About Lake Country Health Services
Lake Country Health Services, located in OCONOMOWOC, WI, is a for-profit organization that accepts Medicare and Medicaid.
Why Families Choose Lake Country Health Services
Key Performance Indicators
- CMS Overall Rating 2 Stars
- Nursing Hours 3.51 hrs
- Safety Record Clean
Chain Affiliations & Network
This facility is part of the NORTH SHORE HEALTHCARE network. This chain operates 59 facilities.
Chain Performance Overview
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Nursing Staff Analysis
Staffing levels are a critical indicator of quality care. We analyze the daily hours of care provided by Registered Nurses (RNs), Licensed Practical Nurses (LPNs), and Certified Nursing Assistants (CNAs).
Below Average Staffing
Lake Country Health Services provides less care hours than the state average and less than the national average.
Registered Nurses (RN)
Licensed Practical Nurses
Certified Assistants
CMS Quality Ratings
| Category | Rating | Stars |
|---|---|---|
| Overall Rating | 2 |
|
| Health Inspection | 2 |
|
| Quality Measures | 3 |
|
| Staffing | 3 |
|
Health Inspection History
| Inspection Cycle | Score | Date |
|---|---|---|
| Cycle 1 (Most Recent) | 8 | Aug 27, 2025 |
| Weighted Average | 104 | Combined Score |
Detailed Quality Measures
Rates are from CMS quality measures (claims-based and MDS-based) for the reporting period ending May 01, 2026. Some measures may be omitted when CMS does not report a numeric rate for this facility.
Medicare claims-based measures
Typically includes short-stay outcomes, hospitalizations, and ED use from Medicare claims.
| Measure | Rate |
|---|---|
| Percentage of short-stay residents who were rehospitalized after a nursi... (QM521) | 21.6% |
| Percentage of short-stay residents who had an outpatient emergency depar... (QM522) | 12.4% |
| Number of hospitalizations per 1000 long-stay resident days (QM551) | 2.2% |
| Number of outpatient emergency department visits per 1000 long-stay resi... (QM552) | 1.0% |
MDS-based measures
Resident assessment data; often used for long-stay care quality.
| Measure | Rate |
|---|---|
| Percentage of long-stay residents whose need for help with daily activit... (QM401) | 15.8% |
| Percentage of long-stay residents who lose too much weight (QM404) | 2.4% |
| Percentage of long-stay residents with a catheter inserted and left in t... (QM406) | 6.5% |
| Percentage of long-stay residents with a urinary tract infection (QM407) | 6.5% |
| Percentage of long-stay residents who have depressive symptoms (QM408) | 11.7% |
| Percentage of long-stay residents who were physically restrained (QM409) | 0.0% |
| Percentage of long-stay residents experiencing one or more falls with ma... (QM410) | 4.2% |
| Percentage of long-stay residents assessed and appropriately given the p... (QM415) | 99.6% |
| Percentage of short-stay residents assessed and appropriately given the... (QM430) | 97.1% |
| Percentage of short-stay residents who newly received an antipsychotic m... (QM434) | 1.5% |
| Percentage of long-stay residents whose ability to walk independently wo... (QM451) | 30.9% |
| Percentage of long-stay residents who received an antianxiety or hypnoti... (QM452) | 13.9% |
| Percentage of long-stay residents assessed and appropriately given the s... (QM454) | 97.1% |
| Percentage of short-stay residents who were assessed and appropriately g... (QM472) | 91.7% |
| Percentage of long-stay residents with pressure ulcers (QM479) | 5.8% |
| Percentage of long-stay residents with new or worsened bowel or bladder... (QM480) | 26.7% |
| Percentage of long-stay residents who received an antipsychotic medicati... (QM481) | 14.1% |
Complaints & Deficiencies
Complaint History by Year
This chart shows the number of complaints filed each year.
