Staffing
CMS publishes a 4-star staffing rating for this facility.
RN staffing was 0.61 hours per resident day in 2026Q1, calculated from CMS PBJ records.
View staffing evidenceAsk Trust Hub Network
CMS overview
No proprietary TrustHub score. These ratings are published separately by CMS.
Facility information
CMS remains the primary federal record. Public website and additional contact details appear only when independently verified.
Decision guide
Factual evidence to examine before you decide. These summaries are not a score or recommendation.
CMS publishes a 4-star staffing rating for this facility.
RN staffing was 0.61 hours per resident day in 2026Q1, calculated from CMS PBJ records.
View staffing evidenceThe latest standard inspection on Sep 10, 2025 cited 7 deficiencies.
View inspection evidenceCMS-published records list 39 ownership or control parties.
CMS records show an ownership change effective September 2021.
View ownership evidenceOwnership & operation
Operator, licensee, owner, manager, and chain stay separate. A connected organization is not automatically the party that runs daily operations.
SeniorTrustHub found evidence connecting this facility to:
86 currently connected nursing homes share this CMS organization identity with WIPFLI LLP.
These figures summarize currently connected CMS-certified nursing homes. Some facilities have incomplete measures; missing values are omitted, not treated as zero. Ownership structures can change. State operator or licensee evidence may differ from CMS ownership disclosures.
Ownership
These are CMS-published ownership disclosures. Medicare enrollment ownership and managerial-control information is reported by enrolled providers through CMS forms; it is not an independent determination of beneficial ownership.
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Sep 22, 2021
Other facilities connected through this exact CMS organization identity: 0 across WI.
Organization · 5% OR GREATER MORTGAGE INTEREST
Association date reported to CMS: Sep 22, 2021
Other facilities connected through this exact CMS organization identity: 0 across WI.
Individual · ADP OF THE SNF
Association date reported to CMS: May 1, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Jun 14, 2022
Individual · ADP OF THE SNF
Association date reported to CMS: Sep 22, 2021
Organization · ADP OF THE SNF
Association date reported to CMS: Sep 22, 2021
Other facilities connected through this exact CMS organization identity: 0 across WI.
Individual · ADP OF THE SNF
Association date reported to CMS: Sep 22, 2021
Organization · ADP OF THE SNF
Association date reported to CMS: Sep 22, 2021
Other facilities connected through this exact CMS organization identity: 0 across WI.
Organization · ADP OF THE SNF
Association date reported to CMS: Sep 22, 2021
Other facilities connected through this exact CMS organization identity: 0 across WI.
Individual · ADP OF THE SNF
Association date reported to CMS: Sep 22, 2021
Organization · ADP OF THE SNF
Association date reported to CMS: Jun 30, 2025
Other facilities connected through this exact CMS organization identity: 0 across WI.
Individual · DIRECT OWNERSHIP INTEREST
Association date reported to CMS: Sep 22, 2021
Individual · DIRECT OWNERSHIP INTEREST
Association date reported to CMS: Sep 22, 2021
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: May 1, 2025
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jun 14, 2022
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Sep 22, 2021
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Sep 22, 2021
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Sep 22, 2021
Other facilities connected through this exact CMS organization identity: 0 across WI.
Individual · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 50%
Association date reported to CMS: Sep 22, 2021
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Sep 22, 2021
Other facilities connected through this exact CMS organization identity: 0 across WI.
Individual · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 50%
Association date reported to CMS: Sep 22, 2021
Organization · 5% OR GREATER MORTGAGE INTEREST
Published ownership percentage: 90%
Association date reported to CMS: Sep 22, 2021
Other facilities connected through this exact CMS organization identity: 0 across WI.
Individual · ADP OF THE SNF
Association date reported to CMS: May 1, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Jun 14, 2022
Individual · ADP OF THE SNF
Association date reported to CMS: Sep 22, 2021
Organization · ADP OF THE SNF
Association date reported to CMS: Sep 22, 2021
Other facilities connected through this exact CMS organization identity: 0 across WI.
Individual · ADP OF THE SNF
Association date reported to CMS: Sep 22, 2021
Organization · ADP OF THE SNF
Association date reported to CMS: Sep 22, 2021
Other facilities connected through this exact CMS organization identity: 0 across WI.
Organization · ADP OF THE SNF
Association date reported to CMS: Sep 22, 2021
Other facilities connected through this exact CMS organization identity: 0 across WI.
Individual · ADP OF THE SNF
Association date reported to CMS: Sep 22, 2021
Organization · ADP OF THE SNF
Association date reported to CMS: Jun 30, 2025
Other facilities connected through this exact CMS organization identity: 85 across CA, IA, MI, MN, MO, MT, NH, OH, WI.
