Heritage Health Services
Port Washington, Wisconsin · CCN 525586
24 surveys since 2010. The first finding at harm level was recorded in 2017.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 165
- Surveys
- 24
- Harm or worse
- 6
- Immediate jeopardyall corrected before survey
- 2
Findings at the most serious level CMS records. All were recorded as past non-compliance — corrected before the survey.
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 - Limited Liability company
- Chain
- NORTH SHORE HEALTHCARE
- County
- Ozaukee
- Medicare-certified since
- 1996
CMS ratings
- Overall
- 2
- Health inspection
- 2
- Staffing
- 3
- Quality measures
- 2
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded more weighted findings than most of its peer group.
Weighted by harm level, against 92 for-profit facilities with fewer than 66 beds in Wisconsin.
Last survey on record
Mar 12, 2025
607 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 3.72 | 3.73 |
| Registered-nurse hours per resident day | 1.17 | — |
| Annual nurse turnover | 57.5% | 45.7% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
- Fines
- $17,170 across 1 penalty
Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K— | L13.0% |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D1957.6% | E412.1% | F618.2% |
| No harm, potential for minimal | A— | B— | C39.1% |
Most frequently cited here
In CMS’s current monthly file.
- F8803×
Provide and implement an infection prevention and control program.
- F5512×
Give the resident's representative the ability to exercise the resident's rights.
- F5802×
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- F6232×
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- F6252×
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
In the surveyor’s words
From the most serious findings on record at Heritage Health Services, in the surveyor’s own words.
- Immediate jeopardy, widespreadF725Sep 12, 2024
Based on staff interview and record review, the facility did not have a licensed nurse on duty to meet the needs of residents for approximately 2.5 hours on the [DATE] PM shift. This had the potential to affect 23 of 23 residents (R) residing in the facility. On [DATE], an agency nurse who worked the AM shift left the facility without licensed nurse coverage for the PM shift. The facility was without a nurse for approximately 2.5 hours. Due to not having a licensed nurse on duty, 3 residents (R10, R16, and R7) did not receive blood glucose monitoring in accordance with physician orders. Fourteen residents (R8, R9, R10, R11, R12, R5, R1, R13, R14, R15, R16, R7, R3, and R17) did not receive medication in accordance with physician orders. […]
- Actual harm, isolatedF689Oct 12, 2021
Based on record review and interviews the facility did not ensure an environment that is free from accident hazards and provides supervision and assistive devices to each resident to prevent avoidable accidents for 1 of 1 (R18) Resident reviewed for falls. On 7/29/21, R18 sustained multiple falls while residing in the facility. The facility did not complete a thorough investigation or root cause analysis to determine the cause of the falls, and if care planned interventions were in place at the time of the fall. R18's Care Plan was not revised to prevent further falls. This resulted in R18 having sustained a fall that resulted in a head injury/laceration which required staples. […]
- No harm, potential for more than minimal, widespreadF812Jun 10, 2026
Based on observation, staff interview, and record review, the facility did not ensure food was stored and prepared in a safe and sanitary manner. This practice had the potential to affect all 32 residents residing in the facility.Staff did not monitor the water temperature of the 3-compartment sink and sanitizing buckets to ensure testing of the parts per million (PPM) of the sanitizing solution was accurate.Staff did not monitor dishwasher rinse and surface temperatures to ensure appropriate sanitization.Findings include:On 6/8/26 at 10:38 AM, Surveyor began an initial tour of the kitchen with Dietary Manager (DM)-E who stated the facility follows the Wisconsin Food Code.The Wisconsin Food Code documents at 2-103.11 Person in Charge: The person in charge shall ensure .(K) Employees are… […]
- No harm, potential for more than minimal, widespreadF880Jun 10, 2026
Based on staff interview and record review, the facility did not maintain an infection prevention and control program designed to prevent the growth of Legionella and other opportunistic waterborne pathogens in the building's water system. This practice had the potential to affect all 32 residents residing in the facility.The facility did not complete daily water temperatures, flush unused faucets, toilets, and shower heads weekly, or complete visual ice machine inspections during November 2025, December 2025, January 2026, and February 2026.Findings include:The facility's Water Management Plan, last reviewed 3/19/26, indicates: Water feeds three water heaters located in the boiler room set to 160 degrees Fahrenheit (F) .Hot water from these heaters also runs through a mixing valve and is… […]
- No harm, potential for more than minimal, widespreadF812Mar 12, 2025
Based on observation, staff interview, and record review, the facility did not ensure food was stored and served in a sanitary manner. This practice had the potential to affect all 25 residents residing in the facility. The kitchen cooler and dry storage area contained multiple open and undated food items. Staff did not follow appropriate hand hygiene procedures in the kitchen and while serving food. Findings include: On 3/10/25 at 9:35 AM, Surveyor and Account Manager (AM)-G began an initial kitchen tour. […]
Read 25 findings in full →The most serious and the most recent: 25 of 165 on record.
Every survey on record
FindingsAt actual harm or above
- Jun 10, 2026Standard8 findings
- Mar 12, 2025Standard8 findings
- Dec 5, 2024Complaint1 finding
- Sep 12, 2024Complaint5 findings · 1 harm
- Feb 6, 2024Standard and complaint14 findings
- Nov 8, 2023Complaint1 finding
- Jan 26, 2023Standard and complaint4 findings
- Oct 12, 2021Standard10 findings · 1 harm
Show the 16 earlier surveys
- Jun 24, 2021Complaint9 findings
- Feb 3, 2021Complaint6 findings
- Jan 28, 2021Complaint4 findings
- Aug 21, 2019Standard14 findings
- Oct 30, 2018Complaint2 findings
- Sep 4, 2018Complaint1 finding
- Jul 12, 2018Standard6 findings
- Mar 19, 2018Complaint15 findings · 2 harm
- Apr 19, 2017Standard17 findings · 2 harm
- Jun 15, 2016Complaint3 findings
- Jan 6, 2016Standard and complaint12 findings
- Oct 29, 2014Standard and complaint6 findings
- Dec 5, 2013—6 findings
- Sep 24, 2012—4 findings
- Aug 14, 2012—2 findings
- Aug 16, 2010—7 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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