Jefferson County, Wisconsin · Nursing home
Lake Mills Health Services
4 of 5 overall from CMS
901 Mulberry St, Lake Mills, WI 53551
At a glance
- Overall rating 4 of 5 Above the state average of 3.0
- Nurse time per resident, per day 3.54 hours Below the state average of 4.21
- Nursing staff who left in a year 37.9% Below the state average of 46.9%
- Health citations, last 3 inspection cycles 18 1 at the harm level or above
- Fines in 3 years $120,900 1 fine
- Certified beds in use 56.6% of 50 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Lake Mills Health Services is a 50-bed nursing home in Lake Mills, Wisconsin (Jefferson County). CMS rates it 4 of 5 stars overall as of Sep 2026. It reports 3.54 nurse staffing hours per resident per day, below the Wisconsin average of 4.21. CMS lists 1 fine totaling $120,900 in the past three years.
- Certified beds
- 50
- Residents per day (average)
- 28.3
- Certified since
- 1981 (45 yrs)
For profit - Corporation Participates in Medicare and MedicaidPart of North Shore Healthcare (59 homes)
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask Lake Mills Health Services
Chosen from this home's public data.
- CMS lists 1 fine totaling $120,900 in the past three years. What changed after the most recent one?Penalties in CMS data
- About 56.6% of certified beds are in use on an average day. Are any units closed, or are admissions limited?Certified beds and average residents in CMS data
- What is the daily private-pay rate, and are Medicaid beds available now?CMS does not publish prices
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 4 of 5 Wisconsin average 3.0
- Health inspections 4 of 5 Wisconsin average 2.8
- Staffing 4 of 5 Wisconsin average 3.6
- Quality measures 3 of 5 Wisconsin average 3.0
The vertical line marks the Wisconsin average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 3.54 h Wisconsin average 4.21
- Nurse aides 1.85 h Wisconsin average 2.58
- Licensed practical nurses 0.17 h Wisconsin average 0.64
- Registered nurses 1.52 h Wisconsin average 0.99
- All staff, weekends 3.32 h Wisconsin average 3.77
How much nurse staffing is enough? All bars share one scale, 0 to 10 hours. The vertical line marks the Wisconsin average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover37.9%
- Wisconsin average46.9%
- Registered nurse turnover30.8%
- Wisconsin average39.7%
- Administrators who left1
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the Wisconsin and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | Wisconsin | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 15.9% | 16.1% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 10.0% | 5.1% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.6% | 2.1% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 0.0% | 2.7% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 2.4% | 5.7% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.0% | 0.1% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 0.0% | 3.3% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 90.6% | 95.7% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 15.7% | 18.4% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 31.5% | 16.9% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | Too few residents or stays to report | 95.0% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 9.1% | 5.0% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 17.6% | 24.6% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 16.0% | 15.8% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | Too few residents or stays to report | 1.66 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | Too few residents or stays to report | 2.29 | 1.78 |
Short-stay residents
| Measure | This home | Wisconsin | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 84.7% | 86.5% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% | 1.2% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 76.0% | 82.2% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | 27.7% | 23.1% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | 20.8% | 15.5% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 18 health deficiencies in the three most recent inspection cycles. Of these, 1 was at the immediate jeopardy level; the rest were graded as no actual harm. 7 were cited in connection with a complaint investigation. The most recent citation at the harm level or above was on Jul 3, 2025: Provide appropriate pressure ulcer care and prevent new ulcers from developing.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Mar 26, 2025 | 3 | 11 |
| Feb 8, 2024 | 7 | 9 |
| Oct 17, 2022 | 8 | 9 |
Wisconsin homes averaged 9.5 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (18)
-
JImmediate jeopardy, isolated
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Jul 29, 2025)
-
FPotential for more than minimal harm, widespread
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Complaint investigation · Administration · Deficient, Provider has date of correction (Jul 29, 2025)
-
DPotential for more than minimal harm, isolated
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Jul 29, 2025)
-
DPotential for more than minimal harm, isolated
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Jul 29, 2025)
-
DPotential for more than minimal harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · Deficient, Provider has date of correction (Apr 14, 2025)
Show 13 more
-
DPotential for more than minimal harm, isolated
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Apr 14, 2025)
-
CPotential for minimal harm, widespread
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Administration · Deficient, Provider has date of correction (Apr 14, 2025)
-
EPotential for more than minimal harm, pattern
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Infection Control · Deficient, Provider has date of correction (Mar 8, 2024)
-
DPotential for more than minimal harm, isolated
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.