Individual · DIRECT OWNERSHIP INTEREST
Published ownership percentage: 50%
Association date reported to CMS: Sep 22, 2021
Individual · DIRECT OWNERSHIP INTEREST
Published ownership percentage: 50%
Association date reported to CMS: Sep 22, 2021
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: May 1, 2025
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jun 14, 2022
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Sep 22, 2021
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Sep 22, 2021
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Sep 22, 2021
Other facilities connected through this exact CMS organization identity: 85 across CA, IA, MI, MN, MO, MT, NH, OH, WI.
Organization · Medicare-enrolled legal organization
Other facilities connected through this exact CMS organization identity: 0 across WI.
Roles are shown as CMS publishes them. Different CMS sources can describe different enrollment, ownership, and control concepts, so TrustHub keeps each source-specific disclosure distinct.
Inspections & deficiencies
Scope and severity terms below are CMS classifications. They are not a TrustHub score.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jan 12, 2026)
No health-deficiency rows were deterministically linked to this inspection.
Ensure each resident receives an accurate assessment.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Oct 2, 2025)
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Oct 2, 2025)
Provide safe, appropriate pain management for a resident who requires such services.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Oct 2, 2025)
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Oct 2, 2025)
Ensure each resident’s drug regimen must be free from unnecessary drugs.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Oct 2, 2025)
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Oct 2, 2025)
Provide and implement an infection prevention and control program.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Oct 2, 2025)
No health-deficiency rows were deterministically linked to this inspection.
No health-deficiency rows were deterministically linked to this inspection.
Provide safe and appropriate respiratory care for a resident when needed.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jul 15, 2024)
Provide and implement an infection prevention and control program.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jul 15, 2024)
No health-deficiency rows were deterministically linked to this inspection.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jul 20, 2023)
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jul 20, 2023)
Provide and implement an infection prevention and control program.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jul 20, 2023)
Penalties & enforcement
No penalty records were found for this provider in the currently loaded CMS Penalties dataset.
Questions to ask
Facility history
7 historical events available. Dates and values come from published CMS and official state regulator evidence, not a score.
Total nurse staffing decreased from 4.05 to 3.77 hours per resident day between 2025Q3 and 2025Q4. Staffing declined across those reported periods.
4.05 → 3.77
CMS · Reported in a source release · View related evidence
1 deficiency was recorded.
CMS · Recorded event date · View related evidence
7 deficiencies were recorded.
CMS · Recorded event date · View related evidence
2 deficiencies were recorded.
CMS · Recorded event date · View related evidence
No linked health-deficiency findings were recorded for this survey.
CMS · Recorded event date · View related evidence
3 deficiencies were recorded.
CMS · Recorded event date · View related evidence
An ownership change was recorded. New organization: SHELL LAKE SNF LLC.
PREMIER HEALTH CARE MANAGEMENT OF SHELL LAKE LLC → SHELL LAKE SNF LLC
CMS · Recorded event date · View related evidence
Staffing
CMS staffing rating: 4 of 5 stars. CMS calculates that rating separately using its published methodology. The values below are calculations from daily PBJ records for 2026Q1 (current source quarter).
| Measure | Monday–Friday | Saturday–Sunday |
|---|---|---|
| Total nursing | 3.759 | 3.269 |
| RN categories | 0.689 | 0.41 |
Contract staff accounted for 0% of reported nursing hours included in this quarter calculation.
Reported RN-category hours per resident day were 0.092 lower than the prior loaded quarter.
Solid bar: Total nursing · Outlined bar: RN categories
| Quarter | Total nursing | RN categories | LPN/LVN | CNA | Contract share | Days |
|---|---|---|---|---|---|---|
| 2025Q2 | 4.056 | 0.664 | 0.877 | 2.514 | 0% | 91 |
| 2025Q3 | 4.051 | 0.707 | 0.817 | 2.527 | 0% | 92 |
| 2025Q4 | 3.768 | 0.701 | 0.778 | 2.289 | 0% | 92 |
| 2026Q1 | 3.618 | 0.609 | 0.755 | 2.254 | 0% | 90 |
Hours-per-resident-day values are calculated by this platform from CMS-published daily PBJ hours and MDS census. For each displayed period, included hours are summed and divided by the summed census for days with a positive census. They are not CMS case-mix-adjusted staffing measures or a staffing rating.
View official CMS PBJ sourceWhat we can verify today
These measures come from the current successfully ingested CMS Nursing Home Provider Information release.
Planned evidence layers
These areas require separate authoritative CMS datasets. No findings are shown until those sources are ingested and reviewed.
Trust participation
Claims, corrections, and factual context are free. Submissions never replace CMS evidence or affect ranking.
Source register
No paid placements. Facilities cannot pay to rank higher. We cite. You decide.