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Nursing HomeMedicaid Investigative

Lancaster Health Services

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

1350 S Madison St, Lancaster, WI 5381350 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
4.4/5

based on 38 Google reviews

5
4
3
2
1
Lancaster Health Services Nursing Home in Lancaster, WI — Street View
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2/ 10
low Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (2/5 stars)

Below average in WI · Below recommended RN staffing · Below chain average · $21,645 in fines

Source: Medicare data

What this means for your family

While many families appreciate the private rooms and social environment, there are serious, recurring reports regarding slow response times to call lights and medication safety. When touring, we strongly recommend asking for specific protocols on how the facility handles call lights during off-hours and how they ensure medication security.

Google Reviews

Google Reviews

38 reviews on Google
Lancaster Health Services receives polarized feedback, with some families praising the private rooms and dedicated staff, while others report serious concerns regarding neglect and safety. While many reviewers highlight a warm, family-like atmosphere, multiple critical reports cite issues with call light response times, medication management, and resident safety. Families should carefully weigh the facility's positive social environment against documented concerns regarding staffing levels and administrative oversight.

Quality Themes

Tap a score for details
Food5.0Staff6.0Clean5.0Activities8.0Meds2.0MemoryN/AComms3.0ValueN/A

Strengths

  • Private rooms for residents
  • Friendly and dedicated nursing staff
  • Effective rehabilitation therapy
  • Warm, social atmosphere

Concerns

  • Slow or ignored call light response times (mentioned by 3 reviewers)
  • Understaffing leading to neglect (mentioned by 3 reviewers)
  • Medication management and safety issues (mentioned by 2 reviewers)
  • Facility maintenance and cleanliness issues (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2344.82017(4)3.82018(5)3.92019(8)5.02020(3)3.02023(1)4.52025(17)5.02026(3)

Distribution · 41 analyzed

5
28
4
6
3
4
2
0
1
3
11 reviews posted between Oct 20, 2025Oct 25, 2025 · 11 were 5-star

How They Respond to Reviews

40%response rate

This facility responds to some reviews.

Questions for Your Tour

  • 1I noticed your team is active in responding to feedback online; how do you use that family input to improve daily operations?
  • 2Given that staffing levels are a priority for us, could you walk me through your current process for monitoring and responding to resident call lights?
  • 3What specific protocols do you have in place to ensure accuracy and safety when managing resident medications?
  • 4I see the facility offers private rooms; how do you encourage residents to socialize and participate in the community atmosphere outside of their personal space?
  • 5How does your team coordinate care to ensure that maintenance and cleanliness needs are addressed promptly for the residents?
  • 6In the event of a medical concern or emergency, what is your communication process for keeping family members informed and involved?

Personalized based on this facility's data


Key Review Excerpts

Family member fell down several times. Would wait hours for water to drink. Found medication a few times on their floor even after reporting the issue.

Family member · 2025☆☆☆☆

The administration is awful and profit driven. They lie and there is minimal care given-minimal. My mom took multiple falls and it was always due to 'patient tripping over cord'.

Family member · 2025☆☆☆☆

My mother in law has been here for almost a year. She has thrived. She loves the activities and the staff is so supportive and friendly. Her room is personalized to her liking.

Family member · 2025★★★★★
Source: 38 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.77hrs
OK
Registered nurses for medical care
Total Nursing
3.81hrs
93%
All nurses + aides combined
Staff Turnover
33%
Lower is better (< 30% = good)
RN Turnover
14%
Lower is better (< 30% = good)

Total nursing hours are below minimum, though RN coverage is adequate. This may mean fewer aides for daily tasks like bathing and mobility.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
3/ 5
Better Than Avg