Summary:
- 2023: 3 complaints
- 2024: 23 complaints
- 2025: 3 complaints
- Total: 29 complaints on record
Recent Complaints (Since Jan 2023)
| Date | Description |
|---|---|
| Apr 02, 2025 | Ensure that residents are free from significant medication errors. |
| Apr 02, 2025 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. |
| Apr 02, 2025 | 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. |
| Dec 12, 2024 | 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. |
| Dec 12, 2024 | Provide care and assistance to perform activities of daily living for any resident who is unable. |
| Dec 12, 2024 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. |
| Dec 12, 2024 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. |
| Dec 12, 2024 | Respond appropriately to all alleged violations. |
| Dec 12, 2024 | 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. |
| Dec 12, 2024 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. |
| Dec 12, 2024 | Plan the resident's discharge to meet the resident's goals and needs. |
| Dec 12, 2024 | Provide appropriate treatment and care according to orders, resident?s preferences and goals. |
| Dec 12, 2024 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| Dec 12, 2024 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. |
| Dec 12, 2024 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. |
| Dec 12, 2024 | Provide or get specialized rehabilitative services as required for a resident. |
| Dec 12, 2024 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. |
| Jul 19, 2024 | Provide safe, appropriate pain management for a resident who requires such services. |
| Jul 19, 2024 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| Jul 19, 2024 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. |
| Jul 19, 2024 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. |
| Mar 26, 2024 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. |
| Mar 26, 2024 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. |
| Mar 26, 2024 | Ensure that residents are fully informed and understand their health status, care and treatments. |
| Mar 26, 2024 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. |
| Mar 26, 2024 | Provide care and assistance to perform activities of daily living for any resident who is unable. |
| Nov 08, 2023 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. |
| Nov 08, 2023 | Respond appropriately to all alleged violations. |
| Nov 08, 2023 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. |
Nearby Hospitals
FROEDTERT MEMORIAL LUTHERAN HOSPITAL
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WATERTOWN MEMORIAL HOSPITAL
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AURORA MEDICAL CTR WASHINGTON COUNTY
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WEST ALLIS MEMORIAL HOSPITAL
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COMMUNITY MEMORIAL HOSPITAL
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FORT MEMORIAL HOSPITAL
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ST JOSEPHS COMMUNITY HOSPITAL WEST BEND
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WAUKESHA MEMORIAL HOSPITAL
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OCONOMOWOC MEMORIAL HOSPITAL
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AURORA MEDICAL CENTER - SUMMIT
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FROEDTERT COMMUNITY HOSPITAL
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ASCENSION WISCONSIN HOSP MENOMONEE FALLS CAMPUS
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CHILDRENS HOSPITAL OF WISCONSIN
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AURORA PSYCHIATRIC HOSPITAL
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ROGERS MEMORIAL HOSPITAL
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WAUKESHA COUNTY MENTAL HEALTH CTR
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GRANITE HILLS HOSPITAL
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Owner & Operator Information
Business Entity
NSH SUMMIT LLC
Ownership Structure
- DAVID MILLS Indirect
- NSHF OPERATIONS LLC Direct: 100%
Management & Direction
- TROY BAUMANN W-2 MANAGING EMPLOYEE
- NORTH SHORE HEALTHCARE LLC OPERATIONAL/MANAGERIAL CONTROL
Associated Doctors
Local Comparison
| Facility | Distance | Rating |
|---|---|---|
| Clearview Brain Injury Center | N/A | 5 |
| Clement Manor Health Care Center | N/A | 5 |
| Lasata Care Center | N/A | 5 |
| Masonic Center For Health and Rehab Inc | N/A | 5 |
| Complete Care at Germantown | N/A | 4 |
| Shorehaven Hlth and Rehab Ctr | N/A | 5 |
| Cedarburg Health Services | N/A | 3 |
| Clearview | N/A | 5 |
| Complete Care at Hales Corners | N/A | 3 |
| Cedar Lake Health and Rehab Center | N/A | 4 |
Related Analysis
Best Nursing Homes in OCONOMOWOC, WI
Compare Lake Country Health Services to the top-rated facilities in the area.
Ownership Details
Complete list of registered owners, including direct and indirect ownership.
Noted Deficiencies
Detailed history of deficiencies with descriptions and correction dates.
Nursing Hours Analysis
Detailed breakdown of staffing hours per resident by role.
Frequently Asked Questions
- Skilled Nursing Care: 24/7 medical supervision and complex medical treatments
- Long-term Residential Care: Assistance with daily living activities for extended stays
- Short-term Rehabilitation: Recovery services after hospital stays or surgeries
- Memory Care: Specialized programs for residents with dementia and Alzheimer's disease
- Level of care needed (skilled nursing vs. long-term care)
- Room type (private vs. semi-private)
- Insurance coverage (Medicare, Medicaid, private insurance)
- Length of stay and specific services required
For current rates and to discuss payment options, contact Lake Country Health Services directly at 2625602400. Their admissions team can help determine coverage and out-of-pocket expenses.
Environment & Cleanliness
- Overall cleanliness and odors
- Resident room conditions
- Common area maintenance
- Safety features and accessibility
Staff & Care Quality
- Staff-to-resident ratios
- How staff interact with residents
- Response time to resident needs
- Staff knowledge and professionalism
Ask to speak with current residents and their families, tour at different times of day, and review the facility's most recent inspection reports.