Delavan Health Services
Delavan, Walworth County, Wisconsin · CCN 525324 · For-profit (LLC) · part of North Shore Healthcare (59 facilities, chain average 2.7 stars)
CMS rates Delavan Health Services 4 of 5 overall as of August 2026. 50 certified beds, 42 residents a day on average. 12 citations on record from the current inspection cycles, 1 involving actual harm; no fines on record.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★★★★☆ 4 of 5 |
|---|---|
| Health inspections | ★★★★☆ 4 of 5 |
| Staffing | ★★★★☆ 4 of 5 |
| Quality measures | ★★★★☆ 4 of 5 |
| Quality: long-stay / short-stay | 5 / 3 of 5 |
Staffing
| Total nurse staffing | 3.20763 hours per resident per day |
|---|---|
| Registered nurses | 1.14974 hours per resident per day |
| Weekend total | 2.88219 hours per resident per day |
| Nursing staff turnover | 34.2% (registered nurses 33.3%) |
| Administrators who left | 0 |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2024-12-19 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2025-01-17 |
| 2024-08-19 complaint survey |
Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0610 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-09-11 |
| 2023-09-27 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-10-25 |
| 2023-09-27 | 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 · tag F0758 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-10-25 |
| 2023-09-27 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · tag F0759 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-10-25 |
| 2022-06-15 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · tag F0686 |
G Actual harm that is not immediate jeopardy; isolated | Deficient, Provider has date of correction 2022-07-13 |
| 2022-06-15 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2022-07-13 |
| 2022-06-15 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · tag F0558 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2022-07-13 |
| 2022-06-15 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2022-07-13 |
| 2022-06-15 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · tag F0690 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2022-07-13 |
| 2022-06-15 | 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 · tag F0758 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2022-07-13 |
| 2022-06-15 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. Administration Deficiencies · tag F0838 |
C No actual harm, with potential for minimal harm; widespread | Deficient, Provider has date of correction 2022-07-13 |
Fines and payment denials
No fines or payment denials on record since 2023.
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| Nshf Operations LLC Organization | 5% or greater direct ownership interest | 100% | 2017-07-24 |
| Cibc Bank USA Organization | 5% or greater security interest | — | 2024-12-31 |
| Cliftonlarsonallen LLP Organization | adp of the snf | — | 2025-04-15 |
| Continuum Therapy Partners LLC Organization | adp of the snf | — | 2025-04-15 |
| North Shore Healthcare LLC Organization | adp of the snf | — | 2025-04-15 |
| Nsh Rehab LLC Organization | adp of the snf | — | 2025-06-11 |
| Nshf Wisconsin LLC Organization | adp of the snf | — | 2025-05-09 |
| Willowfield Property Holdings, LLC Organization | adp of the snf | — | 2022-05-01 |
| Wipfli LLP Organization | adp of the snf | — | 2025-04-15 |
| Cibc Bank USA Organization | operational/managerial control | — | 2024-12-31 |
| Cliftonlarsonallen LLP Organization | operational/managerial control | — | 2018-05-22 |
| Continuum Therapy Partners LLC Organization | operational/managerial control | — | 2025-03-01 |
| North Shore Healthcare LLC Organization | operational/managerial control | — | 2017-10-01 |
| Nsh Rehab LLC Organization | operational/managerial control | — | 2025-03-01 |
| Wipfli LLP Organization | operational/managerial control | — | 2025-02-01 |
| Mills, David Individual | 5% or greater indirect ownership interest | 20% | 2017-06-29 |
| Baumann, Troy Individual | adp of the snf | — | 2017-10-01 |
| Belongia, Christina Individual | adp of the snf | — | 2019-11-01 |
| Canda, Alex Individual | adp of the snf | — | 2023-02-01 |
| Gee, Darren Individual | adp of the snf | — | 2021-11-30 |
| Greer, Lauren Individual | adp of the snf | — | 2023-11-29 |
| Hoehn, Jeffrey Individual | adp of the snf | — | 2017-10-01 |
| Holmstrom, Laura Individual | adp of the snf | — | 2017-10-01 |
| Patzer, Colleen Individual | adp of the snf | — | 2023-02-14 |
| Purtell, Brian Individual | adp of the snf | — | 2018-06-01 |
| Baumann, Troy Individual | corporate director | — | 2017-06-29 |
| Hoehn, Jeffrey Individual | corporate director | — | 2017-06-29 |
| Baumann, Troy Individual | operational/managerial control | — | 2017-10-01 |
| Belongia, Christina Individual | operational/managerial control | — | 2019-11-01 |
| Gee, Darren Individual | operational/managerial control | — | 2021-11-30 |
| Greer, Lauren Individual | operational/managerial control | — | 2023-11-29 |
| Hoehn, Jeffrey Individual | operational/managerial control | — | 2017-10-01 |
| Holmstrom, Laura Individual | operational/managerial control | — | 2017-10-01 |
| Patzer, Colleen Individual | operational/managerial control | — | 2023-02-14 |
| Purtell, Brian Individual | operational/managerial control | — | 2018-06-01 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Delavan Health Services.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Walworth County.