7

measures

Worse Than Avg

7

measures

Mixed Results

3

measures

Long-Stay Residents
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility31.8%
Worse than Avg
Here
31.8%
US
15.5%
WI
15.9%
Grant
19.6%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility25.3%
Worse than Avg
Here
25.3%
US
15.3%
WI
19.9%
Grant
15.6%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility29.3%
Worse than Avg
Here
29.3%
US
19.4%
WI
25.0%
Grant
23.6%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
WI
95.6%
Grant
92.0%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility21.8%
Worse than Avg
Here
21.8%
US
14.4%
WI
16.7%
Grant
17.0%
😔

Residents with depression symptoms

↓ Lower is better
This Facility9.8%
Mixed vs Avgs
Here
9.8%
US
12.1%
WI
5.2%
Grant
10.6%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility95.9%
Better than Avg
Here
95.9%
US
81.8%
WI
86.6%
Grant
77.9%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility75.9%
Worse than Avg
Here
75.9%
US
79.8%
WI
82.2%
Grant
76.3%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility2.4%
Worse than Avg
Here
2.4%
US
1.6%
WI
1.3%
Grant
1.7%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

7deficiencies
Near state avg (9.8)
4 complaint-triggered
$21,645 in fines

Lancaster Health Services shows concerning patterns with 33 deficiencies across six surveys, including four complaint-triggered investigations where families reported issues. The facility has recurring problems with safety systems (fire alarms, electrical, sprinklers), medication management, and infection control that persist across multiple years. Most troubling are repeated issues with abuse reporting and investigation procedures, plus a significant medication error rate, though the facility has corrected each cited deficiency.

Aug 19, 2025Routine
15
0605Immediate jeopardy · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0293Potential for harm · WidespreadCorrected

Egress Deficiencies

Have properly located and lighted "Exit" signs.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0006Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Conduct risk assessment and an All-Hazards approach.

0804Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

0351Potential for harm · PatternCorrected

Smoke Deficiencies

Install an approved automatic sprinkler system.

0920Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0881Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Implement a program that monitors antibiotic use.

0578Potential for harm · IsolatedCorrected

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.

0657Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0759Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0343Potential for harm · IsolatedCorrected

Smoke Deficiencies

Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.

0521Potential for harm · IsolatedCorrected

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

0912Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have power receptacles that are properly grounded.

Feb 19, 2025Complaint
2
0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0610Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

Aug 27, 2024Complaint
1
0697Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate pain management for a resident who requires such services.

Jul 24, 2024Routine
9
0851Potential for harm · WidespreadResolved (past non-compliance)

Administration Deficiencies

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0351Potential for harm · WidespreadCorrected

Smoke Deficiencies

Install an approved automatic sprinkler system.

0911Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Meet requirements for the installation and maintenance of electrical systems.

0919Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Meet requirements for the use of electrical equipment.

0353Potential for harm · PatternCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0912Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have power receptacles that are properly grounded.

0757Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure each resident’s drug regimen must be free from unnecessary drugs.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Apr 24, 2024Complaint
1
0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Apr 6, 2023Routine
5
0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0880Potential for harm · WidespreadCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0521Potential for harm · PatternCorrected

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

0883Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Develop and implement policies and procedures for flu and pneumonia vaccinations.

0888Minimal · WidespreadCorrected

Infection Control Deficiencies

Ensure staff are vaccinated for COVID-19

Ownership & Operations

Who Operates This Facility

Owner / Operator

Lancaster Health Services

Organization Type

for profit

Chain Affiliation

Chain Name

North Shore Healthcare

Chain Size

59 facilities nationwide

Chain avg rating: 2.8/5 · Rank 43 of 58

Ownership & Management

Owners

Nshr Operations LLC

Owner · Organization

100%

Arrowhead 123 LLC

Owner (parent company) · Organization

10%

The Lane Morrell Bowen Trust

Owner (parent company) · Organization

10%

Mills, David

Owner (parent company)

18%

Key personnel

Cibc Bank USA5% or Greater Mortgage InterestCibc Bank USA5% or Greater Security InterestBaumann, TroyOfficer / DirectorHoehn, JeffreyOfficer / DirectorCibc Bank USAManager
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 3 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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