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

Shorehaven HLTH & Rehab CTR

OCONOMOWOC, WI · 88 certified beds · Last Life Safety survey June 11, 2025

CMS Certification Number 525560 · first certified February 1995

Ownership

Independently operated (no chain recorded by CMS) · Non profit - Corporation

No change of ownership on CMS record since January 1, 2016, when the records begin.

8
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
1
Tags cited more than once
Across separate surveys
3
Inspection & testing records
Of the citations on file

Position within WI

8 citations — more than 11% 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 2 citations; the earlier surveys in the window averaged 3. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

Past the typical window (July 2026 to September 2026). Most WI facilities have been surveyed by October 2026. This facility’s last Life Safety survey was June 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

1 inspection-and-testing tag has 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)

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 8 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 facility8WI median17National median11
Citations on file over three years, compared
MeasureCitations
This facility8
Median facility in WI17
Median facility nationally11

Survey history

Citations at each Life Safety survey
22022-1142024-0222025-06
Citations at each Life Safety survey
Survey dateCitations
November 14, 20222
February 22, 20244
June 11, 20252

Most-cited tags

Most-cited tags at this facility
K-03242K-02931K-03621K-07911K-07121K-07111K-03211
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0324Provide properly protected cooking facilities.22025-06-11
K-0293Have properly located and lighted "Exit" signs.12022-11-14
K-0362Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.12024-02-22
K-0791Ensure that any exit in an area undergoing construction, repair, or improvements shall be inspected daily to ensure its ability to be used instantly in case of emergency.12024-02-22
K-0712Have simulated fire drills held at unexpected times.12025-06-11
K-0711Provide a written emergency evacuation plan.12024-02-22
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.12024-02-22

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 4
  • Miscellaneous Deficiencies 3
  • Egress Deficiencies 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies4
Miscellaneous Deficiencies3
Egress Deficiencies1

Every citation on file

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

June 11, 2025 — 2 citations

Citations issued on June 11, 2025
TagWhat the surveyor checksStatus
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (June 26, 2025)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (June 26, 2025)

February 22, 2024 — 4 citations

Citations issued on February 22, 2024
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 (March 12, 2024)
K-0362Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.Deficient, Provider has date of correction (February 23, 2024)
K-0711Provide a written emergency evacuation plan.Deficient, Provider has date of correction (March 20, 2024)
K-0791Ensure that any exit in an area undergoing construction, repair, or improvements shall be inspected daily to ensure its ability to be used instantly in case of emergency.Deficient, Provider has date of correction (March 11, 2024)

November 14, 2022 — 2 citations

Citations issued on November 14, 2022
TagWhat the surveyor checksStatus
K-0293Have properly located and lighted "Exit" signs.Deficient, Provider has date of correction (December 3, 2022)
K-0324Provide properly protected cooking facilities.Waiver has been granted (December 3, 2022)

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