Evergreen Health Services
Shawano, Shawano County, Wisconsin · CCN 525343 · For-profit (LLC) · part of North Shore Healthcare (59 facilities, chain average 2.7 stars)
CMS rates Evergreen Health Services 2 of 5 overall as of August 2026. 50 certified beds, 38 residents a day on average. 20 citations on record from the current inspection cycles, 1 at immediate jeopardy; 1 fine totalling $14,020.
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 | ★★☆☆☆ 2 of 5 |
|---|---|
| Health inspections | ★★☆☆☆ 2 of 5 |
| Staffing | ★★★☆☆ 3 of 5 |
| Quality measures | ★★★☆☆ 3 of 5 |
| Quality: long-stay / short-stay | 2 / 4 of 5 |
Staffing
| Total nurse staffing | 3.58494 hours per resident per day |
|---|---|
| Registered nurses | 0.71373 hours per resident per day |
| Weekend total | 3.2406 hours per resident per day |
| Nursing staff turnover | 52.4% (registered nurses 57.1%) |
| 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 |
|---|---|---|---|
| 2025-09-16 complaint survey |
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 |
J Immediate jeopardy to resident health or safety; isolated | Deficient, Provider has date of correction 2025-10-09 |
| 2025-09-16 complaint survey |
Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · tag F0677 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-10-09 |
| 2025-09-16 complaint survey |
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 2025-10-09 |
| 2025-08-20 complaint survey |
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. Quality of Life and Care Deficiencies · tag F0693 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-09-11 |
| 2025-05-29 | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. Nutrition and Dietary Deficiencies · tag F0809 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-06-19 |
| 2025-05-29 complaint survey |
Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-06-19 |
| 2025-05-29 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · tag F0695 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-06-19 |
| 2025-05-29 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · tag F0755 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-06-19 |
| 2025-05-29 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-06-19 |
| 2025-03-19 complaint survey |
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 |
G Actual harm that is not immediate jeopardy; isolated | Deficient, Provider has date of correction 2025-05-02 |
| 2024-08-07 complaint survey |
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. Pharmacy Service Deficiencies · tag F0761 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-08-19 |
| 2024-05-22 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · tag F0657 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-06-20 |
| 2024-05-22 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · tag F0755 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-06-20 |
| 2024-05-22 | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · tag F0757 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-06-20 |
| 2024-05-22 | 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. Administration Deficiencies · tag F0849 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-06-20 |
| 2024-05-22 | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · tag F0883 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-06-20 |
| 2024-01-29 complaint survey |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · tag F0580 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-02-29 |
| 2024-01-29 complaint survey |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · tag F0686 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-02-29 |
| 2023-05-10 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2023-05-31 |
| 2023-05-10 | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · tag F0757 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-06-08 |
Fines and payment denials
| Date | Penalty | Amount |
|---|---|---|
| 2025-08-20 | Fine | $14,020 |
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 |
|---|---|---|---|
| Nshr Operations LLC Organization | 5% or greater direct ownership interest | 100% | 2019-10-01 |
| Arrowhead 123 LLC Organization | 5% or greater indirect ownership interest | 10% | 2019-10-01 |
| The Lane Morrell Bowen Trust Organization | 5% or greater indirect ownership interest | 10% | 2019-10-01 |
| Cibc Bank USA Organization | 5% or greater mortgage interest | — | 2024-12-31 |
| Cibc Bank USA Organization | 5% or greater security interest | — | 2024-12-31 |
| Arrowhead 123 LLC Organization | adp of the snf | — | 2019-12-01 |
| Cliftonlarsonallen LLP Organization | adp of the snf | — | 2025-05-23 |
| Continuum Therapy Partners LLC Organization | adp of the snf | — | 2025-05-23 |
| North Shore Healthcare LLC Organization | adp of the snf | — | 2019-12-01 |
| Nsh 1250 Evergreen Street LLC Organization | adp of the snf | — | 2019-12-01 |
| Nsh Rehab LLC Organization | adp of the snf | — | 2025-05-23 |
| Wipfli LLP Organization | adp of the snf | — | 2025-11-10 |
| Cibc Bank USA Organization | operational/managerial control | — | 2019-12-01 |
| Cliftonlarsonallen LLP Organization | operational/managerial control | — | 2019-12-01 |
| Continuum Therapy Partners LLC Organization | operational/managerial control | — | 2025-03-01 |
| North Shore Healthcare LLC Organization | operational/managerial control | — | 2019-12-01 |
| 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 | 18% | 2019-10-01 |
| Baumann, Troy Individual | adp of the snf | — | 2019-10-01 |
| Belongia, Christina Individual | adp of the snf | — | 2019-11-01 |
| Cherukula, Madhavi Individual | adp of the snf | — | 2023-02-01 |
| Gee, Darren Individual | adp of the snf | — | 2021-11-30 |
| Gossen, Jennifer Individual | adp of the snf | — | 2026-01-05 |
| Greer, Lauren Individual | adp of the snf | — | 2023-11-29 |
| Hoehn, Jeffrey Individual | adp of the snf | — | 2019-10-01 |
| Patzer, Colleen Individual | adp of the snf | — | 2023-02-14 |
| Purtell, Brian Individual | adp of the snf | — | 2019-10-01 |
| Baumann, Troy Individual | corporate director | — | 2019-10-01 |
| Hoehn, Jeffrey Individual | corporate director | — | 2019-10-01 |
| Gee, Darren Individual | individual is an owner, partner or trustee of any adp of the snf | — | 2026-02-10 |
| Baumann, Troy Individual | operational/managerial control | — | 2019-10-01 |
| Belongia, Christina Individual | operational/managerial control | — | 2019-11-01 |
| Cherukula, Madhavi Individual | operational/managerial control | — | 2023-02-01 |
| Gee, Darren Individual | operational/managerial control | — | 2021-11-30 |
| Gossen, Jennifer Individual | operational/managerial control | — | 2026-01-05 |
| Greer, Lauren Individual | operational/managerial control | — | 2023-11-29 |
| Hoehn, Jeffrey Individual | operational/managerial control | — | 2019-10-01 |
| Patzer, Colleen Individual | operational/managerial control | — | 2023-02-14 |
| Purtell, Brian Individual | operational/managerial control | — | 2019-10-01 |
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 Evergreen 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 Shawano County.