CCRC

Overview

Address
12600 N PORT WASHINGTON RD #300, MEQUON, WI 53092
Phone
2623878850
Certified beds
47
Avg daily residents
41 (88% of beds filled)
Ownership
Non-profit corporation
Provider type
Medicare
Medicare/Medicaid since
2003-05-07
Setting
Urban
3 /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.

Overall Rating
Composite of Health Inspection, Staffing, and Quality Measures.
3/5
Health Inspection
Based on the three most recent standard surveys, with more weight on recent results.
2/5
Staffing
Weighted combination of RN and total nurse staffing hours per resident per day, case-mix adjusted.
5/5
Quality Measures
15 resident-level quality measures split between long-stay and short-stay (post-acute) residents.
4/5
Quality Measures breakdown
Long-Stay Quality Measures 3/5
Short-Stay Quality Measures 4/5

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
5.25 3.97 5.10 ≥ 3.48
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
0.96 0.70 0.93 ≥ 0.55
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
1.31 0.88 1.27
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
2.98 2.40 2.90
Licensed (RN + LPN)
Combined licensed nurse coverage.
2.27
Physical therapist
Rehabilitation therapist hours — important for post-acute / rehab admissions.
0.18

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)
4.67
hrs / resident / day
RN (weekend)
0.48
hrs / resident / day
Total nurse (adjusted, weekend)
4.53
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
53.2%
annual
RN turnover
46.7%
annual
Administrators departed
0
last 12 months

Resident acuity

Nursing Case-Mix Index
1.41
higher acuity than avg
Case-Mix Index Ratio
1.02
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) 2025-02-26 13 7 6 143 1 143
Cycle 2/3 (prior) 2023-12-13 24 10 14 120 1 120
Total weighted health score
137.3
lower is better

Deficiencies (39)

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).

1 A/B/C No actual harm — minor
37 D/E/F Actual harm — potential for minor
1 J/K/L Immediate jeopardy
Tag Description Scope/Severity Survey date Corrected
0554 Allow residents to self-administer drugs if determined clinically appropriate. D 2026-01-21 2026-01-23
0760 Ensure that residents are free from significant medication errors. D 2026-01-21 2026-01-23
0609 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. D 2025-07-31 2025-08-01
0610 Respond appropriately to all alleged violations. D 2025-07-31 2025-08-01
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. J 2025-07-31 2025-08-01
0842 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. D 2025-06-10 2025-07-10
0607 Develop and implement policies and procedures to prevent abuse, neglect, and theft. E 2025-02-26 2025-04-04
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D 2025-02-26 2025-04-04
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. D 2025-02-26 2025-04-04
0694 Provide for the safe, appropriate administration of IV fluids for a resident when needed. D 2025-02-26 2025-04-04
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F 2025-02-26 2025-04-04
0880 Provide and implement an infection prevention and control program. D 2025-02-26 2025-04-04
0883 Develop and implement policies and procedures for flu and pneumonia vaccinations. E 2025-02-26 2025-04-04
0609 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. D 2025-01-09 2025-02-07
0610 Respond appropriately to all alleged violations. D 2025-01-09 2025-02-07
0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. D 2024-10-28 2024-11-26
0880 Provide and implement an infection prevention and control program. D 2024-10-28 2024-11-26
0607 Develop and implement policies and procedures to prevent abuse, neglect, and theft. D 2024-05-29 2024-06-25
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D 2024-05-29 2024-06-25
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. D 2024-05-29 2024-06-25
0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. D 2024-05-29 2024-06-25
0757 Ensure each resident’s drug regimen must be free from unnecessary drugs. D 2024-05-29 2024-06-25
0600 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. D 2024-04-23 2024-05-23
0609 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. E 2024-04-23 2024-05-23
0610 Respond appropriately to all alleged violations. E 2024-04-23 2024-05-23
0626 Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. D 2024-02-28 2024-03-30
0740 Ensure each resident must receive and the facility must provide necessary behavioral health care and services. D 2024-02-28 2024-03-30
0552 Ensure that residents are fully informed and understand their health status, care and treatments. D 2023-12-13 2024-01-05
0607 Develop and implement policies and procedures to prevent abuse, neglect, and theft. D 2023-12-13 2024-01-05
0623 Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. D 2023-12-13 2024-01-05
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 2023-12-13 2024-01-05
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. D 2023-12-13 2024-01-05
0756 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. D 2023-12-13 2024-01-05
0757 Ensure each resident’s drug regimen must be free from unnecessary drugs. D 2023-12-13 2024-01-05
0804 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. D 2023-12-13 2024-01-05
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F 2023-12-13 2024-01-05
0880 Provide and implement an infection prevention and control program. E 2023-12-13 2024-01-05
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F 2022-10-27 2022-11-17
0814 Dispose of garbage and refuse properly. C 2022-10-27 2022-11-17

