Infection Control Deficiencies · F0882 · 2024-02-08 · standard survey · No actual harm, potential for more than minimal harm

E

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.

Pharmacy Service Deficiencies · F0758 · 2024-02-08 · standard survey · No actual harm, potential for more than minimal harm

D

Ensure that residents are free from significant medication errors.

Pharmacy Service Deficiencies · F0760 · 2024-02-08 · standard survey · No actual harm, potential for more than minimal harm

D

Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.

Resident Rights Deficiencies · F0563 · 2023-10-10 · from a complaint · No actual harm, potential for more than minimal harm

D

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Pharmacy Service Deficiencies · F0755 · 2023-10-10 · from a complaint · No actual harm, potential for more than minimal harm

D

Provide and implement an infection prevention and control program.

Infection Control Deficiencies · F0880 · 2023-10-10 · from a complaint · No actual harm, potential for more than minimal harm

D

Provide activities to meet all resident's needs.

Quality of Life and Care Deficiencies · F0679 · 2022-10-17 · standard survey · No actual harm, potential for more than minimal harm

D

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Quality of Life and Care Deficiencies · F0686 · 2022-10-17 · standard survey · No actual harm, potential for more than minimal harm

D

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies · F0689 · 2022-10-17 · standard survey · No actual harm, potential for more than minimal harm

D

Provide safe and appropriate respiratory care for a resident when needed.

Quality of Life and Care Deficiencies · F0695 · 2022-10-17 · standard survey · No actual harm, potential for more than minimal harm

D

Give residents a notice of rights, rules, services and charges.

Resident Rights Deficiencies · F0572 · 2022-10-17 · standard survey · No actual harm, potential for minimal harm

C
Medicare’s own rating

How CMS scores this home

These stars are Medicare’s, not ours — we publish no rating of our own. They are reproduced here because they are part of the public record.

OverallCombines the three below2 of 5
Health inspectionBased on the last three inspection cycles2 of 5
StaffingNurse hours per resident, adjusted for how sick residents are4 of 5
Quality measuresResident outcomes reported by the home3 of 5
Nurse hours per resident per dayReported by the home to CMS3.5432
Nursing staff turnoverShare of nursing staff who left in a year37.9%
Penalties

What Medicare has fined this home

FinesCivil money penalties imposed by CMS1
Total fined$120,900
Payment denials and other penaltiesMedicare refusing to pay for new admissions is the usual one1
Ownership

Who owns Lake Mills Health Services

Nursing homes are frequently owned through layers of companies, and the name over the door is rarely the one that holds the licence. This is the ownership CMS has on file.

OwnerRoleShareSince
NSHF OPERATIONS LLCOrganization100%since 07/24/2017
MILLS, DAVIDIndividual20%since 06/29/2017
BAUMANN, TROYIndividualNOT APPLICABLEsince 06/29/2017
BAUMANN, TROYIndividualNOT APPLICABLEsince 06/29/2017
HOEHN, JEFFREYIndividualNOT APPLICABLEsince 06/29/2017
NORTH SHORE HEALTHCARE LLCOrganizationNOT APPLICABLEsince 10/01/2017

Part of the NORTH SHORE HEALTHCARE group.

Contact

Ask Lake Mills Health Services a question

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What is needed

Lake Mills Health Services has not claimed this page, so there is nobody here to deliver a message to. We will not take your details and sit on them. Call them on 9206488344 — the number is from their licence record.

Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 525314.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction