Shell Lake Health Care Center

Inspection findings

1. Dec 23, 2025 Health · 1 finding
   • Not serious Scope/severity D 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 Jan 12, 2026 · CMS health inspection

2. Sep 10, 2025 Health · 8 findings
   • Not serious Scope/severity D

     F0641 Resident Assessment and Care Planning Deficiencies

     Ensure each resident receives an accurate assessment.

     Corrected Oct 2, 2025 · 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 Oct 2, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0697 Quality of Life and Care Deficiencies

     Provide safe, appropriate pain management for a resident who requires such services.

     Corrected Oct 2, 2025 · CMS health inspection

   • Not serious Scope/severity D

     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 2, 2025 · 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 Oct 2, 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 Oct 2, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Oct 2, 2025 · CMS health inspection

   • Not serious Scope/severity C

     K0712 Miscellaneous Deficiencies

     Have simulated fire drills held at unexpected times.

     Corrected Oct 2, 2025 · CMS fire safety

3. Jun 20, 2024 Health · 8 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 Jul 15, 2024 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0677 Quality of Life and Care Deficiencies

     Provide care and assistance to perform activities of daily living for any resident who is unable.

     Corrected Jul 15, 2024 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0686 Quality of Life and Care Deficiencies

     Provide appropriate pressure ulcer care and prevent new ulcers from developing.

     Corrected Jul 15, 2024 · CMS health inspection

   • 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 Jul 15, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0695 Quality of Life and Care Deficiencies

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

     Corrected Jul 15, 2024 · CMS health inspection

   • Not serious Scope/severity D 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 Jul 15, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Jul 15, 2024 · CMS health inspection

   • Not serious Scope/severity E

     K0211 Egress Deficiencies

     Keep aisles, corridors, and exits free of obstruction in case of emergency.

     Corrected Jul 12, 2024 · CMS fire safety

4. Jun 28, 2023 Health · 5 findings
   • Not serious Scope/severity D

     F0656 Resident Assessment and Care Planning Deficiencies

     Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

     Corrected Jul 20, 2023 · 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 Jul 20, 2023 · CMS health inspection

   • Not serious Scope/severity F

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Jul 20, 2023 · CMS health inspection

   • Not serious Scope/severity F

     K0225 Egress Deficiencies

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

     Corrected Jul 19, 2023 · CMS fire safety

   • Not serious Scope/severity C

     K0912 Gas, Vacuum, and Electrical Systems Deficiencies

     Have power receptacles that are properly grounded.

     Corrected Jul 19, 2023 · CMS fire safety

Owners and managers (as published by CMS)

• COLVIN, DAVID — adp of the snf, NOT APPLICABLE, since 05/01/2025
• COLVIN, DAVID — operational/managerial control, NOT APPLICABLE, since 05/01/2025
• DUGGER, KRISTINA — adp of the snf, NOT APPLICABLE, since 06/14/2022
• DUGGER, KRISTINA — operational/managerial control, NOT APPLICABLE, since 06/14/2022
• HANSEN, JONATHON — adp of the snf, NOT APPLICABLE, since 09/22/2021
• HANSEN, JONATHON — direct ownership interest, NOT APPLICABLE, since 09/22/2021
• HANSEN, JONATHON — operational/managerial control, NOT APPLICABLE, since 09/22/2021
• KLASSA, JENNIE — operational/managerial control, NOT APPLICABLE, since 09/22/2021
• KLASSA, JENNIE — adp of the snf, NOT APPLICABLE, since 09/22/2021
• SPORE, JULIE — direct ownership interest, NOT APPLICABLE, since 09/22/2021
• SPORE, JULIE — adp of the snf, NOT APPLICABLE, since 09/22/2021
• INDIANHEAD MEDICAL CENTER SHELL LAKE, INC. — adp of the snf, NOT APPLICABLE, since 09/22/2021
• SENTRY BANK — 5% or greater mortgage interest, NOT APPLICABLE, since 09/22/2021
• SHELL LAKE HCC HOLDINGS LLC — adp of the snf, NOT APPLICABLE, since 09/22/2021
• SHELL LAKE SNF LLC — adp of the snf, NOT APPLICABLE, since 09/22/2021
• SHELL LAKE SNF LLC — 5% or greater direct ownership interest, 100%, since 09/22/2021
• WIPFLI LLP — adp of the snf, NOT APPLICABLE, since 06/30/2025
• WIPFLI LLP — operational/managerial control, NOT APPLICABLE, since 09/22/2021