Wisconsin › Waukesha County › Oconomowoc
Lake Country Health Services
2195 North Summit Village Way, Oconomowoc, WI 53066
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 100 beds, Lake Country Health Services serves Oconomowoc in Waukesha County, Wisconsin and has taken Medicare and Medicaid residents since 2009.
CMS gives it 2 of 5 stars overall, below the Wisconsin median of 3; the health inspection rating is 2, staffing 3 and quality measures 3.
Inspectors recorded 42 health deficiencies across the three most recent survey cycles (2, 26, 14 by cycle, most recent first), 4 of them at the actual-harm or immediate-jeopardy level. That is 42.0 per 100 beds, more than the state median of 31.8.
CMS lists 3 penalties in the period covered: fines totalling $121K and 1 payment denial.
Reported nurse staffing is 3.5 hours per resident per day (1.0 RN), close to the Wisconsin median of 4.0; nursing staff turnover is 51.8%.
Compared with county, state and nation
| Measure | This facility | Waukesha Co. median | Wisconsin median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 1 | 3 | 3.0 |
| Health citations, 3 cycles | 42 | 37 | 21 | 28.7 |
| Citations per 100 beds | 42.0 | 45.5 | 31.8 | 26.8 |
| Total nurse hours per resident day | 3.5 | 4.1 | 4.0 | 3.9 |
| RN hours per resident day | 1.0 | 0.7 | 0.9 | 0.7 |
| Nursing staff turnover | 51.8% | 55.8% | 46.2% | 45.8% |
| Fines listed | $120,868 | $95,791 | $0 | — |
County and state figures are medians across facilities (17 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: 27 Aug 2025, 20 Jun 2024.
Severity mix: J ×3 G ×1 D ×29 E ×6 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)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 27 Aug 2025 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 16 Sep 2025 |
| 27 Aug 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 | 16 Sep 2025 |
| 12 Mar 2025 | 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. | J | Complaint investigation | 2 Apr 2025 |
| 12 Mar 2025 | F0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | E | Complaint investigation | 2 Apr 2025 |
| 12 Mar 2025 | F0760 | Ensure that residents are free from significant medication errors. | D | Complaint investigation | 2 Apr 2025 |
| 4 Nov 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Complaint investigation | 12 Dec 2024 |
| 4 Nov 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | Complaint investigation | 12 Dec 2024 |
| 4 Nov 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 12 Dec 2024 |
| 4 Nov 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | F | Complaint investigation | 12 Dec 2024 |
| 4 Nov 2024 | F0610 | Respond appropriately to all alleged violations. | F | Complaint investigation | 12 Dec 2024 |
| 4 Nov 2024 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Complaint investigation | 12 Dec 2024 |
| 4 Nov 2024 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 12 Dec 2024 |
| 4 Nov 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 | 12 Dec 2024 |
| 4 Nov 2024 | F0620 | Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide. | D | Complaint investigation | 12 Dec 2024 |
| 4 Nov 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint investigation | 12 Dec 2024 |
| 4 Nov 2024 | F0660 | Plan the resident's discharge to meet the resident's goals and needs. | D | Complaint investigation | 12 Dec 2024 |
| 4 Nov 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 12 Dec 2024 |
| 4 Nov 2024 | 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 | Complaint investigation | 12 Dec 2024 |
| 4 Nov 2024 | F0825 | Provide or get specialized rehabilitative services as required for a resident. | D | Complaint investigation | 12 Dec 2024 |
| 20 Jun 2024 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | Standard survey | 19 Jul 2024 |
| 20 Jun 2024 | F0625 | Notify 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. | E | Standard survey | 19 Jul 2024 |
| 20 Jun 2024 | F0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | D | Complaint investigation | 19 Jul 2024 |
| 20 Jun 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 19 Jul 2024 |
| 20 Jun 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 19 Jul 2024 |
| 20 Jun 2024 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 19 Jul 2024 |
| 20 Jun 2024 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Complaint investigation | 19 Jul 2024 |
