D

LAKE MILLS HEALTH SERVICES

901 MULBERRY ST, LAKE MILLS, WI 53551
Score: 51 / 100

CMS data shows Lake Mills Health Services earning a D grade with a score of 51/100, placing it below most facilities in Wisconsin. Prospective residents and families should carefully review the specific areas of concern detailed below.

Staffing at Lake Mills Health Services is near the national average, with 3.61 total nursing hours per resident per day (national average: 3.8 hours).

Recent CMS inspections identified 18 deficiencies at Lake Mills Health Services, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: provide appropriate pressure ulcer care and prevent new ulcers from developing..

Score Breakdown

Overall CMS Rating 16 / 40 pts
2 ★ CMS rating
Health Inspections 10 / 25 pts
2 ★ inspection rating
Staffing 16 / 20 pts
4 ★ staffing rating
Quality Measures 9 / 15 pts
3 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.61 3.8 Average
Registered Nurses (RN) 1.61 0.7 Above Average
Licensed Practical Nurses (LPN) 0.22 0.7 Below Average
Certified Nursing Assistants (CNA) 1.77 2.4 Below Average
Weekend Total Nursing 3.16 3.8 Below Average
Weekend RN Hours 1.27 0.7 Above Average

🔍 Inspection & Deficiency History

18
Total Deficiencies
Jul 2, 2025
Most Recent Inspection
⚪ 2 Minor 🟠 15 Moderate 🔴 1 Serious
View recent deficiencies (5 shown)
  • Tag 0686 Severity J
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    Jul 2, 2025 · Quality of Life and Care Deficiencies
  • Tag 0949 Severity F
    Provide behavior health training consistent with the requirements and as determined by a facility assessment.
    Jul 2, 2025 · Administration Deficiencies
  • Tag 0628 Severity D
    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
    Jul 2, 2025 · Resident Rights Deficiencies
  • Tag 0684 Severity D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    Jul 2, 2025 · Quality of Life and Care Deficiencies
  • Tag 0689 Severity D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    Mar 25, 2025 · Quality of Life and Care Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 15.8% 4.5% Worse
Falls with major injury 0.0% 3.0% Better
On antipsychotic medication 22.5% 14.5% Worse
Urinary tract infections 0.0% 2.5% Better
ADL decline (daily activities) 23.6% 14.0% Worse
Excessive weight loss 7.4% 7.5% Average
New/worsened incontinence 20.4% 45.0% Better

How This Grade Was Calculated

This facility's grade of D is based on a score of 51 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 2★ → 16 pts (max 40)
  • Health Inspection Rating: 2★ → 10 pts (max 25)
  • Staffing Rating: 4★ → 16 pts (max 20)
  • Quality Measures Rating: 3★ → 9 pts (max 15)

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
For profit - Corporation
Certified Beds
50
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Mar 25, 2025
Deficiencies (Cycle 1)
7