RecordWell Data

Aria Of Brookfield

Nursing home · 18740 W BLUEMOUND RD, Brookfield, WI 53045 · Waukesha County

1★Medicare overall
145cited deficiencies
10harm or jeopardy level
6penalties

Prices

No published price is available. Ask the facility directly.

Facility

Type
Nursing home · TITLE 18 SNF TITLE 19 NF
Capacity
170
State license
3050
Medicare CCN
525424
Licensed entity
ARIA OF BROOKFIELD LLC
Ownership
For profit - Corporation
Phone
(262) 782-0230
Nurse staffing
3.40 hours per resident per day; 71.0% nursing staff turnover
Medicare ratings
Inspections 1★ · Staffing 1★ · Quality 1★
CMS abuse flag
Cited for abuse (CMS marks this facility with its abuse icon)
Official record
Wisconsin DQA Provider Search
Official record
Medicare Care Compare

Other public records for this operator

Penalties

Inspection findings

  1. Feb 5, 2026 Health · 1 finding
    • Not serious Scope/severity D Complaint

      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 16, 2026 · CMS health inspection

  2. Jan 8, 2026 Health · 8 findings
    • Not serious Scope/severity D Complaint

      F0550 Resident Rights Deficiencies

      Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

      Corrected Feb 2, 2026 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0558 Resident Rights Deficiencies

      Reasonably accommodate the needs and preferences of each resident.

      Corrected Feb 2, 2026 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0602 Freedom from Abuse, Neglect, and Exploitation Deficiencies

      Protect each resident from the wrongful use of the resident's belongings or money.

      Corrected Feb 2, 2026 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0684 Quality of Life and Care Deficiencies

      Provide appropriate treatment and care according to orders, resident’s preferences and goals.

      Corrected Feb 2, 2026 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0686 Quality of Life and Care Deficiencies

      Provide appropriate pressure ulcer care and prevent new ulcers from developing.

      Corrected Feb 2, 2026 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0692 Quality of Life and Care Deficiencies

      Provide enough food/fluids to maintain a resident's health.

      Corrected Feb 2, 2026 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0698 Quality of Life and Care Deficiencies

      Provide safe, appropriate dialysis care/services for a resident who requires such services.

      Corrected Feb 2, 2026 · CMS health inspection

    • Not serious Scope/severity E Complaint

      F0761 Pharmacy Service Deficiencies

      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 Feb 2, 2026 · CMS health inspection

  3. Aug 27, 2025 Health · 22 findings
    • Not serious Scope/severity D

      F0550 Resident Rights Deficiencies

      Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

      Corrected Sep 16, 2025 · CMS health inspection

    • Not serious Scope/severity D

      F0552 Resident Rights Deficiencies

      Ensure that residents are fully informed and understand their health status, care and treatments.

      Corrected Sep 16, 2025 · CMS health inspection

    • Not serious Scope/severity D

      F0605 Freedom from Abuse, Neglect, and Exploitation Deficiencies

      Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

      Corrected Sep 16, 2025 · CMS health inspection

    • Not serious Scope/severity E

      F0628 Resident Rights Deficiencies

      Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

      Corrected Sep 16, 2025 · CMS health inspection

    • Serious Scope/severity G Complaint

      F0686 Quality of Life and Care Deficiencies

      Provide appropriate pressure ulcer care and prevent new ulcers from developing.

      Corrected Sep 16, 2025 · CMS health inspection

    • Not serious Scope/severity D

      F0693 Quality of Life and Care Deficiencies

      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 Sep 16, 2025 · CMS health inspection

    • Not serious Scope/severity D

      F0695 Quality of Life and Care Deficiencies

      Provide safe and appropriate respiratory care for a resident when needed.

      Corrected Sep 16, 2025 · CMS health inspection

    • Not serious Scope/severity E

      F0755 Pharmacy Service Deficiencies

      Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

      Corrected Sep 16, 2025 · CMS health inspection

    • Not serious Scope/severity D

      F0759 Pharmacy Service Deficiencies

      Ensure medication error rates are not 5 percent or greater.