Financial Health (FY 2023)

Operating performance

Operating Margin
-41.7%
Total Margin
-42.2%
Occupancy Rate
84.9%
Cost per Resident Day
$86

Revenue & costs

Net Patient Revenue
$21.8M
Total Costs
$1.3M
Net Income
-$9.2M

Balance sheet

Total Assets
$116.1M
Total Liabilities
$126.5M
Fund Balance
-$10.4M
Current Ratio
0.19

Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.

Ownership & Corporate Structure

Chain: LIFESPACE COMMUNITIES

Chain ID
315
Facilities in chain
16
Legal business name
NEWCASTLE PLACE LLC
Chain-average star ratings (for peer context)
Overall
4.0
Health
3.3
Staffing
4.1
QM
4.2

Owner / manager organizations (2)

Organization Role Association
LIFESPACE COMMUNITIES INC 5% OR GREATER DIRECT OWNERSHIP INTEREST since 04/16/2021
LIFESPACE COMMUNITIES INC OPERATIONAL/MANAGERIAL CONTROL since 04/16/2021

Owner / manager individuals (7)

Name Role Association
JANTZEN, JESSE OPERATIONAL/MANAGERIAL CONTROL since 04/16/2021
JANTZEN, JESSE CORPORATE DIRECTOR since 04/16/2021
GORMAN, JOSEPH CORPORATE OFFICER since 07/11/2022
HARSHFIELD, NICHOLAS CORPORATE OFFICER since 04/16/2021
JANTZEN, JESSE CORPORATE OFFICER since 04/16/2021
POPE, ERIN CORPORATE OFFICER since 07/25/2022
STEMM, CHRISTY W-2 MANAGING EMPLOYEE since 07/01/2021

Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.

Facility Features

CCRC
Yes
Hospital-based
No
Resident / family council
Resident
Sprinkler systems
Yes
Abuse citation flag
No
Methodology & sources

Full methodology →

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.

