Elder Care Record

Wisconsin › Calumet County › New Holstein

Willowdale Health Services

1610 Hoover St, New Holstein, WI 53061

CCN 525411 · For-profit, limited liability company · 49 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.

Willowdale Health Services is a For-profit, limited liability company nursing home in New Holstein, Wisconsin, certified for 49 beds and caring for about 26 residents a day.

CMS gives it 3 of 5 stars overall, equal to the Wisconsin median; the health inspection rating is 4, staffing 3 and quality measures 1.

Inspectors recorded 19 health deficiencies across the three most recent survey cycles (6, 8, 5 by cycle, most recent first), none at the actual-harm level. That is 38.8 per 100 beds, about the same as the state median of 31.8.

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

Reported nurse staffing is 3.5 hours per resident per day (1.1 RN), close to the Wisconsin median of 4.0; nursing staff turnover is 40.0%.

19health deficiencies, 3 survey cyclesnone at actual-harm level
$0fines listed by CMS0 penalties in period
3.5nurse hours per resident per daystate median 4.0
53%occupancy (residents ÷ beds)26 residents a day

Compared with county, state and nation

MeasureThis facilityCalumet Co. medianWisconsin medianUS average
Overall star rating3333.0
Health citations, 3 cycles19352128.7
Citations per 100 beds38.870.031.826.8
Total nurse hours per resident day3.53.84.03.9
RN hours per resident day1.11.10.90.7
Nursing staff turnover40.0%50.0%46.2%45.8%
Fines listed$0$79,927$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)6
Cycle 28
Cycle 35

Dark bar: this facility. Grey bar: Wisconsin average per facility for the same cycle, as published by CMS. Standard health survey dates: 11 Feb 2026, 2 Oct 2024.

Severity mix: D ×15 E ×2 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
11 Feb 2026F0880Provide and implement an infection prevention and control program.FStandard survey10 Mar 2026
11 Feb 2026F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard survey10 Mar 2026
11 Feb 2026F0641Ensure each resident receives an accurate assessment.DStandard survey10 Mar 2026
11 Feb 2026F0645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard survey10 Mar 2026
11 Feb 2026F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey10 Mar 2026
11 Feb 2026F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard survey10 Mar 2026
22 Jan 2025F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint investigation22 Feb 2025
2 Oct 2024F0761Ensure 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.EStandard survey2 Nov 2024
2 Oct 2024F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DStandard survey2 Nov 2024
2 Oct 2024F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation2 Nov 2024
2 Oct 2024F0610Respond appropriately to all alleged violations.DComplaint investigation2 Nov 2024
2 Oct 2024F0641Ensure each resident receives an accurate assessment.DStandard survey2 Nov 2024
2 Oct 2024F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard survey2 Nov 2024
2 Oct 2024F0692Provide enough food/fluids to maintain a resident's health.DStandard survey2 Nov 2024
8 Nov 2023F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey8 Dec 2023
8 Nov 2023F0645PASARR screening for Mental disorders or Intellectual DisabilitiesEStandard survey8 Dec 2023
8 Nov 2023F0584Honor 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.DStandard survey8 Dec 2023
8 Nov 2023F0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DStandard survey8 Dec 2023
8 Nov 2023F0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.DStandard survey8 Dec 2023

Penalties

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

Staffing

Total nursing3.47 h
Nurse aides1.71 h
LPN0.67 h
RN1.09 h
Weekend total3.05 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Wisconsin average. Turnover: nursing staff 40.0%, RNs 44.4%; 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 Stay20.5%15.4%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay5.1%1.5%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay2.3%2.3%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay6.8%3.0%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay6.7%0.9%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay42.8%16.8%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay7.0%4.4%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay11.0%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 New Holstein 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 APPLICABLE02/01/2025
Continuum Therapy Partners LLCOperational/managerial controlNOT APPLICABLE03/01/2025
North Shore Healthcare LLCOperational/managerial controlNOT APPLICABLE10/01/2017
Nsh Rehab LLCOperational/managerial controlNOT APPLICABLE02/01/2025
Wipfli LLPOperational/managerial controlNOT APPLICABLE02/01/2025
Cliftonlarsonallen LLPAdp of the snfNOT APPLICABLE05/12/2025
Continuum Therapy Partners LLCAdp of the snfNOT APPLICABLE05/12/2025
North Shore Healthcare LLCAdp of the snfNOT APPLICABLE05/09/2025
Nsh Rehab LLCAdp of the snfNOT APPLICABLE06/09/2025
Nshf Wisconsin LLCAdp of the snfNOT APPLICABLE05/12/2025
Willowdale Property Holdings, LLCAdp of the snfNOT APPLICABLE05/01/2022
Wipfli LLPAdp of the snfNOT APPLICABLE05/12/2025

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 Calumet County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Homestead Health ServicesNew Holstein503233570.0$80K10 Mar 2026

All 2 facilities in Calumet County

Questions and answers

How many deficiencies has Willowdale Health Services been cited for?

19 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 Willowdale Health Services been fined?

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

How does staffing at Willowdale Health Services compare?

Reported total nurse staffing is 3.5 hours per resident per day against a Wisconsin median of 4.0 and a national average of 3.9.

Who operates Willowdale 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 Willowdale Health Services last inspected?

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