Quick answers
- Where is Hamilton Health Services?
- 1 Hamilton Dr, Two Rivers, WI 54241, in Manitowoc County, Wisconsin.
- What is the phone number of Hamilton Health Services?
- (920) 793-2261, as listed by Medicare (CMS).
- What is the Medicare star rating of Hamilton Health Services?
- Medicare overall rating: 4 out of 5 stars (CMS data updated 2026-10-01).
- Has Hamilton Health Services been fined?
- Medicare lists no fines for Hamilton Health Services.
- What did inspectors find at Hamilton Health Services?
- In its last three inspection cycles (July 12, 2023 to January 28, 2026), Medicare lists 22 health citations; the most serious was level G. 1 was level G or higher (actual harm or immediate jeopardy). See the list below (CMS data updated 2026-10-01).
Medicare ratings, explained
Star ratings are one piece of information. Visit, ask questions and talk with your doctor about what matters for your care.
Inspections, fines and staffing
In its last three inspection cycles (July 12, 2023 to January 28, 2026), Hamilton Health Services had 22 health citations; the most serious was level G (actual harm to residents). 1 of them was level G or higher (actual harm or immediate jeopardy). Medicare lists no fines or payment denials for it in the last three years. Nurse staffing is 3.77 hours per resident per day; the Wisconsin average is 4.25 and the national average is 3.90.
Source: Medicare (CMS) Provider Data Catalog, data updated October 1, 2026, retrieved November 13, 2026.
Inspection history: last three cycles
State inspectors visit about once a year and also investigate complaints. Each citation (deficiency) has a tag number and a letter, A to L. The letter shows how serious the problem was and how many residents it affected.
What the letters A to L mean
| Seriousness | Isolated (a few residents) | Pattern (some) | Widespread (many) |
|---|---|---|---|
| No actual harm, potential for minimal harm | A | B | C |
| No actual harm, potential for more than minimal harm | D | E | F |
| Actual harm to residents | G | H | I |
| Immediate jeopardy to resident health or safety | J | K | L |
Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.
Most recent cycle: January 28, 2026 — 3 health citations
Inspections in this cycle: January 28, 2026 (complaint investigation); January 28, 2026 (standard health inspection).
Show 3 citations (levels A to F, no actual harm)
F0609 Level D
“Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.”
F0610 Level D
“Respond appropriately to all alleged violations.”
F0804 Level D
“Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.”
Previous cycle: September 11, 2024 — 9 health citations
Inspections in this cycle: September 11, 2024 (standard health inspection).
Show 9 citations (levels A to F, no actual harm)
F0641 Level E
“Ensure each resident receives an accurate assessment.”
F0756 Level E
“Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.”
F0582 Level D
“Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.”
F0637 Level D
“Assess the resident when there is a significant change in condition”
F0692 Level D
“Provide enough food/fluids to maintain a resident's health.”
F0757 Level D
“Ensure each resident’s drug regimen must be free from unnecessary drugs.”
F0758 Level D
“Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.”
F0759 Level D
“Ensure medication error rates are not 5 percent or greater.”
F0883 Level D
“Develop and implement policies and procedures for flu and pneumonia vaccinations.”
Earlier cycle: July 12, 2023 — 10 health citations
Inspections in this cycle: July 12, 2023 (standard health inspection); February 20, 2024 (complaint investigation); July 8, 2024 (complaint investigation).
F0689 Level G
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies
Show 9 less serious citations (levels A to F)
F0812 Level F
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0880 Level F
“Provide and implement an infection prevention and control program.”
F0609 Level D
“Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.”
F0610 Level D
“Respond appropriately to all alleged violations.”
F0712 Level D
“Ensure that the resident and his/her doctor meet face-to-face at all required visits.”
F0770 Level D
“Provide timely, quality laboratory services/tests to meet the needs of residents.”
F0684 Level D
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
F0689 Level D
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0759 Level D
“Ensure medication error rates are not 5 percent or greater.”
Citation descriptions are Medicare’s official wording. “From a complaint” means the citation came from a complaint investigation instead of the regular yearly inspection.
Full inspection reports on Medicare Care Compare →
Fire safety citations (24)
K0712 Level F
“Have simulated fire drills held at unexpected times.”
K0918 Level F
“Have generator or other power source capable of supplying service within 10 seconds.”
K0222 Level D
“Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.”
K0271 Level D
“Have exits that are accessible at all times.”
K0321 Level D
“Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.”
K0511 Level D
“Have properly installed electrical wiring and gas equipment.”
K0741 Level D
“Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.”
K0753 Level D
“Have restrictions on the use of highly flammable decorations.”
K0920 Level D
“Ensure proper usage of power strips and extension cords.”
E0039 Level F
“Conduct testing and exercise requirements.”
K0353 Level F
“Inspect, test, and maintain automatic sprinkler systems.”
K0918 Level F
“Have generator or other power source capable of supplying service within 10 seconds.”
K0321 Level E
“Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.”
K0374 Level E
“Install smoke barrier doors that can resist smoke for at least 20 minutes.”
K0324 Level D
“Provide properly protected cooking facilities.”
K0363 Level D
“Install corridor and hallway doors that block smoke.”
K0511 Level D
“Have properly installed electrical wiring and gas equipment.”
K0521 Level D
“Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.”
K0761 Level D
“To conduct inspection, testing and maintenance of fire doors by qualified individuals.”
K0521 Level F
“Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.”
