Elder Care Record

Wisconsin › Kewaunee County › Kewaunee

Kewaunee Health Services

1308 Lincoln St, Kewaunee, WI 54216

CCN 525357 · For-profit, corporation · 50 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 50 beds, Kewaunee Health Services serves Kewaunee in Kewaunee County, Wisconsin and has taken Medicare and Medicaid residents since 1984.

CMS gives it 5 of 5 stars overall, above the Wisconsin median of 3; the health inspection rating is 5, staffing 4 and quality measures 2.

Inspectors recorded 8 health deficiencies across the three most recent survey cycles (0, 2, 6 by cycle, most recent first), none at the actual-harm level. That is 16.0 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 3.8 hours per resident per day (0.8 RN), close to the Wisconsin median of 4.0; nursing staff turnover is 39.4%.

8health deficiencies, 3 survey cyclesnone at actual-harm level
$0fines listed by CMS0 penalties in period
3.8nurse hours per resident per daystate median 4.0
46%occupancy (residents ÷ beds)23 residents a day

Compared with county, state and nation

MeasureThis facilityKewaunee Co. medianWisconsin medianUS average
Overall star rating5533.0
Health citations, 3 cycles8222128.7
Citations per 100 beds16.044.031.826.8
Total nurse hours per resident day3.83.84.03.9
RN hours per resident day0.81.10.90.7
Nursing staff turnover39.4%51.3%46.2%45.8%
Fines listed$0$151,354$0—

County and state figures are medians across facilities (2 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)0
Cycle 22
Cycle 36

Dark bar: this facility. Grey bar: Wisconsin average per facility for the same cycle, as published by CMS. Standard health survey dates: 8 Apr 2025, 6 Mar 2024.

Severity mix: D ×3 E ×1 F ×2 C ×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)
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
6 Mar 2024F0851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.FStandard survey4 Apr 2024
6 Mar 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey4 Apr 2024
12 Jan 2023F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey10 Feb 2023
12 Jan 2023F0880Provide and implement an infection prevention and control program.EStandard survey10 Feb 2023
12 Jan 2023F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard survey10 Feb 2023
12 Jan 2023F0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.DStandard survey10 Feb 2023
12 Jan 2023F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.CStandard survey10 Feb 2023
12 Jan 2023F0625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.CStandard survey10 Feb 2023

Penalties

CMS lists no fines or payment denials for this facility in the period covered.

Staffing

Total nursing3.82 h
Nurse aides2.22 h
LPN0.75 h
RN0.85 h
Weekend total3.5 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Wisconsin average. Turnover: nursing staff 39.4%, RNs 33.3%; 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 Stay15.4%15.4%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay3.2%1.5%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay1.2%2.3%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay6.1%3.0%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay4.4%0.9%1.0%
Percentage of long-stay residents with pressure ulcersLong Stay8.3%4.4%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay9.6%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 Kewaunee Llc. Chain: North Shore Healthcare (59 facilities).

OrganisationRole in the CMS recordInterestSince
Nshr Operations LLC5% or greater direct ownership interest100%10/01/2019
Arrowhead 123 LLC5% or greater indirect ownership interest10%10/01/2019
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 APPLICABLE12/01/2019
Continuum Therapy Partners LLCOperational/managerial controlNOT APPLICABLE03/01/2025
North Shore Healthcare LLCOperational/managerial controlNOT APPLICABLE12/01/2019
Nsh Rehab LLCOperational/managerial controlNOT APPLICABLE03/01/2025
Wipfli LLPOperational/managerial controlNOT APPLICABLE02/01/2025
Arrowhead 123 LLCAdp of the snfNOT APPLICABLE12/01/2019
Cliftonlarsonallen LLPAdp of the snfNOT APPLICABLE06/06/2025
Continuum Therapy Partners LLCAdp of the snfNOT APPLICABLE06/06/2025
North Shore Healthcare LLCAdp of the snfNOT APPLICABLE06/06/2025
Nsh 1308 Lincoln Street LLCAdp of the snfNOT APPLICABLE12/01/2019
Nsh Rehab LLCAdp of the snfNOT APPLICABLE06/06/2025
Wipfli LLPAdp of the snfNOT APPLICABLE06/06/2025

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 Kewaunee County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Amethyst Health of AlgomaAlgoma502232244.0$151K25 Mar 2026

All 2 facilities in Kewaunee County

Questions and answers

How many deficiencies has Kewaunee Health Services been cited for?

8 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 Kewaunee Health Services been fined?

CMS lists no fines against the facility in the period covered.

How does staffing at Kewaunee Health Services compare?

Reported total nurse staffing is 3.8 hours per resident per day against a Wisconsin median of 4.0 and a national average of 3.9.

Who operates Kewaunee 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 Kewaunee Health Services last inspected?

The most recent survey or investigation in the CMS record is dated 6 Mar 2024; the most recent standard health survey was 8 Apr 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.