Nursing HomeInspections

Lake Mills Health Services

Nursing home in Lake Mills, WI

Medicare & Medicaid certified4★ overall (CMS)

Call (920) 648-8344Send a messageMap ↗

Public-record details

Address
901 Mulberry St, Lake Mills, WI 53551
Phone
(920) 648-8344
Listed under
For-profit, 4–5 star overall rating
Medicare CCN
525314
Overall star rating
4 of 5 ★★★★☆
Health inspection rating
4 of 5
Staffing rating
4 of 5
Quality measures rating
3 of 5
Certified beds
50
Average residents per day
28
Ownership
For-profit, corporation
Legal business name
Nsh Lake Mills LLC
Chain
North Shore Healthcare (59 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Jul 14, 1981
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 525314. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Mar 26, 2025. CMS lists 18 health citations for this facility across its last three standard inspection cycles and complaint inspections (Oct 17, 2022 to Jul 3, 2025): 7 from complaint inspections, 1 at the “actual harm” level or higher, including 1 at “immediate jeopardy”.

InspectionCitationSeverity
Jul 3, 2025Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated
Jul 3, 2025Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Jul 3, 2025Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Administration · complaint inspection		F
Potential for more than minimal harm, widespread
Jul 3, 2025Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care · complaint inspection		J
Immediate jeopardy, isolated
Mar 26, 2025Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Administration		C
Potential for minimal harm, widespread
Mar 26, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Mar 26, 2025Provide and implement an infection prevention and control program.
Infection Control		D
Potential for more than minimal harm, isolated
Feb 8, 2024Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and…
Pharmacy Service		D
Potential for more than minimal harm, isolated
Feb 8, 2024Ensure that residents are free from significant medication errors.
Pharmacy Service		D
Potential for more than minimal harm, isolated
Feb 8, 2024Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Infection Control		E
Potential for more than minimal harm, pattern
Oct 10, 2023Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated
Oct 10, 2023Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service · complaint inspection		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 18. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $120,900 in the last three years.

Jul 3, 2025Fine: $120,900

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.54 hours
Registered nurse (RN) time per resident per day
1.52 hours
Nurse aide time per resident per day
1.85 hours
Total nurse staffing on weekends
3.32 hours
Nursing staff turnover (yearly)
38%
RN turnover (yearly)
31%
Administrators who left in the past year
1

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.