Pharmacy Service · Deficient, Provider has date of correction (Mar 8, 2024)
-
DPotential for more than minimal harm, isolated
Ensure that residents are free from significant medication errors.
Pharmacy Service · Deficient, Provider has date of correction (Mar 8, 2024)
-
DPotential for more than minimal harm, isolated
Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Nov 9, 2023)
-
DPotential for more than minimal harm, isolated
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Complaint investigation · Pharmacy Service · Deficient, Provider has date of correction (Nov 9, 2023)
-
DPotential for more than minimal harm, isolated
Provide and implement an infection prevention and control program.
Complaint investigation · Infection Control · Deficient, Provider has date of correction (Nov 9, 2023)
-
DPotential for more than minimal harm, isolated
Provide activities to meet all resident's needs.
Quality of Life and Care · Deficient, Provider has date of correction (Nov 11, 2022)
-
DPotential for more than minimal harm, isolated
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care · Deficient, Provider has date of correction (Nov 11, 2022)
-
DPotential for more than minimal harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · Deficient, Provider has date of correction (Nov 11, 2022)
-
DPotential for more than minimal harm, isolated
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care · Deficient, Provider has date of correction (Nov 11, 2022)
-
CPotential for minimal harm, widespread
Give residents a notice of rights, rules, services and charges.
Resident Rights · Deficient, Provider has date of correction (Nov 11, 2022)
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
| Date | Type | Amount |
|---|---|---|
| Jul 3, 2025 | Fine | $120,900 |
Wisconsin homes averaged 0.9 fines and $48,150 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within Wisconsin
- Size188 of 323 by certified beds
- Wisconsin average residents per day54.7
- ChainNorth Shore Healthcare
- Chain average overall rating2.7 of 5
- Resident or family councilResident
- Homes in Jefferson County3
Common questions
What is the CMS star rating for Lake Mills Health Services?
Lake Mills Health Services has an overall rating of 4 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 4, staffing is 4 and quality measures is 3.
How many beds does Lake Mills Health Services have?
Lake Mills Health Services has 50 certified beds. It averages 28.3 residents per day, about 56.6% of its certified beds.
How much nursing care do residents get at Lake Mills Health Services?
The home reports 3.54 hours of nurse staffing per resident per day, including 1.52 hours from registered nurses. The Wisconsin average is 4.21 hours and 0.99 hours from registered nurses.
Has Lake Mills Health Services been fined?
Yes. CMS lists 1 fine totaling $120,900 in the past three years.
Does Lake Mills Health Services accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 1 of 5 Alden Estates of Countryside, Inc 120beds 93.9%in use 3.64nurse hours a day
- 1 of 5 Rock River Nursing & Rehab 87beds 31.0%in use 4.36nurse hours a day
- 2 of 5 Marquardt Memorial Manor 140beds 52.4%in use 3.22nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Jefferson County
Who to call in Wisconsin
These offices serve residents of every nursing home in Wisconsin.
- Long-term care ombudsman Wisconsin Long Term Care Ombudsman Program 1-800-815-0015 (Email: BOALTC@wisconsin.gov.) An advocate for residents and their families.
- File a complaint about a nursing home Division of Quality Assurance (DQA) complaint line 800-642-6552 (Toll-free. DQA also takes complaints through an online Complaint Intake Survey (form F-00607) and its nursing home regional offices.) The state agency that inspects nursing homes.
Wisconsin staffing, bed-hold and Medicaid rules · Residents' rights in every state
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 525314. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.