Mercy Health Services
Milwaukee, Milwaukee County, Wisconsin · CCN 525414 · For-profit (Corporation) · part of North Shore Healthcare (59 facilities, chain average 2.7 stars)
CMS rates Mercy Health Services 3 of 5 overall as of August 2026. 60 certified beds, 44 residents a day on average. 32 citations on record from the current inspection cycles, 2 involving actual harm; 2 fines totalling $47,753.
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 | ★★★☆☆ 3 of 5 |
|---|---|
| Health inspections | ★★★☆☆ 3 of 5 |
| Staffing | ★★☆☆☆ 2 of 5 |
| Quality measures | ★★☆☆☆ 2 of 5 |
| Quality: long-stay / short-stay | 2 / 3 of 5 |
Staffing
| Total nurse staffing | 3.73132 hours per resident per day |
|---|---|
| Registered nurses | 0.63935 hours per resident per day |
| Weekend total | 3.28699 hours per resident per day |
| Nursing staff turnover | 62.3% (registered nurses 61.5%) |
| 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 |
|---|---|---|---|
| 2026-03-02 complaint survey |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · tag F0842 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-03-18 |
| 2025-12-03 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 2025-12-16 |
| 2025-12-03 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 2025-12-16 |
| 2025-05-21 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · tag F0628 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-06-21 |
| 2025-05-21 complaint survey |
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 2025-06-21 |
| 2025-05-21 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Nutrition and Dietary Deficiencies · tag F0805 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-06-21 |
| 2024-09-19 complaint survey |
Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0610 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-10-18 |
| 2024-09-19 complaint survey |
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 2024-10-18 |
| 2024-09-19 complaint survey |
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 2024-10-18 |
| 2024-08-05 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 2024-09-04 |
| 2024-08-05 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 2024-09-04 |
| 2024-05-13 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 2024-06-07 |
| 2024-02-29 | 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 2024-04-01 |
| 2024-02-29 complaint survey |
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 2024-04-01 |
| 2024-02-29 complaint survey |
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0604 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-04-01 |
| 2024-02-29 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 2024-04-01 |
| 2024-02-29 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 2024-04-01 |
| 2024-02-29 | 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 2024-04-01 |
| 2024-02-29 | 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 2024-04-01 |
| 2024-02-29 | 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 2024-04-01 |
| 2024-02-29 | 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 2024-04-01 |
| 2022-12-21 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Nursing and Physician Services Deficiencies · tag F0727 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2023-01-26 |
| 2022-12-21 | 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 2023-01-26 |
| 2022-12-21 | 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 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2023-01-26 |
| 2022-12-21 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · tag F0759 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-01-26 |
| 2022-12-21 | Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · tag F0554 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-01-26 |
| 2022-12-21 | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · tag F0645 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-01-26 |
| 2022-12-21 | 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 2023-01-26 |
| 2022-12-21 | 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 2023-01-26 |
| 2022-12-21 | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · tag F0698 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-01-26 |
| 2022-12-21 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. Quality of Life and Care Deficiencies · tag F0700 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-01-26 |
| 2022-12-21 | 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 2023-01-26 |
Fines and payment denials
| Date | Penalty | Amount |
|---|---|---|
| 2024-05-13 | Fine | $14,050 |
| 2024-02-29 | Fine | $33,703 |
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 |
| Mercy Property Holdings, LLC Organization | adp of the snf | — | 2022-05-01 |
| 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 | — | 2025-11-05 |
| 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 |
| Chohan, Muniba Individual | adp of the snf | — | 2023-01-01 |
| 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 |
| Patzer, Colleen Individual | adp of the snf | — | 2023-02-14 |
| Purtell, Brian Individual | adp of the snf | — | 2018-06-01 |
| Rivera, Edward Individual | adp of the snf | — | 2026-06-08 |
| 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 |
| Chohan, Muniba Individual | operational/managerial control | — | 2023-01-01 |
| 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 |
| Patzer, Colleen Individual | operational/managerial control | — | 2023-02-14 |
| Purtell, Brian Individual | operational/managerial control | — | 2018-06-01 |
| Rivera, Edward Individual | operational/managerial control | — | 2026-06-08 |
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 Mercy 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 Milwaukee County.