SNF
HERITAGE HEALTH SERVICES
CCN: 525586 · PORT WASHINGTON, WI 53074 · Ozaukee County
Overview
- Address
- 1119 N WISCONSIN ST, PORT WASHINGTON, WI 53074
- Phone
- 2622845892
- Certified beds
- 50
- Avg daily residents
- 30 (60% of beds filled)
- Ownership
- For-profit LLC
- Provider type
- Medicare and Medicaid
- Medicare/Medicaid since
- 1996-06-01
- Setting
- Urban
2 /5
★★★★★
CMS Overall Rating
CMS 5-Star Ratings
CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.
Staffing & Workforce
Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.
| Role | Reported | Case-mix expected | Adjusted | Federal floor | |
|---|---|---|---|---|---|
| Total nurse All nursing staff combined: RN + LPN + Aide | 3.55 | 3.89 | 3.53 | ≥ 3.48 | |
| Registered Nurse (RN) Licensed RN hours. Strongest driver of clinical outcomes. | 0.93 | 0.68 | 0.92 | ≥ 0.55 | |
| Licensed Practical Nurse (LPN) LPN/LVN hours. Often handles medication administration. | 0.76 | 0.86 | 0.76 | — | |
| Nurse aide CNA hours. Bulk of direct resident care — bathing, feeding, mobility. | 1.86 | 2.34 | 1.85 | — | |
| Licensed (RN + LPN) Combined licensed nurse coverage. | 1.69 | — | — | — | |
| Physical therapist Rehabilitation therapist hours — important for post-acute / rehab admissions. | 0.03 | — | — | — |
Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.
Weekend staffing
Total nurse (weekend)
3.21
hrs / resident / day
RN (weekend)
0.70
hrs / resident / day
Total nurse (adjusted, weekend)
3.19
hrs / resident / day
Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.
Staff turnover
Total nursing staff turnover
72.2%
annual
RN turnover
85.7%
annual
Administrators departed
1
last 12 months
Resident acuity
Nursing Case-Mix Index
1.38
higher acuity than avg
Case-Mix Index Ratio
1.00
facility / state ratio
Health Inspections
CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.
| Cycle | Date | Total defs. | Standard | Complaint | Deficiency score | Revisits | Total score |
|---|---|---|---|---|---|---|---|
| Cycle 1 (most recent) | 2025-03-12 | 8 | 8 | 0 | 64 | 1 | 64 |
| Cycle 2/3 (prior) | 2024-02-06 | 21 | 13 | 10 | 144 | 1 | 144 |
Total weighted health score
84.0
lower is better
Deficiencies (33)
Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).
3 A/B/C No actual harm — minor
29 D/E/F Actual harm — potential for minor
1 J/K/L Immediate jeopardy
| Tag | Description | Scope/Severity | Survey date | Corrected |
|---|---|---|---|---|
| 0551 | Give the resident's representative the ability to exercise the resident's rights. | D | 2025-03-12 | 2025-04-11 |
| 0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | 2025-03-12 | 2025-04-11 |
| 0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | D | 2025-03-12 | 2025-04-11 |
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-03-12 | 2025-04-11 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2025-03-12 | 2025-04-11 |
| 0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | E | 2025-03-12 | 2025-04-11 |
| 0880 | Provide and implement an infection prevention and control program. | F | 2025-03-12 | 2025-04-11 |
| 0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | 2025-03-12 | 2025-04-11 |
| 0880 | Provide and implement an infection prevention and control program. | D | 2024-12-05 | 2025-01-02 |
| 0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | 2024-09-12 | 2024-10-08 |
| 0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | 2024-09-12 | 2024-10-08 |
| 0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | L | 2024-09-12 | 2024-04-15 |
| 0732 | Post nurse staffing information every day. | C | 2024-09-12 | 2024-10-08 |
| 0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2024-09-12 | 2024-10-08 |
| 0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2024-02-06 | 2024-03-04 |
| 0551 | Give the resident's representative the ability to exercise the resident's rights. | D | 2024-02-06 | 2024-03-04 |
| 0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | 2024-02-06 | 2024-03-04 |
| 0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | C | 2024-02-06 | 2024-03-04 |
| 0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | C | 2024-02-06 | 2024-03-04 |
| 0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | F | 2024-02-06 | 2024-03-04 |
| 0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2024-02-06 | 2024-03-04 |
| 0759 | Ensure medication error rates are not 5 percent or greater. | D | 2024-02-06 | 2024-03-04 |
| 0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | F | 2024-02-06 | 2024-03-04 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2024-02-06 | 2024-03-04 |
| 0851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | F | 2024-02-06 | 2024-03-04 |
| 0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2024-02-06 | 2024-03-04 |
| 0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | 2024-02-06 | 2024-03-04 |
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-02-06 | 2024-03-04 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2023-11-08 | 2023-12-07 |
| 0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2023-01-26 | 2023-03-10 |
| 0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | 2023-01-26 | 2023-03-10 |
| 0759 | Ensure medication error rates are not 5 percent or greater. | D | 2023-01-26 | 2023-03-10 |
| 0880 | Provide and implement an infection prevention and control program. | D | 2023-01-26 | 2023-03-10 |
Penalties (1)
Fines issued
1
last 3 years
Total fines
$25,847
| Date | Type | Fine amount |
|---|---|---|
| 2024-09-12 | Fine | $25,847 |
Source: CMS Nursing Home Penalties.
