Beaver Dam Health Care Center
Nursing home · 410 Roedl Ct., Beaver Dam, WI 53916 · Dodge County
Prices
No published price is available. Ask the facility directly.
Facility
- Type
- Nursing home · TITLE 18 SNF TITLE 19 NF
- Capacity
- 90
- State license
- 2695
- Medicare CCN
- 525338
- Licensed entity
- BEDROCK HCS AT BEAVER DAM LLC
- Chain
- BEDROCK HEALTHCARE
- Ownership
- For profit - Individual
- Phone
- (920) 887-7191
- Nurse staffing
- 3.36 hours per resident per day; 56.1% nursing staff turnover
- Medicare ratings
- Inspections 1★ · Staffing 3★ · Quality 3★
- CMS status
- SFF Candidate
- 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
Penalties
- Feb 18, 2026 — Payment Denial · payment denial 35 days
- Feb 26, 2025 — Payment Denial · payment denial 18 days
- Jun 25, 2024 — Fine ($46,258)
- Jun 25, 2024 — Payment Denial · payment denial 12 days
- Dec 13, 2023 — Fine ($49,526)
- Dec 13, 2023 — Payment Denial · payment denial 8 days
Inspection findings
-
May 19, 2026 Health · 12 findings
-
Not serious
Scope/severity D
Complaint
F0578 Resident Rights Deficiencies
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected Jun 18, 2026 · CMS health inspection
-
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 18, 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 Jun 18, 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 Jun 18, 2026 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0628 Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected Jun 18, 2026 · CMS health inspection
-
Not serious
Scope/severity E
Complaint
F0658 Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected Jun 18, 2026 · 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 Jun 18, 2026 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0699 Quality of Life and Care Deficiencies
Provide care or services that was trauma informed and/or culturally competent.
Corrected Jun 18, 2026 · 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 18, 2026 · CMS health inspection
-
Not serious
Scope/severity F
Complaint
F0880 Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Corrected Jun 18, 2026 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0883 Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected Jun 18, 2026 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0887 Infection Control Deficiencies
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Corrected Jun 18, 2026 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Mar 18, 2026 Health · 2 findings
-
Not serious
Scope/severity D
Complaint
F0554 Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected Apr 19, 2026 · 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 Apr 23, 2026 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Feb 18, 2026 Health · 7 findings
-
Not serious
Scope/severity D
Complaint
F0610 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Corrected Apr 19, 2026 · CMS health inspection
-
Serious
Scope/severity K
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 Apr 19, 2026 · 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 Apr 19, 2026 · 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 Apr 19, 2026 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0730 Nursing and Physician Services Deficiencies
Observe each nurse aide's job performance and give regular training.
Corrected Apr 19, 2026 · CMS health inspection
-
Not serious
Scope/severity E
Complaint
F0925 Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected Apr 19, 2026 · CMS health inspection
-
Not serious
Scope/severity F
Complaint
F0947 Nursing and Physician Services Deficiencies
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected Apr 19, 2026 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Nov 13, 2025 Health · 2 findings
-
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 Dec 12, 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 Dec 12, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Mar 20, 2025 Health · 4 findings
-
Serious
Scope/severity G
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 Apr 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 Apr 14, 2025 · 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 Apr 14, 2025 · 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 Apr 14, 2025 · CMS health inspection
-
Serious
Scope/severity G
Complaint
-
Feb 26, 2025 Health · 26 findings
-
Not serious
Scope/severity D
Complaint
F0554 Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected Mar 27, 2025 · 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 Mar 27, 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 Mar 27, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0679 Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
Corrected Mar 27, 2025 · 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 Mar 27, 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 Mar 27, 2025 · CMS health inspection
-
Not serious
Scope/severity E
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 27, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0690 Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected Mar 27, 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 Mar 27, 2025 · 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 Mar 27, 2025 · 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 Mar 27, 2025 · CMS health inspection
-
Not serious
Scope/severity F
Complaint
F0880 Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Corrected Mar 27, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0881 Infection Control Deficiencies
Implement a program that monitors antibiotic use.
