Nursing HomeInspections

Delavan Health Services

Nursing home in Delavan, WI

Medicare & Medicaid certified4★ overall (CMS)

Call (262) 728-6319Send a messageMap ↗

Public-record details

Address
905 E Geneva St, Delavan, WI 53115
Phone
(262) 728-6319
Listed under
For-profit, 4–5 star overall rating, No fines in 3 years
Medicare CCN
525324
Overall star rating
4 of 5 ★★★★☆
Health inspection rating
4 of 5
Staffing rating
4 of 5
Quality measures rating
4 of 5
Certified beds
50
Average residents per day
42
Ownership
For-profit, limited Liability company
Legal business name
Nsh Delavan LLC
Chain
North Shore Healthcare (59 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Nov 1, 1982
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 525324. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Dec 19, 2024. CMS lists 12 health citations for this facility across its last three standard inspection cycles and complaint inspections (Jun 15, 2022 to Dec 19, 2024): 1 from complaint inspections, 1 at the “actual harm” level or higher.

InspectionCitationSeverity
Dec 19, 2024Provide and implement an infection prevention and control program.
Infection Control		F
Potential for more than minimal harm, widespread
Aug 19, 2024Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		D
Potential for more than minimal harm, isolated
Sep 27, 2023Ensure 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
Sep 27, 2023Implement 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
Sep 27, 2023Ensure medication error rates are not 5 percent or greater.
Pharmacy Service		D
Potential for more than minimal harm, isolated
Jun 15, 2022Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights…
Administration		C
Potential for minimal harm, widespread
Jun 15, 2022Reasonably accommodate the needs and preferences of each resident.
Resident Rights		D
Potential for more than minimal harm, isolated
Jun 15, 2022Ensure 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
Jun 15, 2022Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Jun 15, 2022Implement 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
Jun 15, 2022Provide and implement an infection prevention and control program.
Infection Control		E
Potential for more than minimal harm, pattern
Jun 15, 2022Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care		G
Actual harm, isolated

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 no fines or payment denials for this facility in the last three years.

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
3.21 hours
Registered nurse (RN) time per resident per day
1.15 hours
Nurse aide time per resident per day
1.73 hours
Total nurse staffing on weekends
2.88 hours
Nursing staff turnover (yearly)
34%
RN turnover (yearly)
33%
Administrators who left in the past year
0

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.