LANCASTER HEALTH SERVICES
Grade D — 66/100 composite score
CMS Star Ratings
Certified Beds
50
Ownership
For profit - Limited Liability company
Total Fines
$21,645
Last Survey
N/A
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Staffing Hours & Turnover
Hours per Resident per Day (PBJ)
Turnover Rates
Ownership
NSHR OPERATIONS LLC
100%
ARROWHEAD 123 LLC
THE LANE MORRELL BOWEN TRUST
BAUMANN, TROY
HOEHN, JEFFREY
MILLS, DAVID
NORTH SHORE HEALTHCARE LLC
BAUMANN, TROY
HOEHN, JEFFREY
MILLS, DAVID
BAUMANN, TROY
HOEHN, JEFFREY
Penalties & Fines (1)
| Date | Type | Description | Amount |
|---|---|---|---|
| Aug 19, 2025 | Fine | — | $21,645 |
Health Inspection Deficiencies (18)
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.
Resident Rights Deficiencies
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
Implement a program that monitors antibiotic use.
Infection Control Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Administration Deficiencies
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies
Ensure staff are vaccinated for COVID-19
Infection Control Deficiencies
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Frequently Asked Questions
What is the CareGrader rating for LANCASTER HEALTH SERVICES?
LANCASTER HEALTH SERVICES in LANCASTER, Wisconsin has a CareGrader grade of D (Below Average), with a composite score of 66.3 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.
What is the CMS star rating for LANCASTER HEALTH SERVICES?
LANCASTER HEALTH SERVICES has an overall CMS star rating of 2 out of 5, a health inspection rating of 2/5, and a staffing rating of 4/5. CareGrader combines this with additional data to calculate an A-F grade.
How many health deficiencies does LANCASTER HEALTH SERVICES have?
LANCASTER HEALTH SERVICES has 18 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.
Has LANCASTER HEALTH SERVICES been fined?
Yes. LANCASTER HEALTH SERVICES has $21,645 in total fines from CMS enforcement actions across 1 penalty.
How many beds does LANCASTER HEALTH SERVICES have?
LANCASTER HEALTH SERVICES has 50 certified beds with approximately 39 current residents (78% occupancy). The facility is located at 1350 S MADISON ST, LANCASTER, Wisconsin 53813. It is a for profit - limited liability company facility.
Data Disclaimer
Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.