RecordWell Data

Heritage Health Services

Nursing home · 1119 N Wisconsin St, Port Washington, WI 53074 · Ozaukee County

2★Medicare overall
74cited deficiencies
1harm or jeopardy level
1penalty

Prices

No published price is available. Ask the facility directly.

Facility

Type
Nursing home · TITLE 18 SNF TITLE 19 NF
Capacity
74
State license
2328
Medicare CCN
525586
Licensed entity
NSH PORT WASHINGTON LLC
Chain
NORTH SHORE HEALTHCARE
Ownership
For profit - Limited Liability company
Phone
(262) 284-5892
Nurse staffing
3.72 hours per resident per day; 57.5% nursing staff turnover
Medicare ratings
Inspections 2★ · Staffing 3★ · Quality 2★
Official record
Wisconsin DQA Provider Search
Official record
Medicare Care Compare

Other public records for this operator

Penalties

Inspection findings

  1. Mar 12, 2025 Fire Safety · 20 findings
    • Not serious Scope/severity F

      E0020 Emergency Preparedness Deficiencies

      Establish policies and procedures including evacuation.

      Corrected Apr 11, 2025 · CMS fire safety

    • Not serious Scope/severity F

      E0039 Emergency Preparedness Deficiencies

      Conduct testing and exercise requirements.

      Corrected Apr 11, 2025 · CMS fire safety

    • Not serious Scope/severity D

      F0551 Resident Rights Deficiencies

      Give the resident's representative the ability to exercise the resident's rights.

      Corrected Apr 11, 2025 · CMS health inspection

    • Not serious Scope/severity D

      F0623 Resident Rights Deficiencies

      Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

      Corrected Apr 11, 2025 · CMS health inspection

    • Not serious Scope/severity D

      F0625 Resident Rights Deficiencies

      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.

      Corrected Apr 11, 2025 · CMS health inspection

    • Not serious Scope/severity D

      F0684 Quality of Life and Care Deficiencies

      Provide appropriate treatment and care according to orders, resident’s preferences and goals.

      Corrected Apr 11, 2025 · CMS health inspection

    • Not serious Scope/severity F

      F0812 Nutrition and Dietary Deficiencies

      Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

      Corrected Apr 11, 2025 · CMS health inspection

    • Not serious Scope/severity E

      F0868 Administration Deficiencies

      Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

      Corrected Apr 11, 2025 · CMS health inspection

    • Not serious Scope/severity F

      F0880 Infection Control Deficiencies

      Provide and implement an infection prevention and control program.

      Corrected Apr 11, 2025 · CMS health inspection

    • Not serious Scope/severity E

      F0883 Infection Control Deficiencies

      Develop and implement policies and procedures for flu and pneumonia vaccinations.

      Corrected Apr 11, 2025 · CMS health inspection

    • Not serious Scope/severity F

      K0133 Construction Deficiencies

      Install a two-hour-resistant firewall separation.

      Corrected Apr 11, 2025 · CMS fire safety

    • Not serious Scope/severity D

      K0161 Construction Deficiencies

      Use approved construction type or materials.

      Corrected Apr 11, 2025 · CMS fire safety

    • Not serious Scope/severity D

      K0291 Egress Deficiencies

      Install emergency lighting that can last at least 1 1/2 hours.

      Corrected Apr 11, 2025 · CMS fire safety

    • Not serious Scope/severity E

      K0311 Smoke Deficiencies

      Have an enclosure around a vertical opening shaft.

      Corrected Apr 11, 2025 · CMS fire safety

    • Not serious Scope/severity F

      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 Apr 11, 2025 · CMS fire safety

    • Not serious Scope/severity C

      K0341 Smoke Deficiencies

      Install a fire alarm system that can be heard throughout the facility.

      Corrected Apr 11, 2025 · CMS fire safety

    • Not serious Scope/severity E

      K0345 Smoke Deficiencies

      Have approved installation, maintenance and testing program for fire alarm systems.

      Corrected Apr 11, 2025 · CMS fire safety

    • Not serious Scope/severity E

      K0353 Smoke Deficiencies

      Inspect, test, and maintain automatic sprinkler systems.

      Corrected Apr 11, 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 Apr 30, 2025 · CMS fire safety

    • Not serious Scope/severity C

      K0712 Miscellaneous Deficiencies

      Have simulated fire drills held at unexpected times.

      Corrected Apr 11, 2025 · CMS fire safety

  2. Dec 5, 2024 Health · 1 finding
    • Not serious Scope/severity D Complaint

      F0880 Infection Control Deficiencies

      Provide and implement an infection prevention and control program.

