Watertown Health Care Center
Nursing home · 121 Hospital Dr., Watertown, WI 53098 · Dodge County
Prices
No published price is available. Ask the facility directly.
Facility
- Type
- Nursing home · TITLE 18 SNF TITLE 19 NF
- Capacity
- 112
- State license
- 2696
- Medicare CCN
- 525333
- Licensed entity
- BEDROCK HCS AT WATERTOWN LLC
- Chain
- BEDROCK HEALTHCARE
- Ownership
- For profit - Limited Liability company
- Phone
- (920) 261-9220
- Nurse staffing
- 3.02 hours per resident per day; 73.6% nursing staff turnover
- Medicare ratings
- Inspections 1★ · Staffing 1★ · Quality 3★
- CMS status
- SFF Candidate
- Official record
- Wisconsin DQA Provider Search
- Official record
- Medicare Care Compare
Penalties
- Oct 17, 2024 — Fine ($176,721)
- Oct 17, 2024 — Payment Denial · payment denial 43 days
- Jun 4, 2024 — Payment Denial · payment denial 60 days
- Jun 4, 2024 — Fine ($40,072)
- Jun 4, 2024 — Fine ($15,939)
- Mar 4, 2024 — Fine ($8,989)
- Jan 19, 2024 — Fine ($36,508)
Inspection findings
-
Jun 9, 2026 Health · 9 findings
-
Not serious
Scope/severity D
Complaint
F0583 Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
Corrected Jul 21, 2026 · 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 Jul 21, 2026 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
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 Jul 21, 2026 · CMS health inspection
-
Serious
Scope/severity J
Complaint
F0678 Quality of Life and Care Deficiencies
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected Jul 21, 2026 · 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 Jul 21, 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 Jul 21, 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 Jul 21, 2026 · 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 Jul 21, 2026 · CMS health inspection
-
Not serious
Scope/severity F
Complaint
F0804 Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected Jul 21, 2026 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
May 18, 2026 Health · 7 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 Jun 12, 2026 · 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 12, 2026 · 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 Jun 12, 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 Jun 12, 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 Jun 12, 2026 · 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 Jun 12, 2026 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0825 Quality of Life and Care Deficiencies
Provide or get specialized rehabilitative services as required for a resident.
Corrected Jun 12, 2026 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Mar 12, 2026 Health · 7 findings
-
Not serious
Scope/severity E
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 Apr 12, 2026 · CMS health inspection
-
Not serious
Scope/severity E
Complaint
F0607 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected Apr 12, 2026 · CMS health inspection
-
Not serious
Scope/severity E
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 Apr 12, 2026 · 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 Apr 12, 2026 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0760 Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Corrected Apr 12, 2026 · 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 Apr 12, 2026 · CMS health inspection
-
Not serious
Scope/severity E
Complaint
F0880 Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Corrected Apr 12, 2026 · CMS health inspection
-
Not serious
Scope/severity E
Complaint
-
Feb 27, 2026 Fire Safety · 2 findings
-
Not serious
Scope/severity F
Complaint
K0211 Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected Mar 2, 2026 · CMS fire safety
-
Not serious
Scope/severity E
Complaint
K0293 Egress Deficiencies
Have properly located and lighted "Exit" signs.
Corrected Mar 2, 2026 · CMS fire safety
-
Not serious
Scope/severity F
Complaint
-
Jan 14, 2026 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 Feb 2, 2026 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Dec 2, 2025 Fire Safety · 4 findings
-
Not serious
Scope/severity F
Complaint
K0341 Smoke Deficiencies
Install a fire alarm system that can be heard throughout the facility.
Corrected Jan 1, 2026 · CMS fire safety
-
Not serious
Scope/severity F
Complaint
K0345 Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected Jan 7, 2026 · CMS fire safety
-
Not serious
Scope/severity F
Complaint
K0911 Gas, Vacuum, and Electrical Systems Deficiencies
Meet requirements for the installation and maintenance of electrical systems.
Corrected Jan 1, 2026 · CMS fire safety
-
Not serious
Scope/severity F
Complaint
K0918 Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Corrected Jan 1, 2026 · CMS fire safety
-
Not serious
Scope/severity F
Complaint
-
Dec 1, 2025 Health · 4 findings
-
Not serious
Scope/severity D
Complaint
F0558 Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Corrected Dec 23, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0583 Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
Corrected Dec 23, 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 Dec 23, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0880 Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Corrected Dec 23, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Feb 19, 2025 Health · 1 finding
-
Not serious
Scope/severity D
Complaint
F0569 Resident Rights Deficiencies
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Corrected Mar 17, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Nov 14, 2024 Fire Safety · 31 findings
-
Not serious
Scope/severity F
E0004 Emergency Preparedness Deficiencies
Develop and maintain an Emergency Preparedness Program (EP).
