Wisconsin › Ozaukee County › Cedarburg
Cedarburg Health Services
N27 W5707 Lincoln Blvd, Cedarburg, WI 53012
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.
Cedarburg Health Services is a For-profit, corporation nursing home in Cedarburg, Wisconsin, certified for 50 beds and caring for about 45 residents a day.
CMS gives it 3 of 5 stars overall, equal to the Wisconsin median; the health inspection rating is 4, staffing 4 and quality measures 1.
Inspectors recorded 27 health deficiencies across the three most recent survey cycles (6, 7, 14 by cycle, most recent first), none at the actual-harm level. That is 54.0 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 4.3 hours per resident per day (0.9 RN), close to the Wisconsin median of 4.0; nursing staff turnover is 55.6%.
Compared with county, state and nation
| Measure | This facility | Ozaukee Co. median | Wisconsin median | US average |
|---|---|---|---|---|
| Overall star rating | 3 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 27 | 33 | 21 | 28.7 |
| Citations per 100 beds | 54.0 | 66.0 | 31.8 | 26.8 |
| Total nurse hours per resident day | 4.3 | 5.2 | 4.0 | 3.9 |
| RN hours per resident day | 0.9 | 1.1 | 0.9 | 0.7 |
| Nursing staff turnover | 55.6% | 55.6% | 46.2% | 45.8% |
| Fines listed | $0 | $12,740 | $0 | — |
County and state figures are medians across facilities (4 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: 23 Jan 2025, 29 Nov 2023.
Severity mix: D ×24 E ×1 F ×2
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 |
|---|---|---|---|---|---|
| 23 Jan 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 | Standard survey | 19 Feb 2025 |
| 23 Jan 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 19 Feb 2025 |
| 23 Jan 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 19 Feb 2025 |
| 23 Jan 2025 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 19 Feb 2025 |
| 23 Jan 2025 | 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. | D | Standard survey | 19 Feb 2025 |
| 23 Jan 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 19 Feb 2025 |
| 4 Oct 2024 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Complaint investigation | 25 Oct 2024 |
| 4 Oct 2024 | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | Complaint investigation | 25 Oct 2024 |
| 4 Apr 2024 | F0692 | Provide enough food/fluids to maintain a resident's health. | E | Complaint investigation | 30 Apr 2024 |
| 4 Apr 2024 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Complaint investigation | 30 Apr 2024 |
| 4 Apr 2024 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 30 Apr 2024 |
| 29 Nov 2023 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard survey | 29 Dec 2023 |
| 29 Nov 2023 | F0578 | 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. | D | Standard survey | 29 Dec 2023 |
| 29 Nov 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 29 Dec 2023 |
| 29 Nov 2023 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 29 Dec 2023 |
| 29 Nov 2023 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 29 Dec 2023 |
| 29 Nov 2023 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 29 Dec 2023 |
| 7 Nov 2023 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 5 Dec 2023 |
| 7 Nov 2023 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 5 Dec 2023 |
| 24 Aug 2022 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 8 Oct 2022 |
| 24 Aug 2022 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 8 Oct 2022 |
| 24 Aug 2022 | F0551 | Give the resident's representative the ability to exercise the resident's rights. | D | Standard survey | 8 Oct 2022 |
| 24 Aug 2022 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 8 Oct 2022 |
| 24 Aug 2022 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 8 Oct 2022 |
| 24 Aug 2022 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 8 Oct 2022 |
| 24 Aug 2022 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 8 Oct 2022 |
| 24 Aug 2022 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 8 Oct 2022 |
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 55.6%, RNs 73.3%; 1 administrator 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 | 22.6% | 15.4% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 3.2% | 1.5% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 7.6% | 2.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 3.8% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 2.2% | 0.9% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 33.4% | 16.8% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 8.1% | 4.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 27.5% | 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, corporation. Legal business name: Nsh Cedarburg Llc. Chain: North Shore Healthcare (59 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Nshf Operations LLC | 5% or greater direct ownership interest | 100% | 07/24/2017 |
| North Shore Healthcare LLC | Operational/managerial control | NOT APPLICABLE | 10/01/2017 |
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 Ozaukee County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Lasata Care Center | Cedarburg | 106 | 5 | 4 | 5 | 10 | 9.4 | — | 7 Jan 2026 |
| Newcastle Place | Mequon | 47 | 3 | 2 | 5 | 43 | 91.5 | $13K | 20 May 2026 |
| Heritage Health Services | Port Washington | 50 | 2 | 2 | 3 | 33 | 66.0 | $17K | 12 Mar 2025 |
All 4 facilities in Ozaukee County
Questions and answers
How many deficiencies has Cedarburg Health Services been cited for?
27 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 Cedarburg Health Services been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Cedarburg Health Services compare?
Reported total nurse staffing is 4.3 hours per resident per day against a Wisconsin median of 4.0 and a national average of 3.9.
Who operates Cedarburg Health Services?
It is part of the North Shore Healthcare chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Nshf Operations LLC and North Shore Healthcare LLC. Individual owners and managers are not listed on this site.
When was Cedarburg Health Services last inspected?
The most recent survey or investigation in the CMS record is dated 23 Jan 2025; the most recent standard health survey was 23 Jan 2025.
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.