Skilled nursing facility · CMS certification number 525702

LAKE COUNTRY HEALTH SERVICES

OCONOMOWOC, Wisconsin · Medicare and Medicaid

Certified beds, as filed in Care Compare: 100

Finances, as filed

From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.

Cost report for 1 January 2024 to 31 December 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 29 August 2025.

Revenue and expenses, fiscal year 2024
Figure	As filed	Where it comes from
Total patient revenue	$16,464,711	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$5,173,539	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$11,291,172	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$10,096,536	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$1,194,636	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$48,209	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,242,845	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,242,845 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2024
Figure	As filed	Where it comes from
Total facility beds, all components	100	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	36,600	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	2,663	CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days	18,976	CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days	7,430	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	29,069	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	90	CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges	104	CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges	310	CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components	504	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	29.59	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	182.46	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	57.68	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1438217, read from the public cost report file SNF10FY2024.zip.

Fiscal year 2023, ended 31 December 2023

Cost report for 1 January 2023 to 31 December 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 10 September 2024.

Revenue and expenses, fiscal year 2023
Figure	As filed	Where it comes from
Total patient revenue	$14,654,915	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$4,785,611	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$9,869,304	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$8,755,986	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$1,113,318	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$39,228	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,152,546	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,152,546 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2023
Figure	As filed	Where it comes from
Total facility beds, all components	100	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	26,676	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	391	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	32.72	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	115.05	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	68.23	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1394440, read from the public cost report file SNF10FY2023.zip.

Fiscal year 2022, ended 31 December 2022

Cost report for 1 January 2022 to 31 December 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 9 August 2023.

Revenue and expenses, fiscal year 2022
Figure	As filed	Where it comes from
Total patient revenue	$13,100,285	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$5,188,859	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$7,911,426	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$7,564,654	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$346,772	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$107,470	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$454,242	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $454,242 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2022
Figure	As filed	Where it comes from
Total facility beds, all components	100	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	25,108	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	312	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	27.53	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	298.94	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	80.47	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1361626, read from the public cost report file SNF10FY2022.zip.

Fiscal year 2021, ended 31 December 2021

Cost report for 1 January 2021 to 31 December 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 28 June 2023.

Revenue and expenses, fiscal year 2021
Figure	As filed	Where it comes from
Total patient revenue	$15,111,917	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$6,501,240	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$8,610,677	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$8,138,461	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$472,216	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$802,963	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,275,179	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,275,179 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2021
Figure	As filed	Where it comes from
Total facility beds, all components	100	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	28,891	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	422	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	22.16	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	265.8	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	68.46	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1355352, read from the public cost report file SNF10FY2021.zip.

Fiscal year 2020, ended 31 December 2020

Cost report for 1 January 2020 to 31 December 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 16 November 2021.

Revenue and expenses, fiscal year 2020
Figure	As filed	Where it comes from
Total patient revenue	$15,368,131	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$6,732,749	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$8,635,382	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$8,400,996	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$234,386	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$996,504	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,230,890	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,230,890 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2020
Figure	As filed	Where it comes from
Total facility beds, all components	100	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	30,565	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	461	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	28.58	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	159.74	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	66.3	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1304660, read from the public cost report file SNF10FY2020.zip.

Fiscal year 2019, ended 31 December 2019

Cost report for 1 January 2019 to 31 December 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 29 October 2020.

Revenue and expenses, fiscal year 2019
Figure	As filed	Where it comes from
Total patient revenue	$15,090,845	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$6,453,952	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$8,636,893	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$8,491,611	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$145,282	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$13,511	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$158,793	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $158,793 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2019
Figure	As filed	Where it comes from
Total facility beds, all components	100	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	29,984	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	456	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	32.99	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	141.48	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	65.75	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1272785, read from the public cost report file SNF10FY2019.zip.

Fiscal year 2018, ended 31 December 2018

Cost report for 1 January 2018 to 31 December 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 22 August 2019.

Revenue and expenses, fiscal year 2018
Figure	As filed	Where it comes from
Total patient revenue	$14,322,336	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$6,263,255	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$8,059,081	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$8,012,982	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$46,099	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	−$4,574	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$41,525	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $41,525 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2018
Figure	As filed	Where it comes from
Total facility beds, all components	100	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	28,625	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	411	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	31.85	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	142.14	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	69.65	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1241849, read from the public cost report file SNF10FY2018.zip.

