LAKE MILLS HEALTH SERVICES

πŸ“ 901 MULBERRY ST, lake-mills, WI 53551 πŸ“ž 9206488344 πŸ›οΈ 50 beds

Overall Rating

⭐
1/5

Health Inspection

⭐
1/5

Staffing

⭐⭐⭐
3/5

Quality Measures

⭐⭐⭐
3/5

Inspection History Overview

88
Total Violations
10 years of data
$184,863
Total Fines
5 penalties
8
Inspections
Since 2014
21
Quality Metrics
Tracked measures

Health Violations by Year

2025 3 violations

Tag 0689 D Mar 26, 2025

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

βœ“ Corrected: Apr 14, 2025
Tag 0851 C Mar 26, 2025

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

βœ“ Corrected: Apr 14, 2025
Tag 0880 D Mar 26, 2025

Provide and implement an infection prevention and control program.

βœ“ Corrected: Apr 14, 2025

2024 3 violations

Tag 0758 D Feb 8, 2024

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.

βœ“ Corrected: Mar 8, 2024
Tag 0760 D Feb 8, 2024

Ensure that residents are free from significant medication errors.

βœ“ Corrected: Mar 8, 2024
Tag 0882 E Feb 8, 2024

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

βœ“ Corrected: Mar 8, 2024

2023 3 violations

Tag 0563 D Oct 10, 2023

Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.

βœ“ Corrected: Nov 9, 2023
Tag 0755 D Oct 10, 2023

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

βœ“ Corrected: Nov 9, 2023
Tag 0880 D Oct 10, 2023

Provide and implement an infection prevention and control program.

βœ“ Corrected: Nov 9, 2023

2022 10 violations

Tag 0572 C Oct 17, 2022

Give residents a notice of rights, rules, services and charges.

βœ“ Corrected: Nov 11, 2022
Tag 0679 D Oct 17, 2022

Provide activities to meet all resident's needs.

βœ“ Corrected: Nov 11, 2022
Tag 0686 D Oct 17, 2022

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

βœ“ Corrected: Nov 11, 2022
Tag 0689 D Oct 17, 2022

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

βœ“ Corrected: Nov 11, 2022
Tag 0695 D Oct 17, 2022

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

βœ“ Corrected: Nov 11, 2022
Tag 0609 D Mar 22, 2022

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

βœ“ Corrected: Apr 15, 2022
Tag 0610 D Mar 22, 2022

Respond appropriately to all alleged violations.

βœ“ Corrected: Apr 15, 2022
Tag 0622 J Mar 22, 2022

Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

βœ“ Corrected: Apr 15, 2022
Tag 0730 C Mar 22, 2022

Observe each nurse aide's job performance and give regular training.

βœ“ Corrected: Apr 15, 2022
Tag 0745 J Mar 22, 2022

Provide medically-related social services to help each resident achieve the highest possible quality of life.

βœ“ Corrected: Apr 15, 2022

2021 25 violations

Tag 0580 D Aug 31, 2021

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

βœ“ Corrected: Sep 27, 2021
Tag 0689 G Aug 31, 2021

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

βœ“ Corrected: Sep 27, 2021
Tag 0578 D Jul 1, 2021

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.

βœ“ Corrected: Aug 10, 2021
Tag 0585 D Jul 1, 2021

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.

βœ“ Corrected: Aug 10, 2021
Tag 0607 D Jul 1, 2021

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

βœ“ Corrected: Aug 10, 2021
Tag 0609 E Jul 1, 2021

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

βœ“ Corrected: Aug 10, 2021
Tag 0610 E Jul 1, 2021

Respond appropriately to all alleged violations.

βœ“ Corrected: Aug 10, 2021
Tag 0684 D Jul 1, 2021

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

βœ“ Corrected: Aug 10, 2021
Tag 0686 D Jul 1, 2021

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

βœ“ Corrected: Aug 10, 2021
Tag 0689 D Jul 1, 2021

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

βœ“ Corrected: Aug 10, 2021
Tag 0690 D Jul 1, 2021

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

βœ“ Corrected: Aug 10, 2021
Tag 0757 D Jul 1, 2021

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

βœ“ Corrected: Aug 10, 2021
Tag 0838 C Jul 1, 2021

Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies.

βœ“ Corrected: Aug 10, 2021
Tag 0880 D Jul 1, 2021

Provide and implement an infection prevention and control program.

βœ“ Corrected: Aug 10, 2021
Tag 0881 D Jul 1, 2021

Implement a program that monitors antibiotic use.

βœ“ Corrected: Aug 10, 2021
Tag 0883 D Jul 1, 2021

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

βœ“ Corrected: Aug 10, 2021
Tag 0886 D Jul 1, 2021

Perform COVID19 testing on residents and staff.

βœ“ Corrected: Aug 10, 2021
Tag 0580 G Jan 12, 2021

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Tag 0610 D Jan 12, 2021

Respond appropriately to all alleged violations.

Tag 0656 D Jan 12, 2021

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

2020 4 violations

Tag 0684 D Oct 20, 2020

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

βœ“ Corrected: Oct 21, 2020
Tag 0609 D Aug 25, 2020

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

βœ“ Corrected: Sep 25, 2020
Tag 0610 D Aug 25, 2020

Respond appropriately to all alleged violations.

