Lake Country Health Services

2195 North Summit Village Way · Oconomowoc, WI · 53066 · 2625602400

100 certified beds For profit - Corporation Chain: North Shore Healthcare

Why this verdict

  • Federal penalties on record: $120,868 in fines in the last 24 months.
  • Inspection results have improved across recent cycles.

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Red flags

3 immediate-jeopardy citations in prior inspection cycles

Serious past findings — check whether the underlying problems were fixed and stayed fixed.

1 abuse-related citation at the actual-harm level

Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.

$120,868 in federal fines in the last 24 months

2 fines — CMS fines are reserved for verified, serious non-compliance.

Score breakdown

Inspection record 30% of score 41
Serious harm & abuse 20% 66
Staffing 20% 72
Federal penalties 15% 28
Trend 10% 92
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 2 of 5 Inspections: 2 of 5 Staffing: 3 of 5 Quality measures: 3 of 5

Total nurse hours / resident-day3.513.48 min · 4.1 strong
RN hours / resident-day0.990.55–0.75
Weekend hours / resident-day3.13≈ weekday level
Nursing turnover / year54%median 45%
Fines (3-yr window)2 · $120,868

Inspection citations (42 in the current record)

  • Potential for harm · D August 27, 2025

    Ensure medication error rates are not 5 percent or greater.

    Corrected September 16, 2025 · Pharmacy Service

  • Potential for harm · D August 27, 2025

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    Corrected September 16, 2025 · Pharmacy Service

  • Immediate jeopardy · J March 12, 2025 · found via complaint

    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.

    Corrected April 2, 2025 · Resident Rights

  • Potential for harm · E March 12, 2025 · found via complaint

    Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

    Corrected April 2, 2025 · Quality of Life and Care

  • Potential for harm · D March 12, 2025 · found via complaint

    Ensure that residents are free from significant medication errors.

    Corrected April 2, 2025 · Pharmacy Service

  • Immediate jeopardy · J November 4, 2024 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected December 12, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Immediate jeopardy · J November 4, 2024 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected December 12, 2024 · Quality of Life and Care

  • Actual harm · G November 4, 2024 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected December 12, 2024 · Quality of Life and Care

  • Potential for harm · D November 4, 2024 · found via complaint

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

    Corrected December 12, 2024 · Resident Rights

  • Potential for harm · D November 4, 2024 · found via complaint

    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.

    Corrected December 12, 2024 · Resident Rights

  • Potential for harm · F November 4, 2024 · found via complaint

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

    Corrected December 12, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · F November 4, 2024 · found via complaint

    Respond appropriately to all alleged violations.

    Corrected December 12, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D November 4, 2024 · found via complaint

    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.

    Corrected December 12, 2024 · Resident Rights

  • Potential for harm · D November 4, 2024 · found via complaint

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected December 12, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D November 4, 2024 · found via complaint

    Plan the resident's discharge to meet the resident's goals and needs.

    Corrected December 12, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D November 4, 2024 · found via complaint

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected December 12, 2024 · Quality of Life and Care

  • Potential for harm · D November 4, 2024 · found via complaint

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Corrected December 12, 2024 · Quality of Life and Care

  • Potential for harm · E November 4, 2024 · found via complaint

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Corrected December 12, 2024 · Nursing and Physician Services

  • Potential for harm · D November 4, 2024 · found via complaint

    Provide or get specialized rehabilitative services as required for a resident.

    Corrected December 12, 2024 · Quality of Life and Care

  • Potential for harm · E June 20, 2024

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    Corrected July 19, 2024 · Resident Rights

  • Potential for harm · E June 20, 2024

    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.

    Corrected July 19, 2024 · Resident Rights

  • Potential for harm · D June 20, 2024

    Provide enough food/fluids to maintain a resident's health.

    Corrected July 19, 2024 · Quality of Life and Care

  • Potential for harm · D June 20, 2024

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Corrected July 19, 2024 · Pharmacy Service

  • Potential for harm · D June 20, 2024

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    Corrected July 19, 2024 · Pharmacy Service

  • Potential for harm · D June 20, 2024 · found via complaint

    Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

    Corrected July 19, 2024 · Quality of Life and Care

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
March 12, 2025Fine$16,985
November 4, 2024Fine$103,883
November 4, 2024Payment Denial8 days

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 525702 · certified since November 23, 2009. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.