| Elroy Health Services | |
| 307 Royall Ave, Elroy, Wisconsin 53929 | |
| (608) 462-8491 | |
| Name | Elroy Health Services |
|---|---|
| Location | 307 Royall Ave, Elroy, Wisconsin |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 80 |
| Occupancy Rate | 80.25% |
| Medicare ID (CCN) | 525452 |
| Legal Business Name | Nsh Elroy LLC |
| Ownership Type | For Profit - Limited Liability Company |
| Chain | North Shore Healthcare (59 nursing homes) |
| Chain Average Overall Rating | 2.7 out of 5 |
| NPI Number | 1467950329 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Nsh Elroy LLC |
| Doing Business As | Elroy Health Services |
| Address | 307 Royall Ave, Elroy, WI 53929 |
| Phone Number | 608-462-8494 |
| NPI Number | 1598766479 |
| Match | Possible same name, address or phone number |
| Organization Name | Edgewood Care Center Inc. |
| Doing Business As | Heritage Manor |
| Address | 307 Royall Ave, Elroy, WI 53929 |
| Phone Number | 608-462-8491 |
| NPI Number | 1912452574 |
| Match | Possible same name, address or phone number |
| Organization Name | Heritage Elroy Operations LLC |
| Doing Business As | Heritage Manor of Elroy |
| Address | 307 Royall Ave, Elroy, WI 53929 |
| Phone Number | 608-462-8491 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 3.28 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.82 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.52 | 0.86 |
| Nurse aide hours per resident per day | 1.94 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 2.9 | 3.42 |
| RN hours per resident per day on the weekend | 0.67 | 0.48 |
| Physical therapist hours per resident per day | 0.02 | 0.07 |
| Total nursing staff turnover | 43.3% | 45.8% |
| Registered nurse turnover | 41.7% | 42.9% |
| Number of administrators who have left the nursing home | 0 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 1 |
| Total Amount of Fines in Dollars | $33,320 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 1 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| May 20, 2026 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Standard inspection | Immediate jeopardy, isolated | Corrected by Jun 16, 2026 |
| May 20, 2026 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Jun 16, 2026 |
| May 20, 2026 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. F0582, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Jun 16, 2026 |
| May 20, 2026 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jun 16, 2026 |
| May 20, 2026 | Provide medically-related social services to help each resident achieve the highest possible quality of life. F0745, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jun 16, 2026 |
| May 20, 2026 | Ensure medication error rates are not 5 percent or greater. F0759, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Jun 16, 2026 |
| Jul 1, 2025 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Complaint inspection | Actual harm, isolated | Corrected by Jul 29, 2025 |
| Jul 1, 2025 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Complaint inspection | Actual harm, isolated | Corrected by Jul 29, 2025 |
| Jul 1, 2025 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. F0605, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, isolated | Corrected by Jul 29, 2025 |
| Mar 3, 2025 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686, Quality of Life and Care, Standard inspection | Immediate jeopardy, isolated | Corrected by Apr 1, 2025 |
| Mar 3, 2025 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. F0725, Nursing and Physician Services, Standard inspection | Potential for harm, widespread | Corrected by Apr 1, 2025 |
| Mar 3, 2025 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, widespread | Corrected by Apr 1, 2025 |
| Mar 3, 2025 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, widespread | Corrected by Apr 1, 2025 |
| Mar 3, 2025 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. F0584, Resident Rights, Standard inspection | Potential for harm, pattern | Corrected by Apr 1, 2025 |
| Mar 3, 2025 | Provide activities to meet all resident's needs. F0679, Quality of Life and Care, Standard inspection | Potential for harm, pattern | Corrected by Apr 1, 2025 |
| Mar 3, 2025 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Apr 1, 2025 |
| Mar 3, 2025 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. F0561, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Apr 1, 2025 |
| Mar 3, 2025 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609, Freedom from Abuse, Neglect, and Exploitation, Standard inspection | Potential for harm, isolated | Corrected by Apr 1, 2025 |
| Mar 3, 2025 | Respond appropriately to all alleged violations. F0610, Freedom from Abuse, Neglect, and Exploitation, Standard inspection | Potential for harm, isolated | Corrected by Apr 1, 2025 |
| Mar 3, 2025 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Apr 1, 2025 |
| Mar 3, 2025 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. F0744, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Apr 1, 2025 |
| Nov 9, 2024 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550, Resident Rights, Complaint inspection | Potential for harm, isolated | Corrected by Dec 6, 2024 |
| Nov 9, 2024 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. F0676, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Dec 6, 2024 |
| Nov 9, 2024 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Dec 6, 2024 |
| Nov 9, 2024 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Dec 6, 2024 |
| Jul 30, 2024 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. F0584, Resident Rights, Complaint inspection | Potential for harm, pattern | Corrected by Aug 21, 2024 |
| Jul 30, 2024 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677, Quality of Life and Care, Complaint inspection | Potential for harm, pattern | Corrected by Aug 21, 2024 |
| Jul 30, 2024 | Allow residents to self-administer drugs if determined clinically appropriate. F0554, Resident Rights, Complaint inspection | Potential for harm, isolated | Corrected by Aug 21, 2024 |
| Jul 30, 2024 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, isolated | Corrected by Aug 21, 2024 |
| Jul 30, 2024 | Respond appropriately to all alleged violations. F0610, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, isolated | Corrected by Aug 21, 2024 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 26.6 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 4.97 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 3.86 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 3.62 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 0.89 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.85 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 93.21 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 20.94 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 14.43 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 88.06 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 89.36 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 4.6 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 26.27 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 16.27 | 15.38 |