Soldiers Grove Health Services

101 Sunshine Blvd · Soldiers Grove, WI · 54655 · 6086245244

50 certified beds For profit - Corporation Chain: North Shore Healthcare

  • Staffing hours comfortably above national benchmarks.
  • No federal fines or payment denials in CMS’s 3-year window.

The composite number cleared 72 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.

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Red flags

2 actual-harm citations in the most recent cycle

Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.

Score breakdown

Inspection record 30% of score 45
Serious harm & abuse 20% 88
Staffing 20% 80
Federal penalties 15% 100
Trend 10% 50
Context 5% 100

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: 3 of 5

Total nurse hours / resident-day3.583.48 min · 4.1 strong
RN hours / resident-day1.030.55–0.75
Weekend hours / resident-day3.17≈ weekday level
Nursing turnover / year21%median 45%
Fines (3-yr window)none

Inspection citations (24 in the current record)

  • Actual harm · G July 21, 2025

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected August 18, 2025 · Quality of Life and Care

  • Actual harm · G July 21, 2025

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected August 18, 2025 · Quality of Life and Care

  • Potential for harm · D July 21, 2025

    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

    Corrected August 18, 2025 · Resident Rights

  • Potential for harm · D July 21, 2025

    PASARR screening for Mental disorders or Intellectual Disabilities

    Corrected August 18, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D July 21, 2025

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected August 18, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D July 21, 2025

    Provide enough food/fluids to maintain a resident's health.

    Corrected August 18, 2025 · Quality of Life and Care

  • Potential for harm · F July 21, 2025

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected August 18, 2025 · Nutrition and Dietary

  • Potential for harm · F July 21, 2025

    Provide and implement an infection prevention and control program.

    Corrected August 18, 2025 · Infection Control

  • Potential for harm · D July 21, 2025

    Implement a program that monitors antibiotic use.

    Corrected August 18, 2025 · Infection Control

  • Potential for harm · D September 4, 2024 · found via complaint

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected September 27, 2024 · Resident Rights

  • Potential for harm · D September 4, 2024 · found via complaint

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected September 27, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D May 9, 2024

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected June 5, 2024 · Quality of Life and Care

  • Potential for harm · D May 9, 2024

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Corrected June 5, 2024 · Quality of Life and Care

  • Potential for harm · F May 9, 2024

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected June 5, 2024 · Nutrition and Dietary

  • Potential for harm · F May 9, 2024

    Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

    Corrected March 18, 2024 · Administration

  • Potential for harm · D April 2, 2024 · found via complaint

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected April 22, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D April 2, 2024 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected April 22, 2024 · Quality of Life and Care

  • Potential for harm · D September 26, 2023 · found via complaint

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected October 11, 2023 · Quality of Life and Care

  • Potential for harm · D August 10, 2023 · found via complaint

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected August 28, 2023 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D August 10, 2023 · found via complaint

    Respond appropriately to all alleged violations.

    Corrected August 28, 2023 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D August 10, 2023 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected August 28, 2023 · Quality of Life and Care

  • Potential for harm · D April 13, 2023

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected May 5, 2023 · Quality of Life and Care

  • Potential for harm · D April 13, 2023

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Corrected May 4, 2023 · Pharmacy Service

  • Potential for harm · D April 13, 2023

    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 May 5, 2023 · Pharmacy Service

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 525622 · 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.