Lake Mills Health Services
901 Mulberry St · Lake Mills, WI · 53551 · 9206488344
50 certified beds For profit - Corporation Chain: North Shore Healthcare
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection results are getting worse cycle over cycle, not better.
- Staffing hours comfortably above national benchmarks.
- No federal fines or payment denials in CMS’s 3-year window.
Red flags
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 2 of 5 Staffing: 5 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.52 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 1.55 | 0.55–0.75 |
| Weekend hours / resident-day | 3.24 | ≈ weekday level |
| Nursing turnover / year | 32% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (18 in the current record)
-
Immediate jeopardy · J July 3, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected July 29, 2025 · Quality of Life and Care
-
Potential for harm · D July 3, 2025 · found via complaint
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected July 29, 2025 · Resident Rights
-
Potential for harm · D July 3, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected July 29, 2025 · Quality of Life and Care
-
Potential for harm · F July 3, 2025 · found via complaint
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Corrected July 29, 2025 · Administration
-
Potential for harm · D March 26, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 14, 2025 · Quality of Life and Care
-
Potential for harm · D March 26, 2025
Provide and implement an infection prevention and control program.
Corrected April 14, 2025 · Infection Control
-
No harm found · C March 26, 2025
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected April 14, 2025 · Administration
-
Potential for harm · D February 8, 2024
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.
Corrected March 8, 2024 · Pharmacy Service
-
Potential for harm · D February 8, 2024
Ensure that residents are free from significant medication errors.
Corrected March 8, 2024 · Pharmacy Service
-
Potential for harm · E February 8, 2024
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected March 8, 2024 · Infection Control
-
Potential for harm · D October 10, 2023 · found via complaint
Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.
Corrected November 9, 2023 · Resident Rights
-
Potential for harm · D October 10, 2023 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected November 9, 2023 · Pharmacy Service
-
Potential for harm · D October 10, 2023 · found via complaint
Provide and implement an infection prevention and control program.
Corrected November 9, 2023 · Infection Control
-
Potential for harm · D October 17, 2022
Provide activities to meet all resident's needs.
Corrected November 11, 2022 · Quality of Life and Care
-
Potential for harm · D October 17, 2022
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected November 11, 2022 · Quality of Life and Care
-
Potential for harm · D October 17, 2022
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected November 11, 2022 · Quality of Life and Care
-
Potential for harm · D October 17, 2022
Provide safe and appropriate respiratory care for a resident when needed.
Corrected November 11, 2022 · Quality of Life and Care
-
No harm found · C October 17, 2022
Give residents a notice of rights, rules, services and charges.
Corrected November 11, 2022 · Resident Rights
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 525314 · certified since July 14, 1981. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.