Elder Care Record

Wisconsin › Milwaukee County › Milwaukee

Mercy Health Services

2727 W Mitchell St, Milwaukee, WI 53215

CCN 525414 · For-profit, corporation · 60 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.

Mercy Health Services is a For-profit, corporation nursing home in Milwaukee, Wisconsin, certified for 60 beds and caring for about 44 residents a day.

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

Inspectors recorded 32 health deficiencies across the three most recent survey cycles (6, 14, 12 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 53.3 per 100 beds, more than the state median of 31.8.

CMS lists 2 penalties in the period covered: fines totalling $48K.

Reported nurse staffing is 3.7 hours per resident per day (0.6 RN), close to the Wisconsin median of 4.0; nursing staff turnover is 62.3%.

32health deficiencies, 3 survey cycles2 at actual harm or worse
$48Kfines listed by CMS2 penalties in period
3.7nurse hours per resident per daystate median 4.0
74%occupancy (residents ÷ beds)44 residents a day

Compared with county, state and nation

MeasureThis facilityMilwaukee Co. medianWisconsin medianUS average
Overall star rating3233.0
Health citations, 3 cycles32382128.7
Citations per 100 beds53.344.131.826.8
Total nurse hours per resident day3.74.04.03.9
RN hours per resident day0.60.70.90.7
Nursing staff turnover62.3%52.4%46.2%45.8%
Fines listed$47,753$65,881$0—

County and state figures are medians across facilities (32 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)6
Cycle 214
Cycle 312

Dark bar: this facility. Grey bar: Wisconsin average per facility for the same cycle, as published by CMS. Standard health survey dates: 21 May 2025, 29 Feb 2024.

Severity mix: G ×2 D ×24 E ×3 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)
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
2 Mar 2026F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint investigation18 Mar 2026
3 Dec 2025F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint investigation16 Dec 2025
3 Dec 2025F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation16 Dec 2025
21 May 2025F0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.EStandard survey21 Jun 2025
21 May 2025F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.DComplaint investigation21 Jun 2025
21 May 2025F0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.DStandard survey21 Jun 2025
19 Sep 2024F0610Respond appropriately to all alleged violations.EComplaint investigation18 Oct 2024
19 Sep 2024F0584Honor 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.DComplaint investigation18 Oct 2024
19 Sep 2024F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint investigation18 Oct 2024
5 Aug 2024F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation4 Sep 2024
5 Aug 2024F0610Respond appropriately to all alleged violations.DComplaint investigation4 Sep 2024
13 May 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint investigation7 Jun 2024
29 Feb 2024F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GStandard survey1 Apr 2024
29 Feb 2024F0578Honor 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.DComplaint investigation1 Apr 2024
29 Feb 2024F0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.DComplaint investigation1 Apr 2024
29 Feb 2024F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation1 Apr 2024
29 Feb 2024F0610Respond appropriately to all alleged violations.DComplaint investigation1 Apr 2024
29 Feb 2024F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard survey1 Apr 2024
29 Feb 2024F0758Implement 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.DStandard survey1 Apr 2024
29 Feb 2024F0759Ensure medication error rates are not 5 percent or greater.DStandard survey1 Apr 2024
29 Feb 2024F0880Provide and implement an infection prevention and control program.DStandard survey1 Apr 2024
21 Dec 2022F0727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.FStandard survey26 Jan 2023
21 Dec 2022F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey26 Jan 2023
21 Dec 2022F0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.FStandard survey26 Jan 2023
21 Dec 2022F0759Ensure medication error rates are not 5 percent or greater.EStandard survey26 Jan 2023
21 Dec 2022F0554Allow residents to self-administer drugs if determined clinically appropriate.DStandard survey26 Jan 2023
21 Dec 2022F0645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard survey26 Jan 2023
21 Dec 2022F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey26 Jan 2023
21 Dec 2022F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey26 Jan 2023
21 Dec 2022F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard survey26 Jan 2023
21 Dec 2022F0700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.DStandard survey26 Jan 2023
21 Dec 2022F0880Provide and implement an infection prevention and control program.DStandard survey26 Jan 2023

Penalties

DateTypeAmountDetail
13 May 2024Fine$14,050
29 Feb 2024Fine$33,703

Staffing

Total nursing3.73 h
Nurse aides1.89 h
LPN1.2 h
RN0.64 h
Weekend total3.29 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Wisconsin average. Turnover: nursing staff 62.3%, RNs 61.5%; 1 administrator 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 Stay1.5%1.5%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay2.6%2.3%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay2.5%3.0%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay1.9%0.9%1.0%
Percentage of long-stay residents with pressure ulcersLong Stay9.4%4.4%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay14.3%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 Mercy Llc. Chain: North Shore Healthcare (59 facilities).

OrganisationRole in the CMS recordInterestSince
Nshf Operations LLC5% or greater direct ownership interest100%07/24/2017
Cibc Bank USA5% or greater security interestNOT APPLICABLE12/31/2024
Cibc Bank USAOperational/managerial controlNOT APPLICABLE12/31/2024
Cliftonlarsonallen LLPOperational/managerial controlNOT APPLICABLE05/22/2018
Continuum Therapy Partners LLCOperational/managerial controlNOT APPLICABLE03/01/2025
North Shore Healthcare LLCOperational/managerial controlNOT APPLICABLE10/01/2017
Nsh Rehab LLCOperational/managerial controlNOT APPLICABLE03/01/2025
Wipfli LLPOperational/managerial controlNOT APPLICABLE02/01/2025
Cliftonlarsonallen LLPAdp of the snfNOT APPLICABLE04/15/2025
Continuum Therapy Partners LLCAdp of the snfNOT APPLICABLE04/15/2025
Mercy Property Holdings, LLCAdp of the snfNOT APPLICABLE05/01/2022
North Shore Healthcare LLCAdp of the snfNOT APPLICABLE04/15/2025
Nsh Rehab LLCAdp of the snfNOT APPLICABLE06/11/2025
Nshf Wisconsin LLCAdp of the snfNOT APPLICABLE11/05/2025
Wipfli LLPAdp of the snfNOT APPLICABLE04/15/2025

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 Milwaukee County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Eastcastle Pl Bradford Ter Conv CtrMilwaukee405351640.0$90K18 Feb 2026
Lutheran HomeWauwatosa1604352012.5—10 Jun 2025
Milwaukee Catholic HomeMilwaukee1074511312.1—20 May 2026
Milwaukee Health and RehabMilwaukee954422122.1—8 Dec 2025
Saint Johns On the LakeMilwaukee274351451.9—1 Apr 2026
St Ann Health and Rehabilitation CenterMilwaukee504422142.0—5 Mar 2026
Aria At Mitchell ManorWest Allis503332346.0$16K1 Jul 2026
Complete Care At Glendale WestGlendale943233840.4$11K12 Nov 2025

All 32 facilities in Milwaukee County

Questions and answers

How many deficiencies has Mercy Health Services been cited for?

32 health deficiencies across the three most recent survey cycles, 2 at the actual-harm or immediate-jeopardy level. The Wisconsin median is 21 per facility.

Has Mercy Health Services been fined?

Yes. CMS lists fines totalling $48K in the period covered.

How does staffing at Mercy Health Services compare?

Reported total nurse staffing is 3.7 hours per resident per day against a Wisconsin median of 4.0 and a national average of 3.9.

Who operates Mercy 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 Mercy Health Services last inspected?

The most recent survey or investigation in the CMS record is dated 2 Mar 2026; the most recent standard health survey was 21 May 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.