ElderGrade
D

46.7/100

Below average

Willowcrest Health Services

3821 S Chicago Ave, South Milwaukee, WI 53172

CMS 2/5 stars #19 of 32 in Milwaukee County (414) 762-7336
Certified beds
100
Occupancy
75%
Ownership
For-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.

  • 2 citation(s) involving actual harm or immediate jeopardy

    Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.

  • $21,285 in federal fines

    CMS has fined this facility across 1 penalty action(s).

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection 4.7/30 Staffing 10/30 Stability 12/15 Outcomes 12/15 Enforcement 8/10

A full pentagon is full marks. The shape shows what kind of good or bad a home is — two homes can share a score and look nothing alike.

Inspection safety

4.7/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • -20 for 2 immediate-jeopardy citation(s) in the last 3 years
  • -5.3 for 32 total citations against a national median of 17

Staffing

10/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 3.2 total nurse hours per resident per day (national median 3.77)
  • 0.62 RN hours per resident per day
  • Weekend staffing drops 11% against weekdays

Staff stability

12/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 41% of nursing staff left in the last year

Resident outcomes

12/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 4 of 5 stars on the CMS quality-measure rating

Enforcement history

8/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • $21,285 in federal fines across 1 action(s)

Grade ceiling applied

  • Capped at 64 (grade C) — immediate-jeopardy citation in the last 3 years

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 3.57 hrs
National average 3.86 hrs Below average
Registered nurse (RN) hours 0.62 hrs
National average 0.69 hrs Below average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 3.17 hrs
National average 3.42 hrs Below average

The shift most families visit, and the one thinned first.

Nursing staff turnover 41.30%
National average 45.80% Better than average

The share of nursing staff who left over the last year.

Recent inspection findings

All 36 citations

Last standard health inspection: June 5, 2025 (1 year ago).

F Jun 5, 2025 F0851

Administration Deficiencies

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

No actual harm, potential for more than minimal harm

F Jun 5, 2025 F0880

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

No actual harm, potential for more than minimal harm

D Jun 5, 2025 F0605

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

No actual harm, potential for more than minimal harm

D Jun 5, 2025 F0628

Resident Rights Deficiencies

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

No actual harm, potential for more than minimal harm

D Jun 5, 2025 F0684

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

No actual harm, potential for more than minimal harm

D Jun 5, 2025 F0688

Quality of Life and Care Deficiencies

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

No actual harm, potential for more than minimal harm

D Jun 5, 2025 F0690

Quality of Life and Care Deficiencies

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

No actual harm, potential for more than minimal harm

D Jun 5, 2025 F0693

Quality of Life and Care Deficiencies

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

No actual harm, potential for more than minimal harm

Who owns this home

Full record

Part of NORTH SHORE HEALTHCARE, which operates 59 homes. Staffing budgets are usually set at chain level, not in the building.

Owner Type Role Since
HOEHN, JEFFREY Individual W-2 MANAGING EMPLOYEE
BAUMANN, TROY Individual CORPORATE DIRECTOR
HOEHN, JEFFREY Individual CORPORATE DIRECTOR
NORTH SHORE HEALTHCARE LLC Organization OPERATIONAL/MANAGERIAL CONTROL
MILLS, DAVID Individual 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NSHF OPERATIONS LLC Organization 5% OR GREATER DIRECT OWNERSHIP INTEREST

What families say

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Common questions about Willowcrest Health Services

What is the ElderGrade for Willowcrest Health Services? +

Willowcrest Health Services holds an ElderGrade of D (46.7 out of 100), which we describe as "below average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Willowcrest Health Services? +

Residents receive an average of 3.57 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Willowcrest Health Services been cited for harming residents? +

Yes. 2 of the 36 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.

Does Willowcrest Health Services accept Medicaid? +

Yes, Willowcrest Health Services is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.