Financial Health (FY 2023)
Payer mix (share of resident days)
Medicare 6.7% Medicaid 32.8% Other 60.6%
Operating performance
Operating Margin
-38.3%
Total Margin
-37.5%
Occupancy Rate
27.1%
Cost per Resident Day
$58
Revenue & costs
Net Patient Revenue
$2.8M
Total Costs
$429K
Net Income
-$1.1M
Balance sheet
Total Assets
$2.5M
Total Liabilities
$5.7M
Fund Balance
-$3.1M
Current Ratio
0.23
Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.
Ownership & Corporate Structure
Chain: NORTH SHORE HEALTHCARE
- Chain ID
377- Facilities in chain
- 58
- Legal business name
- NSH PORT WASHINGTON LLC
Chain-average star ratings (for peer context)
Overall
2.8
Health
2.8
Staffing
3.5
QM
2.6
Owner / manager organizations (2)
| Organization | Role | Association |
|---|---|---|
| NSHF OPERATIONS LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 07/24/2017 |
| NORTH SHORE HEALTHCARE LLC | OPERATIONAL/MANAGERIAL CONTROL | since 10/01/2017 |
Owner / manager individuals (7)
| Name | Role | Association |
|---|---|---|
| BAUMANN, TROY | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 06/29/2017 |
| HOEHN, JEFFREY | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 06/29/2017 |
| MILLS, DAVID | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 06/29/2017 |
| BAUMANN, TROY | CORPORATE DIRECTOR | since 06/29/2017 |
| HOEHN, JEFFREY | CORPORATE DIRECTOR | since 06/29/2017 |
| HOEHN, JEFFREY | CORPORATE OFFICER | since 06/29/2017 |
| BAUMANN, TROY | W-2 MANAGING EMPLOYEE | since 06/29/2017 |
Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.
Facility Features
- CCRC
- No
- Hospital-based
- No
- Resident / family council
- Resident
- Sprinkler systems
- Yes
- Abuse citation flag
- No
Methodology & sources
- Nursing Home Provider Info (
nh-provider-info), vintage 2026, downloaded 2026-04-14 , 14,703 rows. - Nursing Home Penalties (
nh-penalties), vintage 2026, downloaded 2026-04-14 , 16,915 rows. - Nursing Home Health Deficiencies (
nh-deficiencies), vintage 2026, downloaded 2026-04-14 , 418,972 rows. - Nursing Home Ownership (
nh-ownership), vintage 2026, downloaded 2026-04-14 , 160,393 rows. - Skilled Nursing Facility Cost Report (
snf-cost-report), vintage 2023, downloaded 2026-04-14 , 14,120 rows.
All Data
Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.
Show 113 rows
| Source | Metric | Value | Raw key |
|---|---|---|---|
| Cost Report | Cost per Resident Day ($) | $58 | metrics.cost_per_resident_day |
| Cost Report | Current Ratio | 0.23 | metrics.current_ratio |
| Cost Report | fiscal_year | 2,023 | fiscal_year |
| Cost Report | Medicaid Day Share (%) | 32.8% | metrics.medicaid_day_share |
| Cost Report | Medicare Day Share (%) | 6.7% | metrics.medicare_day_share |
| Cost Report | Net Income ($) | $-1,070,210 | metrics.net_income |
| Cost Report | Net Patient Revenue ($) | $2,834,494 | metrics.net_patient_revenue |
| Cost Report | Occupancy Rate (%) | 27.1% | metrics.occupancy_rate |
| Cost Report | Operating Margin (%) | -38.3% | metrics.operating_margin |
| Cost Report | Total Assets ($) | $2,523,553 | metrics.total_assets |
| Cost Report | Total Costs ($) | $428,846 | metrics.total_costs |
| Cost Report | Total Fund Balances ($) | $-3,141,303 | metrics.fund_balance |
| Cost Report | Total Liabilities ($) | $5,664,856 | metrics.total_liabilities |
| Cost Report | Total Margin (%) | -37.5% | metrics.total_margin |
| Provider Information | Abuse Icon | N | Abuse Icon |
| Provider Information | Adjusted LPN Staffing Hours per Resident per Day | 0.75941 | Adjusted LPN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Nurse Aide Staffing Hours per Resident per Day | 1.84519 | Adjusted Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Adjusted RN Staffing Hours per Resident per Day | 0.92074 | Adjusted RN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Total Nurse Staffing Hours per Resident per Day | 3.52534 | Adjusted Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day | 3.18717 | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Administrator turnover footnote | — | Administrator turnover footnote |
| Provider Information | Automatic Sprinkler Systems in All Required Areas | Yes | Automatic Sprinkler Systems in All Required Areas |
| Provider Information | Average Number of Residents per Day | 30.0 | Average Number of Residents per Day |
| Provider Information | Average Number of Residents per Day Footnote | — | Average Number of Residents per Day Footnote |
