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

Meadow View Health Services

Sheboygan, WI · 50 certified beds · Last Life Safety survey December 18, 2025

CMS Certification Number 525605 · first certified December 1996

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.

15
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

15 citations — more than 38% 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 4 citations; the earlier surveys in the window averaged 5.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens January 2027 — about 4 months from now. This facility’s last Life Safety survey was December 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

Emergency preparedness

3 of the 15 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)

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 15 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 facility15WI median17National median11
Citations on file over three years, compared
MeasureCitations
This facility15
Median facility in WI17
Median facility nationally11

Survey history

Citations at each Life Safety survey
42023-0772024-0842025-12
Citations at each Life Safety survey
Survey dateCitations
July 19, 20234
August 28, 20247
December 18, 20254

Most-cited tags

Most-cited tags at this facility
K-02222K-09162K-02111K-07411E-00311K-09191K-09181K-09201
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
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.22025-12-18
K-0916Have a battery powered remote alarm panel in a location accessible by operating personnel.22025-12-18
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.12023-07-19
K-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.12024-08-28
E-0031Provide emergency officials' contact information.12025-12-18
K-0919Meet requirements for the use of electrical equipment.12023-07-19
K-0918Have generator or other power source capable of supplying service within 10 seconds.12025-12-18
K-0920Ensure proper usage of power strips and extension cords.12024-08-28

What the citations cover

Citations by CMS category
  • Gas, Vacuum, and Electrical Systems Deficiencies 6
  • Egress Deficiencies 3
  • Emergency Preparedness Deficiencies 3
  • Smoke Deficiencies 2
  • Other 1
Citations by CMS category
CategoryCitations
Gas, Vacuum, and Electrical Systems Deficiencies6
Egress Deficiencies3
Emergency Preparedness Deficiencies3
Smoke Deficiencies2
Miscellaneous Deficiencies1

Every citation on file

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

December 18, 2025 — 4 citations

Citations issued on December 18, 2025
TagWhat the surveyor checksStatus
E-0031Provide emergency officials' contact information.Deficient, Provider has date of correction (January 5, 2026)
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 5, 2026)
K-0916Have a battery powered remote alarm panel in a location accessible by operating personnel.Deficient, Provider has date of correction (March 10, 2026)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (February 3, 2026)

August 28, 2024 — 7 citations

Citations issued on August 28, 2024
TagWhat the surveyor checksStatus
E-0020Establish policies and procedures including evacuation.Deficient, Provider has date of correction (September 28, 2024)
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 (September 28, 2024)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (September 28, 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 (September 10, 2024)
K-0916Have a battery powered remote alarm panel in a location accessible by operating personnel.Deficient, Provider has plan of correction (March 18, 2026)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (September 28, 2024)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (September 28, 2024)

July 19, 2023 — 4 citations

Citations issued on July 19, 2023
TagWhat the surveyor checksStatus
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (August 18, 2023)
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (August 18, 2023)
K-0351Install an approved automatic sprinkler system.Deficient, Provider has date of correction (August 18, 2023)
K-0919Meet requirements for the use of electrical equipment.Deficient, Provider has date of correction (August 18, 2023)

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