Shell Lake Health Care Center
Nursing Home, Hospice Care, Nursing Care & Respite Care · Shell Lake, WI
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.

Shell Lake Health Care Center

Nursing Home, Hospice Care, Nursing Care & Respite Care · Shell Lake, WI
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
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Shell Lake Health Care Center accepts Medicaid, Medicare, and private pay.

Overview of Shell Lake Health Care Center

Owned by Jonathon Hansen, Shell Lake Health Care Center is a nursing home in Shell Lake, Wisconsin. Its location on County Highway B has a Walk Score of 47. It serves residents who need skilled nursing support and therapy services within a smaller community setting. Medicaid, Medicare, and private pay are accepted, giving families several options for covering both rehabilitation stays and longer-term care.

The 50-bed facility has been operating for six years, with 82% occupancy. Residents stay an average of 107 days, which reflects the home’s focus on post-acute rehabilitation for people recovering from surgery, injury, or hospitalization, along with residents who require ongoing skilled nursing care. Total nurse staffing averages 3 hours and 54 minutes per resident each day. Hands-on support and daily monitoring are an important part of the care structure.

Physical therapy, occupational therapy, and speech therapy are available on-site. General rehabilitation services are also offered. Families who need temporary placement can access respite care. The facility provides IV therapy for residents who require intravenous medications or nutrition. Long-term nursing care is available for residents who require care beyond the rehabilitation stage.

Its smaller size means residents can expect a quieter setting. The neighborhood’s modest walkability means some nearby destinations may be accessible. However, traveling is easier by car. The community’s focus on rehabilitation and ongoing nursing support is best suited for residents working toward recovery, stability, or longer-term care needs.

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Health Inspection Info Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Staffing Info Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Quality Measures Info Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.

Staffing hours breakdown

Info Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.

Hours per resident per day — compared to state averages

Total nursing care / resident Info Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
3h 54m per day
Rank #103 / 178Nurse hours — State benchmarkedThis home is ranked 103rd out of 178 homes in Wisconsin. Shows adjusted nurse hours per resident per day benchmarked to the Wisconsin average, with a ranking across 178 Wisconsin facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Rankings are based only on facilities in Wisconsin that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
vs avg

5 of 6 metrics below state avg

Standout metric LPN / LVN is +23% above state avg
Staff typeHours / Day / Residentvs state avg
Registered Nurse (RN) Info RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes. 42m per day ▼ 27% State avg: 58m per day · National avg: 41m per day
LPN / LVN Info Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care. 47m per day ▲ 23% State avg: 38m per day · National avg: 52m per day
Nurse Aide Info Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life. 2h 17m per day ▼ 11% State avg: 2h 35m per day · National avg: 2h 20m per day
Weekend Total Nursing Info Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours. 3h 23m per day ▼ 9% State avg: 3h 43m per day · National avg: 3h 26m per day
Physical Therapist Info Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation. 0m per day ▼ 100% State avg: 4m per day · National avg: 4m per day
Weekend RN Info Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent. 29m per day ▼ 28% State avg: 40m per day · National avg: 28m per day

Capacity and availability

Avg. Length of Stay
107 days
Bed community size
50-bed community Rank #235 / 496Bed count — State benchmarkedThis home is ranked 235th out of 496 homes in Wisconsin. Shows this facility's certified or reported bed count compared to other Wisconsin facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Rankings are based only on facilities in Wisconsin that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A moderately sized community that may balance personal attention with shared amenities and social activities.
Years in operation
6 years in operation Rank #202 / 334Years in operation — State benchmarkedThis home is ranked 202nd out of 334 homes in Wisconsin. Shows how long this facility has been in operation compared to other Wisconsin facilities. Longer operating histories may benefit residents, families, and staff.Rankings are based only on facilities in Wisconsin that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
An established community with some operational experience and growing routines.
Walk Score
Walk Score: 47 / 100 Rank #252 / 580Walk Score — State benchmarkedThis home is ranked 252nd out of 580 homes in Wisconsin. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Wisconsin facilities. Higher scores benefit residents, families, and staff.Rankings are based only on facilities in Wisconsin that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
BBB Rating
BBB Rating: A+ (Not Accredited)
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
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About this community

