Wisconsin › Waukesha County › Menomonee Falls
Menomonee Falls Health Services
N84 W17049 Menomonee Ave, Menomonee Falls, WI 53051
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, Menomonee Falls Health Services serves Menomonee Falls in Waukesha County, Wisconsin and has taken Medicare and Medicaid residents since 1988.
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 46 health deficiencies across the three most recent survey cycles (12, 31, 3 by cycle, most recent first), 5 of them at the actual-harm or immediate-jeopardy level. That is 92.0 per 100 beds, more than the state median of 31.8.
CMS lists 6 penalties in the period covered: fines totalling $214K and 1 payment denial.
Reported nurse staffing is 3.6 hours per resident per day (0.6 RN), close to the Wisconsin median of 4.0; nursing staff turnover is 38.7%.
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 | 46 | 37 | 21 | 28.7 |
| Citations per 100 beds | 92.0 | 45.5 | 31.8 | 26.8 |
| Total nurse hours per resident day | 3.6 | 4.1 | 4.0 | 3.9 |
| RN hours per resident day | 0.6 | 0.7 | 0.9 | 0.7 |
| Nursing staff turnover | 38.7% | 55.8% | 46.2% | 45.8% |
| Fines listed | $214,308 | $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: 4 Aug 2025, 1 May 2024.
Severity mix: G ×5 D ×29 E ×5 F ×7
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 Dec 2025 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Complaint investigation | 8 Dec 2025 |
| 4 Aug 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Standard survey | 26 Aug 2025 |
| 4 Aug 2025 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 3 Sep 2025 |
| 4 Aug 2025 | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | F | Standard survey | 26 Aug 2025 |
| 4 Aug 2025 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | E | Standard survey | 26 Aug 2025 |
| 4 Aug 2025 | F0641 | Ensure each resident receives an accurate assessment. | E | Standard survey | 26 Aug 2025 |
| 4 Aug 2025 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Standard survey | 26 Aug 2025 |
| 4 Aug 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 26 Aug 2025 |
| 4 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 | 26 Aug 2025 |
| 4 Aug 2025 | F0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | Standard survey | 26 Aug 2025 |
| 4 Aug 2025 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 30 Aug 2025 |
| 4 Aug 2025 | F0887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | D | Standard survey | 30 Aug 2025 |
| 26 Nov 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Complaint investigation | 24 Dec 2024 |
| 26 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 | 24 Dec 2024 |
| 26 Nov 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 24 Dec 2024 |
| 26 Nov 2024 | F0685 | Assist a resident in gaining access to vision and hearing services. | D | Complaint investigation | 24 Dec 2024 |
| 26 Nov 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 | 24 Dec 2024 |
| 1 May 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Standard survey | 6 Jun 2024 |
| 1 May 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Standard survey | 6 Jun 2024 |
| 1 May 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. | F | Standard survey | 6 Jun 2024 |
| 1 May 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 6 Jun 2024 |
| 1 May 2024 | F0814 | Dispose of garbage and refuse properly. | F | Standard survey | 6 Jun 2024 |
| 1 May 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 | 6 Jun 2024 |
| 1 May 2024 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 6 Jun 2024 |
| 1 May 2024 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | Complaint investigation | 6 Jun 2024 |
| 1 May 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. | E | Standard survey | 6 Jun 2024 |
| 1 May 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 | 6 Jun 2024 |
| 1 May 2024 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard survey | 6 Jun 2024 |
| 1 May 2024 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | 6 Jun 2024 |
| 1 May 2024 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard survey | 6 Jun 2024 |
| 1 May 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. | D | Standard survey | 6 Jun 2024 |
| 1 May 2024 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard survey | 6 Jun 2024 |
| 1 May 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 6 Jun 2024 |
| 1 May 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 6 Jun 2024 |
| 1 May 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 | Standard survey | 6 Jun 2024 |
| 1 May 2024 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 6 Jun 2024 |
| 1 May 2024 | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D | Standard survey | 6 Jun 2024 |
| 1 May 2024 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 6 Jun 2024 |
| 1 May 2024 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 6 Jun 2024 |
| 1 May 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 | 6 Jun 2024 |
| 1 May 2024 | F0811 | Ensure that residents are assessed for appropriateness for a feeding assistant program, receive services as per their plan of care, and feeding assistants are trained and supervised. | D | Standard survey | 6 Jun 2024 |
| 1 May 2024 | F0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | Standard survey | 6 Jun 2024 |
| 1 May 2024 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 6 Jun 2024 |
| 18 Dec 2023 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Complaint investigation | 16 Jan 2024 |
| 18 Dec 2023 | F0687 | Provide appropriate foot care. | D | Complaint investigation | 16 Jan 2024 |
| 23 Mar 2023 | F0888 | Ensure staff are vaccinated for COVID-19 | D | Standard survey | 21 Apr 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 4 Aug 2025 | Fine | $94,680 | |
| 26 Nov 2024 | Fine | $31,103 | |
| 1 May 2024 | Payment denial | — | 8 days |
| 1 May 2024 | Fine | $55,419 | |
| 18 Dec 2023 | Fine | $29,961 | |
| 11 Dec 2023 | Fine | $3,145 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Wisconsin average. Turnover: nursing staff 38.7%, RNs 57.1%; 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 | 30.8% | 15.4% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 2.7% | 1.5% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 4.0% | 2.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.9% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 2.1% | 0.9% | 1.0% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 5.5% | 4.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 12.7% | 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 Menomonee 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 | 12/31/2024 |
| Cibc Bank USA | Operational/managerial control | NOT APPLICABLE | 12/31/2024 |
| 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 |
| Cliftonlarsonallen LLP | Adp of the snf | NOT APPLICABLE | 04/15/2025 |
| Continuum Therapy Partners LLC | Adp of the snf | NOT APPLICABLE | 04/15/2025 |
| Menomonee Property Holdings, LLC | Adp of the snf | NOT APPLICABLE | 05/01/2022 |
| North Shore Healthcare LLC | Adp of the snf | NOT APPLICABLE | 04/15/2025 |
| Nsh Rehab LLC | Adp of the snf | NOT APPLICABLE | 06/11/2025 |
| Nshf 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 |
| Lake Country Health Services | Oconomowoc | 100 | 2 | 2 | 3 | 42 | 42.0 | $121K | 27 Aug 2025 |
| Lindengrove Mukwonago | Mukwonago | 47 | 2 | 3 | 4 | 25 | 53.2 | — | 10 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 Menomonee Falls Health Services been cited for?
46 health deficiencies across the three most recent survey cycles, 5 at the actual-harm or immediate-jeopardy level. The Wisconsin median is 21 per facility.
Has Menomonee Falls Health Services been fined?
Yes. CMS lists fines totalling $214K in the period covered, plus 1 payment denial.
How does staffing at Menomonee Falls 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 Menomonee Falls 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 Nshf Operations LLC, Cibc Bank USA and Cliftonlarsonallen LLP. Individual owners and managers are not listed on this site.
When was Menomonee Falls Health Services last inspected?
The most recent survey or investigation in the CMS record is dated 3 Dec 2025; the most recent standard health survey was 4 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.