Fiscal year 2017, ended 31 December 2017

Cost report for 1 October 2017 to 31 December 2017 — a reporting period of 91 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 21 August 2018.

Revenue and expenses, fiscal year 2017
Figure	As filed	Where it comes from
Total patient revenue	$3,626,126	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,453,528	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$2,172,598	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$2,002,790	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$169,808	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$45,239	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$215,047	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $215,047 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2017
Figure	As filed	Where it comes from
Total facility beds, all components	100	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	7,415	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	141	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	21.55	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	226.35	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	52.59	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1208027, read from the public cost report file SNF10FY2018.zip.

Fiscal year 2016, ended 31 December 2016

Cost report for 1 January 2016 to 31 December 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 16 August 2017.

Revenue and expenses, fiscal year 2016
Figure	As filed	Where it comes from
Total patient revenue	$13,079,057	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$3,280,819	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$9,798,238	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$9,909,894	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$111,656	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,821	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$109,835	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$109,834 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2016
Figure	As filed	Where it comes from
Total facility beds, all components	100	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	32,885	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	432	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	41.08	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	76.12	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1173471, read from the public cost report file SNF10FY2016.zip.

Fiscal year 2015, ended 31 December 2015

Cost report for 1 July 2015 to 31 December 2015 — a reporting period of 183 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 5 August 2016.

Revenue and expenses, fiscal year 2015
Figure	As filed	Where it comes from
Total patient revenue	$6,623,271	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,701,207	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,922,064	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,740,455	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$181,609	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$7,271	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$188,880	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $188,880 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2015
Figure	As filed	Where it comes from
Total facility beds, all components	100	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	15,722	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	306	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	24.39	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	51.38	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1140055, read from the public cost report file SNF10FY2015.zip.

Fiscal year 2014, ended 31 December 2014

Cost report for 1 January 2014 to 31 December 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 31 July 2015.

Revenue and expenses, fiscal year 2014
Figure	As filed	Where it comes from
Total patient revenue	$14,088,596	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$4,129,552	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$9,959,044	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$9,722,019	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$237,025	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	−$65,767	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$171,258	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $171,258 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2014
Figure	As filed	Where it comes from
Total facility beds, all components	100	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	30,430	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	557	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	39.04	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	54.63	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1106315, read from the public cost report file SNF10FY2014.zip.

Fiscal year 2013, ended 31 December 2013

Cost report for 1 January 2013 to 31 December 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 9 December 2015.

Revenue and expenses, fiscal year 2013
Figure	As filed	Where it comes from
Total patient revenue	$13,790,453	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$3,922,526	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$9,867,927	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$9,865,759	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$2,168	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$36,063	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$38,231	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $38,231 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2013
Figure	As filed	Where it comes from
Total facility beds, all components	100	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	30,679	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	510	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	33.62	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	60.15	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1114180, read from the public cost report file SNF10FY2013.zip.

Fiscal year 2012, ended 31 December 2012

Cost report for 1 January 2012 to 31 December 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 23 July 2013.

Revenue and expenses, fiscal year 2012
Figure	As filed	Where it comes from
Total patient revenue	$13,687,176	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$4,012,773	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$9,674,403	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$9,570,617	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$103,786	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$220,985	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$324,771	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $324,771 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2012
Figure	As filed	Where it comes from
Total facility beds, all components	100	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	28,359	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	518	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	40.89	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	54.75	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1041779, read from the public cost report file SNF10FY2012.zip.

Fiscal year 2011, ended 31 December 2011

Cost report for 1 January 2011 to 31 December 2011 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 31 October 2012.

Revenue and expenses, fiscal year 2011
Figure	As filed	Where it comes from
Total patient revenue	$13,607,555	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$3,976,463	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$9,631,092	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$9,622,052	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$9,040	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$6,427	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$15,467	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $15,467 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2011
Figure	As filed	Where it comes from
Total facility beds, all components	100	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	25,065	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	488	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	29.76	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	51.36	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1018348, read from the public cost report file SNF10FY2011.zip.

Fiscal year 2010, ended 31 December 2010

Cost report for 1 January 2010 to 31 December 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 8 September 2011.

Revenue and expenses, fiscal year 2010
Figure	As filed	Where it comes from
Net patient revenue	$6,483,355	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$7,970,779	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$1,487,424	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$22,489	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$1,464,935 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2010
Figure	As filed	Where it comes from
Total facility beds, all components	144	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	15,768	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	355	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	37.41	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	44.42	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 417146, read from the public cost report file SNFFY2010.zip.

