Deficiency Index

Shawano Health Services

Shawano, Wisconsin · CCN 525335

19 surveys since 2010, 2 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
50
Surveys
19
Harm or worse
2
Immediate jeopardy
1
The record, 2010–2026
’10’15’20’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy1

Findings at the most serious level CMS records.

Beyond CMS’s monthly file14/19

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 - Limited Liability company
Chain
NORTH SHORE HEALTHCARE
County
Shawano · rural
Medicare-certified since
1983

CMS ratings

Overall
4
Health inspection
4
Staffing
3
Quality measures
3

CMS’s own Five-Star ratings.

Compared with similar facilities

Not shown for this facility: too few citations in window (n=16, floor 20).

Last survey on record

Feb 17, 2026

265 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 day3.543.64
Registered-nurse hours per resident day0.72—
Annual nurse turnover35.7%50.0%

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 minimalD1191.7%E18.3%F—
No harm, potential for minimalA—B—C—
CMS’s current file: 12 of the 50 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F7552×

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

  • F5511×

    Give the resident's representative the ability to exercise the resident's rights.

  • F5801×

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

  • F6091×

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

  • F6551×

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

In the surveyor’s words

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

  • No harm, potential for more than minimal, patternF812Feb 5, 2025

    Based on observation, staff interview, and record review, the facility did not ensure food was stored and prepared in a sanitary manner. This practice had the potential to affect more than 4 of the 42 residents residing in the facility. (One resident received nutrition via tube feeding.) During multiple observations, Dietary Manager (DM)-C did not wear a beard net in the kitchen. Findings include: The facility's dining services' Staff Attire policy, revised 10/2023, indicates: All employees wear approved attire for the performance of their duties .1. All staff members will have their hair off the shoulders, confined in a hair net or cap, and facial hair properly restrained . […]

  • No harm, potential for more than minimal, patternF812Sep 22, 2021

    Based on observation and interview, the facility did not ensure resident food items were stored in a safe and sanitary manner. This had the potential to affect 6 residents (R30, R19, R21, R4, R44, R143). 19 Resident items located in the dining room refrigerator were not labeled properly (with a date and name), covered or sealed, and/or were expired. Findings: Facility Policy titled, Food Brought by Family / Visitors indicates the following: 6. Perishable foods will be stored in re-sealable containers with tightly fitting lids in the refrigerator. Containers will be labeled with the resident's name, the item, and the use by date. 7. The nursing staff is responsible for discarding perishable foods on or before the use by date. 8. […]

  • No harm, potential for more than minimal, isolatedF686Feb 17, 2026

    Based on observation, staff interview, and record review, the facility did not ensure appropriate treatment to promote healing of a pressure injury was provided for 1 resident (R) (R6) of 1 sampled resident.R6 had a stage 2 pressure injury on the right heel which was present upon re-admission to the facility. During an observation of wound care, Registered Nurse (RN)-F used soiled scissors to cut a clean dressing that was applied to R6's right heel pressure injury. Findings include:The facility's Clean Dressing Change policy, revised 1/19/26, indicates: It is the policy of this facility to provide wound care in a manner to decrease potential for infection and/or cross contamination.From 2/15/26 to 2/17/26, Surveyor reviewed R6's medical record. […]

  • No harm, potential for more than minimal, isolatedF690Feb 17, 2026

    Based on observation, staff interview, and record review, the facility did not ensure 1 resident (R) (R5) of 3 sampled residents received appropriate care and services to prevent urinary tract infections (UTIs).The facility did not provide catheter care for R5 in a manner that decreased R5's risk for infection. Findings include:The facility's Catheter Care policy, revised 3/15/23, indicates: It is the policy of this facility to ensure residents with indwelling catheters receive appropriate catheter care and maintain their dignity and privacy when indwelling catheters are in use .Privacy/dignity bags will be available and catheter drainage bags should be covered or shielded at all times while in use .On 2/15/26, Surveyor reviewed R5's medical record. […]

  • No harm, potential for more than minimal, isolatedF755Feb 17, 2026

    Based on observation, staff and resident interview, and record review, the facility did not provide pharmaceutical services to meet the needs of 3 residents (R) (R2, R42, and R1) of 7 sampled residents.R2 received a 750 milligram (mg) calcium carbonate chewable tablet during the 3:00 PM medication pass on 2/15/26. R2 should have received a 500 mg calcium carbonate chewable tablet.R42's polyethylene glycol 3350 was left at the bedside on 2/16/26. R42 did not have a self-administration of medication assessment or a physician's order that indicated R42 could safely and accurately self-administer the medication. R1 had an order for ipratropium-albuterol inhalation solution 0.5-2.5 mg inhaled via nebulizer four times daily for chronic obstructive pulmonary disease (COPD). […]

Read 21 findings in full →The most serious and the most recent: 21 of 50 on record.

Every survey on record

FindingsAt actual harm or above

  • Feb 17, 2026Standard4 findings
  • Feb 5, 2025Standard1 finding
  • Nov 4, 2024Complaint2 findings
  • Aug 29, 2024Complaint1 finding
  • Dec 20, 2023Standard4 findings
  • Sep 22, 2021Standard2 findings
  • Mar 11, 2021Complaint1 finding
  • Jan 5, 2021Infection control1 finding
Show the 11 earlier surveys
  • May 6, 2019Complaint1 finding · 1 harm
  • Apr 8, 2019Standard2 findings
  • Oct 26, 2016Standard2 findings
  • Aug 18, 2015Standard3 findings
  • Mar 25, 2015Complaint1 finding
  • Aug 13, 2014Standard5 findings
  • Jul 3, 2013—4 findings
  • Apr 4, 2013—7 findings
  • Jun 27, 2012—3 findings
  • Aug 31, 2011—3 findings
  • Oct 21, 2010—3 findings · 1 harm

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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