Deficiency Index

Hammond Health Services

Hammond, Wisconsin · CCN 525499

15 surveys since 2011, 5 of them producing a finding at harm level or worse.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
46
Surveys
15
Harm or worse
5
Immediate jeopardy
2
The record, 2011–2025
’11’15’20’25
No harm recordedHarm or worseNot surveyed
Immediate jeopardy2

Findings at the most serious level CMS records.

Beyond CMS’s monthly file13/15

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
50
Ownership
For profit - Corporation
Chain
NORTH SHORE HEALTHCARE
County
St. Croix
Medicare-certified since
1992

CMS ratings

Overall
5
Health inspection
5
Staffing
4
Quality measures
2

CMS’s own Five-Star ratings.

Compared with similar facilities

Not shown for this facility: too few citations in window (n=5, floor 20).

Last survey on record

Feb 5, 2025

642 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day4.063.73
Registered-nurse hours per resident day1.21—
Annual nurse turnover23.7%45.7%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

No fines, payment denials or special-focus designation on the current CMS record.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD266.7%E—F133.3%
No harm, potential for minimalA—B—C—
CMS’s current file: 3 of the 46 citations on record.

In the surveyor’s words

From the most serious findings on record at Hammond Health Services, in the surveyor’s own words.

  • No harm, potential for more than minimal, widespreadF812Jan 31, 2024

    Based on observation, interview and record review, the facility staff did not ensure proper hand hygiene when distributing food. The facility did not have a freezer internal temperature monitoring system for stored foods. Staff did not check the dishwasher internal temperature for proper dish sanitization. This has the potential for foodborne illness to all 28 residents (R) reviewed in the facility. Findings include: Facility policy entitled Hand Washing-Food and Nutrition Services, stated in part, . Hands and exposed portions of arms should be washed immediately before engaging in food preparation. 1. b. After touching bare human body parts other than clean hands and clean, exposed portions of arms, i. […]

  • No harm, potential for more than minimal, patternF804Sep 29, 2021

    Based on observation, interview and record review, the facility did not ensure each resident receives food prepared by methods that conserve nutritive value for 3 of 12 originally sampled residents (R16, R12, and R7) and 1 supplemental sampled resident (R8). When altering food texture, facility staff added water to food, which dilutes the nutritional value of food, instead of using something which preserves the nutritional value for R16, R12, R7 and R8. This is evidenced by; Observations of meal preparation on 09/28/21 beginning at 3:59 PM. Cook D was observed to puree baked zucchini. Cook D placed the zucchini into the Robot Coupe (food processor) and turned the machine on by pulsing it. […]

  • No harm, potential for more than minimal, isolatedF659Feb 5, 2025

    Based on observation, interview and record review, the facility did not ensure prescription medications were administered by qualified staff to resident's (R) skin for 2 of 5 observations. (R24 and R26) Findings include: Surveyor reviewed facility policy titled, Medication Administration, stated in part: .-1. Medications are prepared only by licensed nursing, medical, pharmacy or other personnel authorized by state regulations to prepare medications . Surveyor reviewed R24's physician orders on 02/04/25 which state in part: -Ammonium Lactate External Lotion 12 % (Lactic acid), apply to both legs topically in the morning for dry skin. -Nystatin External Powder 100000 unit/GM, apply to skin infection area topically three times a day for Candida yeast infection. […]

  • No harm, potential for more than minimal, isolatedF693Jan 31, 2024

    Based on observation, interview and record review, the facility did not ensure a resident with an enteral tube receives the appropriate treatment and services to prevent complications. Registered Nurse (RN) administered a medication through Resident (R) 12's enteral tube without completing a water flush prior to the medication. This occurred for 1 of 2 enteral medication observations. Findings include: According to the National Library of Medicine, when administering medications via enteral tube, .After tube placement is checked, a clean 60-mL [milliliters] syringe is used to flush the tube with a minimum of 15 mL of water before administering the medication. […]

  • No harm, potential for minimal, patternF623Jan 5, 2023

    Based on record review and interview, the facility failed to notify ombudsman of emergency transfers to hospital for 12 of 12 residents reviewed for notification of transfers (R9, R17, R32, R184, R22, R15, R2, R23, R185, R186, R187 and R188). Example 1: R9 was admitted to facility 08/30/22. Resident discharged with return anticipated on 09/07/22 to emergency room and R9 admitted to hospital on 09/08/22. Facility completed bed hold. MD/Resident representative notified. R9's medical record had no documentation of Ombudsman notification of hospital transfer. On 01/04/22 at 2:30 p.m., Surveyor interviewed Nursing Home Administrator (NHA) A. NHA A asked about notification of Ombudsman for transfers/discharges. […]

Read 22 findings in full →The most serious and the most recent: 22 of 46 on record.

Every survey on record

FindingsAt actual harm or above

  • Feb 5, 2025Standard1 finding
  • Jan 31, 2024Standard2 findings
  • Jan 5, 2023Standard1 finding
  • Sep 29, 2021Standard1 finding
  • Jul 29, 2020Infection control1 finding
  • Oct 30, 2019Standard1 finding
  • Nov 7, 2018Standard1 finding
  • Aug 2, 2017Standard2 findings
Show the 7 earlier surveys
  • Oct 5, 2015Standard and complaint13 findings · 3 harm
  • May 19, 2015Complaint1 finding
  • Oct 6, 2014Standard2 findings
  • Oct 23, 2013—5 findings
  • Nov 1, 2012—11 findings · 2 harm
  • Jul 25, 2012—1 finding
  • Aug 25, 2011—3 findings

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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