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
🏥 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
View recent deficiencies (5 shown)
- Tag 0686 Severity JProvide appropriate pressure ulcer care and prevent new ulcers from developing.Jul 2, 2025 · Quality of Life and Care Deficiencies
- Tag 0949 Severity FProvide behavior health training consistent with the requirements and as determined by a facility assessment.Jul 2, 2025 · Administration Deficiencies
- Tag 0628 Severity DProvide 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 DProvide appropriate treatment and care according to orders, resident’s preferences and goals.Jul 2, 2025 · Quality of Life and Care Deficiencies
- Tag 0689 Severity DEnsure 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
Other Facilities in Wisconsin
- BDEERFIELD CARE CENTER, LLCNEW RICHMOND
- F
- FLINDENGROVE NEW BERLINNEW BERLIN
- FMAPLEWOOD CENTERWEST ALLIS
- F