| 20 Jun 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. | D | Standard survey | 19 Jul 2024 |
| 20 Jun 2024 | 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 Jul 2024 |
| 29 Feb 2024 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Complaint investigation | 26 Mar 2024 |
| 29 Feb 2024 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 26 Mar 2024 |
| 29 Feb 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 26 Mar 2024 |
| 29 Feb 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 26 Mar 2024 |
| 29 Feb 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 26 Mar 2024 |
| 9 Oct 2023 | F0610 | Respond appropriately to all alleged violations. | E | Complaint investigation | 8 Nov 2023 |
| 9 Oct 2023 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 8 Nov 2023 |
| 9 Oct 2023 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 8 Nov 2023 |
| 12 Apr 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 | 10 May 2023 |
| 12 Apr 2023 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 10 May 2023 |
| 12 Apr 2023 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 10 May 2023 |
| 12 Apr 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 | 10 May 2023 |
| 12 Apr 2023 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 10 May 2023 |
| 12 Apr 2023 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 10 May 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 12 Mar 2025 | Fine | $16,985 | |
| 4 Nov 2024 | Payment denial | — | 8 days |
| 4 Nov 2024 | Fine | $103,883 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Wisconsin average. Turnover: nursing staff 51.8%, RNs 38.5%; 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 | 13.2% | 15.4% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 6.6% | 1.5% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 2.6% | 2.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.3% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.1% | 0.9% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 27.5% | 16.8% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 5.7% | 4.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 13.1% | 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 Summit 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 | 12/03/2025 |
| Cibc Bank USA | Operational/managerial control | NOT APPLICABLE | 12/03/2025 |
| 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 |
| Canyon Woh, LLC | Adp of the snf | NOT APPLICABLE | 10/21/2022 |
| 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 | 06/13/2025 |
| Nshw Wisconsin LLC | Adp of the snf | NOT APPLICABLE | 05/12/2025 |
| 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 Waukesha County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Masonic Center For Health & Rehab Inc. | Dousman | 50 | 5 | 5 | 5 | 3 | 6.0 | — | 29 Jan 2026 |
| Shorehaven Hlth & Rehab Ctr | Oconomowoc | 88 | 5 | 4 | 5 | 10 | 11.4 | — | 5 Mar 2026 |
| Congregational Home, Inc. | Brookfield | 66 | 4 | 3 | 5 | 21 | 31.8 | — | 31 Jul 2025 |
| Lindengrove Mukwonago | Mukwonago | 47 | 2 | 3 | 4 | 25 | 53.2 | — | 10 Dec 2025 |
| Menomonee Falls Health Services | Menomonee Falls | 50 | 2 | 2 | 3 | 46 | 92.0 | $214K | 3 Dec 2025 |
| Muskego Health and Rehabilitation Center | Muskego | 49 | 2 | 2 | 3 | 56 | 114.3 | — | 28 Jan 2026 |
| Tudor Oaks Health Center | Muskego | 50 | 2 | 2 | 3 | 37 | 74.0 | $181K | 5 Dec 2025 |
| Aria of Brookfieldabuse icon | Brookfield | 170 | 1 | 1 | 1 | 109 | 64.1 | $397K | 5 Feb 2026 |
All 17 facilities in Waukesha County
Questions and answers
How many deficiencies has Lake Country Health Services been cited for?
42 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 Lake Country Health Services been fined?
Yes. CMS lists fines totalling $121K in the period covered, plus 1 payment denial.
How does staffing at Lake Country Health Services compare?
Reported total nurse staffing is 3.5 hours per resident per day against a Wisconsin median of 4.0 and a national average of 3.9.
Who operates Lake Country 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, Cibc Bank USA and Cliftonlarsonallen LLP. Individual owners and managers are not listed on this site.
When was Lake Country Health Services last inspected?
The most recent survey or investigation in the CMS record is dated 27 Aug 2025; the most recent standard health survey was 27 Aug 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.