      Corrected Sep 16, 2025 · CMS health inspection

    • Not serious Scope/severity E

      F0761 Pharmacy Service Deficiencies

      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 Sep 16, 2025 · CMS health inspection

    • 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 Sep 16, 2025 · CMS health inspection

    • Not serious Scope/severity D

      F0849 Administration Deficiencies

      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 Sep 16, 2025 · CMS health inspection

    • Not serious Scope/severity F

      F0851 Administration Deficiencies

      Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

      Corrected Sep 16, 2025 · CMS health inspection

    • Not serious Scope/severity E

      F0880 Infection Control Deficiencies

      Provide and implement an infection prevention and control program.

      Corrected Sep 16, 2025 · CMS health inspection

    • Not serious Scope/severity E

      K0225 Egress Deficiencies

      Have stairways and smokeproof enclosures used as exits that meet safety requirements.

      Corrected Sep 17, 2025 · CMS fire safety

    • Not serious Scope/severity E

      K0271 Egress Deficiencies

      Have exits that are accessible at all times.

      Corrected Sep 17, 2025 · CMS fire safety

    • Not serious Scope/severity D

      K0311 Smoke Deficiencies

      Have an enclosure around a vertical opening shaft.

      Corrected Sep 17, 2025 · CMS fire safety

    • Not serious Scope/severity E

      K0321 Smoke Deficiencies

      Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

      Corrected Sep 17, 2025 · CMS fire safety

    • Not serious Scope/severity D

      K0353 Smoke Deficiencies

      Inspect, test, and maintain automatic sprinkler systems.

      Corrected Sep 17, 2025 · CMS fire safety

    • Not serious Scope/severity E

      K0915 Gas, Vacuum, and Electrical Systems Deficiencies

      Have proper power supply for life support equipment.

      Corrected Sep 17, 2025 · CMS fire safety

    • Not serious Scope/severity C

      K0918 Gas, Vacuum, and Electrical Systems Deficiencies

      Have generator or other power source capable of supplying service within 10 seconds.

      Corrected Sep 17, 2025 · CMS fire safety

    • Not serious Scope/severity D

      K0920 Gas, Vacuum, and Electrical Systems Deficiencies

      Ensure proper usage of power strips and extension cords.

      Corrected Sep 17, 2025 · CMS fire safety

  4. Jun 10, 2025 Health · 1 finding
    • 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 Jun 25, 2025 · CMS health inspection

  5. May 8, 2025 Health · 4 findings
    • Not serious Scope/severity D Complaint

      F0600 Freedom from Abuse, Neglect, and Exploitation Deficiencies

      Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

      Corrected Jun 2, 2025 · CMS health inspection

    • Not serious Scope/severity E Complaint

      F0755 Pharmacy Service Deficiencies

      Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

      Corrected Jun 2, 2025 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0761 Pharmacy Service Deficiencies

      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 Jun 2, 2025 · CMS health inspection

    • Not serious Scope/severity F Complaint

      F0908 Environmental Deficiencies

      Keep all essential equipment working safely.

      Corrected Jun 2, 2025 · CMS health inspection

  6. Jan 29, 2025 Health · 12 findings
    • Not serious Scope/severity D Complaint

      F0552 Resident Rights Deficiencies

      Ensure that residents are fully informed and understand their health status, care and treatments.

      Corrected Feb 14, 2025 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0559 Resident Rights Deficiencies

      Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.

      Corrected Feb 14, 2025 · 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 Feb 14, 2025 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0610 Freedom from Abuse, Neglect, and Exploitation Deficiencies

      Respond appropriately to all alleged violations.

      Corrected Feb 14, 2025 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0656 Resident Assessment and Care Planning Deficiencies

      Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

      Corrected Feb 14, 2025 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0677 Quality of Life and Care Deficiencies

      Provide care and assistance to perform activities of daily living for any resident who is unable.

      Corrected Feb 14, 2025 · CMS health inspection

    • Not serious Scope/severity D 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 Feb 14, 2025 · CMS health inspection

    • Not serious Scope/severity E Complaint

      F0725 Nursing and Physician Services Deficiencies

      Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

      Corrected Feb 14, 2025 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0740 Quality of Life and Care Deficiencies

      Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

      Corrected Feb 14, 2025 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0755 Pharmacy Service Deficiencies

      Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

      Corrected Feb 14, 2025 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0806 Nutrition and Dietary Deficiencies

      Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

      Corrected Feb 14, 2025 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0880 Infection Control Deficiencies

      Provide and implement an infection prevention and control program.

