Wisconsin › Shawano County › Shawano
Birch Hill Health Services
1475 Birch Hill Lane, Shawano, WI 54166
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Birch Hill Health Services is a For-profit, limited liability company nursing home in Shawano, Wisconsin, certified for 50 beds and caring for about 42 residents a day.
CMS gives it 2 of 5 stars overall, below the Wisconsin median of 3; the health inspection rating is 3, staffing 3 and quality measures 1.
Inspectors recorded 22 health deficiencies across the three most recent survey cycles (11, 9, 2 by cycle, most recent first), none at the actual-harm level. That is 44.0 per 100 beds, more than the state median of 31.8.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 3.3 hours per resident per day (0.6 RN), close to the Wisconsin median of 4.0; nursing staff turnover is 30.3%.
Compared with county, state and nation
| Measure | This facility | Shawano Co. median | Wisconsin median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 22 | 20 | 21 | 28.7 |
| Citations per 100 beds | 44.0 | 40.0 | 31.8 | 26.8 |
| Total nurse hours per resident day | 3.3 | 3.5 | 4.0 | 3.9 |
| RN hours per resident day | 0.6 | 0.7 | 0.9 | 0.7 |
| Nursing staff turnover | 30.3% | 35.7% | 46.2% | 45.8% |
| Fines listed | $0 | $0 | $0 | — |
County and state figures are medians across facilities (3 in the county, 323 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Wisconsin average per facility for the same cycle, as published by CMS. Standard health survey dates: 11 Feb 2026, 25 Sep 2024.
Severity mix: D ×19 E ×2 F ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 1 Jul 2026 | F0583 | Keep residents' personal and medical records private and confidential. | D | Complaint investigation | 29 Jul 2026 |
| 1 Jul 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 29 Jul 2026 |
| 11 Feb 2026 | F0551 | Give the resident's representative the ability to exercise the resident's rights. | D | Standard survey | 11 Mar 2026 |
| 11 Feb 2026 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 11 Mar 2026 |
| 11 Feb 2026 | F0610 | Respond appropriately to all alleged violations. | D | Standard survey | 11 Mar 2026 |
| 11 Feb 2026 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 11 Mar 2026 |
| 11 Feb 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 11 Mar 2026 |
| 10 Nov 2025 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 18 Dec 2025 |
| 10 Nov 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 18 Dec 2025 |
| 10 Nov 2025 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 18 Dec 2025 |
| 10 Nov 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 18 Dec 2025 |
| 20 May 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 13 Jun 2025 |
| 20 May 2025 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 13 Jun 2025 |
| 25 Sep 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Complaint investigation | 25 Oct 2024 |
| 25 Sep 2024 | F0761 | 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. | E | Standard survey | 25 Oct 2024 |
| 25 Sep 2024 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard survey | 25 Oct 2024 |
| 25 Sep 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 25 Oct 2024 |
| 25 Sep 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 25 Oct 2024 |
| 25 Sep 2024 | F0758 | 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. | D | Standard survey | 25 Oct 2024 |
| 25 Sep 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 25 Oct 2024 |
| 30 Aug 2023 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 30 Sep 2023 |
| 30 Aug 2023 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 30 Sep 2023 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Wisconsin average. Turnover: nursing staff 30.3%, RNs 20.0%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Wisconsin median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 29.1% | 15.4% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.6% | 1.5% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.7% | 2.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 3.4% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 2.9% | 0.9% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 20.3% | 16.8% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.7% | 4.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 39.4% | 14.4% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: Nsh Shawano-Birch Llc. Chain: North Shore Healthcare (59 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Nshr Operations LLC | 5% or greater direct ownership interest | 100% | 10/01/2019 |
| Arrowhead 123 LLC | 5% or greater indirect ownership interest | 10% | 10/01/2019 |
| Cibc Bank USA | 5% or greater mortgage interest | NOT APPLICABLE | 12/31/2024 |
| Cibc Bank USA | 5% or greater security interest | NOT APPLICABLE | 12/31/2024 |
| Cibc Bank USA | Operational/managerial control | NOT APPLICABLE | 12/31/2024 |
| Cliftonlarsonallen LLP | Operational/managerial control | NOT APPLICABLE | 12/01/2019 |
| Continuum Therapy Partners LLC | Operational/managerial control | NOT APPLICABLE | 03/01/2025 |
| North Shore Healthcare LLC | Operational/managerial control | NOT APPLICABLE | 12/01/2019 |
| Nsh Rehab LLC | Operational/managerial control | NOT APPLICABLE | 03/01/2025 |
| Wipfli LLP | Operational/managerial control | NOT APPLICABLE | 02/01/2025 |
| Arrowhead 123 LLC | Adp of the snf | NOT APPLICABLE | 12/01/2019 |
| Cliftonlarsonallen LLP | Adp of the snf | NOT APPLICABLE | 05/23/2025 |
| Continuum Therapy Partners LLC | Adp of the snf | NOT APPLICABLE | 05/23/2025 |
| North Shore Healthcare LLC | Adp of the snf | NOT APPLICABLE | 05/15/2025 |
| Nsh 1475 Birch Hill Lane LLC | Adp of the snf | NOT APPLICABLE | 12/01/2019 |
| Nsh Rehab LLC | Adp of the snf | NOT APPLICABLE | 05/23/2025 |
| Wipfli LLP | Adp of the snf | NOT APPLICABLE | 05/23/2025 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Shawano County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Shawano Health Services | Shawano | 100 | 4 | 4 | 3 | 12 | 12.0 | — | 17 Feb 2026 |
| Evergreen Health Services | Shawano | 50 | 2 | 2 | 3 | 20 | 40.0 | $14K | 16 Sep 2025 |
All 3 facilities in Shawano County
Questions and answers
How many deficiencies has Birch Hill Health Services been cited for?
22 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Wisconsin median is 21 per facility.
Has Birch Hill Health Services been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Birch Hill Health Services compare?
Reported total nurse staffing is 3.3 hours per resident per day against a Wisconsin median of 4.0 and a national average of 3.9.
Who operates Birch Hill Health Services?
It is part of the North Shore Healthcare chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Nshr Operations LLC, Arrowhead 123 LLC and Cibc Bank USA. Individual owners and managers are not listed on this site.
When was Birch Hill Health Services last inspected?
The most recent survey or investigation in the CMS record is dated 1 Jul 2026; the most recent standard health survey was 11 Feb 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.