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

ELLSWORTH HEALTH SERVICES

ELLSWORTH, WI · 50 certified beds · Last Life Safety survey June 17, 2026

CMS Certification Number 525483 · first certified April 1992

Ownership

Operated by NORTH SHORE HEALTHCARE · For profit - Corporation

  • Ownership changed December 1, 2019 (change of ownership)from ELLSWORTH CARE CENTER LLC
6
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
2
Tags cited more than once
Across separate surveys
0
Inspection & testing records
Of the citations on file

Position within WI

6 citations — more than 4% 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

Holding steadyabout the same at the latest survey as at its earlier surveys in the window.

The latest survey found 2 citations; the earlier surveys in the window averaged 2. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens July 2027 — about 10 months from now. This facility’s last Life Safety survey was June 2026. 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)

1 physical-environment citation 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 6 Life Safety citations above. The Physical Environment Index

  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

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 facility6WI median17National median11
Citations on file over three years, compared
MeasureCitations
This facility6
Median facility in WI17
Median facility nationally11

Survey history

Citations at each Life Safety survey
22024-0622025-0822026-06
Citations at each Life Safety survey
Survey dateCitations
June 12, 20242
August 28, 20252
June 17, 20262

Most-cited tags

Most-cited tags at this facility
K-02323K-02713
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0232Have corridors or aisles that are unobstructed and are at least 8 feet in width.32026-06-17
K-0271Have exits that are accessible at all times.32026-06-17

What the citations cover

Citations by CMS category
  • Egress Deficiencies 6
Citations by CMS category
CategoryCitations
Egress Deficiencies6

Every citation on file

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

June 17, 2026 — 2 citations

Citations issued on June 17, 2026
TagWhat the surveyor checksStatus
K-0232Have corridors or aisles that are unobstructed and are at least 8 feet in width.No revisit needed
K-0271Have exits that are accessible at all times.No revisit needed

August 28, 2025 — 2 citations

Citations issued on August 28, 2025
TagWhat the surveyor checksStatus
K-0232Have corridors or aisles that are unobstructed and are at least 8 feet in width.Deficient, Provider has no plan of correction
K-0271Have exits that are accessible at all times.Deficient, Provider has no plan of correction

June 12, 2024 — 2 citations

Citations issued on June 12, 2024
TagWhat the surveyor checksStatus
K-0232Have corridors or aisles that are unobstructed and are at least 8 feet in width.Waiver has been granted (July 10, 2024)
K-0271Have exits that are accessible at all times.Waiver has been granted (July 10, 2024)

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