Download CSV

Show 112 rows
Source Metric Value Raw key
Cost Report Cost per Resident Day ($) $86 metrics.cost_per_resident_day
Cost Report Current Ratio 0.19 metrics.current_ratio
Cost Report fiscal_year 2,023 fiscal_year
Cost Report Medicare Day Share (%) 32.5% metrics.medicare_day_share
Cost Report Net Income ($) $-9,153,385 metrics.net_income
Cost Report Net Patient Revenue ($) $21,772,028 metrics.net_patient_revenue
Cost Report Occupancy Rate (%) 84.9% metrics.occupancy_rate
Cost Report Operating Margin (%) -41.7% metrics.operating_margin
Cost Report Total Assets ($) $116,138,261 metrics.total_assets
Cost Report Total Costs ($) $1,252,164 metrics.total_costs
Cost Report Total Fund Balances ($) $-10,386,177 metrics.fund_balance
Cost Report Total Liabilities ($) $126,524,438 metrics.total_liabilities
Cost Report Total Margin (%) -42.2% metrics.total_margin
Provider Information Abuse Icon N Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day 1.27260 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 2.89689 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 0.93421 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 5.10371 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 4.53176 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 41.4 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 0.88213 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 2.39744 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 0.69531 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 3.97488 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 3.50344 Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Chain Average Health Inspection Rating 3.3 Chain Average Health Inspection Rating
Provider Information Chain Average Overall 5-star Rating 4.0 Chain Average Overall 5-star Rating
Provider Information Chain Average QM Rating 4.2 Chain Average QM Rating
Provider Information Chain Average Staffing Rating 4.1 Chain Average Staffing Rating
Provider Information Chain ID 315 Chain ID
Provider Information Chain Name LIFESPACE COMMUNITIES Chain Name
Provider Information City/Town MEQUON City/Town
Provider Information CMS Certification Number (CCN) 525668 CMS Certification Number (CCN)
Provider Information Continuing Care Retirement Community Y Continuing Care Retirement Community
Provider Information County/Parish Ozaukee County/Parish
Provider Information Date First Approved to Provide Medicare and Medicaid Services 2003-05-07 Date First Approved to Provide Medicare and Medicaid Services
Provider Information Geocoding Footnote 22 Geocoding Footnote
Provider Information Health Inspection Rating 2 Health Inspection Rating
Provider Information Health Inspection Rating Footnote Health Inspection Rating Footnote
Provider Information Latitude 43.2215 Latitude
Provider Information Legal Business Name NEWCASTLE PLACE LLC Legal Business Name
Provider Information Location 12600 N PORT WASHINGTON RD #300,MEQUON,WI,53092 Location
Provider Information Long-Stay QM Rating 3 Long-Stay QM Rating
Provider Information Long-Stay QM Rating Footnote Long-Stay QM Rating Footnote
Provider Information Longitude -87.951 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 0 Number of administrators who have left the nursing home
Provider Information Number of Certified Beds 47 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 16 Number of Facilities in Chain
Provider Information Number of Fines 0 Number of Fines
Provider Information Number of Payment Denials 0 Number of Payment Denials
Provider Information Nursing Case-Mix Index 1.40812 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 1.02212 Nursing Case-Mix Index Ratio
Provider Information Overall Rating 3 Overall Rating
Provider Information Overall Rating Footnote Overall Rating Footnote
Provider Information Ownership Type Non profit - Corporation 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 12600 N PORT WASHINGTON RD #300 Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name NEWCASTLE PLACE 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 Provider Type
Provider Information QM Rating 4 QM Rating
Provider Information QM Rating Footnote QM Rating Footnote
Provider Information Rating Cycle 1 Health Deficiency Score 143 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 6 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 7 Rating Cycle 1 Number of Standard Health Deficiencies
Provider Information Rating Cycle 1 Standard Survey Health Date 2025-02-26 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 143 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 13 Rating Cycle 1 Total Number of Health Deficiencies
Provider Information Rating Cycle 2 Number of Standard Health Deficiencies 10 Rating Cycle 2 Number of Standard Health Deficiencies
Provider Information Rating Cycle 2 Standard Health Survey Date 2023-12-13 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 120 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 14 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 120 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 24 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend 0.47973 Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover 46.7 Registered Nurse turnover
Provider Information Registered Nurse turnover footnote Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day 2.27195 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 1.31016 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 2.98239 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.18141 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 0.96179 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 5.25434 Reported Total Nurse Staffing Hours per Resident per Day
Provider Information Short-Stay QM Rating 4 Short-Stay QM Rating
Provider Information Short-Stay QM Rating Footnote Short-Stay QM Rating Footnote
Provider Information Special Focus Status Special Focus Status
Provider Information Staffing Rating 5 Staffing Rating
Provider Information Staffing Rating Footnote Staffing Rating Footnote
Provider Information State WI State
Provider Information Telephone Number 2623878850 Telephone Number
Provider Information Total Amount of Fines in Dollars 0.00 Total Amount of Fines in Dollars
Provider Information Total number of nurse staff hours per resident per day on the weekend 4.66551 Total number of nurse staff hours per resident per day on the weekend
Provider Information Total Number of Penalties 0 Total Number of Penalties
Provider Information Total nursing staff turnover 53.2 Total nursing staff turnover
Provider Information Total nursing staff turnover footnote Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 137.250 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 53092 ZIP Code