Wisconsin › Grant County › Lancaster
Lancaster Health Services
1350 S Madison St, Lancaster, WI 53813
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.
Lancaster Health Services, in Lancaster, Wisconsin, is certified for 50 beds under for-profit, limited liability company ownership and belongs to the North Shore Healthcare chain.
CMS gives it 2 of 5 stars overall, below the Wisconsin median of 3; the health inspection rating is 2, staffing 4 and quality measures 3.
Inspectors recorded 18 health deficiencies across the three most recent survey cycles (7, 6, 5 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 no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 3.6 hours per resident per day (0.7 RN), close to the Wisconsin median of 4.0; nursing staff turnover is 28.0%.
Compared with county, state and nation
| Measure | This facility | Grant Co. median | Wisconsin median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 18 | 18 | 21 | 28.7 |
| Citations per 100 beds | 36.0 | 36.0 | 31.8 | 26.8 |
| Total nurse hours per resident day | 3.6 | 3.8 | 4.0 | 3.9 |
| RN hours per resident day | 0.7 | 0.9 | 0.9 | 0.7 |
| Nursing staff turnover | 28.0% | 45.2% | 46.2% | 45.8% |
| Fines listed | $0 | $104,515 | $0 | — |
County and state figures are medians across facilities (7 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: 19 Aug 2025, 24 Jul 2024.
Severity mix: J ×1 D ×11 E ×1 F ×4 C ×1
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 |
|---|---|---|---|---|---|
| 19 Aug 2025 | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | J | Standard survey | 16 Sep 2025 |
| 19 Aug 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 16 Sep 2025 |
| 19 Aug 2025 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 16 Sep 2025 |
| 19 Aug 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. | D | Standard survey | 16 Sep 2025 |
| 19 Aug 2025 | 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 | Standard survey | 16 Sep 2025 |
| 19 Aug 2025 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 16 Sep 2025 |
| 19 Aug 2025 | F0881 | Implement a program that monitors antibiotic use. | D | Standard survey | 16 Sep 2025 |
| 19 Feb 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 18 Mar 2025 |
| 19 Feb 2025 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 18 Mar 2025 |
| 27 Aug 2024 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Complaint investigation | 27 Sep 2024 |
| 24 Jul 2024 | F0851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | F | Standard survey | 5 Mar 2024 |
| 24 Jul 2024 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 23 Aug 2024 |
| 24 Jul 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 23 Aug 2024 |
| 24 Apr 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 3 May 2024 |
| 6 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 | 2 May 2023 |
| 6 Apr 2023 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 2 May 2023 |
| 6 Apr 2023 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 2 May 2023 |
| 6 Apr 2023 | F0888 | Ensure staff are vaccinated for COVID-19 | C | Standard survey | 6 Apr 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 28.0%, RNs 28.6%; 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 | 17.5% | 15.4% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.2% | 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 | 5.0% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.8% | 0.9% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 20.2% | 16.8% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.5% | 4.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 23.9% | 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 Lancaster 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 | 10% | 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 | 06/06/2025 |
| Continuum Therapy Partners LLC | Adp of the snf | NOT APPLICABLE | 06/06/2025 |
| North Shore Healthcare LLC | Adp of the snf | NOT APPLICABLE | 06/06/2025 |
| Nsh 1350 South Madison Street LLC | Adp of the snf | NOT APPLICABLE | 12/01/2019 |
| Nsh Rehab LLC | Adp of the snf | NOT APPLICABLE | 06/06/2025 |
| Wipfli LLP | Adp of the snf | NOT APPLICABLE | 06/06/2025 |
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 Grant County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Orchard Manor | Lancaster | 74 | 5 | 5 | 5 | 9 | 12.2 | $22K | 15 Aug 2024 |
| Care and Rehab - Boscobel | Boscobel | 50 | 4 | 4 | 4 | 3 | 6.0 | $158K | 30 Jan 2025 |
| Edenbrook of Platteville | Platteville | 80 | 4 | 4 | 4 | 9 | 11.3 | — | 11 Jun 2026 |
| Dove Healthcare - Fennimore | Fennimore | 50 | 2 | 2 | 4 | 29 | 58.0 | $105K | 2 Dec 2025 |
| St Dominic Villa | Hazel Green | 62 | 2 | 1 | 5 | 34 | 54.8 | $129K | 22 Dec 2025 |
| Rivers Edge Nursing and Rehab | Muscoda | 58 | 1 | 1 | 2 | 111 | 191.4 | $407K | 16 Jun 2026 |
All 7 facilities in Grant County
Questions and answers
How many deficiencies has Lancaster 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 Lancaster Health Services been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Lancaster Health Services compare?
Reported total nurse staffing is 3.6 hours per resident per day against a Wisconsin median of 4.0 and a national average of 3.9.
Who operates Lancaster 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 Nshr Operations LLC, Arrowhead 123 LLC and Cibc Bank USA. Individual owners and managers are not listed on this site.
When was Lancaster Health Services last inspected?
The most recent survey or investigation in the CMS record is dated 19 Aug 2025; the most recent standard health survey was 19 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.