Lancaster Health Services
Lancaster, Grant County, Wisconsin · CCN 525352 · For-profit (LLC) · part of North Shore Healthcare (59 facilities, chain average 2.7 stars)
CMS rates Lancaster Health Services 2 of 5 overall as of August 2026. 50 certified beds, 42 residents a day on average. 18 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 | ★★☆☆☆ 2 of 5 |
|---|---|
| Health inspections | ★★☆☆☆ 2 of 5 |
| Staffing | ★★★★☆ 4 of 5 |
| Quality measures | ★★★☆☆ 3 of 5 |
| Quality: long-stay / short-stay | 3 / — of 5 |
Staffing
| Total nurse staffing | 3.62419 hours per resident per day |
|---|---|
| Registered nurses | 0.6853 hours per resident per day |
| Weekend total | 3.28601 hours per resident per day |
| Nursing staff turnover | 28% (registered nurses 28.6%) |
| Administrators who left | 1 |
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 |
|---|---|---|---|
| 2025-08-19 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0605 |
J Immediate jeopardy to resident health or safety; isolated | Deficient, Provider has date of correction 2025-09-16 |
| 2025-08-19 | 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 2025-09-16 |
| 2025-08-19 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · tag F0804 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-09-16 |
| 2025-08-19 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Resident Rights Deficiencies · tag F0578 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-09-16 |
| 2025-08-19 | 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 2025-09-16 |
| 2025-08-19 | 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 2025-09-16 |
| 2025-08-19 | Implement a program that monitors antibiotic use. Infection Control Deficiencies · tag F0881 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-09-16 |
| 2025-02-19 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 2025-03-18 |
| 2025-02-19 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 2025-03-18 |
| 2024-08-27 complaint survey |
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 2024-09-27 |
| 2024-07-24 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. Administration Deficiencies · tag F0851 |
F No actual harm, with potential for more than minimal harm; widespread | Past Non-Compliance 2024-03-05 |
| 2024-07-24 | 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 2024-08-23 |
| 2024-07-24 | 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 2024-08-23 |
| 2024-04-24 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 2024-05-03 |
| 2023-04-06 | 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 2023-05-02 |
| 2023-04-06 | 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 2023-05-02 |
| 2023-04-06 | 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 2023-05-02 |
| 2023-04-06 | Ensure staff are vaccinated for COVID-19 Infection Control Deficiencies · tag F0888 |
C No actual harm, with potential for minimal harm; widespread | Deficient, Provider has date of correction 2023-04-06 |
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 | — | 2025-06-06 |
| Continuum Therapy Partners LLC Organization | adp of the snf | — | 2025-06-06 |
| North Shore Healthcare LLC Organization | adp of the snf | — | 2025-06-06 |
| Nsh 1350 South Madison Street LLC Organization | adp of the snf | — | 2019-12-01 |
| Nsh Rehab LLC Organization | adp of the snf | — | 2025-06-06 |
| The Lane Morrell Bowen Trust Organization | adp of the snf | — | 2019-12-01 |
| Wipfli LLP Organization | adp of the snf | — | 2025-06-06 |
| 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 |
| Horstman, Natalie Individual | adp of the snf | — | 2026-01-21 |
| Patzer, Colleen Individual | adp of the snf | — | 2023-02-14 |
| Purtell, Brian Individual | adp of the snf | — | 2019-12-01 |
| Slane, Eric Individual | adp of the snf | — | 2023-02-01 |
| Baumann, Troy Individual | corporate director | — | 2019-10-01 |
| Hoehn, Jeffrey Individual | corporate director | — | 2019-12-01 |
| 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 |
| Horstman, Natalie Individual | operational/managerial control | — | 2026-01-21 |
| Patzer, Colleen Individual | operational/managerial control | — | 2023-02-14 |
| Purtell, Brian Individual | operational/managerial control | — | 2019-12-01 |
| Slane, Eric Individual | operational/managerial control | — | 2023-02-01 |
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 Lancaster 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 Grant County.