      Corrected Jan 2, 2025 · CMS health inspection

  3. Sep 12, 2024 Health · 5 findings
    • Not serious Scope/severity D Complaint

      F0607 Freedom from Abuse, Neglect, and Exploitation Deficiencies

      Develop and implement policies and procedures to prevent abuse, neglect, and theft.

      Corrected Oct 8, 2024 · CMS health inspection

    • Not serious Scope/severity E Complaint

      F0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies

      Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

      Corrected Oct 8, 2024 · CMS health inspection

    • Serious Scope/severity L Complaint

      F0725 Nursing and Physician Services Deficiencies

      Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

      Corrected Apr 15, 2024 · CMS health inspection

    • Not serious Scope/severity C Complaint

      F0732 Nursing and Physician Services Deficiencies

      Post nurse staffing information every day.

      Corrected Oct 8, 2024 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0755 Pharmacy Service Deficiencies

      Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

      Corrected Oct 8, 2024 · CMS health inspection

  4. Feb 6, 2024 Fire Safety · 33 findings
    • Not serious Scope/severity F

      E0013 Emergency Preparedness Deficiencies

      Develop Emergency Preparedness policies and procedures.

      Corrected Mar 4, 2024 · CMS fire safety

    • Not serious Scope/severity C

      E0025 Emergency Preparedness Deficiencies

      Create arrangements with other facilities to receive patients.

      Corrected Mar 4, 2024 · CMS fire safety

    • Not serious Scope/severity F

      E0039 Emergency Preparedness Deficiencies

      Conduct testing and exercise requirements.

      Corrected Mar 4, 2024 · CMS fire safety

    • Not serious Scope/severity D

      F0550 Resident Rights Deficiencies

      Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

      Corrected Mar 4, 2024 · CMS health inspection

    • Not serious Scope/severity D

      F0551 Resident Rights Deficiencies

      Give the resident's representative the ability to exercise the resident's rights.

      Corrected Mar 4, 2024 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0580 Resident Rights Deficiencies

      Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

      Corrected Mar 4, 2024 · CMS health inspection

    • Not serious Scope/severity D

      F0582 Resident Rights Deficiencies

      Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

      Corrected Mar 4, 2024 · CMS health inspection

    • Not serious Scope/severity C

      F0623 Resident Rights Deficiencies

      Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

      Corrected Mar 4, 2024 · CMS health inspection

    • Not serious Scope/severity C

      F0625 Resident Rights Deficiencies

      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.

      Corrected Mar 4, 2024 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0684 Quality of Life and Care Deficiencies

      Provide appropriate treatment and care according to orders, resident’s preferences and goals.

      Corrected Mar 4, 2024 · CMS health inspection

    • Not serious Scope/severity F

      F0727 Nursing and Physician Services Deficiencies

      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.

      Corrected Mar 4, 2024 · CMS health inspection

    • Not serious Scope/severity D

      F0757 Pharmacy Service Deficiencies

      Ensure each resident’s drug regimen must be free from unnecessary drugs.

      Corrected Mar 4, 2024 · CMS health inspection

    • Not serious Scope/severity D

      F0759 Pharmacy Service Deficiencies

      Ensure medication error rates are not 5 percent or greater.

      Corrected Mar 4, 2024 · CMS health inspection

    • Not serious Scope/severity E Complaint

      F0761 Pharmacy Service Deficiencies

      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.

      Corrected Mar 4, 2024 · CMS health inspection

    • Not serious Scope/severity F

      F0801 Nutrition and Dietary Deficiencies

      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.

      Corrected Mar 4, 2024 · CMS health inspection

    • Not serious Scope/severity F

      F0812 Nutrition and Dietary Deficiencies

      Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

      Corrected Mar 4, 2024 · CMS health inspection

    • Not serious Scope/severity F

      F0851 Administration Deficiencies

      Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

      Corrected Mar 4, 2024 · CMS health inspection

    • Not serious Scope/severity E

      K0271 Egress Deficiencies

      Have exits that are accessible at all times.

      Corrected Mar 4, 2024 · CMS fire safety

    • Not serious Scope/severity D

      K0293 Egress Deficiencies

      Have properly located and lighted "Exit" signs.

      Corrected Mar 4, 2024 · CMS fire safety

    • Not serious Scope/severity D

      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 Mar 4, 2024 · CMS fire safety

    • Not serious Scope/severity D

      K0324 Smoke Deficiencies

      Provide properly protected cooking facilities.

