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Nursing HomeMedicaid Investigative

Willowcrest Health Services

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

3821 S Chicago Ave, South Milwaukee, WI 53172100 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
2.6/5

based on 50 Google reviews

5
4
3
2
1
Willowcrest Health Services Nursing Home in South Milwaukee, WI — Street View
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6/ 10
high 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)
  • Low staffing rating (1/5 stars)
  • Above-median deficiencies (14 vs median 7)
  • High staff turnover (55%)
  • High RN turnover (67%)

Below average in WI · Below recommended RN staffing · Below chain average · $21,285 in fines

Source: Medicare data

What this means for your family

Willowcrest shows significant inconsistency in care. While some families report positive rehab outcomes, the recurring reports of neglect and hygiene issues are concerning. If you consider this facility, we strongly recommend unannounced visits and frequent monitoring of your loved one's personal hygiene and call-button response times.

Google Reviews

Google Reviews

50 reviews on Google
Willowcrest Health Services receives highly polarized feedback, with some families praising specific staff members for their kindness and others reporting severe neglect and hygiene issues. Recurring complaints focus on slow response times to call buttons, poor sanitation, and inadequate care for residents with high needs. While some families report positive rehab outcomes, the frequency of reports regarding bedsores, unaddressed hygiene, and communication failures suggests significant inconsistency in care quality.

Quality Themes

Tap a score for details
Food4.0Staff3.0Clean2.0ActivitiesN/AMedsN/AMemory2.0Comms2.0ValueN/A

Strengths

  • Helpful and kind front-office staff
  • Effective short-term rehabilitation therapy
  • Some dedicated and compassionate individual nurses
  • Responsive social work support

Concerns

  • Neglect and slow response to call buttons (mentioned by 9 reviewers)
  • Poor hygiene and cleanliness (soiled clothing, odors) (mentioned by 6 reviewers)
  • Inadequate staffing or lack of attention to high-needs residents (mentioned by 5 reviewers)
  • Difficulty communicating with medical staff or administration (mentioned by 4 reviewers)

Rating Trends

Tap a year to see what changed

234'14(1)'18(5)'20(9)'22(3)'24(10)'26(1)

Distribution · 52 analyzed

5
17
4
3
3
1
2
3
1
28

How They Respond to Reviews

60%response rate

This facility responds to some reviews.

Questions for Your Tour

  • 1We've heard great things about your front-office team and social workers; how do they typically help families stay connected with their loved ones?
  • 2With the recent inspections, what specific steps has the facility taken to improve staffing levels and ensure call buttons are answered promptly?
  • 3How does the housekeeping team manage daily cleaning schedules to ensure a fresh and comfortable environment for all residents?
  • 4Could you tell us more about the dining experience and how the menu is planned to ensure nutritious, high-quality meals?
  • 5What specific protocols are in place to ensure residents with high-care or memory care needs receive consistent, attentive medical attention?
  • 6What kind of daily activities or social programs are available to keep residents engaged and active during the week?

Personalized based on this facility's data


Key Review Excerpts

When she arrived, she needed 3 attendants to get out of bed. Through diligent care by the aides, therapists, nutritionists and nurses, she regained strength and her cognitive abilities normalized.

Rehab patient's relative · 2025★★★★★

My mom had terrible care here. Just a few examples: When she would sit in her wheelchair, they would put her just far enough so she couldn’t reach her light for the nurses station.

Long-term resident's family · 2023☆☆☆☆

My husband has been there for 7 years nurses are great and so are most of the aides although I haven't been able to see him I know that when I was able to there were times that he was soiled and still in the same shirt from the day before

Long-term resident's spouse · 2021★★☆☆☆
Source: 50 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.50hrs
67%
Registered nurses for medical care
Total Nursing
3.33hrs
81%
All nurses + aides combined
Staff Turnover
48%
Lower is better (< 30% = good)
RN Turnover
54%
Lower is better (< 30% = good)

Both 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

Medicare Rating
5/ 5
Better Than Avg

13

measures

Worse Than Avg

2

measures

Mixed Results

2

measures

Long-Stay Residents
🚶

Residents whose walking got worse

↓ Lower is better
This Facility43.7%
Worse than Avg
Here
43.7%
US
15.3%
WI
19.9%
Milwaukee
21.3%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
12.1%
WI
5.2%
Milwaukee
4.3%

