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Nursing homeFAID #13090

Evergreen Health Services

1250 EVERGREEN ST, SHAWANO, WI, 54166
(715) 526-3107
50 licensed beds
★★★★★2/5CMS Five-Star overall2/5 health inspections3/5 staffing3/5 quality measuresSource: CMS Care Compare

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Public record summary

What we can show you for free.
Bed capacity
50
CMS facility ID
525343
Care type
Nursing home
County
Shawano
Facility name
Evergreen Health Services
Street address
1250 EVERGREEN ST
City / state / ZIP
Shawano, WI 54166
Phone
(715) 526-3107

About this facility — Evergreen Health Services

Evergreen Health Services is a Medicare/Medicaid-certified skilled nursing facility in Shawano, Wisconsin. It is licensed for 50 beds — below the median for skilled nursing facilities in Wisconsin (65 beds).

It is one of 8 senior care facilities in Shawano and 323 skilled nursing facilities across Wisconsin. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Evergreen Health Services 31 times across 12 inspections in the last three years, including 2 food-safety citations, and CMS has imposed $14,020 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company
North Shore Healthcare
Ownership type
For profit - Limited Liability company

Registered owners & officers

Nshr Operations Llc
Direct owner — 100% stake — since 2019
Mills, David
Indirect owner — 18% stake — since 2019
Arrowhead 123 Llc
Indirect owner · Additional disclosable party — 10% stake — since 2019
The Lane Morrell Bowen Trust
Indirect owner — 10% stake — since 2019
Baumann, Troy
Director · Operational control · Additional disclosable party — since 2019
Belongia, Christina
Operational control · Additional disclosable party — since 2019
Cherukula, Madhavi
Operational control · Additional disclosable party — since 2023
Cibc Bank Usa
Mortgage holder · Security-interest holder · Operational control — since 2019
Cliftonlarsonallen Llp
Operational control · Additional disclosable party — since 2019
Continuum Therapy Partners Llc
Operational control · Additional disclosable party — since 2025
Gee, Darren
Operational control · Owner of a disclosable party · Additional disclosable party — since 2021
Gossen, Jennifer
Operational control · Additional disclosable party — since 2026
Greer, Lauren
Operational control · Additional disclosable party — since 2023
Hoehn, Jeffrey
Director · Operational control · Additional disclosable party — since 2019
North Shore Healthcare Llc
Operational control · Additional disclosable party — since 2019
Nsh 1250 Evergreen Street Llc
Additional disclosable party — since 2019
Nsh Rehab Llc
Operational control · Additional disclosable party — since 2025
Patzer, Colleen
Operational control · Additional disclosable party — since 2023
Purtell, Brian
Operational control · Additional disclosable party — since 2019
Wipfli Llp
Operational control · Additional disclosable party — since 2025

Regulatory standing

Federal court records
6 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)
Licensed / certified since
1983-12-01
CMS overall rating
2 of 5 stars
Health deficiencies
8 at the last standard inspection
Federal fines
$14,020 total
Last standard inspection
2025-05-29
Nurse staffing
3.6 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$385 per day (≈ $11,700/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
44% Medicaid · 8% Medicare · 48% private/other
Occupancy
83% (fiscal year 2023)
Vs. state median
5% below the WI median of $407/day — full state cost breakdown

Services & coverage

Licensed beds
50
Medicare
Accepted
Medicaid
Accepted
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-08-31. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 2 food-safety citations on its three-year record — flagged below among the inspections.
2025-09-16Health inspectionComplaint-triggered3 citations
F-0677
E · No harm foundFrom a complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-10-09
F-0689
J · Immediate jeopardyFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-10-09
F-0880
E · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2025-10-09
2025-08-20Health inspectionComplaint-triggered1 citation
F-0693
D · No harm foundFrom a complaint
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.
Corrected 2025-09-11
9 earlier / fire-safety inspections (27 citations)
2025-05-29Health inspectionComplaint-triggered5 citations
F-0684
D · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-06-19
F-0695
D · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-06-19
F-0755
D · No harm found
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-06-19
F-0809
E · No harm foundFood safety
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.
Corrected 2025-06-19
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2025-06-19
2025-03-19Health inspectionComplaint-triggered1 citation
F-0689
G · Actual harmFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-05-02
2024-08-07Health inspectionComplaint-triggered1 citation
F-0761
D · No harm foundFrom a complaint
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.
Corrected 2024-08-19
2024-05-22Health inspection5 citations
F-0657
D · No harm found
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-06-20
F-0755
D · No harm found
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-06-20
F-0757
D · No harm found
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2024-06-20
F-0849
D · No harm found
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.
Corrected 2024-06-20
F-0883
D · No harm found
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2024-06-20
2024-01-29Health inspectionComplaint-triggered2 citations
F-0580
D · No harm foundFrom a complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-02-29
F-0686
D · No harm foundFrom a complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-02-29
2023-05-10Health inspection2 citations
F-0757
D · No harm found
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2023-06-08
F-0812
F · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-05-31
2025-05-29Fire-safety inspection3 citations
K-0321
D · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2025-06-20
K-0345
D · No harm found
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-06-20
K-0521
D · No harm found
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2025-06-20
2024-05-22Fire-safety inspection2 citations
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-06-10
K-0511
D · No harm found
Have properly installed electrical wiring and gas equipment.
Corrected 2024-06-10
2023-05-10Fire-safety inspection6 citations
K-0324
E · No harm found
Provide properly protected cooking facilities.
Corrected 2023-05-25
K-0345
F · No harm found
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-06-15
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-06-15
K-0363
D · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2023-06-12
K-0521
E · No harm found
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2023-05-31
K-0923
E · No harm found
Have proper medical gas storage and administration areas.
Corrected 2023-06-15

Federal penalties

2025-08-20Fine$14,020
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 525343.

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 31 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
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Original records

Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered