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Nursing home report

Willowbrook Nursing & Rehabilitation Center

Registered name: Lake Mills Health Services

LAKE MILLS, WI · Medicare-certified · 50 beds

Needs attention
For-profitChain member
Data as of July 1, 2026
2 of 5 overall

Willowbrook Nursing & Rehabilitation Center in Lake Mills, WI has a 2 out of 5 overall rating, with a 2-star health inspection rating and a recent federal penalty plus $120,900 in fines over the last 24 months. Staffing is 4 stars, but reported nurse staffing is 3.54 hours per resident per day, below the federal benchmark of 4.1.

Facility ratings

Health inspections

Staffing

3.5432 hrs/resident/day

Quality measures

Last inspection: July 3, 2025Penalties, last 24 months: $120,900recent federal penalty

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.5432.

Staffing detail

Registered nurses
1.52
Licensed practical nurses
0.17
Nurse aides
1.85
Weekend nursing
3.32

Hours per resident per day.

Total staff turnover: 38%
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

16%

Residents with a fall causing major injury

0%0%No change

Residents with pressure ulcers (bedsores)

11.4%8.5%Improving

Residents with a urinary tract infection

0%0%No change

Residents who lost too much weight

10%

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

15.9%

Residents whose ability to walk got worse

15.7%

Long-stay residents on antianxiety or sleep medication

30%

Short-stay residents newly given an antipsychotic

0%0%No change

Residents with a long-term catheter

2.6%0%Improving

Residents with new or worsening incontinence

11.3%21.2%Worsening

Residents with depressive symptoms

5%0%Improving

Positive outcomes

Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).

Long-stay residents given the pneumonia vaccine

95.5%84%Worsening

Short-stay residents given the seasonal flu vaccine

76%

Short-stay residents given the pneumonia vaccine

92.7%69%Worsening

What the inspectors found

The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited July 2025 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 686 — 42 CFR §483.25(b) — S/S: J

The home failed to ensure staff got the needed behavior health training based on the facility’s own needs. Cited July 2025 — widespread issue, potential for harm.

View the original federal record

F-Tag 949 — 42 CFR §483.95 — S/S: F

The nursing home failed to ensure a qualified person was assigned to oversee infection prevention and control. Cited February 2024 — limited pattern, potential for harm.

View the original federal record

F-Tag 882 — 42 CFR §483.80 — S/S: E

The nursing home failed to provide the required notice or documentation about a resident’s needs, appeal rights, or bed-hold policy. Cited July 2025 — isolated incident, potential for harm.

View the original federal record

F-Tag 628 — 42 CFR §483.15(c)(2) — S/S: D

The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited July 2025 — isolated incident, potential for harm.

View the original federal record

F-Tag 684 — 42 CFR §483.25 — S/S: D

Recent history

  1. PENALTY

    A federal fine of $120,900 was recorded.

  2. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  3. INSPECTION

    Health inspection found 4 health deficiencies.

    See what inspectors found
  4. INSPECTION

    Health inspection found 3 health deficiencies.

    See what inspectors found
  5. INSPECTION

    Health inspection found 3 health deficiencies.

    See what inspectors found

Penalties & enforcement

On record with Medicare: 1 fine · $120,900 in total fines.

  • Federal fine

    Jul 3, 2025

    $120,900

Operator & ownership

Recent ownership change · Oct 1, 2017

Now operated by Lake Mills Health Services, previously Willowbrook Nursing & Rehabilitation Center.

Ownership
For profit - Corporation
Chain
Part of NORTH SHORE HEALTHCARE · 59 homes · 2.7 stars avg
Occupancy
28.3 residents on an average day (57% of 50 beds)
Resident voice
Resident council
Medicare history
Certified for 45 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.