Delavan Health Services
Nursing home · 905 E GENEVA ST, Delavan, WI 53115 · Walworth County
Prices
No published price is available. Ask the facility directly.
Facility
- Type
- Nursing home · TITLE 18 SNF TITLE 19 NF
- Capacity
- 50
- State license
- 3157
- Medicare CCN
- 525324
- Licensed entity
- NSH DELAVAN LLC
- Chain
- NORTH SHORE HEALTHCARE
- Ownership
- For profit - Limited Liability company
- Phone
- (262) 728-6319
- Nurse staffing
- 3.21 hours per resident per day; 34.2% nursing staff turnover
- Medicare ratings
- Inspections 4★ · Staffing 4★ · Quality 4★
- Official record
- Wisconsin DQA Provider Search
- Official record
- Medicare Care Compare
Inspection findings
-
Dec 19, 2024 Health · 9 findings
-
Not serious
Scope/severity F
F0880 Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Corrected Jan 17, 2025 · CMS health inspection
-
Not serious
Scope/severity D
K0241 Egress Deficiencies
Have correct number of accessible exits for each story.
Corrected Jan 17, 2025 · CMS fire safety
-
Not serious
Scope/severity F
K0345 Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected Jan 17, 2025 · CMS fire safety
-
Not serious
Scope/severity D
K0353 Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Corrected Jan 17, 2025 · CMS fire safety
-
Not serious
Scope/severity E
K0521 Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected Jan 17, 2025 · CMS fire safety
-
Not serious
Scope/severity C
K0712 Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Corrected Jan 17, 2025 · CMS fire safety
-
Not serious
Scope/severity E
K0761 Miscellaneous Deficiencies
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected Jan 17, 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 Jan 17, 2025 · CMS fire safety
-
Not serious
Scope/severity D
K0920 Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Corrected Jan 17, 2025 · CMS fire safety
-
Not serious
Scope/severity F
-
Aug 19, 2024 Health · 1 finding
-
Not serious
Scope/severity D
Complaint
F0610 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Corrected Sep 11, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Sep 27, 2023 Fire Safety · 21 findings
-
Not serious
Scope/severity F
E0006 Emergency Preparedness Deficiencies
Conduct risk assessment and an All-Hazards approach.
Corrected Oct 25, 2023 · CMS fire safety
-
Not serious
Scope/severity D
F0689 Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected Oct 25, 2023 · CMS health inspection
-
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 Oct 25, 2023 · CMS health inspection
-
Not serious
Scope/severity D
F0759 Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Corrected Oct 25, 2023 · 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 Oct 25, 2023 · CMS fire safety
-
Not serious
Scope/severity F
K0223 Egress Deficiencies
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected Oct 25, 2023 · CMS fire safety
-
Not serious
Scope/severity E
K0241 Egress Deficiencies
Have correct number of accessible exits for each story.
Corrected Oct 25, 2023 · CMS fire safety
-
Not serious
Scope/severity F
K0291 Egress Deficiencies
Install emergency lighting that can last at least 1 1/2 hours.
Corrected Oct 25, 2023 · CMS fire safety
-
Not serious
Scope/severity E
K0321 Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected Oct 25, 2023 · CMS fire safety
-
Not serious
Scope/severity E
K0324 Smoke Deficiencies
Provide properly protected cooking facilities.
Corrected Oct 25, 2023 · CMS fire safety
-
Not serious
Scope/severity F
K0346 Smoke Deficiencies
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Corrected Oct 25, 2023 · CMS fire safety
-
Not serious
Scope/severity F
K0353 Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Corrected Oct 25, 2023 · CMS fire safety
-
Not serious
Scope/severity F
K0354 Smoke Deficiencies
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected Oct 25, 2023 · CMS fire safety
-
Not serious
Scope/severity E
K0363 Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Corrected Oct 25, 2023 · CMS fire safety
-
Not serious
Scope/severity E
K0521 Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected Oct 25, 2023 · CMS fire safety
-
Not serious
Scope/severity F
K0711 Miscellaneous Deficiencies
Provide a written emergency evacuation plan.
Corrected Oct 25, 2023 · CMS fire safety
-
Not serious
Scope/severity F
K0712 Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Corrected Oct 25, 2023 · CMS fire safety
-
Not serious
Scope/severity F
K0753 Miscellaneous Deficiencies
Have restrictions on the use of highly flammable decorations.
Corrected Oct 25, 2023 · CMS fire safety
-
Not serious
Scope/severity F
K0761 Miscellaneous Deficiencies
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected Oct 26, 2023 · CMS fire safety
-
Not serious
Scope/severity F
K0914 Gas, Vacuum, and Electrical Systems Deficiencies
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected Oct 26, 2023 · 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 Oct 26, 2023 · CMS fire safety
-
Not serious
Scope/severity F
-
Jun 15, 2022 Health · 18 findings
-
Not serious
Scope/severity D
F0558 Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Corrected Jul 13, 2022 · CMS health inspection
-
Serious
Scope/severity G
F0686 Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected Jul 13, 2022 · CMS health inspection
-
Not serious
Scope/severity D
F0689 Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected Jul 13, 2022 · CMS health inspection
-
Not serious
Scope/severity D
F0690 Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected Jul 13, 2022 · CMS health inspection
-
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 Jul 13, 2022 · CMS health inspection
-
Not serious
Scope/severity C
F0838 Administration Deficiencies
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Corrected Jul 13, 2022 · CMS health inspection
-
Not serious
Scope/severity E
F0880 Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Corrected Jul 13, 2022 · CMS health inspection
-
Not serious
Scope/severity D
K0241 Egress Deficiencies
Have correct number of accessible exits for each story.