Corrected Mar 27, 2025 · CMS health inspection
-
Not serious
Scope/severity E
Complaint
F0883 Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected Mar 27, 2025 · CMS health inspection
-
Not serious
Scope/severity F
Complaint
F0940 Administration Deficiencies
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Corrected Mar 27, 2025 · 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 Mar 26, 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 Mar 26, 2025 · CMS fire safety
-
Not serious
Scope/severity E
K0345 Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected Mar 26, 2025 · CMS fire safety
-
Not serious
Scope/severity E
K0353 Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Corrected Mar 26, 2025 · CMS fire safety
-
Not serious
Scope/severity E
K0362 Smoke Deficiencies
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Corrected Mar 26, 2025 · CMS fire safety
-
Not serious
Scope/severity D
K0521 Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected Mar 26, 2025 · CMS fire safety
-
Not serious
Scope/severity D
K0712 Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Corrected Mar 26, 2025 · CMS fire safety
-
Not serious
Scope/severity F
K0911 Gas, Vacuum, and Electrical Systems Deficiencies
Meet requirements for the installation and maintenance of electrical systems.
Corrected Mar 26, 2025 · CMS fire safety
-
Not serious
Scope/severity E
K0912 Gas, Vacuum, and Electrical Systems Deficiencies
Have power receptacles that are properly grounded.
Corrected Mar 26, 2025 · CMS fire safety
-
Not serious
Scope/severity E
K0918 Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Corrected Mar 26, 2025 · CMS fire safety
-
Not serious
Scope/severity D
K0923 Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Corrected Mar 26, 2025 · CMS fire safety
-
Not serious
Scope/severity D
Complaint
-
Jan 2, 2025 Health · 1 finding
-
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 Jan 23, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Jul 16, 2024 Health · 2 findings
-
Not serious
Scope/severity D
Complaint
F0760 Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Corrected Aug 6, 2024 · CMS health inspection
-
Not serious
Scope/severity F
Complaint
F0837 Administration Deficiencies
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
Corrected Aug 6, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Jun 25, 2024 Health · 9 findings
-
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 Jul 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 Jul 25, 2024 · CMS health inspection
-
Not serious
Scope/severity E
Complaint
F0679 Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
Corrected Jul 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 Jul 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 Jul 25, 2024 · 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 Jul 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 Jul 25, 2024 · CMS health inspection
-
Not serious
Scope/severity C
Complaint
F0732 Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
Corrected Jul 25, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0808 Nutrition and Dietary Deficiencies
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Corrected Jul 25, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Mar 7, 2024 Fire Safety · 24 findings
-
Not serious
Scope/severity F
E0013 Emergency Preparedness Deficiencies
Develop Emergency Preparedness policies and procedures.
Corrected Apr 3, 2024 · CMS fire safety
-
Not serious
Scope/severity F
E0039 Emergency Preparedness Deficiencies
Conduct testing and exercise requirements.
Corrected Apr 3, 2024 · CMS fire safety
-
Not serious
Scope/severity D
F0561 Resident Rights Deficiencies
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected Apr 3, 2024 · CMS health inspection
-
Not serious
Scope/severity D
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 Apr 3, 2024 · CMS health inspection
-
Not serious
Scope/severity D
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 Apr 3, 2024 · CMS health inspection
-
Not serious
Scope/severity D
F0610 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Corrected Apr 3, 2024 · 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 Apr 3, 2024 · CMS health inspection
-
Not serious
Scope/severity D
F0684 Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected Apr 3, 2024 · CMS health inspection
-
Not serious
Scope/severity D
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 Apr 3, 2024 · CMS health inspection
-
Not serious
Scope/severity D
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 Apr 3, 2024 · CMS health inspection
-
Not serious
Scope/severity F
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 Apr 3, 2024 · CMS health inspection
-
Not serious
Scope/severity F
F0880 Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Corrected Apr 3, 2024 · CMS health inspection
-
Not serious
Scope/severity E
F0881 Infection Control Deficiencies
Implement a program that monitors antibiotic use.
Corrected Apr 3, 2024 · CMS health inspection
-
Not serious
Scope/severity D
F0883 Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected Apr 3, 2024 · CMS health inspection
-
Not serious
Scope/severity D
F0908 Environmental Deficiencies
Keep all essential equipment working safely.
Corrected Apr 3, 2024 · CMS health inspection
-
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 Apr 3, 2024 · CMS fire safety
-
Not serious
Scope/severity F
K0345 Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected Apr 3, 2024 · CMS fire safety
-
Not serious
Scope/severity F
K0353 Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Corrected Apr 3, 2024 · CMS fire safety
-
Not serious
Scope/severity D
K0363 Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Corrected Apr 3, 2024 · CMS fire safety
-
Not serious
Scope/severity F
K0521 Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected Apr 3, 2024 · CMS fire safety
-
Not serious
Scope/severity F
K0712 Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Corrected Apr 3, 2024 · CMS fire safety
-
Not serious
Scope/severity F
K0914 Gas, Vacuum, and Electrical Systems Deficiencies
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected Apr 3, 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 Apr 3, 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 Apr 3, 2024 · CMS fire safety
-
Not serious
Scope/severity F
-
Jan 29, 2024 Health · 8 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 Feb 13, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0679 Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
Corrected Feb 13, 2024 · CMS health inspection
-
Serious
Scope/severity J
Complaint
F0684 Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected Feb 13, 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 Feb 28, 2024 · CMS health inspection
-
Not serious
Scope/severity E
Complaint
F0730 Nursing and Physician Services Deficiencies
Observe each nurse aide's job performance and give regular training.
Corrected Feb 16, 2024 · 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 Feb 16, 2024 · 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 Feb 16, 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 Feb 28, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Dec 13, 2023 Health · 6 findings
-
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 8, 2024 · CMS health inspection
-
Not serious
Scope/severity E
Complaint
F0610 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Corrected Jan 8, 2024 · CMS health inspection
-
Not serious
Scope/severity E
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 Jan 8, 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 Jan 8, 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 Jan 8, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0774 Administration Deficiencies
Help the resident with transportation to and from laboratory services outside of the facility.
Corrected Jan 8, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Oct 30, 2023 Health · 3 findings
-
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 Nov 20, 2023 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0610 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Corrected Nov 20, 2023 · 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 20, 2023 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Aug 30, 2023 Health · 2 findings
-
Not serious
Scope/severity E
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 18, 2023 · 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 18, 2023 · CMS health inspection
-
Not serious
Scope/severity E
Complaint
-
Aug 7, 2023 Health · 1 finding
-
Not serious
Scope/severity D
Complaint
F0757 Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected Aug 29, 2023 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Dec 19, 2022 Health · 31 findings
-
Not serious
Scope/severity D
F0552 Resident Rights Deficiencies
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected Jan 16, 2023 · CMS health inspection
-
Not serious
Scope/severity D
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 Jan 16, 2023 · CMS health inspection
-
Not serious
Scope/severity E
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 16, 2023 · CMS health inspection
-
Not serious
Scope/severity E
F0610 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Corrected Jan 16, 2023 · CMS health inspection
-
Not serious
Scope/severity D
F0623 Resident Rights Deficiencies
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected Jan 16, 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 Jan 16, 2023 · CMS health inspection
-
Not serious
Scope/severity E
F0645 Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected Jan 16, 2023 · CMS health inspection
-
Serious
Scope/severity J
F0684 Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected Jan 16, 2023 · CMS health inspection
-
Serious
Scope/severity J
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 16, 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 Jan 16, 2023 · CMS health inspection
-
Not serious
Scope/severity D
F0698 Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected Jan 16, 2023 · CMS health inspection
-
Not serious
Scope/severity D
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 Jan 16, 2023 · 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 Jan 16, 2023 · CMS health inspection
-
Not serious
Scope/severity F
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 16, 2023 · CMS health inspection
-
Not serious
Scope/severity D
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 Jan 16, 2023 · CMS health inspection
-
Not serious
Scope/severity F
F0880 Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Corrected Jan 16, 2023 · CMS health inspection
-
Not serious
Scope/severity F
F0882 Infection Control Deficiencies
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected Jan 16, 2023 · CMS health inspection
-
Not serious
Scope/severity D
F0883 Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected Jan 16, 2023 · CMS health inspection
-
Not serious
Scope/severity D
F0887 Infection Control Deficiencies
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Corrected Jan 16, 2023 · CMS health inspection
-
Not serious
Scope/severity E
F0942 Resident Rights Deficiencies
Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
Corrected Jan 16, 2023 · CMS health inspection
-
Not serious
Scope/severity E
F0943 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Corrected Jan 16, 2023 · CMS health inspection
-
Not serious
Scope/severity E
F0945 Infection Control Deficiencies
Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
Corrected Jan 16, 2023 · CMS health inspection
-
Not serious
Scope/severity E
F0947 Nursing and Physician Services Deficiencies
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected Jan 16, 2023 · CMS health inspection
-
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 Jan 16, 2023 · CMS fire safety
-
Not serious
Scope/severity E
K0324 Smoke Deficiencies
Provide properly protected cooking facilities.
Corrected Jan 16, 2023 · CMS fire safety
-
Not serious
Scope/severity F
K0345 Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected Jan 16, 2023 · CMS fire safety
-
Not serious
Scope/severity F
K0353 Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Corrected Jan 16, 2023 · CMS fire safety
-
Not serious
Scope/severity F
K0355 Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected Jan 16, 2023 · CMS fire safety
-
Not serious
Scope/severity E
K0374 Smoke Deficiencies
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected Jan 16, 2023 · CMS fire safety
-
Not serious
Scope/severity F
K0712 Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Corrected Jan 16, 2023 · CMS fire safety
-
Not serious
Scope/severity E
K0911 Gas, Vacuum, and Electrical Systems Deficiencies
Meet requirements for the installation and maintenance of electrical systems.
Corrected Jan 16, 2023 · CMS fire safety
-
Not serious
Scope/severity D
Owners and managers (as published by CMS)
- CHOPP, MARTIN — 5% or greater indirect ownership interest, since 10/01/2019
- CHOPP, MARTIN — adp of the snf, NOT APPLICABLE, since 01/09/2025
- CHOPP, PNINA — operational/managerial control, NOT APPLICABLE, since 01/09/2025
- CHOPP, PNINA — adp of the snf, NOT APPLICABLE, since 01/09/2025
- CHOPP, PNINA — 5% or greater indirect ownership interest, since 10/01/2019
- CHOPP, SOLOMON — 5% or greater indirect ownership interest, since 10/01/2019
- CHOPP, SOLOMON — adp of the snf, NOT APPLICABLE, since 10/01/2019
- CHOPP, SOLOMON — operational/managerial control, NOT APPLICABLE, since 10/01/2019
- GRUNHUT, SHIMON — adp of the snf, NOT APPLICABLE, since 07/01/2024
- GRUNHUT, SHIMON — operational/managerial control, NOT APPLICABLE, since 07/01/2024
- MAGAR, NAMRATA — adp of the snf, NOT APPLICABLE, since 02/17/2025
- MAGAR, NAMRATA — operational/managerial control, NOT APPLICABLE, since 01/15/2022
- BEDROCK HC WI LLC — direct ownership interest, NOT APPLICABLE, since 10/01/2019
- BEDROCK OP HOLDCO LLC — 5% or greater indirect ownership interest, since 04/18/2024
- OPAL HEALTHCARE NJ LLC — operational/managerial control, NOT APPLICABLE, since 10/01/2019
- OPAL HEALTHCARE WI LLC — adp of the snf, NOT APPLICABLE, since 01/09/2025
- OPAL HEALTHCARE WI LLC — operational/managerial control, NOT APPLICABLE, since 10/01/2019
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.