Chippewa Manor Nursing And Rehabilitation

Inspection findings

1. Mar 24, 2026 Health · 6 findings
   • Not serious Scope/severity D

     F0640 Resident Assessment and Care Planning Deficiencies

     Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

     Corrected Mar 27, 2026 · CMS health inspection

   • Serious Scope/severity G

     F0686 Quality of Life and Care Deficiencies

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

     Corrected Mar 27, 2026 · 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 Mar 27, 2026 · CMS health inspection

   • Not serious Scope/severity D

     K0211 Egress Deficiencies

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

     CMS fire safety

   • Not serious Scope/severity D

     K0225 Egress Deficiencies

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

     CMS fire safety

   • Not serious Scope/severity F

     K0712 Miscellaneous Deficiencies

     Have simulated fire drills held at unexpected times.

     Corrected Mar 27, 2026 · CMS fire safety

2. Jan 29, 2025 Health · 7 findings
   • 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 Feb 21, 2025 · 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 Feb 21, 2025 · 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 Feb 21, 2025 · CMS health inspection

   • Not serious Scope/severity E

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Feb 21, 2025 · CMS health inspection

   • Not serious Scope/severity D

     K0211 Egress Deficiencies

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

     Corrected Feb 21, 2025 · CMS fire safety

   • Not serious Scope/severity D

     K0225 Egress Deficiencies

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

     Corrected Feb 21, 2025 · CMS fire safety

   • Not serious Scope/severity F

     K0754 Miscellaneous Deficiencies

     Provide properly sized and located linen or trash receptacles.

     Corrected Feb 21, 2025 · CMS fire safety

3. Nov 8, 2023 Health · 6 findings
   • Not serious Scope/severity C

     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 Dec 7, 2023 · CMS health inspection

   • Not serious Scope/severity C

     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 Dec 7, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0638 Resident Assessment and Care Planning Deficiencies

     Assure that each resident’s assessment is updated at least once every 3 months.

     Corrected Dec 7, 2023 · CMS health inspection

   • Not serious Scope/severity C

     F0732 Nursing and Physician Services Deficiencies

     Post nurse staffing information every day.

     Corrected Dec 7, 2023 · CMS health inspection

   • Not serious Scope/severity D

     K0211 Egress Deficiencies

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

     CMS fire safety

   • Not serious Scope/severity D

     K0225 Egress Deficiencies

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

     CMS fire safety

Owners and managers (as published by CMS)

• NICASTRO, SCOTT — corporate director, NOT APPLICABLE, since 10/19/2011
• NICASTRO, SCOTT — corporate officer, NOT APPLICABLE, since 10/19/2011
• RUBEL, DARRELL — corporate officer, NOT APPLICABLE, since 02/09/1989
• RUBEL, DARRELL — 5% or greater indirect ownership interest, 100%, since 02/09/1989
• THIESS, JEFFREY — corporate officer, NOT APPLICABLE, since 10/19/2011
• THIESS, JEFFREY — corporate director, NOT APPLICABLE, since 10/19/2011
• THORSNESS, BRANDON — corporate officer, NOT APPLICABLE, since 01/01/2018
• THORSNESS, BRANDON — w-2 managing employee, NOT APPLICABLE, since 10/27/2014
• CHIPPEWA MANOR CORPORATION — 5% or greater direct ownership interest, 100%, since 01/29/2009