Wisconsin › Manitowoc County › Two Rivers
Hamilton Health Services
1 Hamilton Dr, Two Rivers, WI 54241
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 125 beds, Hamilton Health Services serves Two Rivers in Manitowoc County, Wisconsin and has taken Medicare and Medicaid residents since 2001.
CMS gives it 4 of 5 stars overall, above the Wisconsin median of 3; the health inspection rating is 4, staffing 3 and quality measures 2.
Inspectors recorded 22 health deficiencies across the three most recent survey cycles (3, 9, 10 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 17.6 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 4.0 hours per resident per day (1.2 RN), close to the Wisconsin median of 4.0; nursing staff turnover is 42.1%.
Compared with county, state and nation
| Measure | This facility | Manitowoc Co. median | Wisconsin median | US average |
|---|---|---|---|---|
| Overall star rating | 4 | 4 | 3 | 3.0 |
| Health citations, 3 cycles | 22 | 22 | 21 | 28.7 |
| Citations per 100 beds | 17.6 | 17.6 | 31.8 | 26.8 |
| Total nurse hours per resident day | 4.0 | 4.0 | 4.0 | 3.9 |
| RN hours per resident day | 1.2 | 1.2 | 0.9 | 0.7 |
| Nursing staff turnover | 42.1% | 42.1% | 46.2% | 45.8% |
| Fines listed | $0 | $0 | $0 | — |
County and state figures are medians across facilities (6 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: 28 Jan 2026, 11 Sep 2024.
Severity mix: G ×1 D ×17 E ×2 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 |
|---|---|---|---|---|---|
| 28 Jan 2026 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 28 Feb 2026 |
| 28 Jan 2026 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 28 Feb 2026 |
| 28 Jan 2026 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | Standard survey | 28 Feb 2026 |
| 11 Sep 2024 | F0641 | Ensure each resident receives an accurate assessment. | E | Standard survey | 11 Oct 2024 |
| 11 Sep 2024 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | Standard survey | 11 Oct 2024 |
| 11 Sep 2024 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | 11 Oct 2024 |
| 11 Sep 2024 | F0637 | Assess the resident when there is a significant change in condition | D | Standard survey | 11 Oct 2024 |
| 11 Sep 2024 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 11 Oct 2024 |
| 11 Sep 2024 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 11 Oct 2024 |
| 11 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 | 11 Oct 2024 |
| 11 Sep 2024 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 11 Oct 2024 |
| 11 Sep 2024 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 11 Oct 2024 |
| 8 Jul 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 29 Jul 2024 |
| 8 Jul 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 29 Jul 2024 |
| 8 Jul 2024 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 29 Jul 2024 |
| 8 Jul 2024 | F0712 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. | D | Complaint investigation | 29 Jul 2024 |
| 20 Feb 2024 | F0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | Complaint investigation | 18 Mar 2024 |
| 12 Jul 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 7 Aug 2023 |
| 12 Jul 2023 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 7 Aug 2023 |
| 12 Jul 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 7 Aug 2023 |
| 12 Jul 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 7 Aug 2023 |
| 12 Jul 2023 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 7 Aug 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 42.1%, RNs 50.0%; 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 | 12.5% | 15.4% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 3.5% | 1.5% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 5.9% | 2.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 0.0% | 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 with pressure ulcers | Long Stay | 8.2% | 4.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 24.5% | 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 Two Rivers 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 | NO PERCENTAGE PROVIDED | 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 | 05/23/2025 |
| Nsh 1 Hamilton Drive 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 Manitowoc County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Shady Lane Nursing Care Center | Manitowoc | 50 | 5 | 4 | 5 | 5 | 10.0 | — | 24 Jun 2026 |
| St Marys Home For the Aged | Manitowoc | 84 | 5 | 4 | 5 | 12 | 14.3 | — | 3 Dec 2025 |
| Complete Care At Manitowoc LLC | Manitowoc | 150 | 4 | 4 | 3 | 14 | 9.3 | $77K | 1 Oct 2025 |
| River'S Bend Health Services | Manitowoc | 100 | 3 | 3 | 3 | 27 | 27.0 | — | 2 Jul 2026 |
| North Ridge Health and Rehabilitation Center | Manitowoc | 94 | 2 | 2 | 2 | 49 | 52.1 | $13K | 14 Apr 2026 |
All 6 facilities in Manitowoc County
Questions and answers
How many deficiencies has Hamilton Health Services been cited for?
22 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 Hamilton Health Services been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Hamilton Health Services compare?
Reported total nurse staffing is 4.0 hours per resident per day against a Wisconsin median of 4.0 and a national average of 3.9.
Who operates Hamilton Health Services?
It is part of the North Shore Healthcare chain. Ownership type is for-profit, corporation. 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 Hamilton Health Services last inspected?
The most recent survey or investigation in the CMS record is dated 28 Jan 2026; the most recent standard health survey was 28 Jan 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.