Cedarburg Health Services
Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.
based on 42 Google reviews
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What this means for your family
This facility is highly regarded for its rehabilitation therapy and active administrative leadership, making it a strong candidate for short-term recovery. However, families should be vigilant regarding daily hygiene and call-light response times; we recommend frequent, unannounced visits to ensure your loved one's basic needs are being met consistently.
Google Reviews
Google Reviews
42 reviews on Google“Cedarburg Health Services receives highly polarized feedback, with many recent reviewers praising the facility for exceptional rehabilitation therapy and a dedicated, responsive administration. However, a recurring subset of reviews highlights serious concerns regarding inconsistent staffing levels, poor hygiene standards, and slow response times to patient needs. Families considering this facility should weigh the strong clinical outcomes reported by many against the significant lapses in basic care reported by others.”
Quality Themes
Tap a score for detailsStrengths
- Phenomenal rehabilitation and therapy department
- Highly accessible and responsive administration
- Warm and caring nursing/CNA staff
- Effective social services and discharge planning
Concerns
- Slow or dismissive response to call lights (mentioned by 4 reviewers)
- Inconsistent hygiene and cleanliness (soiled linens, trash, room maintenance) (mentioned by 3 reviewers)
- Understaffing leading to neglect of basic resident needs (mentioned by 3 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 43 analyzed
How They Respond to Reviews
This facility responds to some reviews.
Questions for Your Tour
- 1I noticed your administration is very responsive online; how does that same level of communication translate to keeping families updated on daily care needs?
- 2Your rehabilitation and therapy department is highly regarded; how do you integrate those services into the daily routine for residents who aren't there for short-term recovery?
- 3With a 3-star CMS rating, what specific steps is the facility currently taking to improve the overall environment and cleanliness of resident living areas?
- 4How do you ensure that staff members are consistently available to respond to call lights promptly, especially during shift changes or busier times of the day?
- 5Given the feedback regarding room maintenance and laundry, what is your current protocol for ensuring that resident rooms remain tidy and linens are changed on a consistent schedule?
- 6In the event of a medical emergency, what is your specific protocol for stabilizing a resident and notifying family members immediately?
Personalized based on this facility's data
Key Review Excerpts
“The PT department is phenomenal! In comparison to a few other skilled nursing facilities my mother had been in before she died, this facility was far better with their care of my brother.”
“Staff would ask "what now" when they finally arrived in the room after the call light had been turned on 40 minutes prior. The head of nursing said this is normal & an appropriate time frame for response.”
“The last time I went there his bed sheets wee soiled. And I had to call his relative to let her know to call to have someone change them. The next time. I came there, 6 weeks later, his fingernails were disgusting and long.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
2
measures
12
measures
3
measures
Residents whose walking got worse
Residents on anti-anxiety or sleep medication
Residents whose bladder or bowel control got worse
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on antipsychotic medication
Residents who were physically restrained
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Cedarburg Health Services shows a concerning pattern of recurring deficiencies across multiple care areas, with families filing at least 8 complaint-triggered reports. The facility has persistent issues with medication management, fire safety systems, and resident protection from abuse and neglect. While all deficiencies show correction dates, the repeated violations in medication errors and safety protocols, along with multiple family complaints, suggest ongoing quality concerns that warrant careful consideration.
Jan 23, 2025Routine13
Emergency Preparedness Deficiencies
Establish policies and procedures including evacuation.
Emergency Preparedness Deficiencies
Conduct testing and exercise requirements.
Miscellaneous Deficiencies
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Egress Deficiencies
Provide rooms that can be unlocked from inside without a key.
Egress Deficiencies
Add 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.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Oct 4, 2024Complaint2
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Apr 4, 2024Complaint6
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Nov 29, 2023Routine9
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights Deficiencies
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Nov 29, 2023Complaint1
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Nov 7, 2023Complaint2
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Ownership & Operations
Who Operates This Facility
Cedarburg Health Services
for profit
Chain Affiliation
North Shore Healthcare
59 facilities nationwide
Chain avg rating: 2.8/5 · Rank 26 of 58
Ownership & Management
Owners
Nshf Operations LLC
Owner · Organization
Mills, David
Owner (parent company)
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
42 reviews from families & visitors
Official Website
Visit cedarburghs.com
Medicare data downloads
Original nursing home datasets
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