Data / Nursing homes / Wisconsin / Evergreen Health Services
Evergreen Health Services, Shawano, WI: 3 star rating, fined $14,020 across 1 fine
Evergreen Health Services in Shawano, WI is owned by NSHR Operations LLC, is rated 3 of 5 stars by Medicare, and was fined $14,020 across 1 fine in the three years to October 1, 2026. CMS lists 23 health citations from inspections in that time, the latest survey on July 29, 2026, and 3 of them found actual harm or immediate jeopardy.
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- Address
- 1250 Evergreen St, Shawano, WI 54166
- Overall rating
- 3 of 5 stars
- Health inspection rating
- 3 of 5
- Staffing rating
- 3 of 5
- Quality measure rating
- 2 of 5
- Certified beds
- 50
- Residents per day
- 38 on average
- Ownership type
- For profit, limited liability company
- Legal business name
- NSH Shawano-Evergreen LLC
- Chain
- North Shore Healthcare, 57 facilities
- Fines
- $14,020 across 1 fine, three years to October 1, 2026
- Payment denials
- 0
- Health citations
- 23, of which 3 with actual harm or immediate jeopardy
- Latest survey
- July 29, 2026
- CMS Certification Number
- 525343
- On Care Compare
- Medicare Care Compare
Fines and payment denials
Every fine and payment denial CMS lists for this facility in the three years, newest first.
| Date | Type | Fine amount | Denial starts | Denial days | Source |
|---|---|---|---|---|---|
| August 20, 2025 | Fine | $14,020 | Not listed | data.cms.gov |
Recent health citations
Citations from health inspections, newest first.
| Survey date | Tag | What CMS cited | Scope and severity | Status | Corrected on | Source |
|---|---|---|---|---|---|---|
| July 29, 2026 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G: isolated, actual harm | Corrected | August 26, 2026 | data.cms.gov |
| July 29, 2026 | F880 | Provide and implement an infection prevention and control program. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | August 26, 2026 | data.cms.gov |
| July 29, 2026 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | August 26, 2026 | data.cms.gov |
| July 29, 2026 | F805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | August 26, 2026 | data.cms.gov |
| July 29, 2026 | F692 | Provide enough food/fluids to maintain a resident's health. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | August 26, 2026 | data.cms.gov |
| September 16, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J: isolated, immediate jeopardy | Corrected | October 9, 2025 | data.cms.gov |
| September 16, 2025 | F880 | Provide and implement an infection prevention and control program. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | October 9, 2025 | data.cms.gov |
| September 16, 2025 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | October 9, 2025 | data.cms.gov |
| August 20, 2025 | F693 | 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. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | September 11, 2025 | data.cms.gov |
| May 29, 2025 | F880 | Provide and implement an infection prevention and control program. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | June 19, 2025 | data.cms.gov |
| May 29, 2025 | F809 | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | June 19, 2025 | data.cms.gov |
| May 29, 2025 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | June 19, 2025 | data.cms.gov |
| May 29, 2025 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | June 19, 2025 | data.cms.gov |
| May 29, 2025 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | June 19, 2025 | data.cms.gov |
| March 19, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G: isolated, actual harm | Corrected | May 2, 2025 | data.cms.gov |
| August 7, 2024 | F761 | 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. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | August 19, 2024 | data.cms.gov |
| May 22, 2024 | F883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | June 20, 2024 | data.cms.gov |
| May 22, 2024 | F849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | June 20, 2024 | data.cms.gov |
| May 22, 2024 | F757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | June 20, 2024 | data.cms.gov |
| May 22, 2024 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | June 20, 2024 | data.cms.gov |
| May 22, 2024 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | June 20, 2024 | data.cms.gov |
| January 29, 2024 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | February 29, 2024 | data.cms.gov |
| January 29, 2024 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | February 29, 2024 | data.cms.gov |
Owners and managers
Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 22 individual or personal trusts (1 owners, 9 managers, 3 officers, directors or trustees, 9 other disclosable parties). Their names are not shown on this page.
| Organization | Role | Share | Since | Source |
|---|---|---|---|---|
| NSHR Operations LLC | Direct owner | 100% | October 1, 2019 | data.cms.gov |
| Arrowhead 123 LLC | Indirect owner | 10% | October 1, 2019 | data.cms.gov |
| The Lane Morrell Bowen Trust | Indirect owner | 10% | October 1, 2019 | data.cms.gov |
| CIBC Bank USA | Operational or managerial control | Not listed | December 1, 2019 | data.cms.gov |
| Cliftonlarsonallen | Operational or managerial control | Not listed | December 1, 2019 | data.cms.gov |
| Continuum Therapy Partners LLC | Operational or managerial control | Not listed | March 1, 2025 | data.cms.gov |
| North Shore Healthcare LLC | Operational or managerial control | Not listed | December 1, 2019 | data.cms.gov |
| NSH Rehab LLC | Operational or managerial control | Not listed | March 1, 2025 | data.cms.gov |
| Wipfli LLP | Operational or managerial control | Not listed | February 1, 2025 | data.cms.gov |
| CIBC Bank USA | Mortgage interest | Not listed | December 31, 2024 | data.cms.gov |
| CIBC Bank USA | Security interest | Not listed | December 31, 2024 | data.cms.gov |
| Arrowhead 123 LLC | Additional disclosable party | Not listed | December 1, 2019 | data.cms.gov |
| Cliftonlarsonallen | Additional disclosable party | Not listed | May 23, 2025 | data.cms.gov |
| Continuum Therapy Partners LLC | Additional disclosable party | Not listed | May 23, 2025 | data.cms.gov |
| North Shore Healthcare LLC | Additional disclosable party | Not listed | December 1, 2019 | data.cms.gov |
| NSH 1250 Evergreen Street LLC | Additional disclosable party | Not listed | December 1, 2019 | data.cms.gov |
| NSH Rehab LLC | Additional disclosable party | Not listed | May 23, 2025 | data.cms.gov |
| Wipfli LLP | Additional disclosable party | Not listed | November 10, 2025 | data.cms.gov |
Also on SpecStream
- All nursing homes in Wisconsin
- Every nursing home NSHR Operations LLC owns or manages
- Every nursing home Arrowhead 123 LLC owns or manages
- Every nursing home The Lane Morrell Bowen Trust owns or manages
- Every nursing home CIBC Bank USA owns or manages
- Every nursing home Cliftonlarsonallen owns or manages
- Every nursing home Continuum Therapy Partners LLC owns or manages
- This facility on Medicare Care Compare
Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.