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

Shawano Health Services

Shawano, WI · 100 certified beds · Last Life Safety survey February 17, 2026

CMS Certification Number 525335 · first certified March 1983

Ownership

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

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

26
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
7
Tags cited more than once
Across separate surveys
12
Inspection & testing records
Of the citations on file

Position within WI

26 citations — more than 75% 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 10 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 opens March 2027 — about 6 months from now. This facility’s last Life Safety survey was February 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

3 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.

Emergency preparedness

2 of the 26 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

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 26 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 facility26WI median17National median11
Citations on file over three years, compared
MeasureCitations
This facility26
Median facility in WI17
Median facility nationally11

Survey history

Citations at each Life Safety survey
102023-1262025-02102026-02
Citations at each Life Safety survey
Survey dateCitations
December 20, 202310
February 5, 20256
February 17, 202610

Most-cited tags

Most-cited tags at this facility
K-09183K-03533K-02113K-05212K-05412K-02222K-03212E-00131
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0918Have generator or other power source capable of supplying service within 10 seconds.32026-02-17
K-0353Inspect, test, and maintain automatic sprinkler systems.32026-02-17
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.32026-02-17
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.22026-02-17
K-0541Install properly constructed and protected linen or trash chutes.22026-02-17
K-0222Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.22026-02-17
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.22026-02-17
E-0013Develop Emergency Preparedness policies and procedures.12026-02-17

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 8
  • Egress Deficiencies 6
  • Gas, Vacuum, and Electrical Systems Deficiencies 5
  • Services Deficiencies 4
  • Other 3
Citations by CMS category
CategoryCitations
Smoke Deficiencies8
Egress Deficiencies6
Gas, Vacuum, and Electrical Systems Deficiencies5
Services Deficiencies4
Emergency Preparedness Deficiencies2
Miscellaneous Deficiencies1

Every citation on file

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

February 17, 2026 — 10 citations

Citations issued on February 17, 2026
TagWhat the surveyor checksStatus
E-0013Develop Emergency Preparedness policies and procedures.Deficient, Provider has date of correction (March 20, 2026)
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.No revisit needed
K-0222Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.Deficient, Provider has date of correction (March 21, 2026)
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 20, 2026)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (March 20, 2026)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (June 10, 2026)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (March 20, 2026)
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Deficient, Provider has date of correction (March 20, 2026)
K-0541Install properly constructed and protected linen or trash chutes.Deficient, Provider has date of correction (March 20, 2026)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (March 20, 2026)

February 5, 2025 — 6 citations

Citations issued on February 5, 2025
TagWhat the surveyor checksStatus
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Waiver has been granted
K-0291Install emergency lighting that can last at least 1 1/2 hours.Deficient, Provider has date of correction (February 6, 2025)
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 14, 2025)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (February 10, 2025)
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Deficient, Provider has date of correction (February 11, 2025)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (February 25, 2025)

December 20, 2023 — 10 citations

Citations issued on December 20, 2023
TagWhat the surveyor checksStatus
E-0025Create arrangements with other facilities to receive patients.Deficient, Provider has date of correction (January 20, 2024)
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Waiver has been granted
K-0222Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.Deficient, Provider has date of correction (January 20, 2024)
K-0351Install an approved automatic sprinkler system.Deficient, Provider has date of correction (January 20, 2024)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (January 20, 2024)
K-0541Install properly constructed and protected linen or trash chutes.Deficient, Provider has date of correction (January 20, 2024)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (January 20, 2024)
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 (January 20, 2024)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (January 20, 2024)
K-0919Meet requirements for the use of electrical equipment.Deficient, Provider has date of correction (January 20, 2024)

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