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

Soldiers Grove Health Services

Soldiers Grove, WI · 50 certified beds · Last Life Safety survey July 21, 2025

CMS Certification Number 525622 · first certified August 1997

Ownership

Operated by NORTH SHORE HEALTHCARE · For profit - Corporation

  • Ownership changed January 1, 2018 (change of ownership)from SANNES SKOGDALEN NURSING FACILITY LLC
14
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

14 citations — more than 35% 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 6 citations; the earlier surveys in the window averaged 4. 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: August 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

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.

Emergency preparedness

2 of the 14 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)

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 14 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-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 facility14WI median17National median11
Citations on file over three years, compared
MeasureCitations
This facility14
Median facility in WI17
Median facility nationally11

Survey history

Citations at each Life Safety survey
12023-0472024-0562025-07
Citations at each Life Safety survey
Survey dateCitations
April 13, 20231
May 9, 20247
July 21, 20256

Most-cited tags

Most-cited tags at this facility
K-05212E-00061E-00391K-02931K-03431K-09121K-03621K-02251
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.22025-07-21
E-0006Conduct risk assessment and an All-Hazards approach.12025-07-21
E-0039Conduct testing and exercise requirements.12025-07-21
K-0293Have properly located and lighted "Exit" signs.12025-07-21
K-0343Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.12025-07-21
K-0912Have power receptacles that are properly grounded.12024-05-09
K-0362Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.12024-05-09
K-0225Have stairways and smokeproof enclosures used as exits that meet safety requirements.12024-05-09

What the citations cover

Citations by CMS category
  • Gas, Vacuum, and Electrical Systems Deficiencies 4
  • Smoke Deficiencies 3
  • Egress Deficiencies 3
  • Services Deficiencies 2
  • Other 2
Citations by CMS category
CategoryCitations
Gas, Vacuum, and Electrical Systems Deficiencies4
Smoke Deficiencies3
Egress Deficiencies3
Services Deficiencies2
Emergency Preparedness Deficiencies2

Every citation on file

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

July 21, 2025 — 6 citations

Citations issued on July 21, 2025
TagWhat the surveyor checksStatus
E-0006Conduct risk assessment and an All-Hazards approach.Deficient, Provider has date of correction (August 18, 2025)
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (August 18, 2025)
K-0293Have properly located and lighted "Exit" signs.Deficient, Provider has date of correction (August 18, 2025)
K-0343Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.Deficient, Provider has date of correction (August 18, 2025)
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Deficient, Provider has date of correction (August 18, 2025)
K-0919Meet requirements for the use of electrical equipment.Deficient, Provider has date of correction (August 18, 2025)

May 9, 2024 — 7 citations

Citations issued on May 9, 2024
TagWhat the surveyor checksStatus
K-0225Have stairways and smokeproof enclosures used as exits that meet safety requirements.Deficient, Provider has date of correction (June 5, 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 (June 5, 2024)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (June 5, 2024)
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Deficient, Provider has date of correction (June 5, 2024)
K-0912Have power receptacles that are properly grounded.Deficient, Provider has date of correction (June 5, 2024)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (June 5, 2024)
K-0927Have proper fire barriers, ventilation and signs for the transfilling of oxygen.Deficient, Provider has date of correction (June 5, 2024)

April 13, 2023 — 1 citation

Citations issued on April 13, 2023
TagWhat the surveyor checksStatus
K-0232Have corridors or aisles that are unobstructed and are at least 8 feet in width.Deficient, Provider has date of correction (May 2, 2023)

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