Maplewood Center
Nursing home · 8615 W BELOIT RD, West Allis, WI 53227 · Milwaukee County
Prices
No published price is available. Ask the facility directly.
Facility
- Type
- Nursing home · TITLE 18 SNF TITLE 19 NF
- Capacity
- 150
- State license
- 2153
- Medicare CCN
- 525069
- Licensed entity
- METHODIST MANOR HEALTH CENTER INC.
- Ownership
- Non profit - Corporation
- Phone
- (414) 607-4100
- Nurse staffing
- 5.12 hours per resident per day; 52.1% nursing staff turnover
- Medicare ratings
- Inspections 1★ · Staffing 4★ · Quality 2★
- Official record
- Wisconsin DQA Provider Search
- Official record
- Medicare Care Compare
Penalties
- May 1, 2025 — Fine ($94,803)
- Feb 13, 2025 — Fine ($194,142)
- Feb 13, 2025 — Payment Denial · payment denial 5 days
- Jan 13, 2024 — Fine ($14,053)
- Oct 12, 2023 — Fine ($49,485)
Inspection findings
-
May 21, 2026 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 Jun 15, 2026 · 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 Jun 15, 2026 · 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 Jun 15, 2026 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Jul 9, 2025 Health · 1 finding
-
Not serious
Scope/severity C
Complaint
F0732 Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
Corrected Aug 6, 2025 · CMS health inspection
-
Not serious
Scope/severity C
Complaint
-
May 1, 2025 Fire Safety · 41 findings
-
Not serious
Scope/severity F
E0007 Emergency Preparedness Deficiencies
Address patient/client population and determine types of services needed.
Corrected May 29, 2025 · CMS fire safety
-
Not serious
Scope/severity F
E0013 Emergency Preparedness Deficiencies
Develop Emergency Preparedness policies and procedures.
Corrected May 29, 2025 · CMS fire safety
-
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 May 30, 2025 · CMS health inspection
-
Not serious
Scope/severity E
Complaint
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 May 30, 2025 · 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 May 30, 2025 · CMS health inspection
-
Not serious
Scope/severity D
F0685 Quality of Life and Care Deficiencies
Assist a resident in gaining access to vision and hearing services.
Corrected May 30, 2025 · 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 May 30, 2025 · CMS health inspection
-
Not serious
Scope/severity D
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 May 30, 2025 · 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 May 30, 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 May 30, 2025 · CMS health inspection
-
Not serious
Scope/severity F
Complaint
F0726 Nursing and Physician Services Deficiencies
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected May 30, 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 May 30, 2025 · CMS health inspection
-
Not serious
Scope/severity E
F0757 Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected May 30, 2025 · 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 May 30, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0759 Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Corrected May 30, 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 May 30, 2025 · CMS health inspection
-
Not serious
Scope/severity E
Complaint
F0804 Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected May 30, 2025 · CMS health inspection
-
Not serious
Scope/severity E
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 May 30, 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 May 30, 2025 · CMS health inspection
-
Not serious
Scope/severity D
F0880 Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Corrected May 30, 2025 · CMS health inspection
-
Not serious
Scope/severity F
F0940 Administration Deficiencies
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Corrected May 30, 2025 · CMS health inspection
-
Not serious
Scope/severity F
F0941 Administration Deficiencies
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
Corrected May 30, 2025 · CMS health inspection
-
Not serious
Scope/severity F
F0942 Resident Rights Deficiencies
Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
Corrected May 30, 2025 · CMS health inspection
-
Not serious
Scope/severity F
F0944 Administration Deficiencies
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Corrected May 30, 2025 · CMS health inspection
-
Not serious
Scope/severity F
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 May 30, 2025 · CMS health inspection
-
Not serious
Scope/severity F
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 May 30, 2025 · CMS health inspection
-
Not serious
Scope/severity F
F0949 Administration Deficiencies
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Corrected May 30, 2025 · CMS health inspection
-
Not serious
Scope/severity D
K0132 Construction Deficiencies
Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction.
Corrected Apr 30, 2025 · CMS fire safety
-
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 May 30, 2025 · CMS fire safety
-
Not serious
Scope/severity E
K0293 Egress Deficiencies
Have properly located and lighted "Exit" signs.