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

💊

Residents on antipsychotic medication

↓ Lower is better
This Facility6.9%
Better than Avg
Here
6.9%
US
15.4%
WI
15.9%
Milwaukee
10.8%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility97.6%
Better than Avg
Here
97.6%
US
93.4%
WI
95.6%
Milwaukee
90.1%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility12.3%
Better than Avg
Here
12.3%
US
19.5%
WI
16.8%
Milwaukee
15.3%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
95.5%
WI
95.0%
Milwaukee
92.9%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility94.0%
Better than Avg
Here
94.0%
US
79.7%
WI
82.2%
Milwaukee
72.5%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility95.6%
Better than Avg
Here
95.6%
US
81.8%
WI
86.6%
Milwaukee
76.6%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
WI
1.3%
Milwaukee
1.1%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

13deficiencies
1penalties
Above state avg (9.8)
5 complaint-triggered
$21,285 in fines

Willowcrest Health Services has concerning patterns with 65 deficiencies across multiple surveys, including families filing complaints about emergency care, safety hazards, feeding tubes, and staffing information. The facility shows persistent issues with medication management, resident care quality, and fire safety systems that recur across surveys from 2023 to 2025, though most deficiencies appear to be corrected after identification.

Jun 5, 2025Routine
23
0851Potential for harm · WidespreadCorrected

Administration Deficiencies

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

0880Potential for harm · WidespreadCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0761Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

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

0031Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Provide emergency officials' contact information.

0343Potential for harm · WidespreadCorrected

Smoke Deficiencies

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

0351Potential for harm · WidespreadCorrected

Smoke Deficiencies

Install an approved automatic sprinkler system.

0222Potential for harm · PatternCorrected

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.

0353Potential for harm · PatternCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0605Potential for harm · 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.

0628Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0688Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

0690Potential for harm · IsolatedCorrected

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.

0693Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0699Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care or services that was trauma informed and/or culturally competent.

0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0757Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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

0760Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

0511Potential for harm · IsolatedCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0324Potential for harm · IsolatedCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

Mar 5, 2025Complaint
1
0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Oct 14, 2024Complaint
1
0732Minimal · WidespreadCorrected

Nursing and Physician Services Deficiencies

Post nurse staffing information every day.

Mar 29, 2024Complaint
3
0678Immediate jeopardy · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

0689Immediate jeopardy · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0693Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Mar 29, 2024Routine
24
0521Potential for harm · Widespread

Services Deficiencies

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

0531Potential for harm · Widespread

Services Deficiencies

Have elevators that firefighters can control in the event of a fire.

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.

0291Potential for harm · WidespreadCorrected

Egress Deficiencies

Install emergency lighting that can last at least 1 1/2 hours.

0324Potential for harm · WidespreadCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0914Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

0222Potential for harm · Pattern

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.

0223Potential for harm · Pattern

Egress Deficiencies

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

0730Potential for harm · PatternCorrected

Nursing and Physician Services Deficiencies

Observe each nurse aide's job performance and give regular training.

0944Potential for harm · PatternCorrected

Administration Deficiencies

Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

0946Potential for harm · PatternCorrected

Administration Deficiencies

Provide training in compliance and ethics.

0949Potential for harm · PatternCorrected

Administration Deficiencies

Provide behavior health training consistent with the requirements and as determined by a facility assessment.

0321Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0690Potential for harm · IsolatedCorrected

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.

0692Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide enough food/fluids to maintain a resident's health.

0694Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0758Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

0761Potential for harm · IsolatedCorrected

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.

0233Potential for harm · IsolatedCorrected

Egress Deficiencies

Install resident room doors of proper design and width.

0623Minimal · PatternCorrected

Resident Rights Deficiencies

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Jan 12, 2023Routine
13
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.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

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

0923Potential for harm · Pattern

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

0804Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

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

0321Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0521Potential for harm · PatternCorrected

Services Deficiencies

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

0920Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0324Potential for harm · Isolated

Smoke Deficiencies

Provide properly protected cooking facilities.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0353Potential for harm · IsolatedCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0741Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Federal Penalties

Fine

Mar 29, 2024

$21,285

Ownership & Operations

Who Operates This Facility

Owner / Operator

Willowcrest 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 33 of 58

Ownership & Management

Owners

Nshf Operations LLC

Owner · Organization

100%

Mills, David

Owner (parent company)

20%

Key personnel

Hoehn, JeffreyW-2 Managing EmployeeBaumann, TroyOfficer / DirectorHoehn, JeffreyOfficer / DirectorNorth Shore Healthcare LLCManager
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 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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