With a score of 16/100, Heritage Lakeside ranks in the bottom tier of Wisconsin nursing facilities, earning an F grade. CMS data highlights significant concerns that prospective residents and families should thoroughly evaluate.
Staffing levels at Heritage Lakeside exceed national averages, with 4.97 total nursing hours per resident per day — compared to the national average of 3.8 hours. RN coverage of 1.49 hours per resident per day also exceeds the national average of 0.7 hours.
Recent CMS inspections identified 95 deficiencies at Heritage Lakeside, including 3 classified as serious — among the most concerning citation levels. The most notable finding involved: timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 4.97 | 3.8 | Above Average |
| Registered Nurses (RN) | 1.49 | 0.7 | Above Average |
| Licensed Practical Nurses (LPN) | 0.58 | 0.7 | Below Average |
| Certified Nursing Assistants (CNA) | 2.90 | 2.4 | Above Average |
| Weekend Total Nursing | 3.96 | 3.8 | Average |
| Weekend RN Hours | 0.89 | 0.7 | Above Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0609 Severity DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Oct 19, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Tag 0610 Severity DRespond appropriately to all alleged violations.Oct 19, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Tag 0656 Severity DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Oct 6, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0689 Severity DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Oct 6, 2025 · Quality of Life and Care Deficiencies
- Tag 0726 Severity FEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.Jul 1, 2025 · Nursing and Physician Services 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 | 4.8% | 4.5% | Average |
| Falls with major injury | 0.7% | 3.0% | Better |
| On antipsychotic medication | 28.0% | 14.5% | Worse |
| Urinary tract infections | 8.1% | 2.5% | Worse |
| ADL decline (daily activities) | 12.7% | 14.0% | Average |
| Excessive weight loss | 6.8% | 7.5% | Average |
| New/worsened incontinence | 26.1% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $115,181
How This Grade Was Calculated
This facility's grade of F is based on a score of 16 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 1★ → 8 pts (max 40)
- Health Inspection Rating: 1★ → 5 pts (max 25)
- Staffing Rating: 3★ → 12 pts (max 20)
- Quality Measures Rating: 2★ → 6 pts (max 15)
- Penalty deductions: -5 pts
- Fine deductions: -10 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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