      Corrected Feb 14, 2025 · CMS health inspection

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

      F0584 Resident Rights Deficiencies

      Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

      Corrected Jan 6, 2025 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0677 Quality of Life and Care Deficiencies

      Provide care and assistance to perform activities of daily living for any resident who is unable.

      Corrected Feb 14, 2025 · CMS health inspection

    • 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 Feb 14, 2025 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0695 Quality of Life and Care Deficiencies

      Provide safe and appropriate respiratory care for a resident when needed.

      Corrected Jan 6, 2025 · CMS health inspection

    • Not serious Scope/severity C Complaint

      F0732 Nursing and Physician Services Deficiencies

      Post nurse staffing information every day.

      Corrected Jan 6, 2025 · CMS health inspection

  8. Nov 5, 2024 Health · 7 findings
    • Serious Scope/severity G Complaint

      F0684 Quality of Life and Care Deficiencies

      Provide appropriate treatment and care according to orders, resident’s preferences and goals.

      Corrected Nov 25, 2024 · CMS health inspection

    • Serious Scope/severity J Complaint

      F0686 Quality of Life and Care Deficiencies

      Provide appropriate pressure ulcer care and prevent new ulcers from developing.

      Corrected Nov 25, 2024 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0687 Quality of Life and Care Deficiencies

      Provide appropriate foot care.

      Corrected Nov 25, 2024 · CMS health inspection

    • Serious Scope/severity J 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 Feb 14, 2025 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0745 Quality of Life and Care Deficiencies

      Provide medically-related social services to help each resident achieve the highest possible quality of life.

      Corrected Nov 25, 2024 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0760 Pharmacy Service Deficiencies

      Ensure that residents are free from significant medication errors.

      Corrected Nov 25, 2024 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0849 Administration Deficiencies

      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 Nov 25, 2024 · CMS health inspection

  9. Sep 9, 2024 Health · 2 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 Sep 26, 2024 · CMS health inspection

    • Not serious Scope/severity D 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 Sep 26, 2024 · CMS health inspection

  10. Jul 16, 2024 Health · 10 findings
    • Not serious Scope/severity D Complaint

      F0554 Resident Rights Deficiencies

      Allow residents to self-administer drugs if determined clinically appropriate.

      Corrected Aug 1, 2024 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0583 Resident Rights Deficiencies

      Keep residents' personal and medical records private and confidential.

      Corrected Aug 1, 2024 · CMS health inspection

    • Not serious Scope/severity F Complaint

      F0584 Resident Rights Deficiencies

      Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

      Corrected Aug 1, 2024 · CMS health inspection

    • Not serious Scope/severity D Complaint

      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 Aug 1, 2024 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0660 Resident Assessment and Care Planning Deficiencies

      Plan the resident's discharge to meet the resident's goals and needs.

      Corrected Aug 1, 2024 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0676 Quality of Life and Care Deficiencies

      Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

      Corrected Aug 1, 2024 · CMS health inspection

    • Not serious Scope/severity E Complaint

      F0684 Quality of Life and Care Deficiencies

      Provide appropriate treatment and care according to orders, resident’s preferences and goals.

      Corrected Aug 1, 2024 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0686 Quality of Life and Care Deficiencies

      Provide appropriate pressure ulcer care and prevent new ulcers from developing.

      Corrected Aug 1, 2024 · CMS health inspection

    • Not serious Scope/severity D 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 Aug 1, 2024 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0880 Infection Control Deficiencies

      Provide and implement an infection prevention and control program.

      Corrected Aug 1, 2024 · CMS health inspection

  11. May 22, 2024 Fire Safety · 40 findings
    • Not serious Scope/severity F

      E0004 Emergency Preparedness Deficiencies

      Develop and maintain an Emergency Preparedness Program (EP).

