Public Record
Delavan Health Services
Operated by North Shore Healthcare
From CMS
Facility profile
- CMS overall rating
- 4 / 5
- Certified beds
- 50
- Avg. residents per day
- 37.8
*CMS Five-Star
*CMS
*CMS
Inspection record
On record from CMS
- Health citations
- 12
- Fire safety findings
- 37
- Inspections on file
- 7
- Last inspection
- 2024-12-19
*CMS
*CMS
*CMS
*CMS
Citations
12 citations on record
Each deficiency cited on a CMS health inspection of this facility, sourced from the federal record. Open a report for the raw CMS Scope and Severity grade on each finding.
What do CMS severity letters mean?
Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.
General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.
Each letter combines severity with scope: how many residents the deficiency affected.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
- 0610Generalpotential for harm
Respond appropriately to all alleged violations.
- 0759Generalpotential for harm
Ensure medication error rates are not 5 percent or greater.
- 0689Generalpotential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- 0758Generalpotential for harm
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.
- 0689Generalpotential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- 0558Generalpotential for harm
Reasonably accommodate the needs and preferences of each resident.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
- 0686Seriousactual harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- 0838Generalno actual harm
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
- 0758Generalpotential for harm
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.
- 0690Generalpotential for harm
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Inspection history
Every health inspection on record
Each CMS health inspection of this facility, and the deficiencies the surveyors cited. Where the verbatim Form 2567 statement of deficiencies is on file, it links to the full report.
- View inspection reportInspection1 deficiency
- View inspection reportInspectionFire Safety8 deficiencies
- View inspection reportInspection1 deficiency
- View inspection reportInspection3 deficiencies
- View inspection reportInspectionFire Safety18 deficiencies
- View inspection reportInspectionFire Safety11 deficiencies
- View inspection reportInspection7 deficiencies
Ownership
North Shore Healthcare
59nursing homes nationwide, in CMS records
FAQ
Questions and answers
- What is Delavan Health Services?
- Delavan Health Services is a Medicare- and Medicaid-certified nursing home in Delavan, WI, tracked by the Centers for Medicare & Medicaid Services (CMS). Its CMS Certification Number (CCN) is 525324.
- What is the CMS rating for Delavan Health Services?
- Delavan Health Services has a CMS overall rating of 4 out of 5 stars. CMS rates nursing homes on health inspections, staffing, and quality measures.
- How many beds does Delavan Health Services have?
- Delavan Health Services is certified for 50 beds. It serves an average of 37.8 residents per day.
- How many citations does Delavan Health Services have?
- Delavan Health Services has 12 citations on record from CMS health inspections, each tied to a federal deficiency tag.
- When was Delavan Health Services last inspected?
- Delavan Health Services was last inspected on December 19, 2024. CMS surveys nursing homes about once a year and after complaints.
- What can I do if I have concerns about care at this facility?
- Start by raising the concern with the facility administrator or director of nursing. Every state also runs a free long-term care ombudsman program that advocates for residents and families; the federal Eldercare Locator at eldercare.acl.gov can connect you with yours. Complaints about quality of care can also be filed with your state survey agency.
*Sourced from the Centers for Medicare & Medicaid Services (CMS). See the official record on CMS Care Compare. If you believe any information is inaccurate, report it here.
/nursing-home/525324-delavan-health-services