Wisconsin › Walworth County › Williams Bay
Williams Bay Health Services
146 Clover St, Williams Bay, WI 53191
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, Williams Bay Health Services serves Williams Bay in Walworth County, Wisconsin and has taken Medicare and Medicaid residents since 1984.
CMS gives it 1 of 5 stars overall, below the Wisconsin median of 3; the health inspection rating is 1, staffing 3 and quality measures 2.
Inspectors recorded 35 health deficiencies across the three most recent survey cycles (28, 4, 3 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 no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 3.4 hours per resident per day (1.0 RN), close to the Wisconsin median of 4.0; nursing staff turnover is 58.8%.
Compared with county, state and nation
| Measure | This facility | Walworth Co. median | Wisconsin median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 35 | 21 | 21 | 28.7 |
| Citations per 100 beds | 70.0 | 28.3 | 31.8 | 26.8 |
| Total nurse hours per resident day | 3.4 | 4.0 | 4.0 | 3.9 |
| RN hours per resident day | 1.0 | 0.7 | 0.9 | 0.7 |
| Nursing staff turnover | 58.8% | 51.8% | 46.2% | 45.8% |
| Fines listed | $0 | $0 | $0 | — |
County and state figures are medians across facilities (7 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: 3 Jun 2026, 27 Mar 2025.
Severity mix: J ×1 G ×2 D ×22 E ×4 F ×5 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)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 3 Jun 2026 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | J | Standard survey | 7 Jul 2026 |
| 3 Jun 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Standard survey | 7 Jul 2026 |
| 3 Jun 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 7 Jul 2026 |
| 3 Jun 2026 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | Standard survey | 7 Jul 2026 |
| 3 Jun 2026 | F0949 | Provide behavior health training consistent with the requirements and as determined by a facility assessment. | F | Standard survey | 7 Jul 2026 |
| 3 Jun 2026 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | Standard survey | 7 Jul 2026 |
| 3 Jun 2026 | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | E | Standard survey | 7 Jul 2026 |
| 3 Jun 2026 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 7 Jul 2026 |
| 3 Jun 2026 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | Standard survey | 7 Jul 2026 |
| 3 Jun 2026 | 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 | 7 Jul 2026 |
| 3 Jun 2026 | F0583 | Keep residents' personal and medical records private and confidential. | D | Standard survey | 7 Jul 2026 |
| 3 Jun 2026 | 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. | D | Standard survey | 7 Jul 2026 |
| 3 Jun 2026 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 7 Jul 2026 |
| 3 Jun 2026 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Standard survey | 7 Jul 2026 |
| 3 Jun 2026 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 7 Jul 2026 |
| 3 Jun 2026 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 7 Jul 2026 |
| 3 Jun 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 7 Jul 2026 |
| 3 Jun 2026 | F0691 | Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | D | Standard survey | 7 Jul 2026 |
| 3 Jun 2026 | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D | Standard survey | 7 Jul 2026 |
| 3 Jun 2026 | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | Standard survey | 7 Jul 2026 |
| 3 Jun 2026 | F0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | Complaint investigation | 7 Jul 2026 |
| 3 Jun 2026 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 7 Jul 2026 |
| 3 Jun 2026 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 7 Jul 2026 |
| 3 Jun 2026 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 7 Jul 2026 |
| 3 Jun 2026 | F0944 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | D | Standard survey | 7 Jul 2026 |
| 3 Jun 2026 | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | D | Standard survey | 7 Jul 2026 |
| 3 Jun 2026 | F0575 | Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. | C | Standard survey | 7 Jul 2026 |
| 26 Jan 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 23 Feb 2026 |
| 27 Mar 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Standard survey | 24 Apr 2025 |
| 27 Mar 2025 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 24 Apr 2025 |
| 27 Mar 2025 | F0909 | Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | F | Standard survey | 24 Apr 2025 |
| 27 Mar 2025 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Standard survey | 24 Apr 2025 |
| 22 Sep 2023 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 23 Oct 2023 |
| 22 Sep 2023 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 23 Oct 2023 |
| 22 Sep 2023 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 23 Oct 2023 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Wisconsin average. Turnover: nursing staff 58.8%, RNs 33.3%; 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 | 18.3% | 15.4% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 1.5% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.9% | 2.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 3.6% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 3.0% | 0.9% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 37.2% | 16.8% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.1% | 4.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 14.8% | 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: for-profit, corporation. Legal business name: Nsh Williams Bay Llc. Chain: North Shore Healthcare (59 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Nshr Operations LLC | 5% or greater direct ownership interest | 100% | 10/01/2019 |
| Arrowhead 123 LLC | 5% or greater indirect ownership interest | 10% | 10/01/2019 |
| Cibc Bank USA | 5% or greater mortgage interest | NOT APPLICABLE | 12/31/2024 |
| 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 | 12/01/2019 |
| Continuum Therapy Partners LLC | Operational/managerial control | NOT APPLICABLE | 03/01/2025 |
| North Shore Healthcare LLC | Operational/managerial control | NOT APPLICABLE | 12/01/2019 |
| Nsh Rehab LLC | Operational/managerial control | NOT APPLICABLE | 03/01/2025 |
| Wipfli LLP | Operational/managerial control | NOT APPLICABLE | 02/01/2025 |
| Arrowhead 123 LLC | Adp of the snf | NOT APPLICABLE | 12/01/2019 |
| Cliftonlarsonallen LLP | Adp of the snf | NOT APPLICABLE | 06/09/2025 |
| Continuum Therapy Partners LLC | Adp of the snf | NOT APPLICABLE | 06/09/2025 |
| North Shore Healthcare LLC | Adp of the snf | NOT APPLICABLE | 06/09/2025 |
| Nsh 146 Clover Street LLC | Adp of the snf | NOT APPLICABLE | 12/01/2019 |
| Nsh Rehab LLC | Adp of the snf | NOT APPLICABLE | 06/09/2025 |
| Wipfli LLP | Adp of the snf | NOT APPLICABLE | 06/09/2025 |
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 Walworth County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Delavan Health Services | Delavan | 50 | 4 | 4 | 4 | 12 | 24.0 | — | 19 Dec 2024 |
| Golden Years of Lake Geneva | Lake Geneva | 54 | 4 | 5 | 5 | 11 | 20.4 | — | 9 Jan 2025 |
| Lakeland Health Care Ctrabuse icon | Elkhorn | 90 | 3 | 2 | 5 | 21 | 23.3 | $84K | 26 Jan 2026 |
| East Troy Manor | East Troy | 50 | 2 | 2 | 3 | 29 | 58.0 | $129K | 24 Jul 2025 |
| Holton Manor | Elkhorn | 60 | 2 | 2 | 3 | 17 | 28.3 | — | 6 May 2026 |
| Geneva Lake Manor | Lake Geneva | 60 | 1 | 1 | 2 | 73 | 121.7 | $131K | 10 Dec 2025 |
All 7 facilities in Walworth County
Questions and answers
How many deficiencies has Williams Bay Health Services 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 Williams Bay Health Services been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Williams Bay Health Services compare?
Reported total nurse staffing is 3.4 hours per resident per day against a Wisconsin median of 4.0 and a national average of 3.9.
Who operates Williams Bay Health Services?
It is part of the North Shore Healthcare chain. Ownership type is for-profit, corporation. 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 Williams Bay Health Services last inspected?
The most recent survey or investigation in the CMS record is dated 3 Jun 2026; the most recent standard health survey was 3 Jun 2026.
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.