Fiscal year 2009, ended 31 December 2009

Cost report for 23 November 2009 to 31 December 2009 — a reporting period of 38 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 18 November 2010.

None of these figures is carried on this report.

CMS report record 389808, read from the public cost report file SNFFY2010.zip.

Nurse staffing

Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.

The staffing record →

Ownership, as filed with CMS

Care Compare

As filed in the CMS file dated 1 August 2026 (Care Compare ownership).

Owner or manager	Role	Type	Ownership percentage	Association
NSHF OPERATIONS LLC	5% OR GREATER DIRECT OWNERSHIP INTEREST	Organization	100%	since 07/24/2017
MILLS, DAVID	5% OR GREATER INDIRECT OWNERSHIP INTEREST	Individual	20%	since 06/29/2017
CIBC BANK USA	5% OR GREATER SECURITY INTEREST	Organization	NOT APPLICABLE	since 12/03/2025
BAUMANN, TROY	ADP OF THE SNF	Individual	NOT APPLICABLE	since 10/01/2017
BELONGIA, CHRISTINA	ADP OF THE SNF	Individual	NOT APPLICABLE	since 11/01/2019
CANYON WOH, LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 10/21/2022
CLIFTONLARSONALLEN LLP	ADP OF THE SNF	Organization	NOT APPLICABLE	since 04/15/2025
CONTINUUM THERAPY PARTNERS LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 04/15/2025
GEE, DARREN	ADP OF THE SNF	Individual	NOT APPLICABLE	since 11/30/2021
GREER, LAUREN	ADP OF THE SNF	Individual	NOT APPLICABLE	since 11/29/2023
HAMM, CARA	ADP OF THE SNF	Individual	NOT APPLICABLE	since 01/01/2026
HOEHN, JEFFREY	ADP OF THE SNF	Individual	NOT APPLICABLE	since 10/01/2017
NORTH SHORE HEALTHCARE LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 04/15/2025
NSH REHAB LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 06/13/2025
NSHW WISCONSIN LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 05/12/2025
PATZER, COLLEEN	ADP OF THE SNF	Individual	NOT APPLICABLE	since 02/14/2023
PURTELL, BRIAN	ADP OF THE SNF	Individual	NOT APPLICABLE	since 06/01/2018
RAMNANAN, KESHNI	ADP OF THE SNF	Individual	NOT APPLICABLE	since 01/01/2023
WIPFLI LLP	ADP OF THE SNF	Organization	NOT APPLICABLE	since 04/15/2025
BAUMANN, TROY	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 06/29/2017
HOEHN, JEFFREY	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 06/29/2017
BAUMANN, TROY	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 10/01/2017
BELONGIA, CHRISTINA	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 11/01/2019
CIBC BANK USA	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 12/03/2025
CLIFTONLARSONALLEN LLP	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 05/22/2018
CONTINUUM THERAPY PARTNERS LLC	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 03/01/2025
GEE, DARREN	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 11/30/2021
GREER, LAUREN	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 11/29/2023
HAMM, CARA	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 01/01/2026
HOEHN, JEFFREY	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 10/01/2017
NORTH SHORE HEALTHCARE LLC	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 10/01/2017
NSH REHAB LLC	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 03/01/2025
PATZER, COLLEEN	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 02/14/2023
PURTELL, BRIAN	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 06/01/2018
RAMNANAN, KESHNI	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 01/01/2023
WIPFLI LLP	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 02/01/2025

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of NSH SUMMIT LLC (enrollment ID O20171026001577).