| Provider Information | Case-Mix LPN Staffing Hours per Resident per Day | 0.86256 | Case-Mix LPN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Nurse Aide Staffing Hours per Resident per Day | 2.34424 | Case-Mix Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Case-Mix RN Staffing Hours per Resident per Day | 0.67988 | Case-Mix RN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Total Nurse Staffing Hours per Resident per Day | 3.88668 | Case-Mix Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day | 3.42570 | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Chain Average Health Inspection Rating | 2.8 | Chain Average Health Inspection Rating |
| Provider Information | Chain Average Overall 5-star Rating | 2.8 | Chain Average Overall 5-star Rating |
| Provider Information | Chain Average QM Rating | 2.6 | Chain Average QM Rating |
| Provider Information | Chain Average Staffing Rating | 3.5 | Chain Average Staffing Rating |
| Provider Information | Chain ID | 377 | Chain ID |
| Provider Information | Chain Name | NORTH SHORE HEALTHCARE | Chain Name |
| Provider Information | City/Town | PORT WASHINGTON | City/Town |
| Provider Information | CMS Certification Number (CCN) | 525586 | CMS Certification Number (CCN) |
| Provider Information | Continuing Care Retirement Community | N | Continuing Care Retirement Community |
| Provider Information | County/Parish | Ozaukee | County/Parish |
| Provider Information | Date First Approved to Provide Medicare and Medicaid Services | 1996-06-01 | Date First Approved to Provide Medicare and Medicaid Services |
| Provider Information | Geocoding Footnote | — | Geocoding Footnote |
| Provider Information | Health Inspection Rating | 2 | Health Inspection Rating |
| Provider Information | Health Inspection Rating Footnote | — | Health Inspection Rating Footnote |
| Provider Information | Latitude | 43.4018 | Latitude |
| Provider Information | Legal Business Name | NSH PORT WASHINGTON LLC | Legal Business Name |
| Provider Information | Location | 1119 N WISCONSIN ST,PORT WASHINGTON,WI,53074 | Location |
| Provider Information | Long-Stay QM Rating | 2 | Long-Stay QM Rating |
| Provider Information | Long-Stay QM Rating Footnote | — | Long-Stay QM Rating Footnote |
| Provider Information | Longitude | -87.871 | Longitude |
| Provider Information | Most Recent Health Inspection More Than 2 Years Ago | N | Most Recent Health Inspection More Than 2 Years Ago |
| Provider Information | Number of administrators who have left the nursing home | 1 | Number of administrators who have left the nursing home |
| Provider Information | Number of Certified Beds | 50 | Number of Certified Beds |
| Provider Information | Number of Citations from Infection Control Inspections | — | Number of Citations from Infection Control Inspections |
| Provider Information | Number of Facilities in Chain | 58 | Number of Facilities in Chain |
| Provider Information | Number of Fines | 1 | Number of Fines |
| Provider Information | Number of Payment Denials | 0 | Number of Payment Denials |
| Provider Information | Nursing Case-Mix Index | 1.37688 | Nursing Case-Mix Index |
| Provider Information | Nursing Case-Mix Index Ratio | 0.99944 | Nursing Case-Mix Index Ratio |
| Provider Information | Overall Rating | 2 | Overall Rating |
| Provider Information | Overall Rating Footnote | — | Overall Rating Footnote |
| Provider Information | Ownership Type | For profit - Limited Liability company | Ownership Type |
| Provider Information | Physical Therapist Staffing Footnote | — | Physical Therapist Staffing Footnote |
| Provider Information | Processing Date | 2026-03-01 | Processing Date |
| Provider Information | Provider Address | 1119 N WISCONSIN ST | Provider Address |
| Provider Information | Provider Changed Ownership in Last 12 Months | N | Provider Changed Ownership in Last 12 Months |
| Provider Information | Provider Name | HERITAGE HEALTH SERVICES | Provider Name |
| Provider Information | Provider Resides in Hospital | N | Provider Resides in Hospital |
| Provider Information | Provider SSA County Code | 440 | Provider SSA County Code |
| Provider Information | Provider Type | Medicare and Medicaid | Provider Type |
| Provider Information | QM Rating | 2 | QM Rating |
| Provider Information | QM Rating Footnote | — | QM Rating Footnote |
| Provider Information | Rating Cycle 1 Health Deficiency Score | 64 | Rating Cycle 1 Health Deficiency Score |
