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

SHELL LAKE HEALTH CARE CENTER

SHELL LAKE, WI · 50 certified beds · Last Life Safety survey August 19, 2026

CMS Certification Number 525553 · first certified November 1994

Ownership

Independently operated (no chain recorded by CMS) · For profit - Limited Liability company

  • Ownership changed September 21, 2021 (change of ownership)from PREMIER HEALTH CARE MANAGEMENT OF SHELL LAKE LLC
3
Citations on file
CMS's current file
3
Life Safety surveys
CMS's current file
0
Tags cited more than once
Across separate surveys
2
Inspection & testing records
Of the citations on file

Position within WI

3 citations — more than 2% 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 CMS's current file.

The latest survey found 1 citation; the earlier surveys on file averaged 1. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens September 2027 — about 11 months from now. This facility’s last Life Safety survey was August 2026. Facilities in WI are typically surveyed 13–15 months after the last one (median 14), measured over 519 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 about three years in Virginia. How the window is measured

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Which alerts

Physical environment (health survey)

5 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 3 Life Safety citations above. The Physical Environment Index

  • F-0880 Provide and implement an infection prevention and control program.
  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

How that compares

Citations in CMS's current file

Compared with the median facility in WI, and nationally. Surveyors differ markedly between states, so the WI figure is the meaningful one.

This facility3WI median17National median11
Citations in CMS's current file, compared
MeasureCitations
This facility3
Median facility in WI17
Median facility nationally11

Survey history

Citations at each Life Safety survey
12024-0612025-0912026-08
Citations at each Life Safety survey
Survey dateCitations
June 20, 20241
September 10, 20251
August 19, 20261

Most-cited tags

Most-cited tags at this facility
K-09231K-02111K-07121
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0923Have proper medical gas storage and administration areas.12026-08-19
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.12024-06-20
K-0712Have simulated fire drills held at unexpected times.12025-09-10

What the citations cover

Citations by CMS category
  • Egress Deficiencies 1
  • Miscellaneous Deficiencies 1
  • Gas, Vacuum, and Electrical Systems Deficiencies 1
Citations by CMS category
CategoryCitations
Egress Deficiencies1
Miscellaneous Deficiencies1
Gas, Vacuum, and Electrical Systems Deficiencies1

Every citation on file

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

August 19, 2026 — 1 citation

Citations issued on August 19, 2026
TagWhat the surveyor checksStatus
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (September 11, 2026)

September 10, 2025 — 1 citation

Citations issued on September 10, 2025
TagWhat the surveyor checksStatus
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (October 2, 2025)

June 20, 2024 — 1 citation

Citations issued on June 20, 2024
TagWhat the surveyor checksStatus
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (July 12, 2024)

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