Lakeland Health Care Ctr
1922 Cty Rd Nn · Elkhorn, WI · 53121 · 2627413600
90 certified beds Government - County
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Staffing hours comfortably above national benchmarks.
- Inspection results have improved across recent cycles.
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Red flags
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
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.
2 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
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: 2 of 5 Inspections: 2 of 5 Staffing: 4 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 4.17 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.68 | 0.55–0.75 |
| Weekend hours / resident-day | 3.57 | ≈ weekday level |
| Nursing turnover / year | 23% | median 45% |
| Fines (3-yr window) | 1 · $82,719 |
Inspection citations (21 in the current record)
-
Potential for harm · D January 26, 2026
Provide and implement an infection prevention and control program.
Corrected February 13, 2026 · Infection Control
-
Immediate jeopardy · J September 2, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected August 25, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Actual harm · G September 2, 2025 · found via complaint
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected September 17, 2025 · Quality of Life and Care
-
Potential for harm · D July 7, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected July 29, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D July 7, 2025 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected July 29, 2025 · Pharmacy Service
-
Potential for harm · D August 29, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected September 30, 2024 · Resident Rights
-
Potential for harm · D August 29, 2024
Provide enough food/fluids to maintain a resident's health.
Corrected September 30, 2024 · Quality of Life and Care
-
Potential for harm · D August 29, 2024
Provide and implement an infection prevention and control program.
Corrected September 30, 2024 · Infection Control
-
Potential for harm · D August 29, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected September 30, 2024 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D August 29, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected September 30, 2024 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D August 29, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 30, 2024 · Quality of Life and Care
-
Immediate jeopardy · K November 21, 2023 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected December 15, 2023 · Freedom from Abuse, Neglect, and Exploitation
-
Immediate jeopardy · J November 21, 2023 · found via complaint
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected December 15, 2023 · Quality of Life and Care
-
Potential for harm · E November 21, 2023 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected December 15, 2023 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · E November 21, 2023 · found via complaint
Respond appropriately to all alleged violations.
Corrected December 15, 2023 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D August 8, 2023 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected August 18, 2023 · Quality of Life and Care
-
Potential for harm · D June 7, 2023
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected June 26, 2023 · Quality of Life and Care
-
Potential for harm · D June 7, 2023
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected June 26, 2023 · Quality of Life and Care
-
Potential for harm · D June 7, 2023
Provide or obtain dental services for each resident.
Corrected June 26, 2023 · Quality of Life and Care
-
Potential for harm · E June 7, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected June 23, 2023 · Nutrition and Dietary
-
Potential for harm · D June 7, 2023
Provide and implement an infection prevention and control program.
Corrected June 26, 2023 · Infection Control
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| November 21, 2023 | Fine | $82,719 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 525625 · certified since August 1, 1997. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.