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Lancaster Health Services

1350 S Madison St, Lancaster, WI 53813
6087234143
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Overall CMS Rating

2.0/5

vs State Average: 3.0 stars

2.0/5

Health Inspections

vs State Average: 2.8/5

4.0/5

Staffing Level

vs State Average: 3.7/5

2.0/5

Quality Measures

vs State Average: 3.1/5

1 penalties in last 3 years
Penalties
vs State Average: 1.2 penalties

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Ratings Deep Dive

Score
2.0
State Average
2.8
National Average
2.8
5 Deficiencies found in last inspections
1 Penalties in last 3 years
1 Fines issued
Citation Date Description Severity
Aug 19, 2025 Ensure medication error rates are not 5 percent or greater. D
Aug 19, 2025 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. D
Aug 19, 2025 Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. D
Aug 19, 2025 Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. J
Aug 19, 2025 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. E
Score
4.0
State Average
3.7
National Average
2.9
0.7 RN Hours / Resident / Day
3.8 Total Nurse Hours / Resident / Day
33.3% RN Turnover Rate
Score
2.0
State Average
3.1
National Average
3.6
2.0 Long-Stay QM Rating
Short-Stay QM Rating
39.0 Avg Residents Per Day
Measure Score Type
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay
Percentage of long-stay residents who lose too much weight Long Stay
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay
Percentage of long-stay residents with a urinary tract infection Long Stay
Percentage of long-stay residents who have depressive symptoms Long Stay
Percentage of long-stay residents who were physically restrained Long Stay
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay

Ownership & Compliance

Ownership Info
5% OR GREATER DIRECT OWNERSHIP INTEREST NSHR OPERATIONS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST ARROWHEAD 123 LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST THE LANE MORRELL BOWEN TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST BAUMANN, TROY
5% OR GREATER INDIRECT OWNERSHIP INTEREST HOEHN, JEFFREY
5% OR GREATER INDIRECT OWNERSHIP INTEREST MILLS, DAVID
OPERATIONAL/MANAGERIAL CONTROL NORTH SHORE HEALTHCARE LLC
OPERATIONAL/MANAGERIAL CONTROL BAUMANN, TROY
OPERATIONAL/MANAGERIAL CONTROL HOEHN, JEFFREY
OPERATIONAL/MANAGERIAL CONTROL MILLS, DAVID
Recent Penalties
Date Type Fine
Aug 19, 2025 Fine $21,645

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