Wisconsin › Walworth County › Delavan
Delavan Health Services
905 E Geneva St, Delavan, WI 53115
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.
Delavan Health Services is a For-profit, limited liability company nursing home in Delavan, Wisconsin, certified for 50 beds and caring for about 42 residents a day.
CMS gives it 4 of 5 stars overall, above the Wisconsin median of 3; the health inspection rating is 4, staffing 4 and quality measures 4.
Inspectors recorded 12 health deficiencies across the three most recent survey cycles (1, 4, 7 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 24.0 per 100 beds, fewer 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 3.2 hours per resident per day (1.1 RN), close to the Wisconsin median of 4.0; nursing staff turnover is 34.2%.
Compared with county, state and nation
| Measure | This facility | Walworth Co. median | Wisconsin median | US average |
|---|---|---|---|---|
| Overall star rating | 4 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 12 | 21 | 21 | 28.7 |
| Citations per 100 beds | 24.0 | 28.3 | 31.8 | 26.8 |
| Total nurse hours per resident day | 3.2 | 4.0 | 4.0 | 3.9 |
| RN hours per resident day | 1.1 | 0.7 | 0.9 | 0.7 |
| Nursing staff turnover | 34.2% | 51.8% | 46.2% | 45.8% |
| Fines listed | $0 | $0 | $0 | — |
County and state figures are medians across facilities (7 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: 19 Dec 2024, 27 Sep 2023.
Severity mix: G ×1 D ×8 E ×1 F ×1 C ×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 |
|---|---|---|---|---|---|
| 19 Dec 2024 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 17 Jan 2025 |
| 19 Aug 2024 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 11 Sep 2024 |
| 27 Sep 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 25 Oct 2023 |
| 27 Sep 2023 | 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 2023 |
| 27 Sep 2023 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 25 Oct 2023 |
| 15 Jun 2022 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Standard survey | 13 Jul 2022 |
| 15 Jun 2022 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 13 Jul 2022 |
| 15 Jun 2022 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 13 Jul 2022 |
| 15 Jun 2022 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 13 Jul 2022 |
| 15 Jun 2022 | 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 | 13 Jul 2022 |
| 15 Jun 2022 | 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 | 13 Jul 2022 |
| 15 Jun 2022 | F0838 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | C | Standard survey | 13 Jul 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 34.2%, RNs 33.3%; 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 | 8.7% | 15.4% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 1.5% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.5% | 2.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 5.1% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 0.9% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 22.2% | 16.8% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.9% | 4.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 13.9% | 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 Delavan 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 |
| 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 | 05/22/2018 |
| Continuum Therapy Partners LLC | Operational/managerial control | NOT APPLICABLE | 03/01/2025 |
| North Shore Healthcare LLC | Operational/managerial control | NOT APPLICABLE | 10/01/2017 |
| Nsh Rehab LLC | Operational/managerial control | NOT APPLICABLE | 03/01/2025 |
| Wipfli LLP | Operational/managerial control | NOT APPLICABLE | 02/01/2025 |
| Cliftonlarsonallen LLP | Adp of the snf | NOT APPLICABLE | 04/15/2025 |
| Continuum Therapy Partners LLC | Adp of the snf | NOT APPLICABLE | 04/15/2025 |
| North Shore Healthcare LLC | Adp of the snf | NOT APPLICABLE | 04/15/2025 |
| Nsh Rehab LLC | Adp of the snf | NOT APPLICABLE | 06/11/2025 |
| Nshf Wisconsin LLC | Adp of the snf | NOT APPLICABLE | 05/09/2025 |
| Willowfield Property Holdings, LLC | Adp of the snf | NOT APPLICABLE | 05/01/2022 |
| Wipfli LLP | Adp of the snf | NOT APPLICABLE | 04/15/2025 |
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 Walworth County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Golden Years of Lake Geneva | Lake Geneva | 54 | 4 | 5 | 5 | 11 | 20.4 | — | 9 Jan 2025 |
| Lakeland Health Care Ctrabuse icon | Elkhorn | 90 | 3 | 2 | 5 | 21 | 23.3 | $84K | 26 Jan 2026 |
| East Troy Manor | East Troy | 50 | 2 | 2 | 3 | 29 | 58.0 | $129K | 24 Jul 2025 |
| Holton Manor | Elkhorn | 60 | 2 | 2 | 3 | 17 | 28.3 | — | 6 May 2026 |
| Geneva Lake Manor | Lake Geneva | 60 | 1 | 1 | 2 | 73 | 121.7 | $131K | 10 Dec 2025 |
| Williams Bay Health Services | Williams Bay | 50 | 1 | 1 | 3 | 35 | 70.0 | — | 3 Jun 2026 |
All 7 facilities in Walworth County
Questions and answers
How many deficiencies has Delavan Health Services been cited for?
12 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Wisconsin median is 21 per facility.
Has Delavan Health Services been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Delavan Health Services compare?
Reported total nurse staffing is 3.2 hours per resident per day against a Wisconsin median of 4.0 and a national average of 3.9.
Who operates Delavan 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 Nshf Operations LLC, Cibc Bank USA and Cliftonlarsonallen LLP. Individual owners and managers are not listed on this site.
When was Delavan Health Services last inspected?
The most recent survey or investigation in the CMS record is dated 19 Dec 2024; the most recent standard health survey was 19 Dec 2024.
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.