      Corrected Jun 21, 2024 · CMS fire safety

    • Not serious Scope/severity F

      E0006 Emergency Preparedness Deficiencies

      Conduct risk assessment and an All-Hazards approach.

      Corrected Jun 21, 2024 · CMS fire safety

    • Not serious Scope/severity D

      F0557 Resident Rights Deficiencies

      Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

      Corrected Jun 25, 2024 · CMS health inspection

    • Not serious Scope/severity D

      F0572 Resident Rights Deficiencies

      Give residents a notice of rights, rules, services and charges.

      Corrected Jun 25, 2024 · CMS health inspection

    • Not serious Scope/severity E Complaint

      F0584 Resident Rights Deficiencies

      Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

      Corrected Aug 1, 2024 · CMS health inspection

    • Not serious Scope/severity D Complaint

      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 Aug 1, 2024 · CMS health inspection

    • Not serious Scope/severity E

      F0607 Freedom from Abuse, Neglect, and Exploitation Deficiencies

      Develop and implement policies and procedures to prevent abuse, neglect, and theft.

      Corrected Jun 25, 2024 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0622 Resident Rights Deficiencies

      Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

      Corrected Jun 25, 2024 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0661 Resident Assessment and Care Planning Deficiencies

      Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

      Corrected Jun 25, 2024 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0677 Quality of Life and Care Deficiencies

      Provide care and assistance to perform activities of daily living for any resident who is unable.

      Corrected Jun 25, 2024 · CMS health inspection

    • Serious Scope/severity G Complaint

      F0684 Quality of Life and Care Deficiencies

      Provide appropriate treatment and care according to orders, resident’s preferences and goals.

      Corrected Aug 1, 2024 · CMS health inspection

    • Serious Scope/severity G Complaint

      F0686 Quality of Life and Care Deficiencies

      Provide appropriate pressure ulcer care and prevent new ulcers from developing.

      Corrected Aug 1, 2024 · CMS health inspection

    • 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 Aug 1, 2024 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0693 Quality of Life and Care Deficiencies

      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 Jun 25, 2024 · CMS health inspection

    • Not serious Scope/severity F Complaint

      F0725 Nursing and Physician Services Deficiencies

      Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

      Corrected Jun 25, 2024 · CMS health inspection

    • Not serious Scope/severity D

      F0756 Pharmacy Service Deficiencies

      Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

      Corrected Jun 25, 2024 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0758 Pharmacy Service Deficiencies

      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.

      Corrected Jun 25, 2024 · CMS health inspection

    • Not serious Scope/severity E

      F0761 Pharmacy Service Deficiencies

      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 Jun 25, 2024 · CMS health inspection

    • Not serious Scope/severity F Complaint

      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 Jun 25, 2024 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0842 Resident Assessment and Care Planning Deficiencies

      Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

      Corrected Jun 25, 2024 · CMS health inspection

    • Not serious Scope/severity E

      F0847 Administration Deficiencies

      Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

      Corrected Jun 25, 2024 · CMS health inspection

    • Not serious Scope/severity D

      F0849 Administration Deficiencies

      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 Jun 25, 2024 · CMS health inspection

    • Not serious Scope/severity F

      F0880 Infection Control Deficiencies

      Provide and implement an infection prevention and control program.

      Corrected Aug 1, 2024 · CMS health inspection

    • Not serious Scope/severity F

      F0881 Infection Control Deficiencies

      Implement a program that monitors antibiotic use.

      Corrected Jun 25, 2024 · CMS health inspection

    • Not serious Scope/severity D

      K0211 Egress Deficiencies

      Keep aisles, corridors, and exits free of obstruction in case of emergency.

      Corrected Jun 25, 2024 · CMS fire safety

    • Not serious Scope/severity D

      K0222 Egress Deficiencies

      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.

      Corrected Jun 25, 2024 · CMS fire safety

    • Not serious Scope/severity E

      K0271 Egress Deficiencies

      Have exits that are accessible at all times.

      Corrected Jun 20, 2024 · CMS fire safety

    • Not serious Scope/severity D

      K0281 Egress Deficiencies

      Install proper backup exit lighting.

