Lancaster Health Services
1350 S Madison St · Lancaster, WI · 53813 · 6087234143
50 certified beds For profit - Limited Liability company Chain: North Shore Healthcare
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection results are getting worse cycle over cycle, not better.
- No federal fines or payment denials in CMS’s 3-year window.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
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: 4 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.81 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.77 | 0.55–0.75 |
| Weekend hours / resident-day | 3.37 | ≈ weekday level |
| Nursing turnover / year | 33% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (18 in the current record)
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Immediate jeopardy · J August 19, 2025
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected September 16, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D August 19, 2025
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 September 16, 2025 · Resident Rights
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Potential for harm · D August 19, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected September 16, 2025 · Resident Assessment and Care Planning
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Potential for harm · D August 19, 2025
Ensure medication error rates are not 5 percent or greater.
Corrected September 16, 2025 · Pharmacy Service
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Potential for harm · E August 19, 2025
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected September 16, 2025 · Nutrition and Dietary
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Potential for harm · F August 19, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected September 16, 2025 · Nutrition and Dietary
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Potential for harm · D August 19, 2025
Implement a program that monitors antibiotic use.
Corrected September 16, 2025 · Infection Control
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Potential for harm · D February 19, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected March 18, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 19, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected March 18, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D August 27, 2024 · found via complaint
Provide safe, appropriate pain management for a resident who requires such services.
Corrected September 27, 2024 · Quality of Life and Care
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Potential for harm · D July 24, 2024
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected August 23, 2024 · Pharmacy Service
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Potential for harm · F July 24, 2024
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected March 5, 2024 · Administration
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Potential for harm · D July 24, 2024
Provide and implement an infection prevention and control program.
Corrected August 23, 2024 · Infection Control
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Potential for harm · D April 24, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected May 3, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · F April 6, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected May 2, 2023 · Nutrition and Dietary
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Potential for harm · F April 6, 2023
Provide and implement an infection prevention and control program.
Corrected May 2, 2023 · Infection Control
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Potential for harm · D April 6, 2023
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected May 2, 2023 · Infection Control
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No harm found · C April 6, 2023
Ensure staff are vaccinated for COVID-19
Corrected April 6, 2023 · Infection Control
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 525352 · certified since March 1, 1984. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.