| Provider Information | Rating Cycle 1 Health Revisit Score | 0 | Rating Cycle 1 Health Revisit Score |
| Provider Information | Rating Cycle 1 Number of Complaint Health Deficiencies | 0 | Rating Cycle 1 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 1 Number of Health Revisits | 1 | Rating Cycle 1 Number of Health Revisits |
| Provider Information | Rating Cycle 1 Number of Standard Health Deficiencies | 8 | Rating Cycle 1 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 1 Standard Survey Health Date | 2025-03-12 | Rating Cycle 1 Standard Survey Health Date |
| Provider Information | Rating Cycle 1 Total Health Score | 64 | Rating Cycle 1 Total Health Score |
| Provider Information | Rating Cycle 1 Total Number of Health Deficiencies | 8 | Rating Cycle 1 Total Number of Health Deficiencies |
| Provider Information | Rating Cycle 2 Number of Standard Health Deficiencies | 13 | Rating Cycle 2 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 2 Standard Health Survey Date | 2024-02-06 | Rating Cycle 2 Standard Health Survey Date |
| Provider Information | Rating Cycle 2/3 Health Deficiency Score | 144 | Rating Cycle 2/3 Health Deficiency Score |
| Provider Information | Rating Cycle 2/3 Health Revisit Score | 0 | Rating Cycle 2/3 Health Revisit Score |
| Provider Information | Rating Cycle 2/3 Number of Complaint Health Deficiencies | 10 | Rating Cycle 2/3 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 2/3 Number of Health Revisits | 1 | Rating Cycle 2/3 Number of Health Revisits |
| Provider Information | Rating Cycle 2/3 Total Health Score | 144 | Rating Cycle 2/3 Total Health Score |
| Provider Information | Rating Cycle 2/3 Total Number of Health Deficiencies | 21 | Rating Cycle 2/3 Total Number of Health Deficiencies |
| Provider Information | Registered Nurse hours per resident per day on the weekend | 0.69678 | Registered Nurse hours per resident per day on the weekend |
| Provider Information | Registered Nurse turnover | 85.7 | Registered Nurse turnover |
| Provider Information | Registered Nurse turnover footnote | — | Registered Nurse turnover footnote |
| Provider Information | Reported Licensed Staffing Hours per Resident per Day | 1.69135 | Reported Licensed Staffing Hours per Resident per Day |
| Provider Information | Reported LPN Staffing Hours per Resident per Day | 0.76448 | Reported LPN Staffing Hours per Resident per Day |
| Provider Information | Reported Nurse Aide Staffing Hours per Resident per Day | 1.85750 | Reported Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Reported Physical Therapist Staffing Hours per Resident Per Day | 0.03107 | Reported Physical Therapist Staffing Hours per Resident Per Day |
| Provider Information | Reported RN Staffing Hours per Resident per Day | 0.92688 | Reported RN Staffing Hours per Resident per Day |
| Provider Information | Reported Staffing Footnote | — | Reported Staffing Footnote |
| Provider Information | Reported Total Nurse Staffing Hours per Resident per Day | 3.54885 | Reported Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Short-Stay QM Rating | — | Short-Stay QM Rating |
| Provider Information | Short-Stay QM Rating Footnote | 2 | Short-Stay QM Rating Footnote |
| Provider Information | Special Focus Status | — | Special Focus Status |
| Provider Information | Staffing Rating | 2 | Staffing Rating |
| Provider Information | Staffing Rating Footnote | — | Staffing Rating Footnote |
| Provider Information | State | WI | State |
| Provider Information | Telephone Number | 2622845892 | Telephone Number |
| Provider Information | Total Amount of Fines in Dollars | 25847.00 | Total Amount of Fines in Dollars |
| Provider Information | Total number of nurse staff hours per resident per day on the weekend | 3.20843 | Total number of nurse staff hours per resident per day on the weekend |
| Provider Information | Total Number of Penalties | 1 | Total Number of Penalties |
| Provider Information | Total nursing staff turnover | 72.2 | Total nursing staff turnover |
| Provider Information | Total nursing staff turnover footnote | — | Total nursing staff turnover footnote |
| Provider Information | Total Weighted Health Survey Score | 84.000 | Total Weighted Health Survey Score |
| Provider Information | Urban | Y | Urban |
| Provider Information | With a Resident and Family Council | Resident | With a Resident and Family Council |
| Provider Information | ZIP Code | 53074 | ZIP Code |