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C
Below Standard

DELAVAN HEALTH SERVICES

905 E GENEVA ST · DELAVAN, WI 53115

2627286319 · For profit - Limited Liability company

50 beds39.4 residents51 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
A+
Excellent
RN Staff
C
Below Standard
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✓RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

DELAVAN HEALTH SERVICES receives an overall staffing grade of C (Below Standard). With 3.4058 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has adequate registered nurse (RN) coverage. It is 0.49 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 16.68% compared to weekdays. The facility has low agency staff usage (0% of hours), suggesting a mostly permanent workforce.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (1)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.4058 HPRD — needs 0.07 more hours per resident per day.

✨ Strengths (3)

✅Meets the research-recommended RN staffing level (≥ 0.75 HPRD)
✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (0%) — mostly permanent, familiar staff
Total Nurse HPRD
3.4058hrs/resident/day▼ 0.49
CMS benchmark: 3.48
RN HPRD
1.2837hrs/resident/day▲ 0.60
Recommended: 0.75
Weekend Drop-off
16.68%
3.5743 weekday → 2.978 weekend
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.8669hrs/resident/day
Direct care aides
LPN HPRD
0.2552hrs/resident/day
Licensed practical nurses
Consistency
0.3502std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Walworth County Average-1.22 HPRD
4.63
03.41 HPRD
vs. Wisconsin State Average-0.79 HPRD
4.20
03.41 HPRD
vs. National Average-0.49 HPRD
3.90
03.41 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
DELAVAN HEALTH SERVICES ★
DELAVAN · This facility
—
C
3.40581.2837★★★★★
WILLIAMS BAY HEALTH SERVICES
WILLIAMS BAY
5.6 mi
C
3.47311.2081★★★☆☆
HOLTON MANOR
ELKHORN
5.8 mi
A
4.34230.8591★★★★☆
ALDEN MEADOW PARK HCC
CLINTON
12.7 mi
D
2.94680.5249★★☆☆☆
BURLINGTON HEALTH AND REHABILITATION CENTER
BURLINGTON
19.2 mi
B
3.69690.6918★☆☆☆☆
ROCK HAVEN
JANESVILLE
19.7 mi
A+
5.66421.5007★★★☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

4
Inspections
12
Total Deficiencies
$0
Fines Assessed
Dec 19, 2024Health
1 deficiency cited
▼
Aug 19, 2024Health
1 deficiency cited
▼
Sep 27, 2023Health
3 deficiencies cited
▼
Jun 15, 2022Health
7 deficiencies cited· Includes actual harm
▼
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.