Owner	Individual or organization	Role	Ownership percentage	Association date	Described in the filing as
NSHF OPERATIONS LLC	Organization	5% OR GREATER DIRECT OWNERSHIP INTEREST	100	7/24/2017	Private equity company: No Real estate investment trust: No Holding company: No
DAVID MILLS	Individual	5% OR GREATER INDIRECT OWNERSHIP INTEREST	20	6/29/2017	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JEFFREY C HOEHN	Individual	5% OR GREATER INDIRECT OWNERSHIP INTEREST	40	6/29/2017	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
TROY T BAUMANN	Individual	5% OR GREATER INDIRECT OWNERSHIP INTEREST	40	6/29/2017	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
CIBC BANK USA	Organization	5% OR GREATER SECURITY INTEREST	100	12/3/2025	Private equity company: No Real estate investment trust: No Holding company: No
BRIAN PURTELL	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	6/1/2018	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
CANYON WOH, LLC	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	10/21/2022	Private equity company: No Real estate investment trust: No Holding company: No
CARA HAMM	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	1/1/2026	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
CHRISTINA BELONGIA	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	11/1/2019	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
CLIFTONLARSONALLEN LLP	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	4/15/2025	Private equity company: No Real estate investment trust: No Holding company: No
COLLEEN PATZER	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	2/14/2023	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
CONTINUUM THERAPY PARTNERS LLC	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	4/15/2025	Private equity company: No Real estate investment trust: No Holding company: No
DARREN GEE	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	11/30/2021	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JEFFREY C HOEHN	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	10/1/2017	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
KESHNI RAMNANAN	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	1/1/2023	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
LAUREN GREER	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	11/29/2023	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
NORTH SHORE HEALTHCARE LLC	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	4/15/2025	Private equity company: No Real estate investment trust: No Holding company: No
NSH REHAB LLC	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	6/13/2025	Private equity company: No Real estate investment trust: No Holding company: No
NSHW WISCONSIN LLC	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	5/12/2025	Private equity company: No Real estate investment trust: No Holding company: No
TROY T BAUMANN	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	10/1/2017	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
WIPFLI LLP	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	4/15/2025	Private equity company: No Real estate investment trust: No Holding company: No
JEFFREY C HOEHN	Individual	CORPORATE DIRECTOR	40	6/29/2017	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
TROY T BAUMANN	Individual	CORPORATE DIRECTOR	40	6/29/2017	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
BRIAN PURTELL	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	6/1/2018	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
CARA HAMM	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	1/1/2026	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
CHRISTINA BELONGIA	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	11/1/2019	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
CIBC BANK USA	Organization	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	12/3/2025	Private equity company: No Real estate investment trust: No Holding company: No
CLIFTONLARSONALLEN LLP	Organization	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	5/22/2018	Private equity company: No Real estate investment trust: No Holding company: No
COLLEEN PATZER	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	2/14/2023	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
CONTINUUM THERAPY PARTNERS LLC	Organization	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	3/1/2025	Private equity company: No Real estate investment trust: No Holding company: No
DARREN GEE	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	11/30/2021	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JEFFREY C HOEHN	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	10/1/2017	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
KESHNI RAMNANAN	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	1/1/2023	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
LAUREN GREER	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	11/29/2023	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
NORTH SHORE HEALTHCARE LLC	Organization	OPERATIONAL/MANAGERIAL CONTROL	100	10/1/2017	Private equity company: No Real estate investment trust: No Holding company: No
NSH REHAB LLC	Organization	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	3/1/2025	Private equity company: No Real estate investment trust: No Holding company: No
TROY T BAUMANN	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	10/1/2017	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
WIPFLI LLP	Organization	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	2/1/2025	Private equity company: No Real estate investment trust: No Holding company: No

Changes in ownership

1 July 2026: TROY T BAUMANN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: DARREN GEE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: DARREN GEE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: CIBC BANK USA appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: CIBC BANK USA appears as 5% OR GREATER SECURITY INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: CANYON WOH, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: NSHW WISCONSIN LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: COLLEEN PATZER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: COLLEEN PATZER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: CONTINUUM THERAPY PARTNERS LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: CONTINUUM THERAPY PARTNERS LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: NSH REHAB LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: NSH REHAB LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: KESHNI RAMNANAN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: KESHNI RAMNANAN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: WIPFLI LLP appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: WIPFLI LLP appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: BRIAN PURTELL appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: BRIAN PURTELL appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: CHRISTINA BELONGIA appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: CHRISTINA BELONGIA appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: TROY T BAUMANN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: TROY T BAUMANN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: TROY T BAUMANN appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: NORTH SHORE HEALTHCARE LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JEFFREY C HOEHN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JEFFREY C HOEHN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JEFFREY C HOEHN appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: LAUREN GREER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: LAUREN GREER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: CARA HAMM appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: CARA HAMM appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: CLIFTONLARSONALLEN LLP appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: CLIFTONLARSONALLEN LLP appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv

Recent changes on this record

1 July 2026: TROY T BAUMANN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: DARREN GEE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: DARREN GEE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: CIBC BANK USA appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: CIBC BANK USA appears as 5% OR GREATER SECURITY INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: CANYON WOH, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: NSHW WISCONSIN LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: COLLEEN PATZER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: COLLEEN PATZER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: CONTINUUM THERAPY PARTNERS LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: CONTINUUM THERAPY PARTNERS LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: NSH REHAB LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: NSH REHAB LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: KESHNI RAMNANAN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: KESHNI RAMNANAN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: WIPFLI LLP appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: WIPFLI LLP appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: BRIAN PURTELL appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: BRIAN PURTELL appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: CHRISTINA BELONGIA appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: CHRISTINA BELONGIA appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: TROY T BAUMANN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: TROY T BAUMANN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: TROY T BAUMANN appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: NORTH SHORE HEALTHCARE LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JEFFREY C HOEHN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JEFFREY C HOEHN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JEFFREY C HOEHN appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: LAUREN GREER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: LAUREN GREER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: CARA HAMM appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: CARA HAMM appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: CLIFTONLARSONALLEN LLP appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: CLIFTONLARSONALLEN LLP appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
29 August 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
10 September 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
9 August 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
28 June 2023: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
16 November 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
29 October 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies	Fire safety deficiencies
1	27 August 2025	27 August 2025	2	4
2	20 June 2024	20 June 2024	26	7
3	12 April 2023	12 April 2023	14	5

From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.

Deficiencies cited

42 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
27 August 2025	Health	F 0759	Pharmacy Service Deficiencies	Ensure medication error rates are not 5 percent or greater.	D	No	Deficient, Provider has date of correction	16 September 2025
27 August 2025	Health	F 0761	Pharmacy Service Deficiencies	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	No	Deficient, Provider has date of correction	16 September 2025
12 March 2025	Health	F 0578	Resident Rights Deficiencies	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.	J	Yes	Deficient, Provider has date of correction	2 April 2025
12 March 2025	Health	F 0678	Quality of Life and Care Deficiencies	Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.	E	Yes	Deficient, Provider has date of correction	2 April 2025
12 March 2025	Health	F 0760	Pharmacy Service Deficiencies	Ensure that residents are free from significant medication errors.	D	Yes	Deficient, Provider has date of correction	2 April 2025
4 November 2024	Health	F 0580	Resident Rights Deficiencies	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.	D	Yes	Deficient, Provider has date of correction	12 December 2024
4 November 2024	Health	F 0585	Resident Rights Deficiencies	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.	D	Yes	Deficient, Provider has date of correction	12 December 2024
4 November 2024	Health	F 0600	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.	J	Yes	Deficient, Provider has date of correction	12 December 2024
4 November 2024	Health	F 0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.	F	Yes	Deficient, Provider has date of correction	12 December 2024
4 November 2024	Health	F 0610	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Respond appropriately to all alleged violations.	F	Yes	Deficient, Provider has date of correction	12 December 2024
4 November 2024	Health	F 0620	Resident Rights Deficiencies	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.	D	Yes	Deficient, Provider has date of correction	12 December 2024
4 November 2024	Health	F 0657	Resident Assessment and Care Planning Deficiencies	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.	D	Yes	Deficient, Provider has date of correction	12 December 2024
4 November 2024	Health	F 0660	Resident Assessment and Care Planning Deficiencies	Plan the resident's discharge to meet the resident's goals and needs.	D	Yes	Deficient, Provider has date of correction	12 December 2024
4 November 2024	Health	F 0677	Quality of Life and Care Deficiencies	Provide care and assistance to perform activities of daily living for any resident who is unable.	D	Yes	Deficient, Provider has date of correction	12 December 2024
4 November 2024	Health	F 0684	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	J	Yes	Deficient, Provider has date of correction	12 December 2024
4 November 2024	Health	F 0689	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	G	Yes	Deficient, Provider has date of correction	12 December 2024
4 November 2024	Health	F 0690	Quality of Life and Care Deficiencies	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.	D	Yes	Deficient, Provider has date of correction	12 December 2024
4 November 2024	Health	F 0725	Nursing and Physician Services Deficiencies	Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.	E	Yes	Deficient, Provider has date of correction	12 December 2024
4 November 2024	Health	F 0825	Quality of Life and Care Deficiencies	Provide or get specialized rehabilitative services as required for a resident.	D	Yes	Deficient, Provider has date of correction	12 December 2024
20 June 2024	Health	F 0623	Resident Rights Deficiencies	Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.	E	No	Deficient, Provider has date of correction	19 July 2024
20 June 2024	Health	F 0625	Resident Rights Deficiencies	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	No	Deficient, Provider has date of correction	19 July 2024
20 June 2024	Health	F 0678	Quality of Life and Care Deficiencies	Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.	D	Yes	Deficient, Provider has date of correction	19 July 2024
20 June 2024	Health	F 0686	Quality of Life and Care Deficiencies	Provide appropriate pressure ulcer care and prevent new ulcers from developing.	D	Yes	Deficient, Provider has date of correction	19 July 2024
20 June 2024	Health	F 0689	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	D	Yes	Deficient, Provider has date of correction	19 July 2024
20 June 2024	Health	F 0692	Quality of Life and Care Deficiencies	Provide enough food/fluids to maintain a resident's health.	D	No	Deficient, Provider has date of correction	19 July 2024
20 June 2024	Health	F 0697	Quality of Life and Care Deficiencies	Provide safe, appropriate pain management for a resident who requires such services.	D	Yes	Deficient, Provider has date of correction	19 July 2024
20 June 2024	Health	F 0756	Pharmacy Service Deficiencies	Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.	D	No	Deficient, Provider has date of correction	19 July 2024
20 June 2024	Health	F 0761	Pharmacy Service Deficiencies	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	No	Deficient, Provider has date of correction	19 July 2024
29 February 2024	Health	F 0552	Resident Rights Deficiencies	Ensure that residents are fully informed and understand their health status, care and treatments.	D	Yes	Deficient, Provider has date of correction	26 March 2024
29 February 2024	Health	F 0580	Resident Rights Deficiencies	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.	D	Yes	Deficient, Provider has date of correction	26 March 2024
29 February 2024	Health	F 0677	Quality of Life and Care Deficiencies	Provide care and assistance to perform activities of daily living for any resident who is unable.	D	Yes	Deficient, Provider has date of correction	26 March 2024
29 February 2024	Health	F 0755	Pharmacy Service Deficiencies	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	D	Yes	Deficient, Provider has date of correction	26 March 2024
29 February 2024	Health	F 0842	Resident Assessment and Care Planning Deficiencies	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.	D	Yes	Deficient, Provider has date of correction	26 March 2024
9 October 2023	Health	F 0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.	D	Yes	Deficient, Provider has date of correction	8 November 2023
9 October 2023	Health	F 0610	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Respond appropriately to all alleged violations.	E	Yes	Deficient, Provider has date of correction	8 November 2023
9 October 2023	Health	F 0842	Resident Assessment and Care Planning Deficiencies	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.	D	Yes	Deficient, Provider has date of correction	8 November 2023
12 April 2023	Health	F 0755	Pharmacy Service Deficiencies	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	D	No	Deficient, Provider has date of correction	10 May 2023
12 April 2023	Health	F 0758	Pharmacy Service Deficiencies	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.	D	No	Deficient, Provider has date of correction	10 May 2023
12 April 2023	Health	F 0759	Pharmacy Service Deficiencies	Ensure medication error rates are not 5 percent or greater.	D	No	Deficient, Provider has date of correction	10 May 2023
12 April 2023	Health	F 0804	Nutrition and Dietary Deficiencies	Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.	E	No	Deficient, Provider has date of correction	10 May 2023
12 April 2023	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	F	No	Deficient, Provider has date of correction	10 May 2023
12 April 2023	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D	No	Deficient, Provider has date of correction	10 May 2023

