St. Williams Living Center

Penalties

• Apr 17, 2025 — Fine ($14,901)

Inspection findings

1. Feb 25, 2026 Health · 2 findings
   • Not serious Scope/severity D

     F0580 Resident Rights Deficiencies

     Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

     Corrected Mar 20, 2026 · CMS health inspection

   • Not serious Scope/severity E

     K0353 Smoke Deficiencies

     Inspect, test, and maintain automatic sprinkler systems.

     Corrected Feb 25, 2026 · CMS fire safety

2. Dec 15, 2025 Health · 3 findings
   • Not serious Scope/severity D Complaint

     F0580 Resident Rights Deficiencies

     Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

     Corrected Jan 14, 2026 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

     Corrected Jan 14, 2026 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0610 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Respond appropriately to all alleged violations.

     Corrected Jan 14, 2026 · CMS health inspection

3. Apr 22, 2025 MDH complaint investigation · 1 finding
   • Severity not stated

     H55882831C Substantiated complaint (MDH Office of Health Facility Complaints)

     MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).

     Statement of deficiencies (PDF)

4. Apr 17, 2025 Health · 1 finding
   • Serious Scope/severity J Complaint

     F0700 Quality of Life and Care Deficiencies

     Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

     Corrected Apr 11, 2025 · CMS health inspection

5. Dec 11, 2024 Health · 4 findings
   • Not serious Scope/severity E

     F0812 Nutrition and Dietary Deficiencies

     Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

     Corrected Jan 9, 2025 · CMS health inspection

   • Not serious Scope/severity F

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Jan 10, 2025 · CMS health inspection

   • Not serious Scope/severity D

     K0353 Smoke Deficiencies

     Inspect, test, and maintain automatic sprinkler systems.

     Corrected Dec 20, 2024 · CMS fire safety

   • Not serious Scope/severity D

     K0374 Smoke Deficiencies

     Install smoke barrier doors that can resist smoke for at least 20 minutes.

     Corrected Dec 23, 2024 · CMS fire safety

6. Feb 6, 2024 MDH complaint investigation · 1 finding
   • Severity not stated

     H55889364C Substantiated complaint (MDH Office of Health Facility Complaints)

     MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).

     Statement of deficiencies (PDF)

7. Feb 1, 2024 Health · 1 finding
   • Serious Scope/severity G Complaint

     F0689 Quality of Life and Care Deficiencies

     Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

     Corrected Jan 30, 2024 · CMS health inspection

8. Jan 10, 2024 Health · 5 findings
   • Not serious Scope/severity E

     F0585 Resident Rights Deficiencies

     Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

     Corrected Feb 13, 2024 · CMS health inspection

   • Not serious Scope/severity E

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Feb 13, 2024 · CMS health inspection

   • Not serious Scope/severity D

     K0324 Smoke Deficiencies

     Provide properly protected cooking facilities.

     Corrected Jan 18, 2024 · CMS fire safety

   • Not serious Scope/severity F

     K0712 Miscellaneous Deficiencies

     Have simulated fire drills held at unexpected times.

     Corrected Jan 18, 2024 · CMS fire safety

   • Not serious Scope/severity D

     K0753 Miscellaneous Deficiencies

     Have restrictions on the use of highly flammable decorations.

     Corrected Jan 18, 2024 · CMS fire safety

9. Jun 29, 2022 MDH complaint investigation · 1 finding
   • Severity not stated

     H55882929C Substantiated complaint (MDH Office of Health Facility Complaints)

     MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).

     Statement of deficiencies (PDF)

10. Jun 8, 2022 MDH complaint investigation · 1 finding
    • Severity not stated

      H55881882C Substantiated complaint (MDH Office of Health Facility Complaints)

      MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).

      Statement of deficiencies (PDF)

11. Jan 15, 2020 MDH complaint investigation · 1 finding
    • Severity not stated

      H5588010C Substantiated complaint (MDH Office of Health Facility Complaints)

      MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).

      Statement of deficiencies (PDF)

Owners and managers (as published by CMS)

• BITZAN, MARLENE — operational/managerial control, NOT APPLICABLE, since 05/21/2013
• BITZAN, MARLENE — adp of the snf, NOT APPLICABLE, since 05/21/2013
• DORN, VIOLA — corporate director, NOT APPLICABLE, since 01/12/2012
• HAGGENMILLER, JEROME — corporate director, NOT APPLICABLE, since 09/01/2022
• HINRICHS, ROSE — corporate director, NOT APPLICABLE, since 09/01/2018
• HOFFMAN, SCOTT — corporate director, NOT APPLICABLE, since 09/01/2022
• JAKUBIEC, DAWN — corporate director, NOT APPLICABLE, since 01/02/2012
• KELLY, TIMOTHY — adp of the snf, NOT APPLICABLE, since 12/06/2024
• KELLY, TIMOTHY — operational/managerial control, NOT APPLICABLE, since 04/01/2013
• SUNDBY, SCOTT — operational/managerial control, NOT APPLICABLE, since 02/16/2015
• SUNDBY, SCOTT — adp of the snf, NOT APPLICABLE, since 07/15/2025
• THEIS, JEREMY — corporate director, NOT APPLICABLE, since 07/01/2023
• VASKE, DAVID — corporate director, NOT APPLICABLE, since 08/01/2023
• MIDWEST BANK — 5% or greater mortgage interest, NOT APPLICABLE, since 04/29/2005