Nursing Care Index

Hamilton Health Services

Two Rivers, Manitowoc County, Wisconsin · CCN 525664 · For-profit (Corporation) · part of North Shore Healthcare (59 facilities, chain average 2.7 stars)

CMS rates Hamilton Health Services 4 of 5 overall as of August 2026. 125 certified beds, 21 residents a day on average. 22 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★★★☆☆ 3 of 5
Quality measures★★☆☆☆ 2 of 5
Quality: long-stay / short-stay2 / — of 5

Staffing

Total nurse staffing3.98341 hours per resident per day
Registered nurses1.19715 hours per resident per day
Weekend total3.60199 hours per resident per day
Nursing staff turnover42.1% (registered nurses 50%)
Administrators who left0

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.

SurveyFindingSeverityStatus
2026-01-28
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
2026-02-28
2026-01-28
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
2026-02-28
2026-01-28 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies · tag F0804
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-02-28
2024-09-11 Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · tag F0641
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-10-11
2024-09-11 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
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-10-11
2024-09-11 Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights Deficiencies · tag F0582
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-10-11
2024-09-11 Assess the resident when there is a significant change in condition
Resident Assessment and Care Planning Deficiencies · tag F0637
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-10-11
2024-09-11 Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · tag F0692
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-10-11
2024-09-11 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
2024-10-11
2024-09-11 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
2024-10-11
2024-09-11 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
2024-10-11
2024-09-11 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
2024-10-11
2024-07-08
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
2024-07-29
2024-07-08
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
2024-07-29
2024-07-08
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
2024-07-29
2024-07-08
complaint survey
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Nursing and Physician Services Deficiencies · tag F0712
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-07-29
2024-02-20
complaint survey
Provide timely, quality laboratory services/tests to meet the needs of residents.
Administration Deficiencies · tag F0770
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-03-18
2023-07-12 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
2023-08-07
2023-07-12 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
2023-08-07
2023-07-12 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
2023-08-07
2023-07-12 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
2023-08-07
2023-07-12 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
2023-08-07

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.

NameRoleShareSince
Nshr Operations LLC
Organization
5% or greater direct ownership interest100%2019-10-01
Arrowhead 123 LLC
Organization
5% or greater indirect ownership interest2019-10-01
The Lane Morrell Bowen Trust
Organization
5% or greater indirect ownership interest10%2019-10-01
Cibc Bank USA
Organization
5% or greater mortgage interest2024-12-31
Cibc Bank USA
Organization
5% or greater security interest2024-12-31
Arrowhead 123 LLC
Organization
adp of the snf2019-12-01
Cliftonlarsonallen LLP
Organization
adp of the snf2025-05-23
Continuum Therapy Partners LLC
Organization
adp of the snf2025-05-23
North Shore Healthcare LLC
Organization
adp of the snf2025-05-23
Nsh 1 Hamilton Drive LLC
Organization
adp of the snf2019-12-01
Nsh Rehab LLC
Organization
adp of the snf2025-05-23
The Lane Morrell Bowen Trust
Organization
adp of the snf2019-12-01
Wipfli LLP
Organization
adp of the snf2025-05-23
Cibc Bank USA
Organization
operational/managerial control2024-12-31
Cliftonlarsonallen LLP
Organization
operational/managerial control2019-12-01
Continuum Therapy Partners LLC
Organization
operational/managerial control2025-03-01
North Shore Healthcare LLC
Organization
operational/managerial control2019-12-01
Nsh Rehab LLC
Organization
operational/managerial control2025-03-01
Wipfli LLP
Organization
operational/managerial control2025-02-01
Mills, David
Individual
5% or greater indirect ownership interest18%2019-10-01
Baumann, Troy
Individual
adp of the snf2019-12-01
Belongia, Christina
Individual
adp of the snf2019-12-01
Gee, Darren
Individual
adp of the snf2021-11-30
Greer, Lauren
Individual
adp of the snf2023-11-29
Hlinak, Katie
Individual
adp of the snf2026-02-10
Hoehn, Jeffrey
Individual
adp of the snf2019-12-01
Patzer, Colleen
Individual
adp of the snf2023-02-14
Purtell, Brian
Individual
adp of the snf2019-12-01
Ramnanan, Keshni
Individual
adp of the snf2023-11-29
Baumann, Troy
Individual
corporate director2019-10-01
Hoehn, Jeffrey
Individual
corporate director2019-10-01
Baumann, Troy
Individual
operational/managerial control2019-12-01
Belongia, Christina
Individual
operational/managerial control2019-12-01
Gee, Darren
Individual
operational/managerial control2021-11-30
Greer, Lauren
Individual
operational/managerial control2023-11-29
Hlinak, Katie
Individual
operational/managerial control2026-02-10
Hoehn, Jeffrey
Individual
operational/managerial control2019-12-01
Patzer, Colleen
Individual
operational/managerial control2023-02-14
Purtell, Brian
Individual
operational/managerial control2019-12-01
Ramnanan, Keshni
Individual
operational/managerial control2023-02-01

What changed

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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 Manitowoc County.