Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

CORNELL HEALTH SERVICES

CORNELL, WI · 50 certified beds · Last Life Safety survey May 7, 2025

CMS Certification Number 525637 · first certified September 1997

Ownership

Operated by NORTH SHORE HEALTHCARE · For profit - Limited Liability company

  • Ownership changed October 1, 2017 (change of ownership)from FMG NORTH 7TH STREET WISCONSIN LLC
10
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
2
Tags cited more than once
Across separate surveys
3
Inspection & testing records
Of the citations on file

Position within WI

10 citations — more than 17% of the 323 certified nursing homes in WI. Compared within WI rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Slippingmore citations at the latest survey than at its earlier surveys in the window.

The latest survey found 5 citations; the earlier surveys in the window averaged 2.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

Well past the typical window (June 2026 to August 2026), and past the point by which nine in ten WI facilities have been surveyed. This facility’s last Life Safety survey was May 2025. Facilities in WI are typically surveyed 13–15 months after the last one (median 14), measured over 516 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

Physical environment (health survey)

2 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 10 Life Safety citations above. The Physical Environment Index

  • F-0880 Provide and implement an infection prevention and control program.

How that compares

Citations on file over three years

Compared with the median facility in WI, and nationally. Surveyors differ markedly between states, so the WI figure is the meaningful one.

This facility10WI median17National median11
Citations on file over three years, compared
MeasureCitations
This facility10
Median facility in WI17
Median facility nationally11

Survey history

Citations at each Life Safety survey
22023-0332024-0452025-05
Citations at each Life Safety survey
Survey dateCitations
March 8, 20232
April 10, 20243
May 7, 20255

Most-cited tags

Most-cited tags at this facility
K-07412K-09202K-03531K-09111K-09181K-07541K-03631K-03311
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.22025-05-07
K-0920Ensure proper usage of power strips and extension cords.22025-05-07
K-0353Inspect, test, and maintain automatic sprinkler systems.12025-05-07
K-0911Meet requirements for the installation and maintenance of electrical systems.12024-04-10
K-0918Have generator or other power source capable of supplying service within 10 seconds.12023-03-08
K-0754Provide properly sized and located linen or trash receptacles.12025-05-07
K-0363Install corridor and hallway doors that block smoke.12024-04-10
K-0331Construct fire resistant interior walls.12025-05-07

What the citations cover

Citations by CMS category
  • Gas, Vacuum, and Electrical Systems Deficiencies 4
  • Smoke Deficiencies 3
  • Miscellaneous Deficiencies 3
Citations by CMS category
CategoryCitations
Gas, Vacuum, and Electrical Systems Deficiencies4
Smoke Deficiencies3
Miscellaneous Deficiencies3

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

May 7, 2025 — 5 citations

Citations issued on May 7, 2025
TagWhat the surveyor checksStatus
K-0331Construct fire resistant interior walls.Deficient, Provider has date of correction (May 30, 2025)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (May 30, 2025)
K-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.Deficient, Provider has date of correction (May 30, 2025)
K-0754Provide properly sized and located linen or trash receptacles.Deficient, Provider has date of correction (May 30, 2025)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (May 30, 2025)

April 10, 2024 — 3 citations

Citations issued on April 10, 2024
TagWhat the surveyor checksStatus
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (May 9, 2024)
K-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.Deficient, Provider has date of correction (May 9, 2024)
K-0911Meet requirements for the installation and maintenance of electrical systems.Deficient, Provider has date of correction (May 9, 2024)

March 8, 2023 — 2 citations

Citations issued on March 8, 2023
TagWhat the surveyor checksStatus
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (March 23, 2023)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (March 23, 2023)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.