Wisconsin › Jefferson County › Lake Mills
Lake Mills Health Services
901 Mulberry St, Lake Mills, WI 53551
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.
Lake Mills Health Services, in Lake Mills, Wisconsin, is certified for 50 beds under for-profit, corporation ownership and belongs to the North Shore Healthcare chain.
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 3.
Inspectors recorded 18 health deficiencies across the three most recent survey cycles (3, 7, 8 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 36.0 per 100 beds, about the same as the state median of 31.8.
CMS lists 1 penalty in the period covered: fines totalling $121K.
Reported nurse staffing is 3.5 hours per resident per day (1.5 RN), close to the Wisconsin median of 4.0; nursing staff turnover is 37.9%.
Compared with county, state and nation
| Measure | This facility | Jefferson Co. median | Wisconsin median | US average |
|---|---|---|---|---|
| Overall star rating | 4 | 1 | 3 | 3.0 |
| Health citations, 3 cycles | 18 | 57 | 21 | 28.7 |
| Citations per 100 beds | 36.0 | 47.5 | 31.8 | 26.8 |
| Total nurse hours per resident day | 3.5 | 3.6 | 4.0 | 3.9 |
| RN hours per resident day | 1.5 | 0.9 | 0.9 | 0.7 |
| Nursing staff turnover | 37.9% | 42.2% | 46.2% | 45.8% |
| Fines listed | $120,900 | $136,384 | $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
Dark bar: this facility. Grey bar: Wisconsin average per facility for the same cycle, as published by CMS. Standard health survey dates: 26 Mar 2025, 8 Feb 2024.
Severity mix: J ×1 D ×13 E ×1 F ×1 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)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 3 Jul 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | J | Complaint investigation | 29 Jul 2025 |
| 3 Jul 2025 | F0949 | Provide behavior health training consistent with the requirements and as determined by a facility assessment. | F | Complaint investigation | 29 Jul 2025 |
| 3 Jul 2025 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Complaint investigation | 29 Jul 2025 |
| 3 Jul 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 29 Jul 2025 |
| 26 Mar 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 14 Apr 2025 |
| 26 Mar 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 14 Apr 2025 |
| 26 Mar 2025 | F0851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | C | Standard survey | 14 Apr 2025 |
| 8 Feb 2024 | F0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | E | Standard survey | 8 Mar 2024 |
| 8 Feb 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 | 8 Mar 2024 |
| 8 Feb 2024 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 8 Mar 2024 |
| 10 Oct 2023 | F0563 | Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | D | Complaint investigation | 9 Nov 2023 |
| 10 Oct 2023 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 9 Nov 2023 |
| 10 Oct 2023 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 9 Nov 2023 |
| 17 Oct 2022 | F0679 | Provide activities to meet all resident's needs. | D | Standard survey | 11 Nov 2022 |
| 17 Oct 2022 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 11 Nov 2022 |
| 17 Oct 2022 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 11 Nov 2022 |
| 17 Oct 2022 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 11 Nov 2022 |
| 17 Oct 2022 | F0572 | Give residents a notice of rights, rules, services and charges. | C | Standard survey | 11 Nov 2022 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 3 Jul 2025 | Fine | $120,900 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Wisconsin average. Turnover: nursing staff 37.9%, RNs 30.8%; 1 administrator 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 | 15.9% | 15.4% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.6% | 1.5% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 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 whose ability to walk independently worsened | Long Stay | 15.7% | 16.8% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 9.1% | 4.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 16.0% | 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 Lake Mills 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 |
| North Shore Healthcare LLC | Operational/managerial control | NOT APPLICABLE | 10/01/2017 |
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 Jefferson County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Alden Estates of Countryside, Inc | Jefferson | 120 | 1 | 1 | 2 | 57 | 47.5 | $397K | 5 Jun 2026 |
| Rock River Nursing & Rehab | Fort Atkinson | 87 | 1 | 1 | 2 | 115 | 132.2 | $136K | 6 May 2026 |
All 3 facilities in Jefferson County
Questions and answers
How many deficiencies has Lake Mills Health Services been cited for?
18 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 Lake Mills Health Services been fined?
Yes. CMS lists fines totalling $121K in the period covered.
How does staffing at Lake Mills 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 Mills 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 and North Shore Healthcare LLC. Individual owners and managers are not listed on this site.
When was Lake Mills Health Services last inspected?
The most recent survey or investigation in the CMS record is dated 3 Jul 2025; the most recent standard health survey was 26 Mar 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.