MENOMONEE FALLS HEALTH SERVICES

MENOMONEE FALLS, WI · 50 beds · For profit - Limited Liability company

0 Trust Score
Grade: F CRITICAL Risk → Stable

Red Flags

  • 5 citation(s) where residents suffered actual harm
  • $136,375 in fines over 3 years

Green Flags

No positive signals identified yet.

Quick Facts

★☆☆☆☆
CMS Overall
★★☆☆☆
Health Inspection
12
1.2x state avg
Deficiencies
$136,375
Fines (3-yr)
★★★☆☆
Staffing

Violation Timeline

December 2, 2025

1 deficiency
F0554 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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Allow residents to self-administer drugs if determined clinically appropriate.

August 3, 2025

11 deficiencyies
F0607 Potential Harm Scope/Severity: D

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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Develop and implement policies and procedures to prevent abuse, neglect, and theft.

F0628 Potential Harm Scope/Severity: E

Resident Rights Deficiencies

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

F0641 Potential Harm Scope/Severity: E

Resident Assessment and Care Planning Deficiencies

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Ensure each resident receives an accurate assessment.

F0686 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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

F0689 Actual Harm Scope/Severity: G

Quality of Life and Care Deficiencies

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

F0761 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

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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.

F0849 Potential Harm Scope/Severity: D

Administration Deficiencies

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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.

F0880 Potential Harm Scope/Severity: F

Infection Control Deficiencies

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Provide and implement an infection prevention and control program.

F0883 Potential Harm Scope/Severity: D

Infection Control Deficiencies

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Develop and implement policies and procedures for flu and pneumonia vaccinations.

F0887 Potential Harm Scope/Severity: D

Infection Control Deficiencies

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Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

F0947 Potential Harm Scope/Severity: F

Nursing and Physician Services Deficiencies

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Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

November 25, 2024

5 deficiencyies
F0580 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

F0684 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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

F0685 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Assist a resident in gaining access to vision and hearing services.

F0686 Actual Harm Scope/Severity: G

Quality of Life and Care Deficiencies

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

F0755 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

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

April 30, 2024

3 deficiencyies
F0554 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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Allow residents to self-administer drugs if determined clinically appropriate.

F0582 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

F0623 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

See full violation history →

Staffing

0.71
RN hrs/res/day
0.96
LPN hrs/res/day
2.02
CNA hrs/res/day
3.42
Weekend hrs/res/day
58%
Total nurse turnover
78%
RN turnover

A nurse checks on each resident roughly every 6.5 hours on average.

Fines & Penalties

  • Fine Nov 25, 2024
    $47,850
  • Fine Apr 30, 2024
    $55,419
  • Payment Denial Apr 30, 2024
    Payment Denial
  • Fine Dec 17, 2023
    $29,961
  • Fine Dec 10, 2023
    $3,145
Total $136,375

Ownership

For profit - Limited Liability company Chain: NORTH SHORE HEALTHCARE
  • HOEHN, JEFFREY

    CORPORATE DIRECTOR

    Since since 06/29/2017

    Individual
  • NSHF OPERATIONS LLC

    5% OR GREATER DIRECT OWNERSHIP INTEREST

    Since since 07/24/2017

    100% Organization
  • BAUMANN, TROY

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 06/29/2017

    40% Individual
  • HOEHN, JEFFREY

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 06/29/2017

    40% Individual
  • MILLS, DAVID

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 06/29/2017

    20% Individual
  • CIBC BANK USA

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 12/31/2024

    Organization
  • CLIFTONLARSONALLEN LLP

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 05/22/2018

    Organization
  • CONTINUUM THERAPY PARTNERS

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 03/01/2025

    Organization
  • NORTH SHORE HEALTHCARE LLC

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 10/01/2017

    Organization
  • NSH REHAB LLC

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 03/01/2025

    Organization
  • WIPFLI LLP

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 02/01/2025

    Organization
  • BAUMANN, TROY

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 10/01/2017

    Individual
  • BELONGIA, CHRISTINA

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 11/01/2019

    Individual
  • GEE, DARREN

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 11/30/2021

    Individual
  • GREER, LAUREN

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 11/29/2023

    Individual
  • GROSENICK, KARI

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 01/06/2025

    Individual
  • HOEHN, JEFFREY

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 10/01/2017

    Individual
  • PATZER, COLLEEN

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 02/14/2023

    Individual
  • PURTELL, BRIAN

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 06/01/2018

    Individual
  • BAUMANN, TROY

    CORPORATE DIRECTOR

    Since since 06/29/2017

    Individual
  • CIBC BANK USA

    5% OR GREATER SECURITY INTEREST

    Since since 12/31/2024

    Organization

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