| Menomonee Falls Health Services | |
| N84 W17049 Menomonee Ave, Menomonee Falls, Wisconsin 53051 | |
| (262) 255-1180 | |
| Name | Menomonee Falls Health Services |
|---|---|
| Location | N84 W17049 Menomonee Ave, Menomonee Falls, Wisconsin |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 50 |
| Occupancy Rate | 73.8% |
| Medicare ID (CCN) | 525415 |
| Legal Business Name | Nsh Menomonee 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 | 1407374291 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Nsh Menomonee LLC |
| Address | N84w17049 Menomonee Ave, Menomonee Falls, WI 53051 |
| Phone Number | 262-255-1180 |
| NPI Number | 1659445328 |
| Match | Possible same name, address or phone number |
| Organization Name | Extendicare Homes, Inc. |
| Doing Business As | Menomonee Falls Health Care Center |
| Address | N84w17049 Menomonee Ave, Menomonee Falls, WI 53051 |
| Phone Number | 262-255-1180 |
| NPI Number | 1902295702 |
| Match | Possible same name, address or phone number |
| Organization Name | Fmg Menomonee Avenue Wisconsin LLC |
| Doing Business As | Menomonee Falls Health Care |
| Address | N84w17049 Menomonee Ave, Menomonee Falls, WI 53051 |
| Phone Number | 262-255-1180 |
| 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 | 3.63 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.62 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.79 | 0.86 |
| Nurse aide hours per resident per day | 2.22 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 3.39 | 3.42 |
| RN hours per resident per day on the weekend | 0.46 | 0.48 |
| Physical therapist hours per resident per day | 0.05 | 0.07 |
| Total nursing staff turnover | 38.7% | 45.8% |
| Registered nurse turnover | 57.1% | 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 | 5 |
| Total Amount of Fines in Dollars | $214,308 |
| Number of Payment Denials | 1 |
| Total Number of Penalties | 6 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Dec 3, 2025 | Allow residents to self-administer drugs if determined clinically appropriate. F0554, Resident Rights, Complaint inspection | Potential for harm, isolated | Corrected by Dec 8, 2025 |
| Aug 4, 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, Standard inspection | Actual harm, isolated | Corrected by Aug 26, 2025 |
| Aug 4, 2025 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, widespread | Corrected by Sep 3, 2025 |
| Aug 4, 2025 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. F0947, Nursing and Physician Services, Standard inspection | Potential for harm, widespread | Corrected by Aug 26, 2025 |
| Aug 4, 2025 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. F0628, Resident Rights, Standard inspection | Potential for harm, pattern | Corrected by Aug 26, 2025 |
| Aug 4, 2025 | Ensure each resident receives an accurate assessment. F0641, Resident Assessment and Care Planning, Standard inspection | Potential for harm, pattern | Corrected by Aug 26, 2025 |
| Aug 4, 2025 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. F0607, Freedom from Abuse, Neglect, and Exploitation, Standard inspection | Potential for harm, isolated | Corrected by Aug 26, 2025 |
| Aug 4, 2025 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Aug 26, 2025 |
| Aug 4, 2025 | 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. F0761, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Aug 26, 2025 |
| Aug 4, 2025 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. F0849, Administration, Standard inspection | Potential for harm, isolated | Corrected by Aug 26, 2025 |
| Aug 4, 2025 | Develop and implement policies and procedures for flu and pneumonia vaccinations. F0883, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by Aug 30, 2025 |
| Aug 4, 2025 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. F0887, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by Aug 30, 2025 |
| Nov 26, 2024 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686, Quality of Life and Care, Complaint inspection | Actual harm, isolated | Corrected by Dec 24, 2024 |
| Nov 26, 2024 | 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, Complaint inspection | Potential for harm, isolated | Corrected by Dec 24, 2024 |
| Nov 26, 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 24, 2024 |
| Nov 26, 2024 | Assist a resident in gaining access to vision and hearing services. F0685, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Dec 24, 2024 |
| Nov 26, 2024 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755, Pharmacy Service, Complaint inspection | Potential for harm, isolated | Corrected by Dec 24, 2024 |
| May 1, 2024 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686, Quality of Life and Care, Standard inspection | Actual harm, isolated | Corrected by Jun 6, 2024 |
| May 1, 2024 | 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 | Actual harm, isolated | Corrected by Jun 6, 2024 |
| May 1, 2024 | 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 Jun 6, 2024 |
| May 1, 2024 | 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 Jun 6, 2024 |
| May 1, 2024 | Dispose of garbage and refuse properly. F0814, Nutrition and Dietary, Standard inspection | Potential for harm, widespread | Corrected by Jun 6, 2024 |
| May 1, 2024 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. F0851, Administration, Standard inspection | Potential for harm, widespread | Corrected by Jun 6, 2024 |
| May 1, 2024 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, widespread | Corrected by Jun 6, 2024 |
| May 1, 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, Standard inspection, Complaint inspection | Potential for harm, pattern | Corrected by Jun 6, 2024 |
| May 1, 2024 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. F0678, Quality of Life and Care, Standard inspection | Potential for harm, pattern | Corrected by Jun 6, 2024 |
| May 1, 2024 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. F0756, Pharmacy Service, Standard inspection | Potential for harm, pattern | Corrected by Jun 6, 2024 |
| May 1, 2024 | Allow residents to self-administer drugs if determined clinically appropriate. F0554, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Jun 6, 2024 |
| May 1, 2024 | 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 6, 2024 |
| May 1, 2024 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. F0623, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Jun 6, 2024 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 30.77 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 4.76 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 2.65 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 4.04 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 10.75 | 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 | 1.94 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 93.2 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 70.93 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.08 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | Not Available | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 9.09 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 83.87 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Not Available | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 5.48 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 31.94 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 12.7 | 15.38 |
Lindengrove Menomonee Falls Location: W180 N8071 Town Hall Rd, Menomonee Falls, Wisconsin 53051 Phone: (262) 253-2700 |