      Corrected Jun 25, 2024 · CMS fire safety

    • Not serious Scope/severity E

      K0293 Egress Deficiencies

      Have properly located and lighted "Exit" signs.

      Corrected Jun 25, 2024 · CMS fire safety

    • Not serious Scope/severity D

      K0311 Smoke Deficiencies

      Have an enclosure around a vertical opening shaft.

      Corrected Jun 25, 2024 · CMS fire safety

    • Not serious Scope/severity E

      K0321 Smoke Deficiencies

      Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

      Corrected Jun 25, 2024 · CMS fire safety

    • Not serious Scope/severity E

      K0353 Smoke Deficiencies

      Inspect, test, and maintain automatic sprinkler systems.

      Corrected Jun 25, 2024 · CMS fire safety

    • Not serious Scope/severity C

      K0354 Smoke Deficiencies

      Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

      Corrected Jun 25, 2024 · CMS fire safety

    • Not serious Scope/severity D

      K0355 Smoke Deficiencies

      Properly select, install, inspect, or maintain portable fire extinguishes.

      Corrected Jun 25, 2024 · CMS fire safety

    • Not serious Scope/severity E

      K0511 Services Deficiencies

      Have properly installed electrical wiring and gas equipment.

      Corrected Jun 25, 2024 · CMS fire safety

    • Not serious Scope/severity E

      K0741 Miscellaneous Deficiencies

      Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

      Corrected Jun 25, 2024 · CMS fire safety

    • Not serious Scope/severity D

      K0753 Miscellaneous Deficiencies

      Have restrictions on the use of highly flammable decorations.

      Corrected Jun 25, 2024 · CMS fire safety

    • Not serious Scope/severity D

      K0781 Miscellaneous Deficiencies

      Have restrictions on the use of portable space heaters.

      Corrected Jun 25, 2024 · CMS fire safety

    • Not serious Scope/severity F

      K0918 Gas, Vacuum, and Electrical Systems Deficiencies

      Have generator or other power source capable of supplying service within 10 seconds.

      Corrected Jun 17, 2024 · CMS fire safety

    • Not serious Scope/severity D

      K0920 Gas, Vacuum, and Electrical Systems Deficiencies

      Ensure proper usage of power strips and extension cords.

      Corrected Jun 24, 2024 · CMS fire safety

  12. Mar 5, 2024 Health · 1 finding
    • Not serious Scope/severity D 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 Mar 28, 2024 · CMS health inspection

  13. Feb 9, 2024 Health · 1 finding
    • Not serious Scope/severity D Complaint

      F0554 Resident Rights Deficiencies

      Allow residents to self-administer drugs if determined clinically appropriate.

      Corrected Mar 9, 2024 · CMS health inspection

  14. Jan 5, 2024 Health · 3 findings
    • Not serious Scope/severity C Complaint

      F0584 Resident Rights Deficiencies

      Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

      Corrected Feb 5, 2024 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0684 Quality of Life and Care Deficiencies

      Provide appropriate treatment and care according to orders, resident’s preferences and goals.

      Corrected Feb 5, 2024 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0688 Quality of Life and Care Deficiencies

      Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

      Corrected Feb 5, 2024 · CMS health inspection

  15. Oct 16, 2023 Health · 12 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 Nov 8, 2023 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0583 Resident Rights Deficiencies

      Keep residents' personal and medical records private and confidential.

      Corrected Nov 8, 2023 · CMS health inspection

    • Not serious Scope/severity E Complaint

      F0584 Resident Rights Deficiencies

      Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

      Corrected Nov 8, 2023 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0677 Quality of Life and Care Deficiencies

      Provide care and assistance to perform activities of daily living for any resident who is unable.

      Corrected Nov 8, 2023 · CMS health inspection

    • Serious Scope/severity J Complaint

      F0686 Quality of Life and Care Deficiencies

      Provide appropriate pressure ulcer care and prevent new ulcers from developing.

      Corrected Nov 8, 2023 · CMS health inspection

    • Serious Scope/severity G Complaint

      F0692 Quality of Life and Care Deficiencies

      Provide enough food/fluids to maintain a resident's health.

