Elder Care Record

Wisconsin › Portage County › Stevens Point

Stevens Point Health Services

1800 Sherman Ave, Stevens Point, WI 54481

CCN 525353 · For-profit, limited liability company · 50 certified beds · chain North Shore Healthcare

Continuing care retirement community
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.

Stevens Point Health Services, in Stevens Point, 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 3, staffing 3 and quality measures 1.

Inspectors recorded 48 health deficiencies across the three most recent survey cycles (8, 25, 15 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 96.0 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 3.7 hours per resident per day (1.1 RN), close to the Wisconsin median of 4.0; nursing staff turnover is 57.1%.

48health deficiencies, 3 survey cycles1 at actual harm or worse
$0fines listed by CMS0 penalties in period
3.7nurse hours per resident per daystate median 4.0
88%occupancy (residents ÷ beds)44 residents a day

Compared with county, state and nation

MeasureThis facilityPortage Co. medianWisconsin medianUS average
Overall star rating2533.0
Health citations, 3 cycles48482128.7
Citations per 100 beds96.096.031.826.8
Total nurse hours per resident day3.75.04.03.9
RN hours per resident day1.11.10.90.7
Nursing staff turnover57.1%57.1%46.2%45.8%
Fines listed$0$0$0—

County and state figures are medians across facilities (2 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)8
Cycle 225
Cycle 315

Dark bar: this facility. Grey bar: Wisconsin average per facility for the same cycle, as published by CMS. Standard health survey dates: 23 Jul 2025, 8 May 2024.

Severity mix: G ×1 D ×38 E ×5 F ×3 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
23 Jul 2025F0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.EStandard survey18 Aug 2025
23 Jul 2025F0552Ensure that residents are fully informed and understand their health status, care and treatments.DStandard survey18 Aug 2025
23 Jul 2025F0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.DStandard survey18 Aug 2025
23 Jul 2025F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DStandard survey18 Aug 2025
23 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 survey18 Aug 2025
23 Jul 2025F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey18 Aug 2025
23 Jul 2025F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard survey18 Aug 2025
23 Jul 2025F0880Provide and implement an infection prevention and control program.DStandard survey18 Aug 2025
13 Jun 2025F0761Ensure 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.EComplaint investigation10 Jul 2025
13 Jun 2025F0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.EComplaint investigation10 Jul 2025
13 Jun 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation10 Jul 2025
13 Jun 2025F0810Provide special eating equipment and utensils for residents who need them and appropriate assistance.DComplaint investigation10 Jul 2025
13 Jun 2025F0880Provide and implement an infection prevention and control program.DComplaint investigation10 Jul 2025
8 Apr 2025F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation1 May 2025
8 Apr 2025F0610Respond appropriately to all alleged violations.DComplaint investigation1 May 2025
8 Apr 2025F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint investigation1 May 2025
8 Apr 2025F0880Provide and implement an infection prevention and control program.DComplaint investigation1 May 2025
11 Feb 2025F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint investigation7 Mar 2025
11 Feb 2025F0692Provide enough food/fluids to maintain a resident's health.DComplaint investigation7 Mar 2025
6 Nov 2024F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GComplaint investigation3 Dec 2024
6 Nov 2024F0880Provide and implement an infection prevention and control program.DComplaint investigation3 Dec 2024
13 Aug 2024F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint investigation6 Sep 2024
13 Aug 2024F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint investigation6 Sep 2024
8 May 2024F0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.FStandard survey3 Jun 2024
8 May 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey5 Jun 2024
8 May 2024F0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.FStandard survey3 Jun 2024
8 May 2024F0583Keep residents' personal and medical records private and confidential.DStandard survey3 Jun 2024
8 May 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation3 Jun 2024
8 May 2024F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey3 Jun 2024
8 May 2024F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard survey3 Jun 2024
8 May 2024F0880Provide and implement an infection prevention and control program.DStandard survey3 Jun 2024
8 May 2024F0883Develop and implement policies and procedures for flu and pneumonia vaccinations.DStandard survey5 Jun 2024
8 May 2024F0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyCStandard survey3 Jun 2024
8 May 2024F0697Provide safe, appropriate pain management for a resident who requires such services.DComplaint investigation3 Jun 2024
12 Feb 2024F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DComplaint investigation6 Mar 2024
12 Feb 2024F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation5 Mar 2024
12 Feb 2024F0610Respond appropriately to all alleged violations.DComplaint investigation5 Mar 2024
8 Jan 2024F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint investigation1 Feb 2024
8 Jan 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 investigation15 Jan 2024
8 Jan 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation1 Feb 2024
18 Apr 2023F0553Allow resident to participate in the development and implementation of his or her person-centered plan of care.EStandard survey5 May 2023
18 Apr 2023F0712Ensure that the resident and his/her doctor meet face-to-face at all required visits.EStandard survey5 May 2023
18 Apr 2023F0552Ensure that residents are fully informed and understand their health status, care and treatments.DStandard survey5 May 2023
18 Apr 2023F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard survey5 May 2023
18 Apr 2023F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard survey5 May 2023
18 Apr 2023F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey5 May 2023
18 Apr 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.DStandard survey5 May 2023
18 Apr 2023F0880Provide and implement an infection prevention and control program.DStandard survey5 May 2023

