Lake Country Health Services
Oconomowoc, Wisconsin · CCN 525702
24 surveys since 2010. The first finding at harm level was recorded in 2016.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 143
- Surveys
- 24
- Harm or worse
- 13
- Immediate jeopardy
- 6
Findings at the most serious level CMS records.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 100
- Ownership
- For profit - Corporation
- Chain
- NORTH SHORE HEALTHCARE
- County
- Waukesha
- Medicare-certified since
- 2009
CMS ratings
- Overall
- 2
- Health inspection
- 2
- Staffing
- 3
- Quality measures
- 3
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded somewhat more weighted findings than its peer group.
Weighted by harm level, against 39 for-profit facilities of 100–127 beds in Wisconsin.
Last survey on record
Aug 27, 2025
439 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 | 3.54 | 3.64 |
| Registered-nurse hours per resident day | 0.97 | — |
| Annual nurse turnover | 51.8% | 50.0% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
- Fines
- $120,868 across 2 penalties
- Payment denials
- 1
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 | J37.1% | K— | L— |
| Actual harm | G12.4% | H— | I— |
| No harm, potential for more than minimal | D2969.0% | E614.3% | F37.1% |
| No harm, potential for minimal | A— | B— | C— |
Most frequently cited here
In CMS’s current monthly file.
- F5802×
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- F6092×
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- F6102×
Respond appropriately to all alleged violations.
- F6772×
Provide care and assistance to perform activities of daily living for any resident who is unable.
- F6782×
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
In the surveyor’s words
From the most serious findings on record at Lake Country Health Services, in the surveyor’s own words.
- Immediate jeopardy, isolatedF578Mar 12, 2025
Based on record review and interviews, the facility failed to honor a resident's advanced directive of do not resuscitate for 1 (R1) of 4 residents reviewed for advanced directives and resident's rights. R1 has a State Do Not Resuscitate (DNR) form signed by R1's Power of Attorney (POA), and an active Medical Doctor (MD) order documenting DNR. On [DATE], R1 became unresponsive and was pulseless. Facility staff did not check R1's advanced directives before performing Cardiopulmonary Resuscitation (CPR) compressions on R1. R1's pulse returned. […]
- Immediate jeopardy, isolatedF600Nov 4, 2024
Based on record review and interviews, the facility did not ensure that 1 out of 1 resident (R1) reviewed for abuse allegations was free from exploitation, abuse of power, and mental abuse. A facility Certified Nursing Assistant (CNA-C) and R1 exchanged phone numbers and began a friendship which included several text messages between the two individuals over several months. CNA-C and R1 continued with the relationship to the point that R1 believed CNA-C was his girlfriend and that he would eventually leave the facility and they would live together. CNA-C often visited R1 in his room while she was working and assigned to other units. […]
- Immediate jeopardy, isolatedF684Nov 4, 2024
Based on interview and record review, the facility did not ensure residents received treatment and care consistent with the N6 Wisconsin Nurse Practice Act for 3 (R2, R16, and R5) of 16 residents reviewed. During the night shift on [DATE], R2 was yelling help me, help me, and couldn't breathe. Certified Nursing Assistant (CNA)-QQ notified Registered Nurse (RN)-PP. RN-PP observed R2 sitting on the edge of the bed, leaning over the half side rail, and not responding. RN-PP laid R2 down in bed, placed the pulse ox on R2's finger but was unable to obtain a reading, checked the oxygen tubing, and observed R2 had agonal breathing. RN-PP noted R2 was a DNR (Do Not Resuscitate) and called R2's daughter who is the 2nd Power of Attorney (POA) to inquire what she would like the facility to do. […]
- Actual harm, isolatedF689Nov 4, 2024
Based on interview and record review, the facility did not ensure 2 of 2 residents (R14 & R5) received adequate supervision and assistance devices to prevent accidents. * R14 was admitted to the facility on [DATE] with a fracture of right pubis and history of falls. The facility did not develop a person centered falls care plan and this care plan did not address R14 self transferring. On 7/17/24, R14 attempted to self transfer, fell , and was transferred to the hospital. The hospital ED (emergency department) notes document a new sacral fracture. * R5 was transferred by 2 Certified Nursing Assistants (CNAs), CNA-CC and CNA-DD, via a Hoyer lift on 9/6/24. During the transfer, the bar from the Hoyer lift hit R5's head causing pain. R5 was sent to the emergency room (ER) for evaluation. […]
- Actual harm, isolatedF686Feb 22, 2021
Based on interview, observation and record review, the facility did not ensure 4 (R8, R11, R12 and R13) of 4 residents reviewed for pressure injuries (PI) receive care, consistent with professional standards of practice, to prevent the development of pressure injuries and residents with pressure injuries receive necessary treatment and services to promote healing, prevent infection and prevent new injuries from developing. ~ R12 was admitted to the facility with intact skin. R12 developed a Stage 2 Pressure Injury to right knee. R12 had a care plan for refusals but it did not address how to provide care to the resident to prevent skin breakdown. […]
Read 29 findings in full →The most serious and the most recent: 29 of 143 on record.
Every survey on record
FindingsAt actual harm or above
- Aug 27, 2025Standard2 findings
- Mar 12, 2025Complaint3 findings · 1 harm
- Nov 4, 2024Complaint14 findings · 3 harm
- Jun 20, 2024Standard and complaint9 findings
- Feb 29, 2024Complaint5 findings
- Oct 9, 2023Complaint3 findings
- Apr 12, 2023Standard and complaint7 findings
- Feb 3, 2022Complaint7 findings
Show the 16 earlier surveys
- Nov 3, 2021Complaint4 findings
- Jul 14, 2021Complaint3 findings
- Feb 22, 2021Complaint6 findings · 1 harm
- Nov 14, 2019Complaint1 finding
- Sep 25, 2019Standard15 findings
- Jul 15, 2019Complaint4 findings
- Apr 29, 2019Complaint3 findings
- Sep 20, 2018Standard and complaint19 findings · 1 harm
- Jun 20, 2018Complaint2 findings
- Jul 25, 2017Standard15 findings · 2 harm
- Jun 7, 2016Standard and complaint9 findings · 5 harm
- Apr 21, 2015Standard and complaint5 findings
- Jan 29, 2014—3 findings
- Jan 7, 2013—1 finding
- Sep 27, 2011—2 findings
- Oct 7, 2010—1 finding
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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