Corrected Jul 13, 2022 · CMS fire safety
-
Not serious
Scope/severity E
K0281 Egress Deficiencies
Install proper backup exit lighting.
Corrected Jul 13, 2022 · CMS fire safety
-
Not serious
Scope/severity E
K0343 Smoke Deficiencies
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.
Corrected Jul 13, 2022 · CMS fire safety
-
Not serious
Scope/severity F
K0345 Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected Jul 13, 2022 · CMS fire safety
-
Not serious
Scope/severity F
K0346 Smoke Deficiencies
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Corrected Jul 13, 2022 · CMS fire safety
-
Not serious
Scope/severity C
K0351 Smoke Deficiencies
Install an approved automatic sprinkler system.
Corrected Jul 13, 2022 · CMS fire safety
-
Not serious
Scope/severity F
K0353 Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Corrected Jul 13, 2022 · CMS fire safety
-
Not serious
Scope/severity F
K0354 Smoke Deficiencies
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected Jul 13, 2022 · CMS fire safety
-
Not serious
Scope/severity D
K0911 Gas, Vacuum, and Electrical Systems Deficiencies
Meet requirements for the installation and maintenance of electrical systems.
Corrected Jul 13, 2022 · CMS fire safety
-
Not serious
Scope/severity C
K0914 Gas, Vacuum, and Electrical Systems Deficiencies
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected Jul 13, 2022 · 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 Jul 13, 2022 · CMS fire safety
-
Not serious
Scope/severity D
Owners and managers (as published by CMS)
- BAUMANN, TROY — corporate director, NOT APPLICABLE, since 06/29/2017
- BAUMANN, TROY — operational/managerial control, NOT APPLICABLE, since 10/01/2017
- BAUMANN, TROY — adp of the snf, NOT APPLICABLE, since 10/01/2017
- BELONGIA, CHRISTINA — operational/managerial control, NOT APPLICABLE, since 11/01/2019
- BELONGIA, CHRISTINA — adp of the snf, NOT APPLICABLE, since 11/01/2019
- CANDA, ALEX — adp of the snf, NOT APPLICABLE, since 02/01/2023
- GEE, DARREN — operational/managerial control, NOT APPLICABLE, since 11/30/2021
- GEE, DARREN — adp of the snf, NOT APPLICABLE, since 11/30/2021
- GREER, LAUREN — adp of the snf, NOT APPLICABLE, since 11/29/2023
- GREER, LAUREN — operational/managerial control, NOT APPLICABLE, since 11/29/2023
- HOEHN, JEFFREY — operational/managerial control, NOT APPLICABLE, since 10/01/2017
- HOEHN, JEFFREY — adp of the snf, NOT APPLICABLE, since 10/01/2017
- HOEHN, JEFFREY — corporate director, NOT APPLICABLE, since 06/29/2017
- HOLMSTROM, LAURA — operational/managerial control, NOT APPLICABLE, since 10/01/2017
- HOLMSTROM, LAURA — adp of the snf, NOT APPLICABLE, since 10/01/2017
- MILLS, DAVID — 5% or greater indirect ownership interest, 20%, since 06/29/2017
- PATZER, COLLEEN — operational/managerial control, NOT APPLICABLE, since 02/14/2023
- PATZER, COLLEEN — adp of the snf, NOT APPLICABLE, since 02/14/2023
- PURTELL, BRIAN — adp of the snf, NOT APPLICABLE, since 06/01/2018
- PURTELL, BRIAN — operational/managerial control, NOT APPLICABLE, since 06/01/2018
- CIBC BANK USA — operational/managerial control, NOT APPLICABLE, since 12/31/2024
- CIBC BANK USA — 5% or greater security interest, NOT APPLICABLE, since 12/31/2024
- CLIFTONLARSONALLEN LLP — operational/managerial control, NOT APPLICABLE, since 05/22/2018
- CLIFTONLARSONALLEN LLP — adp of the snf, NOT APPLICABLE, since 04/15/2025
- CONTINUUM THERAPY PARTNERS LLC — operational/managerial control, NOT APPLICABLE, since 03/01/2025
- CONTINUUM THERAPY PARTNERS LLC — adp of the snf, NOT APPLICABLE, since 04/15/2025
- NORTH SHORE HEALTHCARE LLC — adp of the snf, NOT APPLICABLE, since 04/15/2025
- NORTH SHORE HEALTHCARE LLC — operational/managerial control, NOT APPLICABLE, since 10/01/2017
- NSH REHAB LLC — operational/managerial control, NOT APPLICABLE, since 03/01/2025
- NSH REHAB LLC — adp of the snf, NOT APPLICABLE, since 06/11/2025
- NSHF OPERATIONS LLC — 5% or greater direct ownership interest, 100%, since 07/24/2017
- NSHF WISCONSIN LLC — adp of the snf, NOT APPLICABLE, since 05/09/2025
- WILLOWFIELD PROPERTY HOLDINGS, LLC — adp of the snf, NOT APPLICABLE, since 05/01/2022
- WIPFLI LLP — adp of the snf, NOT APPLICABLE, since 04/15/2025
- WIPFLI LLP — operational/managerial control, NOT APPLICABLE, since 02/01/2025
Sources: Wisconsin Department of Health Services (directory, assisted-living survey documents) and CMS Care Compare (nursing homes). “Harm or jeopardy level” is CMS scope/severity G–L. About this data.