Corrected Apr 24, 2025 · CMS fire safety
-
Not serious
Scope/severity D
K0311 Smoke Deficiencies
Have an enclosure around a vertical opening shaft.
Corrected Apr 29, 2025 · CMS fire safety
-
Not serious
Scope/severity F
K0346 Smoke Deficiencies
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Corrected Apr 25, 2025 · CMS fire safety
-
Not serious
Scope/severity E
K0347 Smoke Deficiencies
Properly provide smoke detection systems in areas open to corridors.
Corrected May 22, 2025 · CMS fire safety
-
Not serious
Scope/severity C
K0353 Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Corrected Apr 24, 2025 · CMS fire safety
-
Not serious
Scope/severity F
K0354 Smoke Deficiencies
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected May 22, 2025 · CMS fire safety
-
Not serious
Scope/severity E
K0511 Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Corrected Apr 24, 2025 · CMS fire safety
-
Not serious
Scope/severity D
K0541 Services Deficiencies
Install properly constructed and protected linen or trash chutes.
Corrected May 30, 2025 · CMS fire safety
-
Not serious
Scope/severity D
K0741 Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected Apr 30, 2025 · CMS fire safety
-
Not serious
Scope/severity E
K0781 Miscellaneous Deficiencies
Have restrictions on the use of portable space heaters.
Corrected May 20, 2025 · 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 May 20, 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 May 23, 2025 · CMS fire safety
-
Not serious
Scope/severity F
-
Feb 13, 2025 Health · 8 findings
-
Not serious
Scope/severity E
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 Mar 5, 2025 · CMS health inspection
-
Not serious
Scope/severity E
Complaint
F0560 Resident Rights Deficiencies
Protect a residents' right to refuse some types of non-requested transfers within the nursing home.
Corrected Mar 5, 2025 · CMS health inspection
-
Not serious
Scope/severity E
Complaint
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 Mar 5, 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 Mar 5, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
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 5, 2025 · 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 Mar 5, 2025 · CMS health inspection
-
Serious
Scope/severity K
Complaint
F0695 Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Corrected Mar 5, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0880 Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Corrected Mar 5, 2025 · CMS health inspection
-
Not serious
Scope/severity E
Complaint
-
Nov 12, 2024 Health · 9 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 Dec 10, 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 Dec 10, 2024 · 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 Dec 10, 2024 · 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 10, 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 Dec 10, 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 Dec 10, 2024 · 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 10, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0759 Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Corrected Dec 10, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0880 Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Corrected Dec 10, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
May 29, 2024 Health · 3 findings
-
Not serious
Scope/severity D
Complaint
F0645 Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected Jun 29, 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 Jun 29, 2024 · CMS health inspection
-
Not serious
Scope/severity E
Complaint
F0880 Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Corrected Jun 29, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Apr 4, 2024 Health · 19 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 May 4, 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 May 4, 2024 · CMS health inspection
-
Not serious
Scope/severity D
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 May 4, 2024 · 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 May 4, 2024 · CMS health inspection
-
Not serious
Scope/severity D
F0757 Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected May 4, 2024 · CMS health inspection
-
Not serious
Scope/severity D
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 May 4, 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 May 4, 2024 · CMS health inspection
-
Not serious
Scope/severity F
F0880 Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Corrected May 4, 2024 · 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 Apr 22, 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 Apr 22, 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 23, 2024 · CMS fire safety
-
Not serious
Scope/severity E
K0353 Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Corrected Apr 22, 2024 · CMS fire safety
-
Not serious
Scope/severity F
K0354 Smoke Deficiencies
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected Apr 22, 2024 · CMS fire safety
-
Not serious
Scope/severity E
K0363 Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Corrected Apr 22, 2024 · 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 Apr 22, 2024 · 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 Apr 22, 2024 · 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 Apr 22, 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 22, 2024 · CMS fire safety
-
Not serious
Scope/severity F
K0923 Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Corrected May 2, 2024 · CMS fire safety
-
Not serious
Scope/severity D
Complaint
-
Jan 13, 2024 Health · 4 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 Feb 9, 2024 · 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 9, 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 9, 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 Feb 9, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Oct 12, 2023 Health · 7 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 Nov 10, 2023 · 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 Nov 10, 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 10, 2023 · 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 Nov 10, 2023 · 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 Nov 10, 2023 · 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 Nov 10, 2023 · 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 Nov 10, 2023 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Dec 28, 2022 Health · 24 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 7, 2023 · CMS health inspection
-
Serious
Scope/severity G
F0684 Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected Mar 7, 2023 · 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 7, 2023 · CMS health inspection
-
Not serious
Scope/severity D
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 7, 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 Mar 7, 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 Feb 7, 2023 · CMS health inspection
-
Not serious
Scope/severity D
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 Feb 7, 2023 · 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 Feb 7, 2023 · CMS health inspection
-
Not serious
Scope/severity D
F0760 Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Corrected Feb 7, 2023 · 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 Feb 7, 2023 · CMS health inspection
-
Not serious
Scope/severity E
F0804 Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected Mar 7, 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 Feb 7, 2023 · CMS health inspection
-
Not serious
Scope/severity C
F0888 Infection Control Deficiencies
Ensure staff are vaccinated for COVID-19
Corrected Feb 7, 2023 · CMS health inspection
-
Not serious
Scope/severity E
K0281 Egress Deficiencies
Install proper backup exit lighting.