From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.

Penalties

Penalty date	Type	Fine amount	Payment denial began	Payment denial, days	Fine ID
12 March 2025	Fine	$16,985			136194
4 November 2024	Fine	$103,883			61245
4 November 2024	Payment Denial		4 December 2024	8

From the Care Compare penalties file NH_Penalties_Aug2026.csv, processed on 1 August 2026.

Care Compare provider information

Field	As filed
Provider Type	Medicare and Medicaid
Ownership Type	For profit - Corporation
Legal Business Name	NSH SUMMIT LLC
Date First Approved to Provide Medicare and Medicaid Services	2009-11-23
Provider Resides in Hospital	N
Continuing Care Retirement Community	N
Urban	Y
County/Parish	Waukesha
Telephone Number	2625602400
Chain Name	NORTH SHORE HEALTHCARE
Chain ID	377
Provider Changed Ownership in Last 12 Months	N
With a Resident and Family Council	Resident
Automatic Sprinkler Systems in All Required Areas	Yes
Number of Certified Beds	100
Average Number of Residents per Day	85.9
Overall Rating	2
Health Inspection Rating	2
QM Rating	3
Long-Stay QM Rating	2
Short-Stay QM Rating	4
Processing Date	2026-08-01

From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on 1 August 2026.

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On 1 July 2026: TROY T BAUMANN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. That is one line of the alert.

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