Willowcrest Health Services
3821 S Chicago Ave · South Milwaukee, WI · 53172 · 4147627336
100 certified beds For profit - Limited Liability company Chain: North Shore Healthcare
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results have improved across recent cycles.
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
2 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
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: 1 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.33 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.50 | 0.55–0.75 |
| Weekend hours / resident-day | 2.92 | ≈ weekday level |
| Nursing turnover / year | 48% | median 45% |
| Fines (3-yr window) | 1 · $21,285 |
Inspection citations (36 in the current record)
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Potential for harm · D June 5, 2025
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected July 5, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D June 5, 2025
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected July 5, 2025 · Resident Rights
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Potential for harm · D June 5, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected July 5, 2025 · Quality of Life and Care
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Potential for harm · D June 5, 2025
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected July 5, 2025 · Quality of Life and Care
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Potential for harm · D June 5, 2025
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 July 5, 2025 · Quality of Life and Care
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Potential for harm · D June 5, 2025
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected July 5, 2025 · Quality of Life and Care
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Potential for harm · D June 5, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected July 5, 2025 · Quality of Life and Care
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Potential for harm · D June 5, 2025
Provide care or services that was trauma informed and/or culturally competent.
Corrected July 5, 2025 · Quality of Life and Care
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Potential for harm · D June 5, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected July 5, 2025 · Pharmacy Service
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Potential for harm · D June 5, 2025
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected July 5, 2025 · Pharmacy Service
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Potential for harm · D June 5, 2025
Ensure that residents are free from significant medication errors.
Corrected July 5, 2025 · Pharmacy Service
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Potential for harm · F June 5, 2025
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected July 5, 2025 · Administration
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Potential for harm · F June 5, 2025
Provide and implement an infection prevention and control program.
Corrected July 5, 2025 · Infection Control
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Potential for harm · D March 5, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected March 31, 2025 · Quality of Life and Care
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No harm found · C October 14, 2024 · found via complaint
Post nurse staffing information every day.
Corrected November 12, 2024 · Nursing and Physician Services
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Immediate jeopardy · J March 29, 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 April 26, 2024 · Quality of Life and Care
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Immediate jeopardy · J March 29, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 26, 2024 · Quality of Life and Care
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Potential for harm · D March 29, 2024
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected April 26, 2024 · Quality of Life and Care
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Potential for harm · D March 29, 2024
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 April 26, 2024 · Quality of Life and Care
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Potential for harm · D March 29, 2024
Provide enough food/fluids to maintain a resident's health.
Corrected April 26, 2024 · Quality of Life and Care
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Potential for harm · D March 29, 2024
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected April 26, 2024 · Quality of Life and Care
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Potential for harm · D March 29, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Corrected April 26, 2024 · Quality of Life and Care
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Potential for harm · E March 29, 2024
Observe each nurse aide's job performance and give regular training.
Corrected April 26, 2024 · Nursing and Physician Services
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Potential for harm · D March 29, 2024
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected April 26, 2024 · Pharmacy Service
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Potential for harm · D March 29, 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 April 26, 2024 · Pharmacy Service
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| March 29, 2024 | Fine | $21,285 |
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 525413 · certified since July 21, 1988. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.