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WILLIAMS BAY HEALTH SERVICES

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WILLIAMS BAY HEALTH SERVICES is a for profit - corporation facility in WILLIAMS BAY, WI with 50 certified beds and a 3-star overall CMS rating. The facility has 11 deficiency records on file.

146 CLOVER ST, WILLIAMS BAY, WI 53191

Phone: 2622456400

Overall Rating

3/5

Health Inspection

3/5

Staffing

4/5

Quality Measures

2/5

Long-Stay Quality

1/5

Facility Information

Provider Number
525346
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
Beds
50
Residents
33
In Hospital
No
County
Walworth
Last Inspection
Mar 27, 2025

Staffing Data

RN Hours
1.20 (nat'l avg: 0.68)
LPN Hours
0.31
CNA Hours
1.95
Total Nursing Hours
3.46 (nat'l avg: 3.89)
PT Hours
0.03
Nursing Turnover
64.1%
RN Turnover
14.3%

What the CMS Record Reveals About WILLIAMS BAY HEALTH SERVICES

WILLIAMS BAY HEALTH SERVICES operates 50 certified beds in WILLIAMS BAY, WI with approximately 33 residents currently in care, and carries a CMS overall rating of 3 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 (3★), staffing levels (4★), and quality measures (2★). 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 11 deficiency records from recent surveys, of which 1 reached the actual-harm or immediate-jeopardy threshold on 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 3.46 total nursing hours per resident day (national average 3.89), with RN coverage at 1.20 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "For profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, WILLIAMS BAY HEALTH SERVICES 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 64.1%, above the level where continuity of care typically begins to suffer. 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 (11 most recent)

F — Widespread - Minimal harm Mar 27, 2025 Tag: 0909

Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.

Category: Environmental Deficiencies

Corrected: Apr 24, 2025

F — Widespread - Minimal harm Mar 27, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Apr 24, 2025

D — Isolated - Minimal harm Mar 27, 2025 Tag: 0697

Provide safe, appropriate pain management for a resident who requires such services.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 24, 2025

G — Isolated - Actual harm Mar 27, 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: Apr 24, 2025

D — Isolated - Minimal harm Sep 22, 2023 Tag: 0610

Respond appropriately to all alleged violations.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Oct 23, 2023

D — Isolated - Minimal harm Sep 22, 2023 Tag: 0609

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

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Oct 23, 2023

D — Isolated - Minimal harm Sep 22, 2023 Tag: 0600

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Oct 23, 2023

E — Pattern - Minimal harm Oct 3, 2022 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Nov 1, 2022

D — Isolated - Minimal harm Oct 3, 2022 Tag: 0756

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Category: Pharmacy Service Deficiencies

Corrected: Nov 1, 2022

D — Isolated - Minimal harm Oct 3, 2022 Tag: 0745

Provide medically-related social services to help each resident achieve the highest possible quality of life.

Category: Quality of Life and Care Deficiencies

Corrected: Nov 1, 2022

D — Isolated - Minimal harm Oct 3, 2022 Tag: 0686

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Category: Quality of Life and Care Deficiencies

Corrected: Nov 1, 2022

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 24.1% Yes
Percentage of long-stay residents who lose too much weight Long Stay 8.6% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 1.2% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 2.8% 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 1.7% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 94.0% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 76.0% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 1.6% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 45.4% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 19.1% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 96.7% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 73.1% No
Percentage of long-stay residents with pressure ulcers Long Stay 2.6% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 34.7% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 24.6% Yes

Penalty History

No penalties on record.

Frequently Asked Questions

What is the overall CMS rating for WILLIAMS BAY HEALTH SERVICES?
WILLIAMS BAY HEALTH SERVICES has an overall CMS rating of 3 out of 5 stars. This rating combines health inspection results (3★), staffing levels (4★), and quality measures (2★).
What are the staffing levels at WILLIAMS BAY HEALTH SERVICES?
WILLIAMS BAY HEALTH SERVICES reports 3.46 total nursing hours per resident day (national average: 3.89). RN hours are 1.20 per resident day (national average: 0.68). Nursing staff turnover is 64.1%.
How many beds does WILLIAMS BAY HEALTH SERVICES have?
WILLIAMS BAY HEALTH SERVICES has 50 certified beds with approximately 33 residents. The facility is located at 146 CLOVER ST, WILLIAMS BAY, WI 53191.
Does WILLIAMS BAY HEALTH SERVICES have any deficiencies on record?
Yes, WILLIAMS BAY HEALTH SERVICES has 11 deficiencies on record from recent inspections. Of these, 1 are classified as causing actual harm or jeopardy.
Has WILLIAMS BAY HEALTH SERVICES received any fines or penalties?
No, WILLIAMS BAY HEALTH SERVICES has no fines or penalties on record.
Who owns WILLIAMS BAY HEALTH SERVICES?
WILLIAMS BAY HEALTH SERVICES is classified as "For profit - Corporation" ownership. The facility type is "Medicare and Medicaid".
When was WILLIAMS BAY HEALTH SERVICES last inspected?
The most recent health inspection for WILLIAMS BAY HEALTH SERVICES was on Mar 27, 2025. The facility received a health inspection rating of 3 out of 5 stars.
What quality measures are tracked for WILLIAMS BAY HEALTH SERVICES?
WILLIAMS BAY HEALTH SERVICES 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