Williams Bay Health Services
Williams Bay, Walworth County, Wisconsin · CCN 525346 · For-profit (Corporation) · part of North Shore Healthcare (59 facilities, chain average 2.7 stars)
CMS rates Williams Bay Health Services 1 of 5 overall as of August 2026. 50 certified beds, 32 residents a day on average. 35 citations on record from the current inspection cycles, 1 at immediate jeopardy; 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 | ★☆☆☆☆ 1 of 5 |
|---|---|
| Health inspections | ★☆☆☆☆ 1 of 5 |
| Staffing | ★★★☆☆ 3 of 5 |
| Quality measures | ★★☆☆☆ 2 of 5 |
| Quality: long-stay / short-stay | 2 / 2 of 5 |
Staffing
| Total nurse staffing | 3.42819 hours per resident per day |
|---|---|
| Registered nurses | 1.02713 hours per resident per day |
| Weekend total | 3.17106 hours per resident per day |
| Nursing staff turnover | 58.8% (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 |
|---|---|---|---|
| 2026-06-03 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · tag F0686 |
J Immediate jeopardy to resident health or safety; isolated | Deficient, Provider has date of correction 2026-07-07 |
| 2026-06-03 | 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 2026-07-07 |
| 2026-06-03 | 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 2026-07-07 |
| 2026-06-03 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Administration Deficiencies · tag F0867 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2026-07-07 |
| 2026-06-03 | Provide behavior health training consistent with the requirements and as determined by a facility assessment. Administration Deficiencies · tag F0949 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2026-07-07 |
| 2026-06-03 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0607 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2026-07-07 |
| 2026-06-03 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Nursing and Physician Services Deficiencies · tag F0726 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2026-07-07 |
| 2026-06-03 | 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 2026-07-07 |
| 2026-06-03 | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · tag F0883 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2026-07-07 |
| 2026-06-03 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 2026-07-07 |
| 2026-06-03 | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · tag F0583 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-07-07 |
| 2026-06-03 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · tag F0584 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-07-07 |
| 2026-06-03 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-07-07 |
| 2026-06-03 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · tag F0628 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-07-07 |
| 2026-06-03 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · tag F0656 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-07-07 |
| 2026-06-03 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · tag F0677 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-07-07 |
| 2026-06-03 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 2026-07-07 |
| 2026-06-03 | Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. Quality of Life and Care Deficiencies · tag F0691 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-07-07 |
| 2026-06-03 | Provide care or services that was trauma informed and/or culturally competent. Quality of Life and Care Deficiencies · tag F0699 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-07-07 |
| 2026-06-03 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Quality of Life and Care Deficiencies · tag F0740 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-07-07 |
| 2026-06-03 complaint survey |
Provide medically-related social services to help each resident achieve the highest possible quality of life. Quality of Life and Care Deficiencies · tag F0745 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-07-07 |
| 2026-06-03 | 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 · tag F0756 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-07-07 |
| 2026-06-03 | 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 2026-07-07 |
| 2026-06-03 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · tag F0760 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-07-07 |
| 2026-06-03 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. Administration Deficiencies · tag F0944 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-07-07 |
| 2026-06-03 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. Nursing and Physician Services Deficiencies · tag F0947 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-07-07 |
| 2026-06-03 | Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. Resident Rights Deficiencies · tag F0575 |
C No actual harm, with potential for minimal harm; widespread | Deficient, Provider has date of correction 2026-07-07 |
| 2026-01-26 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 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-02-23 |
| 2025-03-27 | 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 |
G Actual harm that is not immediate jeopardy; isolated | Deficient, Provider has date of correction 2025-04-24 |
| 2025-03-27 | 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 2025-04-24 |
| 2025-03-27 | 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 · tag F0909 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2025-04-24 |
| 2025-03-27 | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · tag F0697 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-04-24 |
| 2023-09-22 complaint survey |
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 · tag F0600 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-10-23 |
| 2023-09-22 complaint survey |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-10-23 |
| 2023-09-22 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 2023-10-23 |
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 |
|---|---|---|---|
| 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 | — | 2025-06-09 |
| Continuum Therapy Partners LLC Organization | adp of the snf | — | 2025-06-09 |
| North Shore Healthcare LLC Organization | adp of the snf | — | 2025-06-09 |
| Nsh 146 Clover Street LLC Organization | adp of the snf | — | 2019-12-01 |
| Nsh Rehab LLC Organization | adp of the snf | — | 2025-06-09 |
| The Lane Morrell Bowen Trust Organization | adp of the snf | — | 2019-12-01 |
| Wipfli LLP Organization | adp of the snf | — | 2025-06-09 |
| Cibc Bank USA Organization | operational/managerial control | — | 2024-12-31 |
| 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 | — | 2019-12-01 |
| Belongia, Christina Individual | adp of the snf | — | 2019-12-01 |
| 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 | — | 2019-12-01 |
| Patzer, Colleen Individual | adp of the snf | — | 2023-02-14 |
| Purtell, Brian Individual | adp of the snf | — | 2019-12-01 |
| Schellhorn, Katherine Individual | adp of the snf | — | 2024-06-03 |
| Sidhu, Sarfraz Individual | adp of the snf | — | 2023-01-01 |
| Baumann, Troy Individual | corporate director | — | 2019-10-01 |
| Hoehn, Jeffrey Individual | corporate director | — | 2019-10-01 |
| Baumann, Troy Individual | operational/managerial control | — | 2019-12-01 |
| Belongia, Christina Individual | operational/managerial control | — | 2019-12-01 |
| Gee, Darren Individual | operational/managerial control | — | 2021-11-30 |
| Greer, Lauren Individual | operational/managerial control | — | 2023-11-29 |
| Hoehn, Jeffrey Individual | operational/managerial control | — | 2019-12-01 |
| Patzer, Colleen Individual | operational/managerial control | — | 2023-02-14 |
| Purtell, Brian Individual | operational/managerial control | — | 2019-12-01 |
| Schellhorn, Katherine Individual | operational/managerial control | — | 2024-06-03 |
| Sidhu, Sarfraz Individual | operational/managerial control | — | 2023-01-01 |
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 Williams Bay 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.