Corrected Jan 20, 2023 · CMS fire safety
-
Not serious
Scope/severity D
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 20, 2023 · CMS fire safety
-
Not serious
Scope/severity E
K0342 Smoke Deficiencies
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
Corrected Jan 20, 2023 · CMS fire safety
-
Not serious
Scope/severity E
K0343 Smoke Deficiencies
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.
Corrected Jan 20, 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 20, 2023 · CMS fire safety
-
Not serious
Scope/severity E
K0353 Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Corrected Jan 20, 2023 · CMS fire safety
-
Not serious
Scope/severity E
K0363 Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Corrected Jan 20, 2023 · CMS fire safety
-
Not serious
Scope/severity E
K0372 Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected Jan 20, 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 20, 2023 · CMS fire safety
-
Not serious
Scope/severity F
K0711 Miscellaneous Deficiencies
Provide a written emergency evacuation plan.
Corrected Jan 20, 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 Jan 20, 2023 · CMS fire safety
-
Not serious
Scope/severity E
Owners and managers (as published by CMS)
- AFFELDT, DAVID — corporate officer, NOT APPLICABLE, since 10/24/2014
- AFFELDT, DAVID — adp of the snf, NOT APPLICABLE, since 10/24/2014
- AFFELDT, DAVID — operational/managerial control, NOT APPLICABLE, since 10/24/2014
- KELLAR, RICHARD — corporate director, NOT APPLICABLE, since 10/24/2014
- RABE, SUSAN — corporate director, NOT APPLICABLE, since 09/24/2019
- A.V. POWELL & ASSOCIATES, LLC — adp of the snf, NOT APPLICABLE, since 04/01/2022
- CLIFTONLARSONALLEN LLP — adp of the snf, NOT APPLICABLE, since 03/21/2016
- FAVORITE HEALTHCARE STAFFING LLC — adp of the snf, NOT APPLICABLE, since 11/30/2020
- NEW HORIZON FOODS, LLC — adp of the snf, NOT APPLICABLE, since 05/18/2025
- NEW HORIZON FOODS, LLC — operational/managerial control, NOT APPLICABLE, since 04/15/2024
- OAK MEDICAL SC — adp of the snf, NOT APPLICABLE, since 04/08/2025
- PHARMACY CORPORATION OF AMERICA — adp of the snf, NOT APPLICABLE, since 01/31/2019
- PRN HEALTH SERVICES, INC. — adp of the snf, NOT APPLICABLE, since 07/31/2021
- R.W. BAIRD — adp of the snf, NOT APPLICABLE, since 01/12/2015
- RAED HAMED MD LLC — adp of the snf, NOT APPLICABLE, since 08/01/2017
- REHAB SOLUTIONS GROUP, LLC — operational/managerial control, NOT APPLICABLE, since 07/01/2024
- REHAB SOLUTIONS GROUP, LLC — adp of the snf, NOT APPLICABLE, since 05/19/2025
- SALONPS WISCONSIN — adp of the snf, NOT APPLICABLE, since 04/30/2015
- SIKICH LLC — adp of the snf, NOT APPLICABLE, since 04/18/2025
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.