Delavan Health Services
Delavan · 6.0 mi · 50 beds
Citations0Substantiated0
Williams Bay Health Services
146 CLOVER ST, Williams Bay, WI, 53191
Nursing home50 licensed beds0 citations on record
1 more within 6 milesOpen in Maps
Has this facility been cited?
Yes. Federal inspectors cited 5 deficiencies against Williams Bay Health Services in Williams Bay, Wisconsin at its most recent standard inspection on 2025-03-27, 1 of them arising from complaints. 1 finding has been recorded at the actual-harm level. Medicare rates it 3 out of 5 overall.
3 / 5Medicare overall rating
50certified beds
5deficiencies at the last inspection
0immediate-jeopardy findings on record
1actual-harm findings on record
0federal fines
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.0
Actual harmA resident was harmed, but not placed in immediate danger.1
Potential for more than minimal harmNo resident was harmed, but the failing could have caused it.11
Potential for minimal harmThe least serious band.0
Most recentDGFFDDDDEDDD
The last 12 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.
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 · 2026-01-26 · from a complaint · No actual harm, potential for more than minimal harm
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 · 2025-03-27 · standard survey · Actual harm to a resident
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · F0880 · 2025-03-27 · standard survey · No actual harm, potential for more than minimal harm
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.
Environmental Deficiencies · F0909 · 2025-03-27 · standard survey · No actual harm, potential for more than minimal harm
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care Deficiencies · F0697 · 2025-03-27 · standard survey · No actual harm, potential for more than minimal harm
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0600 · 2023-09-22 · from a complaint · No actual harm, potential for more than minimal harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0609 · 2023-09-22 · from a complaint · No actual harm, potential for more than minimal harm
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0610 · 2023-09-22 · from a complaint · No actual harm, potential for more than minimal harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · F0880 · 2022-10-03 · standard survey · No actual harm, potential for more than minimal harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · F0686 · 2022-10-03 · standard survey · No actual harm, potential for more than minimal harm
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Quality of Life and Care Deficiencies · F0745 · 2022-10-03 · standard survey · No actual harm, potential for more than minimal harm
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies · F0756 · 2022-10-03 · standard survey · No actual harm, potential for more than minimal harm
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 below3 of 5
Health inspectionBased on the last three inspection cycles3 of 5
StaffingNurse hours per resident, adjusted for how sick residents are3 of 5
Quality measuresResident outcomes reported by the home2 of 5
Nurse hours per resident per dayReported by the home to CMS3.42819
Nursing staff turnoverShare of nursing staff who left in a year58.8%
Ownership
Who owns Williams Bay 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.
| Owner | Role | Share | Since |
|---|---|---|---|
| NSHR OPERATIONS LLC | Organization | 100% | since 10/01/2019 |
| ARROWHEAD 123 LLC | Organization | 10% | since 10/01/2019 |
| THE LANE MORRELL BOWEN TRUST | Organization | 10% | since 10/01/2019 |
| MILLS, DAVID | Individual | 18% | since 10/01/2019 |
| CIBC BANK USA | Organization | NOT APPLICABLE | since 12/31/2024 |
| CIBC BANK USA | Organization | NOT APPLICABLE | since 12/31/2024 |
| BAUMANN, TROY | Individual | NOT APPLICABLE | since 10/01/2019 |
| HOEHN, JEFFREY | Individual | NOT APPLICABLE | since 10/01/2019 |
| CIBC BANK USA | Organization | NOT APPLICABLE | since 12/31/2024 |
| CLIFTONLARSONALLEN LLP | Organization | NOT APPLICABLE | since 12/01/2019 |
| CONTINUUM THERAPY PARTNERS LLC | Organization | NOT APPLICABLE | since 03/01/2025 |
| NORTH SHORE HEALTHCARE LLC | Organization | NOT APPLICABLE | since 12/01/2019 |
Part of the NORTH SHORE HEALTHCARE group.
Nearby
Other licensed providers within six miles
Listed by distance. Nobody paid to appear here and the order is not for sale.
Contact
Ask Williams Bay Health Services a question
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Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 525346.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction