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Public Record

Willowdale Health Services

Nursing HomeNew Holstein, WICMS 525411
35 citations on record

From CMS

Facility profile

CMS overall rating
4 / 5

*CMS Five-Star

Certified beds
49

*CMS

Avg. residents per day
23.3

*CMS

Inspection record

On record from CMS

Citations on record
35

*CMS

Inspections on file
7

*CMS

Last inspection
2025-01-22

*CMS

Citations

35 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.

  • 0657Generalpotential for harm

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

  • 0692Generalpotential for harm

    Provide enough food/fluids to maintain a resident's health.

  • 0761Generalpotential for harm

    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.

  • 0609Generalpotential for harm

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

  • 0610Generalpotential for harm

    Respond appropriately to all alleged violations.

  • 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.

  • 0020Generalpotential for harm

    Establish policies and procedures including evacuation.

  • 0031Generalpotential for harm

    Provide emergency officials' contact information.

  • 0035Generalpotential for harm

    Provide family notifications of emergency plan.

  • 0039Generalpotential for harm

    Conduct testing and exercise requirements.

  • 0311Generalpotential for harm

    Have an enclosure around a vertical opening shaft.

  • 0345Generalpotential for harm

    Have approved installation, maintenance and testing program for fire alarm systems.

  • 0372Generalpotential for harm

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

  • 0521Generalpotential for harm

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

  • 0607Generalpotential for harm

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

  • 0641Generalpotential for harm

    Ensure each resident receives an accurate assessment.

  • 0923Generalpotential for harm

    Have proper medical gas storage and administration areas.

  • 0644Generalpotential for harm

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

  • 0645Generalpotential for harm

    PASARR screening for Mental disorders or Intellectual Disabilities

  • 0803Generalpotential for harm

    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

  • 0812Generalpotential for harm

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  • 0781Generalpotential for harm

    Have restrictions on the use of portable space heaters.

  • 0911Generalpotential for harm

    Meet requirements for the installation and maintenance of electrical systems.

  • 0918Generalno actual harm

    Have generator or other power source capable of supplying service within 10 seconds.

  • 0347Generalpotential for harm

    Properly provide smoke detection systems in areas open to corridors.

  • 0351Generalpotential for harm

    Install an approved automatic sprinkler system.

  • 0741Generalpotential for harm

    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

  • 0584Generalpotential for harm

    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.

  • 0351Generalpotential for harm

    Install an approved automatic sprinkler system.

  • 0712Generalpotential for harm

    Have simulated fire drills held at unexpected times.

  • 0927Generalpotential for harm

    Have proper fire barriers, ventilation and signs for the transfilling of oxygen.

  • 0607Generalpotential for harm

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

  • 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.

  • 0345Generalpotential for harm

    Have approved installation, maintenance and testing program for fire alarm systems.

  • 0641Generalpotential for harm

    Ensure each resident receives an accurate assessment.

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.

FAQ

Questions and answers

What is Willowdale Health Services?
Willowdale Health Services is a Medicare- and Medicaid-certified nursing home in New Holstein, WI, tracked by the Centers for Medicare & Medicaid Services (CMS). Its CMS Certification Number (CCN) is 525411.
What is the CMS rating for Willowdale Health Services?
Willowdale 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 Willowdale Health Services have?
Willowdale Health Services is certified for 49 beds. It serves an average of 23.3 residents per day.
How many citations does Willowdale Health Services have?
Willowdale Health Services has 35 citations on record from CMS health inspections, each tied to a federal deficiency tag.
When was Willowdale Health Services last inspected?
Willowdale Health Services was last inspected on January 22, 2025. 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.

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