LAKE COUNTRY HEALTH SERVICES

Waukesha · WI · For profit - Corporation · NORTH SHORE HEALTHCARE chain · 100 certified beds · CCN 525702 · NSH SUMMIT LLC


LAKE COUNTRY HEALTH SERVICES operates 100 certified beds in OCONOMOWOC, Wisconsin. Its Medicare and Medicaid certification dates to 2009-11-23. It averages 85.9 residents a day.

What harm was found in the violations cited at LAKE COUNTRY HEALTH SERVICES?

CMS lists 42 health-inspection deficiencies for LAKE COUNTRY HEALTH SERVICES since 2023-04-12, 36 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 2025-08-27.

Survey dateTagDeficiencySeverity
2025-08-27F0759, F0761Ensure 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.D
2025-03-12F0578Honor 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.J
2025-03-12F0678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.E
2025-03-12F0760Ensure that residents are free from significant medication errors.D
2024-11-04F0600, F0684Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Provide appropriate treatment and care according to orders, resident’s preferences and goals.J
2024-11-04F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G
2024-11-04F0609, F0610Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations.F
2024-11-04F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.E
2024-11-04F0580, F0585, F0620, F0657, F0660, F0677, F0690, F0825Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the 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. / Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Plan the resident's discharge to meet the resident's goals and needs. / Provide care and assistance to perform activities of daily living for any resident who is unable. / 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 or get specialized rehabilitative services as required for a resident.D
2024-06-20F0623, F0625Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.E
2024-06-20F0678, F0686, F0689, F0692, F0697, F0756, F0761Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide enough food/fluids to maintain a resident's health. / Provide safe, appropriate pain management for a resident who requires such services. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / 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
2024-02-29F0552, F0580, F0677, F0755, F0842Ensure that residents are fully informed and understand their health status, care and treatments. / Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D
2023-10-09F0610Respond appropriately to all alleged violations.E
2023-10-09F0609, F0842Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D
2023-04-12F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2023-04-12F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E
2023-04-12F0755, F0758, F0759, F0880Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / 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 medication error rates are not 5 percent or greater. / Provide and implement an infection prevention and control program.D

Why was LAKE COUNTRY HEALTH SERVICES fined 2 times?

DateTypeAmount
2025-03-12Fine$16,985
2024-11-04Fine$103,883

Has LAKE COUNTRY HEALTH SERVICES had payment denied by Medicare?

Payment denial startLength in days
2024-12-048

How is LAKE COUNTRY HEALTH SERVICES staffed relative to the WI average?

MeasureThis facilityWI average
Total nurse staffing hours per resident per day3.544624.21234
Total nursing staff turnover (%)51.846.9
Average number of residents per day85.954.8

Who owns LAKE COUNTRY HEALTH SERVICES, and what chain is it in?

LAKE COUNTRY HEALTH SERVICES is registered with CMS as For profit - Corporation, operates under the legal business name NSH SUMMIT LLC and belongs to the NORTH SHORE HEALTHCARE chain.

RoleOwnerAssociation date
5% OR GREATER DIRECT OWNERSHIP INTERESTNSHF OPERATIONS LLCsince 07/24/2017
5% OR GREATER INDIRECT OWNERSHIP INTERESTMILLS, DAVIDsince 06/29/2017
5% OR GREATER SECURITY INTERESTCIBC BANK USAsince 12/03/2025
CORPORATE DIRECTORBAUMANN, TROY, HOEHN, JEFFREYsince 06/29/2017
OPERATIONAL/MANAGERIAL CONTROLCIBC BANK USA, CLIFTONLARSONALLEN LLP, CONTINUUM THERAPY PARTNERS LLC, NORTH SHORE HEALTHCARE LLC, NSH REHAB LLC, WIPFLI LLP, BAUMANN, TROY, BELONGIA, CHRISTINA, GEE, DARREN, GREER, LAUREN, HAMM, CARA, HOEHN, JEFFREY, PATZER, COLLEEN, PURTELL, BRIAN, RAMNANAN, KESHNIsince 01/01/2023
ADP OF THE SNFCANYON WOH, LLC, CLIFTONLARSONALLEN LLP, CONTINUUM THERAPY PARTNERS LLC, NORTH SHORE HEALTHCARE LLC, NSH REHAB LLC, NSHW WISCONSIN LLC, WIPFLI LLP, BAUMANN, TROY, BELONGIA, CHRISTINA, GEE, DARREN, GREER, LAUREN, HAMM, CARA, HOEHN, JEFFREY, PATZER, COLLEEN, PURTELL, BRIAN, RAMNANAN, KESHNIsince 01/01/2023

Were you or a family member harmed at LAKE COUNTRY HEALTH SERVICES?