F

LAKE COUNTRY HEALTH SERVICES

2195 NORTH SUMMIT VILLAGE WAY, OCONOMOWOC, WI 53066
Score: 20 / 100

With a score of 20/100, Lake Country Health Services 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 at Lake Country Health Services is near the national average, with 3.59 total nursing hours per resident per day (national average: 3.8 hours).

Recent CMS inspections identified 43 deficiencies at Lake Country Health Services, including 3 classified as serious — among the most concerning citation levels. The most notable finding involved: ensure medication error rates are not 5 percent or greater..

Score Breakdown

Overall CMS Rating 16 / 40 pts
2 ★ CMS rating
Health Inspections 10 / 25 pts
2 ★ inspection rating
Staffing 8 / 20 pts
2 ★ staffing rating
Quality Measures 6 / 15 pts
2 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.59 3.8 Average
Registered Nurses (RN) 0.96 0.7 Above Average
Licensed Practical Nurses (LPN) 0.49 0.7 Below Average
Certified Nursing Assistants (CNA) 2.14 2.4 Below Average
Weekend Total Nursing 3.22 3.8 Below Average
Weekend RN Hours 0.67 0.7 Average

🔍 Inspection & Deficiency History

43
Total Deficiencies
Aug 26, 2025
Most Recent Inspection
🟠 40 Moderate 🔴 3 Serious
View recent deficiencies (5 shown)
  • Tag 0759 Severity D
    Ensure medication error rates are not 5 percent or greater.
    Aug 26, 2025 · Pharmacy Service Deficiencies
  • Tag 0761 Severity D
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologi
    Aug 26, 2025 · Pharmacy Service Deficiencies
  • Tag 0578 Severity J
    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and
    Mar 11, 2025 · Resident Rights Deficiencies
  • Tag 0678 Severity E
    Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advanc
    Mar 11, 2025 · Quality of Life and Care Deficiencies
  • Tag 0760 Severity D
    Ensure that residents are free from significant medication errors.
    Mar 11, 2025 · Pharmacy Service 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 6.8% 4.5% Worse
Falls with major injury 4.1% 3.0% Worse
On antipsychotic medication 15.8% 14.5% Average
Urinary tract infections 7.4% 2.5% Worse
ADL decline (daily activities) 19.4% 14.0% Worse
Excessive weight loss 2.8% 7.5% Better
New/worsened incontinence 24.9% 45.0% Better

⚠️ Penalties & Fines

2 penalties recorded by CMS

Total fines: $185,950

How This Grade Was Calculated

This facility's grade of F is based on a score of 20 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: 2★ → 8 pts (max 20)
  • Quality Measures Rating: 2★ → 6 pts (max 15)
  • Penalty deductions: -10 pts
  • Fine deductions: -10 pts

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

Facility Details

Ownership
For profit - Corporation
Certified Beds
100
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Aug 26, 2025
Deficiencies (Cycle 1)
5