C74

HAMILTON HEALTH SERVICES

Grade C 74/100 composite score

For profit - Limited Liability company

CMS Star Ratings

Overall
2/5
Health Insp.
3/5
Quality
1/5
Staffing
3/5
RN Staffing
Not rated

Certified Beds

125

Ownership

For profit - Limited Liability company

Total Fines

None

Last Survey

N/A

1 HAMILTON DR, TWO RIVERS, WI 54241
9207932261

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
1.27h
LPN
0.44h
CNA
2.04h
Total
3.75h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

NSHR OPERATIONS LLC

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Oct 2019

100%

ARROWHEAD 123 LLC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Oct 2019

THE LANE MORRELL BOWEN TRUST

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Oct 2019

BAUMANN, TROY

Individual5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Oct 2019

HOEHN, JEFFREY

Individual5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Oct 2019

MILLS, DAVID

Individual5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Oct 2019

NORTH SHORE HEALTHCARE LLC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Dec 2019

BAUMANN, TROY

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Oct 2019

HOEHN, JEFFREY

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Oct 2019

MILLS, DAVID

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Oct 2019

BAUMANN, TROY

IndividualCORPORATE DIRECTORSince Oct 2019

HOEHN, JEFFREY

IndividualCORPORATE DIRECTORSince Oct 2019

Penalties & Fines

No penalties or fines on record.

Health Inspection Deficiencies (28)

September 11, 2024Health9 deficiencies
0582DMinimal harm, Isolated

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Resident Rights Deficiencies

Corrected Oct 11, 2024
0637DMinimal harm, Isolated

Assess the resident when there is a significant change in condition

Resident Assessment and Care Planning Deficiencies

Corrected Oct 11, 2024
0641EMinimal harm, Pattern

Ensure each resident receives an accurate assessment.

Resident Assessment and Care Planning Deficiencies

Corrected Oct 11, 2024
0692DMinimal harm, Isolated

Provide enough food/fluids to maintain a resident's health.

Quality of Life and Care Deficiencies

Corrected Oct 11, 2024
0756EMinimal harm, Pattern

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Pharmacy Service Deficiencies

Corrected Oct 11, 2024
0757DMinimal harm, Isolated

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Pharmacy Service Deficiencies

Corrected Oct 11, 2024
0758DMinimal harm, Isolated

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.

Pharmacy Service Deficiencies

Corrected Oct 11, 2024
0759DMinimal harm, Isolated

Ensure medication error rates are not 5 percent or greater.

Pharmacy Service Deficiencies

Corrected Oct 11, 2024
0883DMinimal harm, Isolated

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Infection Control Deficiencies

Corrected Oct 11, 2024
July 8, 2024Health4 deficiencies1 severe
0609DMinimal harm, Isolated

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Jul 29, 2024
0610DMinimal harm, Isolated

Respond appropriately to all alleged violations.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Jul 29, 2024
0689GActual harm, Isolated

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Corrected Jul 29, 2024
0712DMinimal harm, Isolated

Ensure that the resident and his/her doctor meet face-to-face at all required visits.

Nursing and Physician Services Deficiencies

Corrected Jul 29, 2024
February 20, 2024Health1 deficiency
0770DMinimal harm, Isolated

Provide timely, quality laboratory services/tests to meet the needs of residents.

Administration Deficiencies

Corrected Mar 18, 2024
July 12, 2023Health5 deficiencies
0684DMinimal harm, Isolated

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Quality of Life and Care Deficiencies

Corrected Aug 7, 2023
0689DMinimal harm, Isolated

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Corrected Aug 7, 2023
0759DMinimal harm, Isolated

Ensure medication error rates are not 5 percent or greater.

Pharmacy Service Deficiencies

Corrected Aug 7, 2023
0812FMinimal harm, Widespread

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies

Corrected Aug 7, 2023
0880FMinimal harm, Widespread

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Aug 7, 2023
June 15, 2022Health9 deficiencies
0551DMinimal harm, Isolated

Give the resident's representative the ability to exercise the resident's rights.

Resident Rights Deficiencies

Corrected Jul 15, 2022
0552EMinimal harm, Pattern

Ensure that residents are fully informed and understand their health status, care and treatments.

Resident Rights Deficiencies

Corrected Jul 15, 2022
0645EMinimal harm, Pattern

PASARR screening for Mental disorders or Intellectual Disabilities

Resident Assessment and Care Planning Deficiencies

Corrected Jul 15, 2022
0656EMinimal harm, Pattern

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Resident Assessment and Care Planning Deficiencies

Corrected Jul 6, 2022
0695DMinimal harm, Isolated

Provide safe and appropriate respiratory care for a resident when needed.

Quality of Life and Care Deficiencies

Corrected Jul 15, 2022
0758DMinimal harm, Isolated

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.

Pharmacy Service Deficiencies

Corrected Jul 15, 2022
0761DMinimal harm, Isolated

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.

Pharmacy Service Deficiencies

Corrected Jul 6, 2022
0812FMinimal harm, Widespread

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies

Corrected Jun 29, 2022
0849DMinimal harm, Isolated

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.

Administration Deficiencies

Corrected Jul 15, 2022

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Frequently Asked Questions

What is the CareGrader rating for HAMILTON HEALTH SERVICES?

HAMILTON HEALTH SERVICES in TWO RIVERS, Wisconsin has a CareGrader grade of C (Average), with a composite score of 73.8 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 HAMILTON HEALTH SERVICES?

HAMILTON HEALTH SERVICES has an overall CMS star rating of 2 out of 5, a health inspection rating of 3/5, and a staffing rating of 3/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does HAMILTON HEALTH SERVICES have?

HAMILTON HEALTH SERVICES has 28 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.

How many beds does HAMILTON HEALTH SERVICES have?

HAMILTON HEALTH SERVICES has 125 certified beds with approximately 21 current residents (17% occupancy). The facility is located at 1 HAMILTON DR, TWO RIVERS, Wisconsin 54241. 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.