A

SHOREHAVEN HLTH & REHAB CTR

1305 W WISCONSIN AVE, OCONOMOWOC, WI 53066
Score: 92 / 100

Among nursing homes in Wisconsin, Shorehaven Hlth & Rehab Ctr stands out with an A grade and a score of 92 out of 100. It ranks in the 92th percentile statewide, reflecting consistently high performance across CMS quality metrics.

Staffing levels at Shorehaven Hlth & Rehab Ctr exceed national averages, with 5.04 total nursing hours per resident per day — compared to the national average of 3.8 hours. RN coverage of 1.17 hours per resident per day also exceeds the national average of 0.7 hours.

Recent inspections identified 8 deficiencies at Shorehaven Hlth & Rehab Ctr. While none were classified as the most serious level, families should review the detailed inspection history below.

Score Breakdown

Overall CMS Rating 40 / 40 pts
5 ★ CMS rating
Health Inspections 20 / 25 pts
4 ★ inspection rating
Staffing 20 / 20 pts
5 ★ staffing rating
Quality Measures 12 / 15 pts
4 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 5.04 3.8 Above Average
Registered Nurses (RN) 1.17 0.7 Above Average
Licensed Practical Nurses (LPN) 0.73 0.7 Average
Certified Nursing Assistants (CNA) 3.15 2.4 Above Average
Weekend Total Nursing 4.52 3.8 Above Average
Weekend RN Hours 0.75 0.7 Average

🔍 Inspection & Deficiency History

8
Total Deficiencies
Jun 10, 2025
Most Recent Inspection
🟠 8 Moderate
View recent deficiencies (5 shown)
  • Tag 0812 Severity F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    Jun 10, 2025 · Nutrition and Dietary Deficiencies
  • Tag 0628 Severity D
    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
    Jun 10, 2025 · Resident Rights Deficiencies
  • Tag 0695 Severity D
    Provide safe and appropriate respiratory care for a resident when needed.
    Jun 10, 2025 · Quality of Life and Care Deficiencies
  • Tag 0689 Severity G
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    Jun 24, 2024 · Quality of Life and Care Deficiencies
  • Tag 0812 Severity E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    Feb 21, 2024 · Nutrition and Dietary 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 1.1% 4.5% Better
Falls with major injury 1.5% 3.0% Better
On antipsychotic medication 15.8% 14.5% Average
Urinary tract infections 4.5% 2.5% Worse
ADL decline (daily activities) 9.8% 14.0% Better
Excessive weight loss 2.9% 7.5% Better
New/worsened incontinence 36.1% 45.0% Better

How This Grade Was Calculated

This facility's grade of A is based on a score of 92 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 5★ → 40 pts (max 40)
  • Health Inspection Rating: 4★ → 20 pts (max 25)
  • Staffing Rating: 5★ → 20 pts (max 20)
  • Quality Measures Rating: 4★ → 12 pts (max 15)

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

Facility Details

Ownership
Non profit - Corporation
Certified Beds
88
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Jun 10, 2025
Deficiencies (Cycle 1)
3