Occupancy

Occupancy rate
82%
Rank #155 / 434Occupancy rate — State benchmarkedThis home is ranked 155th out of 434 homes in Wisconsin. Shows this facility's occupancy rate versus the Wisconsin average, with its Statewide rank out of 434. Higher occupancy signals strong local demand and financial stability.Rankings are based only on facilities in Wisconsin that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Higher than the Wisconsin average: 70%
Occupied beds
41 / 50
Average occupied beds in Wisconsin homes 54 beds

License Details

Facility TypeSkilled Care
CountyWashburn
CMS Certification Number525553
Certification TypeTitle 18 SNF Title 19 NF

Ownership & Operating Entity

Shell Lake Health Care Center is legally operated by Jennie Klassa.

Owner NameShell Lake Snf LLC
Profit StatusFor-profit
Nonprofit OwnershipNo

Staffing

Key information about the people who lead and staff this community.

Leadership

ContactFred Struzyk, Registered Agent

Payment & Insurance

1 service
Accept Medicaid

Therapy & Rehabilitation

3 services
Rehabilitation Services
Respite Care
Short-Term Rehab

Contact Information

Fax(715) 468-4232

Amenities & Lifestyle

Specific ProgramsLong Term Nursing Care, Physical, Occupational, and Speech Therapy, IV Therapy

Contact Shell Lake Health Care Center

Health Inspection History

Inspections since 2023
Total health inspections 3

State average N/A


Last Health inspection on Sep 2025

Total health citations
17 Rank #76 / 180Health citations — State benchmarkedThis home is ranked 76th out of 180 homes in Wisconsin. Shows this facility's total health deficiency citations benchmarked to the Wisconsin State average, with a ranking across all 180 WI facilities. Lower citation counts earn a better rank.Rankings are based only on facilities in Wisconsin that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average N/A

Citations per inspection
5.67 Rank #140 / 180Citations per inspection — State benchmarkedThis home is ranked 140th out of 180 homes in Wisconsin. Shows average deficiency citations per CMS inspection for this facility versus the Wisconsin mean across 180 facilities with citation data. Lower is better.Rankings are based only on facilities in Wisconsin that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average N/A


Health citations are formal notices following inspections when they fail to comply with safety and care standards.

12 of 17 citations resulted from standard inspections; and 5 of 17 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 3 years)
Critical health citations
0
In line with State average

State average: N/A


Serious health citations
0
In line with State average

State average: N/A

0 critical citations State average: N/A

0 serious citations State average: N/A

17 moderate citations State average: N/A

0 minor citations State average: N/A
Citations history (last 3 years)
Infection Control moderate citation Sep 10, 2025
Corrected

Nutrition moderate citation Sep 10, 2025
Corrected

Pharmacy moderate citation Sep 10, 2025
Corrected

Pharmacy moderate citation Sep 10, 2025
Corrected

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 48
Employees 48
Contractors 0
Staff to resident ratio 1.30 : 1
0% compared with State average

State average ratio: 0 : 0

Avg staff/day 22
Average shift 7.3 hours
0% compared with State average

State average: 0 hours

Total staff hours (quarter) 14,810

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info All 6 RN Staff are full-time employees. No contractors work on this role. 6
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.7 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info All 7 LPN Staff are full-time employees. No contractors work on this role. 7
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info All 27 CNA Staff are full-time employees. No contractors work on this role. 27
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.1 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors 0% — all staff are direct employees this quarter

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant270278,02992100%7.1
Licensed Practical Nurse7072,73092100%8
Registered Nurse6061,5599199%7.7
Dietitian1014816065%8
Nurse Practitioner1014766166%7.8
Mental Health Service Worker1014495762%7.9
Clinical Nurse Specialist1014265661%7.6
Administrator1013823942%9.8
Other Dietary Services Staff3032805661%4.7
27 Certified Nursing Assistant
% of Days 100%
7 Licensed Practical Nurse
% of Days 100%
6 Registered Nurse
% of Days 99%
1 Dietitian
% of Days 65%
1 Nurse Practitioner
% of Days 66%
1 Mental Health Service Worker
% of Days 62%
1 Clinical Nurse Specialist
% of Days 61%
1 Administrator
% of Days 42%
3 Other Dietary Services Staff
% of Days 61%

Penalties and fines

Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.

