Menomonee Falls Health Services

Waukesha · WI · For profit - Limited Liability company · NORTH SHORE HEALTHCARE chain · 50 certified beds · CCN 525415 · NSH MENOMONEE LLC


Menomonee Falls Health Services operates 50 certified beds in MENOMONEE FALLS, Wisconsin. Its Medicare and Medicaid certification dates to 1988-08-11. It averages 36.9 residents a day.

What harm was found in the violations cited at Menomonee Falls Health Services?

CMS lists 46 health-inspection deficiencies for Menomonee Falls Health Services since 2023-03-23, 45 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is G; the most recent health inspection was 2025-12-03.

Survey dateTagDeficiencySeverity
2025-12-03F0554Allow residents to self-administer drugs if determined clinically appropriate.D
2025-08-04F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G
2025-08-04F0880, F0947Provide and implement an infection prevention and control program. / Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.F
2025-08-04F0628, F0641Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. / Ensure each resident receives an accurate assessment.E
2025-08-04F0607, F0686, F0761, F0849, F0883, F0887Develop and implement policies and procedures to prevent abuse, neglect, and theft. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / 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. / Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. / Develop and implement policies and procedures for flu and pneumonia vaccinations. / Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.D
2024-11-26F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.G
2024-11-26F0580, F0684, F0685, F0755Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Assist a resident in gaining access to vision and hearing services. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D
2024-05-01F0686, F0689Provide 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.G
2024-05-01F0725, F0812, F0814, F0851, F0880Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Dispose of garbage and refuse properly. / 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
2024-05-01F0584, F0678, F0756Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. / 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 a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.E
2024-05-01F0554, F0582, F0623, F0625, F0644, F0677, F0684, F0690, F0692, F0699, F0757, F0759, F0761, F0811, F0849, F0883Allow residents to self-administer drugs if determined clinically appropriate. / Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. / Provide 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. / Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / 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. / Provide care or services that was trauma informed and/or culturally competent. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / 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. / Ensure that residents are assessed for appropriateness for a feeding assistant program, receive services as per their plan of care, and feeding assistants are trained and supervised. / Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. / Develop and implement policies and procedures for flu and pneumonia vaccinations.D
2023-12-18F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.G
2023-12-18F0687Provide appropriate foot care.D
2023-03-23F0888Ensure staff are vaccinated for COVID-19D

Why was Menomonee Falls Health Services fined 5 times?

DateTypeAmount
2025-08-04Fine$94,680
2024-11-26Fine$31,103
2024-05-01Fine$55,419
2023-12-18Fine$29,961
2023-12-11Fine$3,145

Has Menomonee Falls Health Services had payment denied by Medicare?

Payment denial startLength in days
2024-06-018

How is Menomonee Falls Health Services staffed relative to the WI average?

MeasureThis facilityWI average
Total nurse staffing hours per resident per day3.626484.21234
Total nursing staff turnover (%)38.746.9
Average number of residents per day36.954.8

Who owns Menomonee Falls Health Services, and what chain is it in?

Menomonee Falls Health Services is registered with CMS as For profit - Limited Liability company, operates under the legal business name NSH MENOMONEE 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 12/31/2024
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, GROSENICK, KARI, HOEHN, JEFFREY, PATZER, COLLEEN, PURTELL, BRIANsince 01/06/2025
ADP OF THE SNFCLIFTONLARSONALLEN LLP, CONTINUUM THERAPY PARTNERS LLC, MENOMONEE PROPERTY HOLDINGS, LLC, NORTH SHORE HEALTHCARE LLC, NSH REHAB LLC, NSHF WISCONSIN LLC, WIPFLI LLP, BAUMANN, TROY, BELONGIA, CHRISTINA, GEE, DARREN, GREER, LAUREN, GROSENICK, KARI, HOEHN, JEFFREY, PATZER, COLLEEN, PURTELL, BRIAN, RAMNANAN, KESHNIsince 01/01/2023

Were you or a family member harmed at Menomonee Falls Health Services?