WILLOWCREST HEALTH SERVICES
WILLOWCREST HEALTH SERVICES is a 100-bed nursing home in SOUTH MILWAUKEE, Wisconsin. CMS has certified it for Medicare and Medicaid since 1988-07-21. It averages 74.9 residents a day.
What harm was found in the violations cited at WILLOWCREST HEALTH SERVICES?
CMS lists 36 health-inspection deficiencies for WILLOWCREST HEALTH SERVICES since 2023-01-12, 32 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is J; the most recent health inspection was 2025-06-05.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2025-06-05 | F0851, F0880 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. / Provide and implement an infection prevention and control program. | F |
| 2025-06-05 | F0605, F0628, F0684, F0688, F0690, F0693, F0695, F0699, F0755, F0757, F0760 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. / Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. / Provide safe and appropriate respiratory care for a resident when needed. / Provide care or services that was trauma informed and/or culturally competent. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / Ensure that residents are free from significant medication errors. | D |
| 2025-03-05 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D |
| 2024-10-14 | F0732 | Post nurse staffing information every day. | C |
| 2024-03-29 | F0678, F0689 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J |
| 2024-03-29 | F0812, F0880 | 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. | F |
| 2024-03-29 | F0730, F0944, F0946, F0949 | Observe each nurse aide's job performance and give regular training. / Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. / Provide training in compliance and ethics. / Provide behavior health training consistent with the requirements and as determined by a facility assessment. | E |
| 2024-03-29 | F0686, F0690, F0692, F0693, F0694, F0695, F0758, F0761 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. / 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 enough food/fluids to maintain a resident's health. / Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. / Provide for the safe, appropriate administration of IV fluids for a resident when needed. / Provide safe and appropriate respiratory care for a resident when needed. / 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. / 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. | D |
| 2024-03-29 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | B |
| 2023-01-12 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F |
| 2023-01-12 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E |
| 2023-01-12 | F0684, F0689 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D |
Why was WILLOWCREST HEALTH SERVICES fined?
| Date | Type | Amount |
|---|---|---|
| 2024-03-29 | Fine | $21,285 |
How is WILLOWCREST HEALTH SERVICES staffed relative to the WI average?
| Measure | This facility | WI average |
|---|---|---|
| Total nurse staffing hours per resident per day | 3.56960 | 4.21234 |
| Total nursing staff turnover (%) | 41.3 | 46.9 |
| Average number of residents per day | 74.9 | 54.8 |
Who owns WILLOWCREST HEALTH SERVICES, and what chain is it in?
WILLOWCREST HEALTH SERVICES is registered with CMS as For profit - Limited Liability company, operates under the legal business name NSH SOUTH MILWAUKEE LLC and belongs to the NORTH SHORE HEALTHCARE chain.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | NSHF OPERATIONS LLC | since 07/24/2017 |
| 5% OR GREATER INDIRECT OWNERSHIP INTEREST | MILLS, DAVID | since 06/29/2017 |
| W-2 MANAGING EMPLOYEE | HOEHN, JEFFREY | since 06/29/2017 |
| CORPORATE DIRECTOR | BAUMANN, TROY, HOEHN, JEFFREY | since 06/29/2017 |
| OPERATIONAL/MANAGERIAL CONTROL | NORTH SHORE HEALTHCARE LLC | since 10/01/2017 |
Were you or a family member harmed at WILLOWCREST HEALTH SERVICES?