      Corrected Nov 8, 2023 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0697 Quality of Life and Care Deficiencies

      Provide safe, appropriate pain management for a resident who requires such services.

      Corrected Nov 8, 2023 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0698 Quality of Life and Care Deficiencies

      Provide safe, appropriate dialysis care/services for a resident who requires such services.

      Corrected Nov 8, 2023 · CMS health inspection

    • Not serious Scope/severity F Complaint

      F0727 Nursing and Physician Services Deficiencies

      Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

      Corrected Nov 8, 2023 · CMS health inspection

    • Not serious Scope/severity E Complaint

      F0755 Pharmacy Service Deficiencies

      Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

      Corrected Nov 8, 2023 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0760 Pharmacy Service Deficiencies

      Ensure that residents are free from significant medication errors.

      Corrected Nov 8, 2023 · CMS health inspection

    • Not serious Scope/severity E Complaint

      F0880 Infection Control Deficiencies

      Provide and implement an infection prevention and control program.

      Corrected Nov 8, 2023 · CMS health inspection

  16. May 11, 2023 Health · 16 findings
    • Not serious Scope/severity E

      F0584 Resident Rights Deficiencies

      Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

      Corrected Jun 7, 2023 · CMS health inspection

    • 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 Jun 7, 2023 · CMS health inspection

    • Not serious Scope/severity D

      F0625 Resident Rights Deficiencies

      Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

      Corrected Jun 7, 2023 · CMS health inspection

    • Not serious Scope/severity D

      F0677 Quality of Life and Care Deficiencies

      Provide care and assistance to perform activities of daily living for any resident who is unable.

      Corrected Jun 7, 2023 · CMS health inspection

    • Not serious Scope/severity D

      F0692 Quality of Life and Care Deficiencies

      Provide enough food/fluids to maintain a resident's health.

      Corrected Jun 7, 2023 · CMS health inspection

    • Not serious Scope/severity D

      F0693 Quality of Life and Care Deficiencies

      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 Jun 7, 2023 · CMS health inspection

    • Not serious Scope/severity E

      K0222 Egress Deficiencies

      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.

      Corrected Jun 30, 2023 · CMS fire safety

    • Not serious Scope/severity E

      K0271 Egress Deficiencies

      Have exits that are accessible at all times.

      Corrected Jun 30, 2023 · CMS fire safety

    • Not serious Scope/severity E

      K0321 Smoke Deficiencies

      Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

      Corrected Jun 30, 2023 · CMS fire safety

    • Not serious Scope/severity D

      K0324 Smoke Deficiencies

      Provide properly protected cooking facilities.

      Corrected Jun 30, 2023 · CMS fire safety

    • Not serious Scope/severity F

      K0345 Smoke Deficiencies

      Have approved installation, maintenance and testing program for fire alarm systems.

      Corrected Jun 15, 2023 · CMS fire safety

    • Not serious Scope/severity D

      K0355 Smoke Deficiencies

      Properly select, install, inspect, or maintain portable fire extinguishes.

      Corrected Jun 10, 2023 · CMS fire safety

    • Not serious Scope/severity D

      K0781 Miscellaneous Deficiencies

      Have restrictions on the use of portable space heaters.

      Corrected May 12, 2023 · CMS fire safety

    • Not serious Scope/severity D

      K0911 Gas, Vacuum, and Electrical Systems Deficiencies

      Meet requirements for the installation and maintenance of electrical systems.

      Corrected Jun 15, 2023 · CMS fire safety

    • Not serious Scope/severity E

      K0919 Gas, Vacuum, and Electrical Systems Deficiencies

      Meet requirements for the use of electrical equipment.

      Corrected Jun 30, 2023 · CMS fire safety

    • Not serious Scope/severity E

      K0920 Gas, Vacuum, and Electrical Systems Deficiencies

      Ensure proper usage of power strips and extension cords.

      Corrected Jun 15, 2023 · CMS fire safety

Owners and managers (as published by CMS)

Sources: Wisconsin Department of Health Services (directory, assisted-living survey documents) and CMS Care Compare (nursing homes). “Harm or jeopardy level” is CMS scope/severity G–L. About this data.