Wisconsin › Milwaukee County › South Milwaukee
Willowcrest Health Services
3821 S Chicago Ave, South Milwaukee, WI 53172
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 100 beds, Willowcrest Health Services serves South Milwaukee in Milwaukee County, Wisconsin and has taken Medicare and Medicaid residents since 1988.
CMS gives it 2 of 5 stars overall, below the Wisconsin median of 3; the health inspection rating is 2, staffing 2 and quality measures 4.
Inspectors recorded 36 health deficiencies across the three most recent survey cycles (13, 19, 4 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 36.0 per 100 beds, about the same as the state median of 31.8.
CMS lists 1 penalty in the period covered: fines totalling $21K.
Reported nurse staffing is 3.6 hours per resident per day (0.6 RN), close to the Wisconsin median of 4.0; nursing staff turnover is 41.3%.
Compared with county, state and nation
| Measure | This facility | Milwaukee Co. median | Wisconsin median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 36 | 38 | 21 | 28.7 |
| Citations per 100 beds | 36.0 | 44.1 | 31.8 | 26.8 |
| Total nurse hours per resident day | 3.6 | 4.0 | 4.0 | 3.9 |
| RN hours per resident day | 0.6 | 0.7 | 0.9 | 0.7 |
| Nursing staff turnover | 41.3% | 52.4% | 46.2% | 45.8% |
| Fines listed | $21,285 | $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
Dark bar: this facility. Grey bar: Wisconsin average per facility for the same cycle, as published by CMS. Standard health survey dates: 5 Jun 2025, 29 Mar 2024.
Severity mix: J ×2 D ×22 E ×5 F ×5 B ×1 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 |
|---|---|---|---|---|---|
| 5 Jun 2025 | F0851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | F | Standard survey | 5 Jul 2025 |
| 5 Jun 2025 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 5 Jul 2025 |
| 5 Jun 2025 | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | Standard survey | 5 Jul 2025 |
| 5 Jun 2025 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Standard survey | 5 Jul 2025 |
| 5 Jun 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 5 Jul 2025 |
| 5 Jun 2025 | F0688 | Provide 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. | D | Standard survey | 5 Jul 2025 |
| 5 Jun 2025 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 5 Jul 2025 |
| 5 Jun 2025 | F0693 | Ensure 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. | D | Standard survey | 5 Jul 2025 |
| 5 Jun 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 5 Jul 2025 |
| 5 Jun 2025 | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D | Standard survey | 5 Jul 2025 |
| 5 Jun 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 5 Jul 2025 |
| 5 Jun 2025 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 5 Jul 2025 |
| 5 Jun 2025 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 5 Jul 2025 |
| 5 Mar 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 31 Mar 2025 |
| 14 Oct 2024 | F0732 | Post nurse staffing information every day. | C | Complaint investigation | 12 Nov 2024 |
| 29 Mar 2024 | F0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | J | Complaint investigation | 26 Apr 2024 |
| 29 Mar 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 26 Apr 2024 |
| 29 Mar 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 26 Apr 2024 |
| 29 Mar 2024 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 26 Apr 2024 |
| 29 Mar 2024 | F0730 | Observe each nurse aide's job performance and give regular training. | E | Standard survey | 26 Apr 2024 |
| 29 Mar 2024 | F0944 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | E | Standard survey | 26 Apr 2024 |
| 29 Mar 2024 | F0946 | Provide training in compliance and ethics. | E | Standard survey | 26 Apr 2024 |
| 29 Mar 2024 | F0949 | Provide behavior health training consistent with the requirements and as determined by a facility assessment. | E | Standard survey | 26 Apr 2024 |
| 29 Mar 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 26 Apr 2024 |
| 29 Mar 2024 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 26 Apr 2024 |
| 29 Mar 2024 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 26 Apr 2024 |
| 29 Mar 2024 | F0693 | Ensure 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. | D | Complaint investigation | 26 Apr 2024 |
| 29 Mar 2024 | F0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | Standard survey | 26 Apr 2024 |
| 29 Mar 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 26 Apr 2024 |
| 29 Mar 2024 | F0758 | Implement 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. | D | Standard survey | 26 Apr 2024 |
| 29 Mar 2024 | F0761 | Ensure 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. | D | Standard survey | 26 Apr 2024 |
| 29 Mar 2024 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | B | Standard survey | 26 Apr 2024 |
| 12 Jan 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 10 Feb 2023 |
| 12 Jan 2023 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 10 Feb 2023 |
| 12 Jan 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 10 Feb 2023 |
| 12 Jan 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 10 Feb 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 29 Mar 2024 | Fine | $21,285 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Wisconsin average. Turnover: nursing staff 41.3%, RNs 46.2%; 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 | 18.8% | 15.4% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.8% | 1.5% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.8% | 2.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.2% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 0.9% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 38.8% | 16.8% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.8% | 4.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 6.2% | 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 South Milwaukee Llc. Chain: North Shore Healthcare (59 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Nshf Operations LLC | 5% or greater direct ownership interest | 100% | 07/24/2017 |
| North Shore Healthcare LLC | Operational/managerial control | NOT APPLICABLE | 10/01/2017 |
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
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Eastcastle Pl Bradford Ter Conv Ctr | Milwaukee | 40 | 5 | 3 | 5 | 16 | 40.0 | $90K | 18 Feb 2026 |
| Lutheran Home | Wauwatosa | 160 | 4 | 3 | 5 | 20 | 12.5 | — | 10 Jun 2025 |
| Milwaukee Catholic Home | Milwaukee | 107 | 4 | 5 | 1 | 13 | 12.1 | — | 20 May 2026 |
| Milwaukee Health and Rehab | Milwaukee | 95 | 4 | 4 | 2 | 21 | 22.1 | — | 8 Dec 2025 |
| Saint Johns On the Lake | Milwaukee | 27 | 4 | 3 | 5 | 14 | 51.9 | — | 1 Apr 2026 |
| St Ann Health and Rehabilitation Center | Milwaukee | 50 | 4 | 4 | 2 | 21 | 42.0 | — | 5 Mar 2026 |
| Aria At Mitchell Manor | West Allis | 50 | 3 | 3 | 3 | 23 | 46.0 | $16K | 1 Jul 2026 |
| Complete Care At Glendale West | Glendale | 94 | 3 | 2 | 3 | 38 | 40.4 | $11K | 12 Nov 2025 |
All 32 facilities in Milwaukee County
Questions and answers
How many deficiencies has Willowcrest Health Services been cited for?
36 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 Willowcrest Health Services been fined?
Yes. CMS lists fines totalling $21K in the period covered.
How does staffing at Willowcrest 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 Willowcrest 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 and North Shore Healthcare LLC. Individual owners and managers are not listed on this site.
When was Willowcrest Health Services last inspected?
The most recent survey or investigation in the CMS record is dated 5 Jun 2025; the most recent standard health survey was 5 Jun 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.