Elder Care Record

Wisconsin › Juneau County › Elroy

Elroy Health Services

307 Royall Ave, Elroy, WI 53929

CCN 525452 · For-profit, limited liability company · 80 certified beds · chain North Shore Healthcare

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

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.

Certified for 80 beds, Elroy Health Services serves Elroy in Juneau County, Wisconsin and has taken Medicare and Medicaid residents since 1990.

CMS gives it 1 of 5 stars overall, below the Wisconsin median of 3; the health inspection rating is 1, staffing 3 and quality measures 2.

Inspectors recorded 38 health deficiencies across the three most recent survey cycles (6, 19, 13 by cycle, most recent first), 4 of them at the actual-harm or immediate-jeopardy level. That is 47.5 per 100 beds, more than the state median of 31.8.

CMS lists 1 penalty in the period covered: fines totalling $33K.

Reported nurse staffing is 3.3 hours per resident per day (0.8 RN), close to the Wisconsin median of 4.0; nursing staff turnover is 43.3%.

38health deficiencies, 3 survey cycles4 at actual harm or worse
$33Kfines listed by CMS1 penalty in period
3.3nurse hours per resident per daystate median 4.0
80%occupancy (residents ÷ beds)64 residents a day

Compared with county, state and nation

MeasureThis facilityJuneau Co. medianWisconsin medianUS average
Overall star rating1533.0
Health citations, 3 cycles3892128.7
Citations per 100 beds47.518.031.826.8
Total nurse hours per resident day3.33.84.03.9
RN hours per resident day0.81.10.90.7
Nursing staff turnover43.3%36.5%46.2%45.8%
Fines listed$33,320$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

Cycle 1 (latest)6
Cycle 219
Cycle 313

Dark bar: this facility. Grey bar: Wisconsin average per facility for the same cycle, as published by CMS. Standard health survey dates: 20 May 2026, 3 Mar 2025.

Severity mix: J ×2 G ×2 D ×26 E ×5 F ×3

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)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
20 May 2026F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JStandard survey16 Jun 2026
20 May 2026F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard survey16 Jun 2026
20 May 2026F0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DStandard survey16 Jun 2026
20 May 2026F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard survey16 Jun 2026
20 May 2026F0745Provide medically-related social services to help each resident achieve the highest possible quality of life.DStandard survey16 Jun 2026
20 May 2026F0759Ensure medication error rates are not 5 percent or greater.DStandard survey16 Jun 2026
1 Jul 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GComplaint investigation29 Jul 2025
1 Jul 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint investigation29 Jul 2025
1 Jul 2025F0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.DComplaint investigation29 Jul 2025
3 Mar 2025F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.JStandard survey1 Apr 2025
3 Mar 2025F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.FStandard survey1 Apr 2025
3 Mar 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey1 Apr 2025
3 Mar 2025F0880Provide and implement an infection prevention and control program.FStandard survey1 Apr 2025
3 Mar 2025F0584Honor 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.EStandard survey1 Apr 2025
3 Mar 2025F0679Provide activities to meet all resident's needs.EStandard survey1 Apr 2025
3 Mar 2025F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard survey1 Apr 2025
3 Mar 2025F0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.DStandard survey1 Apr 2025
3 Mar 2025F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard survey1 Apr 2025
3 Mar 2025F0610Respond appropriately to all alleged violations.DStandard survey1 Apr 2025
3 Mar 2025F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey1 Apr 2025
3 Mar 2025F0744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.DStandard survey1 Apr 2025
9 Nov 2024F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint investigation6 Dec 2024
9 Nov 2024F0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.DComplaint investigation6 Dec 2024
9 Nov 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation6 Dec 2024
9 Nov 2024F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint investigation6 Dec 2024
30 Jul 2024F0584Honor 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.EComplaint investigation21 Aug 2024
30 Jul 2024F0677Provide care and assistance to perform activities of daily living for any resident who is unable.EComplaint investigation21 Aug 2024
30 Jul 2024F0554Allow residents to self-administer drugs if determined clinically appropriate.DComplaint investigation21 Aug 2024
30 Jul 2024F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation21 Aug 2024
30 Jul 2024F0610Respond appropriately to all alleged violations.DComplaint investigation21 Aug 2024
30 Jul 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation21 Aug 2024
6 Feb 2024F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard survey26 Feb 2024
6 Feb 2024F0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.DStandard survey26 Feb 2024
6 Feb 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey26 Feb 2024
6 Feb 2024F0692Provide enough food/fluids to maintain a resident's health.DStandard survey24 Feb 2024
6 Feb 2024F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard survey24 Feb 2024
13 Dec 2023F0880Provide and implement an infection prevention and control program.EComplaint investigation5 Jan 2024
13 Dec 2023F0584Honor 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.DComplaint investigation5 Jan 2024

Penalties

DateTypeAmountDetail
1 Jul 2025Fine$33,320

Staffing

Total nursing3.28 h
Nurse aides1.94 h
LPN0.52 h
RN0.82 h
Weekend total2.9 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Wisconsin average. Turnover: nursing staff 43.3%, RNs 41.7%; 0 administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityWisconsin medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay26.6%15.4%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay3.9%1.5%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay3.6%2.3%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay3.8%3.0%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay0.0%0.9%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay20.9%16.8%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay4.6%4.4%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay16.3%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 Elroy Llc. Chain: North Shore Healthcare (59 facilities).

OrganisationRole in the CMS recordInterestSince
Cibc Bank USA5% or greater mortgage interestNOT APPLICABLE12/31/2024
Cibc Bank USA5% or greater security interestNOT APPLICABLE12/31/2024
Cibc Bank USAOperational/managerial controlNOT APPLICABLE12/31/2024
Cliftonlarsonallen LLPOperational/managerial controlNOT APPLICABLE05/22/2018
Continuum Therapy Partners LLCOperational/managerial controlNOT APPLICABLE03/01/2025
North Shore Healthcare LLCOperational/managerial controlNOT APPLICABLE02/01/2018
Nsh Rehab LLCOperational/managerial controlNOT APPLICABLE03/01/2025
Wipfli LLPOperational/managerial controlNOT APPLICABLE02/01/2025
307 Royall Avenue LLCAdp of the snfNOT APPLICABLE01/31/2018
Cliftonlarsonallen LLPAdp of the snfNOT APPLICABLE07/08/2025
Continuum Therapy Partners LLCAdp of the snfNOT APPLICABLE07/08/2025
North Shore Healthcare LLCAdp of the snfNOT APPLICABLE07/08/2025
Nsh Rehab LLCAdp of the snfNOT APPLICABLE07/08/2025
Wipfli LLPAdp of the snfNOT APPLICABLE07/08/2025

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 Juneau County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Crest View Nursing HomeNew Lisbon5055548.0—16 Jan 2025
Fair View Nursing and Rehabilitation CenterMauston50555918.0—24 Sep 2025

All 3 facilities in Juneau County

Questions and answers

How many deficiencies has Elroy Health Services been cited for?

38 health deficiencies across the three most recent survey cycles, 4 at the actual-harm or immediate-jeopardy level. The Wisconsin median is 21 per facility.

Has Elroy Health Services been fined?

Yes. CMS lists fines totalling $33K in the period covered.

How does staffing at Elroy 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 Elroy 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 Cibc Bank USA, Cliftonlarsonallen LLP and Continuum Therapy Partners LLC. Individual owners and managers are not listed on this site.

When was Elroy Health Services last inspected?

The most recent survey or investigation in the CMS record is dated 20 May 2026; the most recent standard health survey was 20 May 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.