• CMS rates this facility 3/5 stars (average)
• Has 50 certified beds with an average of 45.1 residents per day (90% occupancy)
• Last health inspection found 6 deficiencies (inspected Jan 23, 2025)
• No fines on record
• Total nursing staff: 4.38 hours per resident per day
• Staff turnover rate: 53.1% (high)
• Part of the North Shore Healthcare chain (58 facilities)
Cedarburg Health Services is a 3-star Medicare and Medicaid certified nursing home in Cedarburg, Wisconsin with 50 certified beds. It has been operating since 1995. The facility scored at average compared to Wisconsin facilities.
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Ensure medication error rates are not 5 percent or greater.
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Provide and implement an infection prevention and control program.
Reasonably accommodate the needs and preferences of each resident.
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.
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Respond appropriately to all alleged violations.
Provide enough food/fluids to maintain a resident's health.
Allow residents to self-administer drugs if determined clinically appropriate.
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.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Respond appropriately to all alleged violations.
Give the resident's representative the ability to exercise the resident's rights.
PASARR screening for Mental disorders or Intellectual Disabilities
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Ensure medication error rates are not 5 percent or greater.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Provide and implement an infection prevention and control program.
No penalties on record.
Staffing hours per resident per day. The black line shows the national average.
Quality measures as percentages of residents. Lower is better for all measures.
| Name | Role | Type | Ownership % | Since |
|---|---|---|---|---|
| NSHF OPERATIONS LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | Jul 24, 2017 |
| BAUMANN, TROY | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | 40% | Jun 29, 2017 |
| HOEHN, JEFFREY | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | 40% | Jun 29, 2017 |
| MILLS, DAVID | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | 20% | Jun 29, 2017 |
| NORTH SHORE HEALTHCARE LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | Oct 1, 2017 |
| HOEHN, JEFFREY | W-2 MANAGING EMPLOYEE | Individual | N/A | Oct 1, 2017 |
This chain operates 58 facilities. View all →