      Corrected Mar 4, 2024 · CMS fire safety

    • Not serious Scope/severity D

      K0341 Smoke Deficiencies

      Install a fire alarm system that can be heard throughout the facility.

      Corrected Mar 4, 2024 · CMS fire safety

    • Not serious Scope/severity F

      K0345 Smoke Deficiencies

      Have approved installation, maintenance and testing program for fire alarm systems.

      Corrected Mar 4, 2024 · CMS fire safety

    • Not serious Scope/severity E

      K0351 Smoke Deficiencies

      Install an approved automatic sprinkler system.

      Corrected Mar 4, 2024 · CMS fire safety

    • Not serious Scope/severity F

      K0353 Smoke Deficiencies

      Inspect, test, and maintain automatic sprinkler systems.

      Corrected Mar 4, 2024 · CMS fire safety

    • Not serious Scope/severity D

      K0363 Smoke Deficiencies

      Install corridor and hallway doors that block smoke.

      Corrected Mar 4, 2024 · CMS fire safety

    • Not serious Scope/severity F

      K0374 Smoke Deficiencies

      Install smoke barrier doors that can resist smoke for at least 20 minutes.

      Corrected Mar 4, 2024 · CMS fire safety

    • Not serious Scope/severity D

      K0511 Services Deficiencies

      Have properly installed electrical wiring and gas equipment.

      Corrected Mar 4, 2024 · CMS fire safety

    • Not serious Scope/severity C

      K0712 Miscellaneous Deficiencies

      Have simulated fire drills held at unexpected times.

      Corrected Mar 4, 2024 · CMS fire safety

    • Not serious Scope/severity F

      K0911 Gas, Vacuum, and Electrical Systems Deficiencies

      Meet requirements for the installation and maintenance of electrical systems.

      Corrected Mar 4, 2024 · 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 Mar 4, 2024 · CMS fire safety

    • Not serious Scope/severity D

      K0919 Gas, Vacuum, and Electrical Systems Deficiencies

      Meet requirements for the use of electrical equipment.

      Corrected Mar 4, 2024 · CMS fire safety

    • Not serious Scope/severity D

      K0923 Gas, Vacuum, and Electrical Systems Deficiencies

      Have proper medical gas storage and administration areas.

      Corrected Mar 4, 2024 · CMS fire safety

  5. Nov 8, 2023 Health · 1 finding
    • Not serious Scope/severity D Complaint

      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 Dec 7, 2023 · CMS health inspection

  6. Jan 26, 2023 Fire Safety · 14 findings
    • Not serious Scope/severity F

      E0006 Emergency Preparedness Deficiencies

      Conduct risk assessment and an All-Hazards approach.

      Corrected Mar 10, 2023 · CMS fire safety

    • Not serious Scope/severity D

      F0580 Resident Rights Deficiencies

      Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

      Corrected Mar 10, 2023 · CMS health inspection

    • Not serious Scope/severity D

      F0657 Resident Assessment and Care Planning Deficiencies

      Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

      Corrected Mar 10, 2023 · CMS health inspection

    • Not serious Scope/severity D

      F0759 Pharmacy Service Deficiencies

      Ensure medication error rates are not 5 percent or greater.

      Corrected Mar 10, 2023 · CMS health inspection

    • Not serious Scope/severity D

      F0880 Infection Control Deficiencies

      Provide and implement an infection prevention and control program.

      Corrected Mar 10, 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 Mar 10, 2023 · CMS fire safety

    • Not serious Scope/severity E

      K0281 Egress Deficiencies

      Install proper backup exit lighting.

      Corrected Mar 10, 2023 · CMS fire safety

    • Not serious Scope/severity F

      K0345 Smoke Deficiencies

      Have approved installation, maintenance and testing program for fire alarm systems.

      Corrected Mar 10, 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 Mar 10, 2023 · CMS fire safety

    • Not serious Scope/severity F

      K0712 Miscellaneous Deficiencies

      Have simulated fire drills held at unexpected times.

      Corrected Mar 10, 2023 · CMS fire safety

    • Not serious Scope/severity F

      K0911 Gas, Vacuum, and Electrical Systems Deficiencies

      Meet requirements for the installation and maintenance of electrical systems.

      Corrected Mar 10, 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 Mar 10, 2023 · CMS fire safety

    • Not serious Scope/severity D

      K0919 Gas, Vacuum, and Electrical Systems Deficiencies

      Meet requirements for the use of electrical equipment.

      Corrected Mar 10, 2023 · 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 Mar 10, 2023 · CMS fire safety

Owners and managers (as published by CMS)

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.