K0712 Level F
“Have simulated fire drills held at unexpected times.”
K0321 Level E
“Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.”
K0923 Level E
“Have proper medical gas storage and administration areas.”
K0222 Level D
“Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.”
Staffing
Hours of nursing care per resident per day, from the payroll records nursing homes send to Medicare, next to the state and national averages.
| Measure | This home | Wisconsin | National |
|---|---|---|---|
| Registered nurse (RN) hours per resident per day | 1.03 | 0.98 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.48 | 0.65 | 0.86 |
| Nurse aide hours per resident per day | 2.26 | 2.61 | 2.35 |
| Total nurse staff hours per resident per day | 3.77 | 4.25 | 3.90 |
| Total nurse staff hours per resident per day on the weekend | 3.41 | 3.75 | 3.43 |
| RN hours per resident per day on the weekend | 0.77 | 0.66 | 0.48 |
| Nursing staff turnover (per year) | 54.5% | 46.7% | 45.3% |
| RN turnover (per year) | 33.3% | 40.1% | 42.5% |
| Administrators who left in the last year | 1.0 | 0.5 | 0.5 |
Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.
Owners and operator
Part of a group of 57 nursing homes: North Shore Healthcare.
Legal business name: NSH Two Rivers LLC.
Owners and managers Medicare lists (10)
| Name | Role | Share | Since |
|---|---|---|---|
| NSHR Operations LLC | Direct owner | 100% | October 1, 2019 |
| Arrowhead 123 LLC | Indirect owner | — | October 1, 2019 |
| The Lane Morrell Bowen Trust | Indirect owner | 10% | October 1, 2019 |
| Mills, David | Indirect owner | 18% | October 1, 2019 |
| Cibc Bank USA | Management company (operational or managerial control) | NOT APPLICABLE | December 31, 2024 |
| Cliftonlarsonallen | Management company (operational or managerial control) | NOT APPLICABLE | December 1, 2019 |
| Continuum Therapy Partners LLC | Management company (operational or managerial control) | NOT APPLICABLE | March 1, 2025 |
| North Shore Healthcare LLC | Management company (operational or managerial control) | NOT APPLICABLE | December 1, 2019 |
| NSH Rehab LLC | Management company (operational or managerial control) | NOT APPLICABLE | March 1, 2025 |
| Wipfli LLP | Management company (operational or managerial control) | NOT APPLICABLE | February 1, 2025 |
Source: Medicare (CMS) Ownership file, data updated October 1, 2026. Only owners with an ownership interest and management companies are shown.
Compare with other nursing homes
Key facts
| Type | Nursing home |
|---|---|
| Certified beds | 125 |
| Average residents per day | 22.1 |
| Takes part in | Medicare and Medicaid |
| Ownership | For profit – corporation |
| Group or chain (affiliated entity) | North Shore Healthcare |
| Legal business name | NSH Two Rivers LLC |
| First approved by Medicare/Medicaid | 2001-11-12 |
| Resident and family councils | Resident council |
| Sprinklers in all required areas | Yes |
| Changed ownership in the last 12 months | No |
| Address | 1 Hamilton Dr, Two Rivers, WI 54241 |
| County | Manitowoc County |
| State | Wisconsin |
| Phone | (920) 793‑2261 |
| CMS Certification Number | 525664 |
| Corrections | Report an error or suggest an update → |
What to ask when you call or visit
A general checklist for any nursing home, not advice about this one. Medicare also publishes guides on medicare.gov.
- Is the home certified by Medicare and/or Medicaid, and does it have a bed for the care you need (short-term rehab or long-term care)?
- Can you see the latest state inspection report? Ask how any problems found were fixed.
- How many nurses and aides work on each shift, at night and on weekends? Is there a registered nurse on site at all times?
- Which doctors see residents, and how often? What happens in a medical emergency, and which hospital is used?
- What therapy (physical, occupational, speech) is offered, and how many days a week?
- Are residents clean, dressed and taking part in activities? Do staff speak to them kindly and answer call lights quickly?
- What do the daily rate and extra services cost, and what do Medicare, Medicaid or your insurance pay? Ask for it in writing.
- Is there a resident council and a family council? How are complaints handled? Ask for the long-term care ombudsman’s contact.
- Are meals appetizing, and can the home meet special diets, language needs and religious or cultural preferences?
- Visit more than once, including at a mealtime or in the evening, without an appointment.
Other nursing homes nearby
By straight-line distance (not driving distance).
- North Ridge Health and Rehabilitation Center5.8 mi · Manitowoc, WI · 1 of 5 stars
- Shady Lane Nursing Care Center7.8 mi · Manitowoc, WI · 5 of 5 stars
- St Marys Home for the Aged8.0 mi · Manitowoc, WI · 5 of 5 stars
- River's Bend Health Services8.8 mi · Manitowoc, WI · 3 of 5 stars
- Complete Care at Manitowoc LLC11 mi · Manitowoc, WI · 4 of 5 stars
Nearest hospital emergency rooms
- Aurora Medical Center Manitowoc County3.8 mi · Two Rivers, WI · Acute Care Hospital
- Holy Family Memorial7.4 mi · Manitowoc, WI · Acute Care Hospital
- Aurora BayCare Medical Center29 mi · Green Bay, WI · Acute Care Hospital
Sources
- Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
- Medicare Care Compare — official Medicare profile of this provider
- Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
- State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13