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

Sunrise Health Services

MILWAUKEE, WI · 99 certified beds · Last Life Safety survey July 24, 2025

CMS Certification Number 525493 · first certified August 1992

Ownership

Operated by NORTH SHORE HEALTHCARE · For profit - Corporation

  • Ownership changed October 1, 2017 (change of ownership)from FMG SOUTH 43RD STREET WISCONSIN LLC
22
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
4
Tags cited more than once
Across separate surveys
9
Inspection & testing records
Of the citations on file

Position within WI

22 citations — more than 65% 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

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

The latest survey found 6 citations; the earlier surveys in the window averaged 8. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window is open now: September 2026 to October 2026. This facility’s last Life Safety survey was July 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

2 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Physical environment (health survey)

3 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 22 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.
  • F-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.

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 facility22WI median17National median11
Citations on file over three years, compared
MeasureCitations
This facility22
Median facility in WI17
Median facility nationally11

Survey history

Citations at each Life Safety survey
102023-0162024-0462025-07
Citations at each Life Safety survey
Survey dateCitations
January 17, 202310
April 4, 20246
July 24, 20256

Most-cited tags

Most-cited tags at this facility
K-07123K-05413K-03452K-07412K-03511K-03531K-09161K-01111
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0712Have simulated fire drills held at unexpected times.32025-07-24
K-0541Install properly constructed and protected linen or trash chutes.32025-07-24
K-0345Have approved installation, maintenance and testing program for fire alarm systems.22024-04-04
K-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.22024-04-04
K-0351Install an approved automatic sprinkler system.12024-04-04
K-0353Inspect, test, and maintain automatic sprinkler systems.12023-01-17
K-0916Have a battery powered remote alarm panel in a location accessible by operating personnel.12023-01-17
K-0111Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.12024-04-04

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 7
  • Miscellaneous Deficiencies 5
  • Services Deficiencies 5
  • Gas, Vacuum, and Electrical Systems Deficiencies 3
  • Other 2
Citations by CMS category
CategoryCitations
Smoke Deficiencies7
Miscellaneous Deficiencies5
Services Deficiencies5
Gas, Vacuum, and Electrical Systems Deficiencies3
Construction Deficiencies2

Every citation on file

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

July 24, 2025 — 6 citations

Citations issued on July 24, 2025
TagWhat the surveyor checksStatus
K-0131Meet requirements for sections of health care facilities separated by fire resistive construction.Deficient, Provider has date of correction (August 11, 2025)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (August 19, 2025)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (August 8, 2025)
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Deficient, Provider has date of correction (September 15, 2025)
K-0541Install properly constructed and protected linen or trash chutes.Deficient, Provider has date of correction (August 30, 2025)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (August 30, 2025)

April 4, 2024 — 6 citations

Citations issued on April 4, 2024
TagWhat the surveyor checksStatus
K-0111Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.Deficient, Provider has date of correction (May 3, 2024)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Waiver has been granted (June 12, 2024)
K-0351Install an approved automatic sprinkler system.Waiver has been granted (February 5, 2025)
K-0541Install properly constructed and protected linen or trash chutes.Deficient, Provider has date of correction (May 3, 2024)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (May 3, 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 3, 2024)

January 17, 2023 — 10 citations

Citations issued on January 17, 2023
TagWhat the surveyor checksStatus
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (February 15, 2023)
K-0341Install a fire alarm system that can be heard throughout the facility.Deficient, Provider has date of correction (February 15, 2023)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (February 15, 2023)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (February 15, 2023)
K-0541Install properly constructed and protected linen or trash chutes.Deficient, Provider has date of correction (February 23, 2023)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (February 15, 2023)
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 (February 15, 2023)
K-0914Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.Deficient, Provider has date of correction (February 15, 2023)
K-0916Have a battery powered remote alarm panel in a location accessible by operating personnel.Deficient, Provider has date of correction (February 23, 2023)
K-0919Meet requirements for the use of electrical equipment.Deficient, Provider has date of correction (February 15, 2023)

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