βœ“ Corrected: Sep 25, 2020
Tag 0689 G Aug 25, 2020

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

βœ“ Corrected: Sep 25, 2020

2019 19 violations

Tag 0550 D Apr 8, 2019

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

βœ“ Corrected: May 3, 2019
Tag 0582 B Apr 8, 2019

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

βœ“ Corrected: May 3, 2019
Tag 0607 D Apr 8, 2019

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

βœ“ Corrected: May 3, 2019
Tag 0609 D Apr 8, 2019

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

βœ“ Corrected: May 3, 2019
Tag 0610 D Apr 8, 2019

Respond appropriately to all alleged violations.

βœ“ Corrected: May 3, 2019
Tag 0656 E Apr 8, 2019

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

βœ“ Corrected: May 3, 2019
Tag 0657 D Apr 8, 2019

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

βœ“ Corrected: May 3, 2019
Tag 0686 E Apr 8, 2019

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

βœ“ Corrected: May 3, 2019
Tag 0689 D Apr 8, 2019

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

βœ“ Corrected: May 3, 2019
Tag 0695 D Apr 8, 2019

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

βœ“ Corrected: May 3, 2019
Tag 0698 D Apr 8, 2019

Provide safe, appropriate dialysis care/services for a resident who requires such services.

βœ“ Corrected: May 3, 2019
Tag 0700 D Apr 8, 2019

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

βœ“ Corrected: May 3, 2019
Tag 0740 D Apr 8, 2019

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

βœ“ Corrected: May 3, 2019
Tag 0755 E Apr 8, 2019

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

βœ“ Corrected: May 3, 2019
Tag 0757 D Apr 8, 2019

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

βœ“ Corrected: May 3, 2019
Tag 0758 D Apr 8, 2019

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.

βœ“ Corrected: May 3, 2019
Tag 0759 E Apr 8, 2019

Ensure medication error rates are not 5 percent or greater.

βœ“ Corrected: May 3, 2019
Tag 0880 D Apr 8, 2019

Provide and implement an infection prevention and control program.

βœ“ Corrected: May 3, 2019
Tag 0909 D Apr 8, 2019

Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.

βœ“ Corrected: May 3, 2019

2018 14 violations

Tag 0580 G Nov 20, 2018

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

βœ“ Corrected: Jan 5, 2019
Tag 0686 D Nov 20, 2018

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

βœ“ Corrected: Jan 5, 2019
Tag 0755 D Nov 20, 2018

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

βœ“ Corrected: Jan 5, 2019
Tag 0759 D Nov 20, 2018

Ensure medication error rates are not 5 percent or greater.

βœ“ Corrected: Jan 5, 2019
Tag 0842 D Nov 20, 2018

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

βœ“ Corrected: Jan 5, 2019
Tag 0689 D Jun 19, 2018

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

βœ“ Corrected: Jul 9, 2018
Tag 0553 E Feb 15, 2018

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

βœ“ Corrected: Mar 14, 2018
Tag 0607 C Feb 15, 2018

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

βœ“ Corrected: Mar 14, 2018
Tag 0623 D Feb 15, 2018

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

βœ“ Corrected: Mar 14, 2018
Tag 0641 D Feb 15, 2018

Ensure each resident receives an accurate assessment.

βœ“ Corrected: Mar 14, 2018
Tag 0656 E Feb 15, 2018

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

βœ“ Corrected: Mar 14, 2018
Tag 0686 E Feb 15, 2018

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

βœ“ Corrected: Mar 14, 2018
Tag 0689 E Feb 15, 2018

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

βœ“ Corrected: Mar 14, 2018
Tag 0690 D Feb 15, 2018

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

βœ“ Corrected: Mar 14, 2018

2017 5 violations

Tag 0157 D Jul 26, 2017

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

βœ“ Corrected: Sep 15, 2017
Tag 0309 D Jul 26, 2017

Provide necessary care and services to maintain or improve the highest well being of each resident .

βœ“ Corrected: Sep 15, 2017
Tag 0329 D Jul 26, 2017

Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.

βœ“ Corrected: Sep 15, 2017
Tag 0279 D Jun 23, 2017

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

βœ“ Corrected: Jul 27, 2017
Tag 0323 E Jun 23, 2017

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

βœ“ Corrected: Jul 27, 2017

2016 2 violations

Tag 0314 G Nov 30, 2016

Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.

βœ“ Corrected: Dec 27, 2016
Tag 0329 D Nov 30, 2016

Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.

βœ“ Corrected: Dec 27, 2016

Detailed Inspection Reports

No detailed inspection reports available yet. Check back soon as we're processing new reports daily.

Fines and Penalties by Year

2022 3 penalties totaling $109,920

$80,600
Fine
October 17, 2022
$0
Payment Denial
October 17, 2022
$29,320
Fine
March 22, 2022
Average: $36,640 | Range: $0 - $80,600

2021 2 penalties totaling $74,943

$15,000
Fine
July 1, 2021
$59,943
Fine
January 12, 2021
Average: $37,472 | Range: $15,000 - $59,943

Fire Safety Deficiencies

Unknown Date

No description available

Inspection Survey Reports

Health

February 8, 2024
0.00

Health

October 10, 2023
0.00

Health

October 17, 2022
0.00

Health

March 22, 2022
0.00

Health

August 31, 2021
0.00

Health

July 1, 2021
0.00

Health

January 12, 2021
0.00

Health

April 8, 2019
0.00

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Ownership Information

For profit - Corporation
Independent (Not part of a chain)
525314
525314
9206488344
Jefferson

Historical Ownership Records

August 25, 2025
Organization
August 25, 2025
Individual
August 25, 2025
Individual