Penalties

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

Staffing

Total nursing3.66 h
Nurse aides2.09 h
LPN0.48 h
RN1.09 h
Weekend total3.31 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Wisconsin average. Turnover: nursing staff 57.1%, RNs 66.7%; 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 Stay14.2%15.4%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.0%1.5%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay5.6%2.3%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay0.0%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 Stay13.9%16.8%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay6.9%4.4%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay17.7%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 Stevens Point Llc. Chain: North Shore Healthcare (59 facilities).

OrganisationRole in the CMS recordInterestSince
Nshr Operations LLC5% or greater direct ownership interest100%10/01/2019
Arrowhead 123 LLC5% or greater indirect ownership interest10%10/01/2019
Cibc Bank USA5% or greater mortgage interestNOT APPLICABLE12/31/2024
Cibc Bank USA5% or greater security interestNOT APPLICABLE12/31/2002
Cibc Bank USAOperational/managerial controlNOT APPLICABLE12/31/2024
Cliftonlarsonallen LLPOperational/managerial controlNOT APPLICABLE12/01/2019
Continuum Therapy Partners LLCOperational/managerial controlNOT APPLICABLE03/01/2025
North Shore Healthcare LLCOperational/managerial controlNOT APPLICABLE12/01/2019
Nsh Rehab LLCOperational/managerial controlNOT APPLICABLE03/01/2025
Wipfli LLPOperational/managerial controlNOT APPLICABLE02/01/2025
Arrowhead 123 LLCAdp of the snfNOT APPLICABLE12/01/2019
Cliftonlarsonallen LLPAdp of the snfNOT APPLICABLE06/09/2025
Continuum Therapy Partners LLCAdp of the snfNOT APPLICABLE06/09/2025
North Shore Healthcare LLCAdp of the snfNOT APPLICABLE06/09/2025
Nsh 1800 Sherman Avenue LLCAdp of the snfNOT APPLICABLE12/01/2019
Nsh Rehab LLCAdp of the snfNOT APPLICABLE06/09/2025
Wipfli LLPAdp of the snfNOT APPLICABLE06/09/2025

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 Portage County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Timber Ridge Health and RehabilitationStevens Point485352041.7—6 May 2026

All 2 facilities in Portage County

Questions and answers

How many deficiencies has Stevens Point Health Services been cited for?

48 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 Stevens Point Health Services been fined?

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

How does staffing at Stevens Point 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 Stevens Point 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 Stevens Point Health Services last inspected?

The most recent survey or investigation in the CMS record is dated 23 Jul 2025; the most recent standard health survey was 23 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.