Elder Care Record

Wisconsin › Green County › Monroe

Monroe Health Services

516 26th Ave, Monroe, WI 53566

CCN 525292 · For-profit, limited liability company · 50 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.

Monroe Health Services, in Monroe, Wisconsin, is certified for 50 beds under for-profit, limited liability company 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 2.

Inspectors recorded 22 health deficiencies across the three most recent survey cycles (4, 10, 8 by cycle, most recent first), none at the actual-harm level. That is 44.0 per 100 beds, more than 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 (0.8 RN), close to the Wisconsin median of 4.0; nursing staff turnover is 48.1%.

22health deficiencies, 3 survey cyclesnone at actual-harm level
$0fines listed by CMS0 penalties in period
3.6nurse hours per resident per daystate median 4.0
82%occupancy (residents ÷ beds)41 residents a day

Compared with county, state and nation

MeasureThis facilityGreen Co. medianWisconsin medianUS average
Overall star rating4233.0
Health citations, 3 cycles22402128.7
Citations per 100 beds44.043.831.826.8
Total nurse hours per resident day3.63.94.03.9
RN hours per resident day0.80.80.90.7
Nursing staff turnover48.1%50.8%46.2%45.8%
Fines listed$0$85,311$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

Cycle 1 (latest)4
Cycle 210
Cycle 38

Dark bar: this facility. Grey bar: Wisconsin average per facility for the same cycle, as published by CMS. Standard health survey dates: 3 Dec 2025, 8 Aug 2024.

Severity mix: D ×20 F ×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)
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
3 Dec 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FComplaint investigation24 Dec 2025
3 Dec 2025F0560Protect a residents' right to refuse some types of non-requested transfers within the nursing home.DComplaint investigation24 Dec 2025
3 Dec 2025F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint investigation24 Dec 2025
3 Dec 2025F0692Provide enough food/fluids to maintain a resident's health.DComplaint investigation24 Dec 2025
17 Jan 2025F0602Protect each resident from the wrongful use of the resident's belongings or money.DComplaint investigation4 Feb 2025
25 Nov 2024F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint investigation11 Dec 2024
8 Aug 2024F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation6 Sep 2024
8 Aug 2024F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint investigation6 Sep 2024
8 Aug 2024F0658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint investigation6 Sep 2024
8 Aug 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation6 Sep 2024
8 Aug 2024F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint investigation6 Sep 2024
8 Aug 2024F0759Ensure medication error rates are not 5 percent or greater.DComplaint investigation6 Sep 2024
8 Aug 2024F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint investigation6 Sep 2024
8 Aug 2024F0881Implement a program that monitors antibiotic use.DComplaint investigation6 Sep 2024
7 Feb 2024F0585Honor 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.DComplaint investigation1 Mar 2024
7 Feb 2024F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint investigation1 Mar 2024
7 Feb 2024F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint investigation1 Mar 2024
6 Dec 2023F0825Provide or get specialized rehabilitative services as required for a resident.DComplaint investigation22 Dec 2023
25 Apr 2023F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey15 May 2023
25 Apr 2023F0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.DStandard survey15 May 2023
25 Apr 2023F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard survey15 May 2023
25 Apr 2023F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard survey15 May 2023

Penalties

CMS lists no fines or payment denials for this facility in the period covered.

Staffing

Total nursing3.64 h
Nurse aides2.33 h
LPN0.47 h
RN0.84 h
Weekend total3.27 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Wisconsin average. Turnover: nursing staff 48.1%, RNs 50.0%; 2 administrators 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 Stay15.0%15.4%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay1.9%1.5%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay2.7%2.3%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay3.4%3.0%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay1.8%0.9%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay17.3%16.8%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay8.0%4.4%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay19.4%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 Monroe 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
Monroe 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 APPLICABLE05/12/2025
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 Green County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
New Glarus Homeabuse iconNew Glarus1002244040.0$85K19 Mar 2026
Pleasant View Nursing HomeMonroe961134243.8$226K24 Mar 2026

All 3 facilities in Green County

Questions and answers

How many deficiencies has Monroe Health Services been cited for?

22 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Wisconsin median is 21 per facility.

Has Monroe Health Services been fined?

CMS lists no fines against the facility in the period covered.

How does staffing at Monroe 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 Monroe 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 Monroe 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 3 Dec 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.