PlainNursing
2026 data Public-data reference. official source

GOOD SHEPHERD SERVICES LTD

Open-data reference.

GOOD SHEPHERD SERVICES LTD is a non profit - corporation facility in SEYMOUR, WI with 50 certified beds and a 5-star overall CMS rating. The facility has 10 deficiency records on file.

607 BRONSON RD, SEYMOUR, WI 54165

Phone: 9208336856

Overall Rating

5/5

Health Inspection

4/5

Staffing

5/5

Quality Measures

4/5

Long-Stay Quality

4/5

Facility Information

Provider Number
525509
Ownership
Non profit - Corporation
Provider Type
Medicare and Medicaid
Beds
50
Residents
30
In Hospital
No
County
Outagamie
Last Inspection
May 29, 2025

Staffing Data

RN Hours
0.90 (nat'l avg: 0.68)
LPN Hours
0.78
CNA Hours
2.77
Total Nursing Hours
4.45 (nat'l avg: 3.89)
PT Hours
0.00
Nursing Turnover
42.6%
RN Turnover
44.4%

What the CMS Record Reveals About GOOD SHEPHERD SERVICES LTD

GOOD SHEPHERD SERVICES LTD operates 50 certified beds in SEYMOUR, WI with approximately 30 residents currently in care, and carries a CMS overall rating of 5 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (4★), staffing levels (5★), and quality measures (4★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 10 deficiency records from recent surveys, all falling in the no-harm or minimal-harm bands of the CMS scope-and-severity grid. No fines or payment denials have been assessed against this provider, suggesting issues — if any — did not rise to the enforcement threshold. Staffing is reported at 4.45 total nursing hours per resident day (national average 3.89), with RN coverage at 0.90 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "Non profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, GOOD SHEPHERD SERVICES LTD falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 42.6%, within a range generally associated with stable care teams. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (10 most recent)

E — Pattern - Minimal harm May 29, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Jun 29, 2025

C — Widespread - No harm May 29, 2025 Tag: 0868

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Category: Administration Deficiencies

Corrected: Jun 29, 2025

D — Isolated - Minimal harm May 29, 2025 Tag: 0695

Provide safe and appropriate respiratory care for a resident when needed.

Category: Quality of Life and Care Deficiencies

Corrected: Jun 29, 2025

D — Isolated - Minimal harm May 29, 2025 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Jun 29, 2025

D — Isolated - Minimal harm May 29, 2025 Tag: 0657

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jun 29, 2025

D — Isolated - Minimal harm May 29, 2025 Tag: 0628

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Category: Resident Rights Deficiencies

Corrected: Jun 29, 2025

D — Isolated - Minimal harm May 29, 2025 Tag: 0552

Ensure that residents are fully informed and understand their health status, care and treatments.

Category: Resident Rights Deficiencies

Corrected: Jun 29, 2025

D — Isolated - Minimal harm Apr 11, 2024 Tag: 0690

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Category: Quality of Life and Care Deficiencies

Corrected: May 11, 2024

D — Isolated - Minimal harm Apr 19, 2023 Tag: 0610

Respond appropriately to all alleged violations.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: May 5, 2023

D — Isolated - Minimal harm Apr 19, 2023 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: May 8, 2023

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 19.1% Yes
Percentage of long-stay residents who lose too much weight Long Stay 4.9% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.0% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 1.0% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 0.0% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 0.0% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 91.9% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 86.6% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.0% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay N/A Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 21.2% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 100.0% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 90.4% No
Percentage of long-stay residents with pressure ulcers Long Stay 2.7% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 27.2% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 22.2% Yes

Penalty History

No penalties on record.

Frequently Asked Questions

What is the overall CMS rating for GOOD SHEPHERD SERVICES LTD?
GOOD SHEPHERD SERVICES LTD has an overall CMS rating of 5 out of 5 stars. This rating combines health inspection results (4★), staffing levels (5★), and quality measures (4★).
What are the staffing levels at GOOD SHEPHERD SERVICES LTD?
GOOD SHEPHERD SERVICES LTD reports 4.45 total nursing hours per resident day (national average: 3.89). RN hours are 0.90 per resident day (national average: 0.68). Nursing staff turnover is 42.6%.
How many beds does GOOD SHEPHERD SERVICES LTD have?
GOOD SHEPHERD SERVICES LTD has 50 certified beds with approximately 30 residents. The facility is located at 607 BRONSON RD, SEYMOUR, WI 54165.
Does GOOD SHEPHERD SERVICES LTD have any deficiencies on record?
Yes, GOOD SHEPHERD SERVICES LTD has 10 deficiencies on record from recent inspections. Most deficiencies are classified as no harm or minimal harm.
Has GOOD SHEPHERD SERVICES LTD received any fines or penalties?
No, GOOD SHEPHERD SERVICES LTD has no fines or penalties on record.
Who owns GOOD SHEPHERD SERVICES LTD?
GOOD SHEPHERD SERVICES LTD is classified as "Non profit - Corporation" ownership. The facility type is "Medicare and Medicaid".
When was GOOD SHEPHERD SERVICES LTD last inspected?
The most recent health inspection for GOOD SHEPHERD SERVICES LTD was on May 29, 2025. The facility received a health inspection rating of 4 out of 5 stars.
What quality measures are tracked for GOOD SHEPHERD SERVICES LTD?
GOOD SHEPHERD SERVICES LTD is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial