Care & Rehab - Ladysmith 1

Inspection findings

1. Jun 24, 2026 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0620 Resident Rights Deficiencies

     Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide.

     CMS health inspection

2. Feb 24, 2026 Health · 14 findings
   • 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 Mar 18, 2026 · CMS health inspection

   • Not serious Scope/severity D

     F0602 Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

     Corrected Mar 18, 2026 · 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 Mar 18, 2026 · 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 Mar 18, 2026 · CMS health inspection

   • Not serious Scope/severity D

     F0610 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Respond appropriately to all alleged violations.

     Corrected Mar 18, 2026 · CMS health inspection

   • Not serious Scope/severity D

     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 18, 2026 · CMS health inspection

   • Not serious Scope/severity D

     F0657 Resident Assessment and Care Planning Deficiencies

     Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

     Corrected Mar 18, 2026 · 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 Mar 18, 2026 · 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 Mar 18, 2026 · CMS health inspection

   • Not serious Scope/severity D

     F0697 Quality of Life and Care Deficiencies

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

     Corrected Mar 18, 2026 · 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 Mar 18, 2026 · CMS health inspection

   • Not serious Scope/severity F

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Mar 18, 2026 · CMS health inspection

   • Not serious Scope/severity D

     F0883 Infection Control Deficiencies

     Develop and implement policies and procedures for flu and pneumonia vaccinations.

     Corrected Mar 18, 2026 · CMS health inspection

   • Not serious Scope/severity F

     K0761 Miscellaneous Deficiencies

     To conduct inspection, testing and maintenance of fire doors by qualified individuals.

     Corrected Feb 10, 2026 · CMS fire safety

3. Dec 8, 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 Dec 17, 2025 · CMS health inspection

4. Aug 11, 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 Aug 27, 2025 · CMS health inspection

5. Nov 13, 2024 Fire Safety · 9 findings
   • Not serious Scope/severity F

     E0013 Emergency Preparedness Deficiencies

     Develop Emergency Preparedness policies and procedures.

     Corrected Dec 17, 2024 · CMS fire safety

   • 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 Dec 4, 2024 · 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 Dec 4, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Dec 4, 2024 · CMS health inspection

   • Not serious Scope/severity D

     K0223 Egress Deficiencies

     Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

     Corrected Dec 17, 2024 · CMS fire safety

   • Not serious Scope/severity E

     K0232 Egress Deficiencies

     Have corridors or aisles that are unobstructed and are at least 8 feet in width.

     Corrected Dec 17, 2024 · CMS fire safety

   • Not serious Scope/severity F

     K0293 Egress Deficiencies

     Have properly located and lighted "Exit" signs.

     Corrected Dec 17, 2024 · CMS fire safety

   • Not serious Scope/severity E

     K0345 Smoke Deficiencies

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

     Corrected Dec 17, 2024 · CMS fire safety

   • Not serious Scope/severity E

     K0353 Smoke Deficiencies

     Inspect, test, and maintain automatic sprinkler systems.

     Corrected Dec 17, 2024 · CMS fire safety

6. Nov 30, 2023 Health · 2 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 Dec 21, 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 Dec 21, 2023 · CMS health inspection

7. Oct 25, 2023 Fire Safety · 1 finding
   • Not serious Scope/severity D

     K0511 Services Deficiencies

     Have properly installed electrical wiring and gas equipment.

     Corrected Nov 8, 2023 · CMS fire safety

Owners and managers (as published by CMS)

• BECHTEL, JESSICA — adp of the snf, NOT APPLICABLE, since 03/10/2025
• BECHTEL, JESSICA — operational/managerial control, NOT APPLICABLE, since 03/10/2025
• HANSON, TORI — adp of the snf, NOT APPLICABLE, since 12/01/2025
• HANSON, TORI — operational/managerial control, NOT APPLICABLE, since 12/01/2025
• NOVAK, ANNMARIE — operational/managerial control, NOT APPLICABLE, since 12/08/2021
• NOVAK, ANNMARIE — adp of the snf, NOT APPLICABLE, since 12/08/2021
• SADOWSKA, TIMOTHY — operational/managerial control, NOT APPLICABLE, since 12/08/2021
• SADOWSKA, TIMOTHY — adp of the snf, NOT APPLICABLE, since 12/08/2021
• THAYER, GRANT — 5% or greater direct ownership interest, 100%, since 12/08/2021
• THAYER, GRANT — adp of the snf, NOT APPLICABLE, since 12/08/2021
• THAYER, GRANT — trustee of the snf, NOT APPLICABLE, since 12/08/2021
• THAYER, GRANT — operational/managerial control, NOT APPLICABLE, since 12/08/2021
• THAYER, GRANT — corporate officer, NOT APPLICABLE, since 12/08/2021
• THAYER, GRANT — corporate director, NOT APPLICABLE, since 12/08/2021
• WINIARCZYK, KATHERINE — adp of the snf, NOT APPLICABLE, since 12/08/2021
• WINIARCZYK, KATHERINE — operational/managerial control, NOT APPLICABLE, since 12/08/2021
• LADYSMITH CAMPUS LLC — adp of the snf, NOT APPLICABLE, since 12/08/2021