Source: CMS Penalties Database

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 10.8
In line with State average

State average: 10.5

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 20.3
8% better than State average

State average: 22.1

Long-stay resident measures
Below average State avg: 3.0 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 15.1%
14% better than State average

State average: 17.6%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 17.9%
21% better than State average

State average: 22.8%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 27.8%
7% worse than State average

State average: 26.0%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 1.6%
51% better than State average

State average: 3.2%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 7.0%
28% worse than State average

State average: 5.4%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 5.6%
76% worse than State average

State average: 3.2%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 12.3%
152% worse than State average

State average: 4.9%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 0.0%
100% better than State average

State average: 5.0%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 13.9%
13% better than State average

State average: 16.1%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
In line with State average

State average: 95.9%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
5% better than State average

State average: 95.0%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 1.93
20% worse than State average

State average: 1.61

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 3.70
69% worse than State average

State average: 2.19

Short-stay resident measures
Significantly below average State avg: 2.9 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 97.8%
12% better than State average

State average: 87.3%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 2.2%
74% worse than State average

State average: 1.2%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 97.9%
19% better than State average

State average: 82.2%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 26.6%
17% worse than State average

State average: 22.7%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 23.3%
55% worse than State average

State average: 15.0%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 1.9%
149% worse than State average

State average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 41.0%
24% worse than State average

State average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 51.6%
In line with State average

State average: 50.6%

Breakdown by payment type

Medicare

45% of new residents, usually for short-term rehab.

Typical stay 28 days

Private pay

38% of new residents, often for short stays.

Typical stay 5 - 6 months

Medicaid

17% of new residents, often for long-term daily care.

Typical stay 2 years

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 37
Medicare
5
13.5% of residents
Medicaid
24
64.9% of residents
Private pay or other
8
21.6% of residents
Programs & Services
Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 05/2024.

For-profit
Operated by a single business entity.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$5.2M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$639.3K
For-profit Operated by a single business entity.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$5.2M Rank #163 / 183Revenue — State benchmarkedThis home is ranked 163rd out of 183 homes in Wisconsin. Shows this facility's annual revenue compared to the Wisconsin average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Rankings are based only on facilities in Wisconsin that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$639.3K
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$96.6K
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #154 / 183Payroll — State benchmarkedThis home is ranked 154th out of 183 homes in Wisconsin. Shows total annual staff payroll benchmarked to the Wisconsin average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Rankings are based only on facilities in Wisconsin that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$3.0M 58% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #39 / 183Payroll % — State benchmarkedThis home is ranked 39th out of 183 homes in Wisconsin. Shows payroll as a percentage of revenue versus the Wisconsin average. Well-run Wisconsin facilities typically land around 62–74% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in Wisconsin that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$1.5M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$4.5M

Who this home usually serves

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

New residents most often arrive under Medicare (45% of admissions), and a typical Medicare stay runs around 28 days.

Admissions
82 total

Coverage residents most often arrive under.

Medicare 45%
Private pay 38%
Medicaid 17%
Discharges
140 total

Coverage residents most often leave under.

Medicare 11%
Private pay 46%
Medicaid 43%

Places of interest near Shell Lake Health Care Center

Address 66.1 miles from city center Info Estimated distance in miles from Shell Lake's city center to Shell Lake Health Care Center's address, calculated via Google Maps.

Calculate Travel Distance to Shell Lake Health Care Center

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Address

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Frequently Asked Questions about Shell Lake Health Care Center

Who is the owner of Shell Lake Health Care Center?

The legal owner and operator of Shell Lake Health Care Center is Shell Lake Snf Llc.

Is Shell Lake Health Care Center in a walkable area?

Shell Lake Health Care Center has a walk score of 47. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

What is the occupancy rate at Shell Lake Health Care Center?

Shell Lake Health Care Center's occupancy is 82%.

Does Shell Lake Health Care Center operate as a for-profit or non-profit?

Shell Lake Health Care Center is registered as a for-profit in WI.

Who is the administrator of Shell Lake Health Care Center?

Jennie Klassa is the administrator of Shell Lake Health Care Center.

How many beds does Shell Lake Health Care Center have?

Shell Lake Health Care Center has 50 beds.

Are there photos of Shell Lake Health Care Center?

Yes — there is 1 photo of Shell Lake Health Care Center in the photo gallery on this page.

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