The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited June 2022 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
Nursing home report
Delavan Health Services
DELAVAN, WI · Medicare-certified · 50 beds
In good standing
For-profitChain member
4 of 5 overall
Delavan Health Services has an overall rating of 4 out of 5 stars, with 4-star health inspection, staffing, and quality ratings. It has no fines in the last 24 months, but reported nurse staffing is 3.44 hours per resident per day, below the federal benchmark of 4.1, and recent inspection citations included pressure ulcer care, infection prevention and control, and response to alleged violations.
Facility ratings
Health inspections
Staffing
3.4446 hrs/resident/day
Quality measures
Last inspection: December 19, 2024Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.4446.
Staffing detail
- Registered nurses
- 1.21
- Licensed practical nurses
- 0.37
- Nurse aides
- 1.86
- Weekend nursing
- 3.10
Hours per resident per day.
Total staff turnover: 34%
Registered nurse turnover: 31%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
—14.3%—
Residents with a fall causing major injury
0%6.1%Worsening
Residents with pressure ulcers (bedsores)
6.4%1.7%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
10%4%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
0%12%Worsening
Residents whose ability to walk got worse
—18.2%—
Long-stay residents on antianxiety or sleep medication
10%12%Worsening
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
19.5%19.1%No change
Residents with depressive symptoms
3.4%9.4%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%84.8%Worsening
Short-stay residents given the seasonal flu vaccine
—100%—
Short-stay residents given the pneumonia vaccine
93%60%Worsening
What the inspectors found
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited December 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: F
The home failed to respond appropriately to all reported abuse or neglect concerns. Cited August 2024 — isolated incident, potential for harm.
View the original federal record
F-Tag 610 — 42 CFR §483.12 — S/S: D
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited September 2023 — isolated incident, potential for harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: D
The home failed to properly reduce or limit psychotropic medication use and try safer non-drug approaches when appropriate. Cited September 2023 — isolated incident, potential for harm.
View the original federal record
F-Tag 758 — 42 CFR §483.45(e) — S/S: D
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of NORTH SHORE HEALTHCARE · 59 homes · 2.7 stars avg
- Occupancy
- 37.8 residents on an average day (76% of 50 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 43 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.