Court Manor Health Services

Penalties

• May 28, 2025 — Fine ($40,590)
• May 28, 2025 — Payment Denial · payment denial 1 days

Inspection findings

1. May 28, 2025 Health · 8 findings
   • Serious Scope/severity J

     F0695 Quality of Life and Care Deficiencies

     Provide safe and appropriate respiratory care for a resident when needed.

     Corrected Jun 24, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Jun 24, 2025 · CMS health inspection

   • Not serious Scope/severity E

     K0222 Egress Deficiencies

     Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

     Corrected Jun 18, 2025 · CMS fire safety

   • Not serious Scope/severity D

     K0324 Smoke Deficiencies

     Provide properly protected cooking facilities.

     Corrected Jun 18, 2025 · CMS fire safety

   • Not serious Scope/severity F

     K0353 Smoke Deficiencies

     Inspect, test, and maintain automatic sprinkler systems.

     Corrected Jun 18, 2025 · CMS fire safety

   • Not serious Scope/severity D

     K0361 Smoke Deficiencies

     Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.

     Corrected Jun 18, 2025 · CMS fire safety

   • Not serious Scope/severity D

     K0781 Miscellaneous Deficiencies

     Have restrictions on the use of portable space heaters.

     Corrected Jun 18, 2025 · CMS fire safety

   • Not serious Scope/severity F

     K0918 Gas, Vacuum, and Electrical Systems Deficiencies

     Have generator or other power source capable of supplying service within 10 seconds.

     Corrected Jun 18, 2025 · CMS fire safety

2. Apr 11, 2024 Fire Safety · 2 findings
   • Not serious Scope/severity E

     K0225 Egress Deficiencies

     Have stairways and smokeproof enclosures used as exits that meet safety requirements.

     Corrected Apr 17, 2024 · CMS fire safety

   • Not serious Scope/severity D

     K0363 Smoke Deficiencies

     Install corridor and hallway doors that block smoke.

     Corrected Apr 17, 2024 · CMS fire safety

3. Mar 22, 2023 Health · 4 findings
   • Not serious Scope/severity D

     F0758 Pharmacy Service Deficiencies

     Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

     Corrected Apr 19, 2023 · CMS health inspection

   • Not serious Scope/severity F

     K0761 Miscellaneous Deficiencies

     To conduct inspection, testing and maintenance of fire doors by qualified individuals.

     Corrected Apr 19, 2023 · CMS fire safety

   • Not serious Scope/severity E

     K0919 Gas, Vacuum, and Electrical Systems Deficiencies

     Meet requirements for the use of electrical equipment.

     Corrected Apr 19, 2023 · CMS fire safety

   • Not serious Scope/severity F

     K0923 Gas, Vacuum, and Electrical Systems Deficiencies

     Have proper medical gas storage and administration areas.

     Corrected Apr 19, 2023 · CMS fire safety

Owners and managers (as published by CMS)

• BAUMANN, TROY — corporate officer, NOT APPLICABLE, since 12/21/2016
• BAUMANN, TROY — operational/managerial control, NOT APPLICABLE, since 12/21/2016
• HOEHN, JEFFREY — corporate officer, NOT APPLICABLE, since 12/21/2016
• HOEHN, JEFFREY — operational/managerial control, NOT APPLICABLE, since 12/21/2016
• NORTH SHORE HEALTHCARE LLC — 5% or greater indirect ownership interest, 100%, since 12/21/2016
• NORTH SHORE HEALTHCARE LLC — operational/managerial control, NOT APPLICABLE, since 12/21/2016
• NSHC WISCONSIN LLC — operational/managerial control, NOT APPLICABLE, since 12/21/2016
• NSHC WISCONSIN LLC — 5% or greater direct ownership interest, 100%, since 12/21/2016