Elder Care Record

Wisconsin › Bayfield County › Washburn

Northern Lights HCC

706 Bratley Dr, Washburn, WI 54891

CCN 525567 · Non-profit, corporation · 50 certified beds · chain Health Dimensions Group

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.

Certified for 50 beds, Northern Lights HCC serves Washburn in Bayfield County, Wisconsin and has taken Medicare and Medicaid residents since 1995.

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 35 health deficiencies across the three most recent survey cycles (16, 11, 8 by cycle, most recent first), 3 of them at the actual-harm or immediate-jeopardy level. That is 70.0 per 100 beds, more than the state median of 31.8.

CMS lists 1 penalty in the period covered: fines totalling $10K.

Reported nurse staffing is 3.7 hours per resident per day (0.8 RN), close to the Wisconsin median of 4.0; nursing staff turnover is 50.0%.

35health deficiencies, 3 survey cycles3 at actual harm or worse
$10Kfines listed by CMS1 penalty in period
3.7nurse hours per resident per daystate median 4.0
89%occupancy (residents ÷ beds)45 residents a day

Compared with county, state and nation

MeasureThis facilityBayfield Co. medianWisconsin medianUS average
Overall star rating2233.0
Health citations, 3 cycles35352128.7
Citations per 100 beds70.070.031.826.8
Total nurse hours per resident day3.73.74.03.9
RN hours per resident day0.80.80.90.7
Nursing staff turnover50.0%50.0%46.2%45.8%
Fines listed$10,364$10,364$0—

County and state figures are medians across facilities (1 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)16
Cycle 211
Cycle 38

Dark bar: this facility. Grey bar: Wisconsin average per facility for the same cycle, as published by CMS. Standard health survey dates: 30 Jul 2025, 22 May 2024.

Severity mix: J ×1 G ×2 D ×22 E ×5 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)
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
11 May 2026F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint investigation19 Apr 2026
11 May 2026F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation27 May 2026
12 Nov 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GComplaint investigation10 Dec 2025
12 Nov 2025F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation10 Dec 2025
12 Nov 2025F0610Respond appropriately to all alleged violations.DComplaint investigation10 Dec 2025
12 Nov 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation10 Dec 2025
30 Jul 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey25 Aug 2025
30 Jul 2025F0880Provide and implement an infection prevention and control program.FStandard survey25 Aug 2025
30 Jul 2025F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EStandard survey25 Aug 2025
30 Jul 2025F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard survey25 Aug 2025
30 Jul 2025F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard survey25 Aug 2025
30 Jul 2025F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard survey25 Aug 2025
30 Jul 2025F0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.DStandard survey25 Aug 2025
30 Jul 2025F0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.DStandard survey25 Aug 2025
30 Jul 2025F0697Provide safe, appropriate pain management for a resident who requires such services.DStandard survey25 Aug 2025
30 Jul 2025F0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.CStandard survey25 Aug 2025
29 Jan 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint investigation12 Feb 2025
22 May 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey17 Jun 2024
22 May 2024F0851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.FStandard survey12 Apr 2024
22 May 2024F0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.EStandard survey17 Jun 2024
22 May 2024F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EStandard survey17 Jun 2024
22 May 2024F0625Notify 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.DStandard survey17 Jun 2024
22 May 2024F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard survey17 Jun 2024
22 May 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey17 Jun 2024
22 May 2024F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard survey17 Jun 2024
22 May 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 survey17 Jun 2024
22 May 2024F0880Provide and implement an infection prevention and control program.DStandard survey17 Jun 2024
10 May 2023F0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.EStandard survey9 Jun 2023
10 May 2023F0883Develop and implement policies and procedures for flu and pneumonia vaccinations.EStandard survey9 Jun 2023
10 May 2023F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DStandard survey9 Jun 2023
10 May 2023F0637Assess the resident when there is a significant change in conditionDStandard survey9 Jun 2023
10 May 2023F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard survey9 Jun 2023
10 May 2023F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey9 Jun 2023
10 May 2023F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey9 Jun 2023
10 May 2023F0880Provide and implement an infection prevention and control program.DStandard survey9 Jun 2023

Penalties

DateTypeAmountDetail
29 Jan 2025Fine$10,364

Staffing

Total nursing3.71 h
Nurse aides2.46 h
LPN0.44 h
RN0.82 h
Weekend total3.48 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Wisconsin average. Turnover: nursing staff 50.0%, RNs 42.9%; 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 Stay13.3%15.4%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay1.3%1.5%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay3.3%2.3%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay3.1%3.0%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay4.0%0.9%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay18.9%16.8%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay4.7%4.4%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay16.8%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: non-profit, corporation. Legal business name: Northern Lights Services, Inc.. Chain: Health Dimensions Group (10 facilities).

OrganisationRole in the CMS recordInterestSince
Health Dimensions Consulting IncOperational/managerial controlNOT APPLICABLE02/01/2024
Health Dimensions Consulting IncAdp of the snfNOT APPLICABLE02/18/2025

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Questions and answers

How many deficiencies has Northern Lights HCC been cited for?

35 health deficiencies across the three most recent survey cycles, 3 at the actual-harm or immediate-jeopardy level. The Wisconsin median is 21 per facility.

Has Northern Lights HCC been fined?

Yes. CMS lists fines totalling $10K in the period covered.

How does staffing at Northern Lights HCC 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 Northern Lights HCC?

It is part of the Health Dimensions Group chain. Ownership type is non-profit, corporation. Organisations in the CMS ownership record include Health Dimensions Consulting Inc. Individual owners and managers are not listed on this site.

When was Northern Lights HCC last inspected?

The most recent survey or investigation in the CMS record is dated 11 May 2026; the most recent standard health survey was 30 Jul 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.