Corrected Dec 11, 2024 · CMS fire safety
-
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 Dec 17, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0554 Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected Dec 17, 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 Dec 17, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0641 Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Corrected Dec 17, 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 Dec 17, 2024 · 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 Dec 17, 2024 · CMS health inspection
-
Serious
Scope/severity J
F0694 Quality of Life and Care Deficiencies
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected Dec 17, 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 Dec 17, 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 17, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0760 Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Corrected Dec 17, 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 Dec 17, 2024 · 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 Dec 17, 2024 · CMS health inspection
-
Not serious
Scope/severity F
Complaint
F0847 Administration Deficiencies
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Corrected Dec 17, 2024 · CMS health inspection
-
Serious
Scope/severity L
Complaint
F0880 Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Corrected Dec 17, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0881 Infection Control Deficiencies
Implement a program that monitors antibiotic use.
Corrected Dec 17, 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 Dec 11, 2024 · CMS fire safety
-
Not serious
Scope/severity D
K0271 Egress Deficiencies
Have exits that are accessible at all times.
Corrected Dec 11, 2024 · 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 Dec 11, 2024 · CMS fire safety
-
Not serious
Scope/severity D
K0324 Smoke Deficiencies
Provide properly protected cooking facilities.
Corrected Dec 18, 2024 · CMS fire safety
-
Not serious
Scope/severity F
K0345 Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected Feb 19, 2025 · CMS fire safety
-
Not serious
Scope/severity F
K0353 Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Corrected Dec 18, 2024 · CMS fire safety
-
Not serious
Scope/severity D
K0355 Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected Dec 11, 2024 · CMS fire safety
-
Not serious
Scope/severity E
K0372 Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected Dec 11, 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 Dec 11, 2024 · CMS fire safety
-
Not serious
Scope/severity D
K0511 Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Corrected Dec 11, 2024 · CMS fire safety
-
Not serious
Scope/severity C
K0712 Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Corrected Dec 12, 2024 · 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 Dec 11, 2024 · CMS fire safety
-
Not serious
Scope/severity D
K0761 Miscellaneous Deficiencies
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected Dec 28, 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 Dec 11, 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 Dec 11, 2024 · CMS fire safety
-
Not serious
Scope/severity F
-
Oct 17, 2024 Health · 1 finding
-
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 13, 2024 · CMS health inspection
-
Serious
Scope/severity G
Complaint
-
Aug 20, 2024 Health · 5 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 Sep 10, 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 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 Oct 8, 2024 · CMS health inspection
-
Serious
Scope/severity G
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 Sep 10, 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 Sep 10, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Jul 16, 2024 Health · 4 findings
-
Not serious
Scope/severity D
Complaint
F0554 Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected Aug 9, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0555 Resident Rights Deficiencies
Honor the resident's right to choose his or her attending physician.
Corrected Aug 9, 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 9, 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 9, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Jul 1, 2024 Health · 1 finding
-
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 Jul 23, 2024 · CMS health inspection
-
Not serious
Scope/severity E
Complaint
-
Jun 19, 2024 Health · 2 findings
-
Serious
Scope/severity J
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 May 27, 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 Jul 10, 2024 · CMS health inspection
-
Serious
Scope/severity J
Complaint
-
Jun 4, 2024 Health · 1 finding
-
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 19, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Apr 23, 2024 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 May 14, 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 May 14, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Mar 4, 2024 Health · 3 findings
-
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 Mar 26, 2024 · CMS health inspection
-
Not serious
Scope/severity E
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 Mar 26, 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 Mar 26, 2024 · CMS health inspection
-
Serious
Scope/severity K
Complaint
-
Jan 19, 2024 Health · 4 findings
-
Not serious
Scope/severity D
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 Feb 9, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
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 9, 2024 · CMS health inspection
-
Serious
Scope/severity K
Complaint
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 9, 2024 · CMS health inspection
-
Not serious
Scope/severity E
Complaint
F0759 Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Corrected Feb 9, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Aug 2, 2023 Health · 19 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 Aug 29, 2023 · CMS health inspection
-
Not serious
Scope/severity D
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 29, 2023 · CMS health inspection
-
Not serious
Scope/severity D
F0694 Quality of Life and Care Deficiencies
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected Aug 29, 2023 · 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 Aug 29, 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 Aug 29, 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 Aug 29, 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 Aug 29, 2023 · CMS fire safety
-
Not serious
Scope/severity D
K0291 Egress Deficiencies
Install emergency lighting that can last at least 1 1/2 hours.
Corrected Aug 29, 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 Aug 29, 2023 · CMS fire safety
-
Not serious
Scope/severity D
K0324 Smoke Deficiencies
Provide properly protected cooking facilities.
Corrected Aug 29, 2023 · CMS fire safety
-
Not serious
Scope/severity F
K0345 Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected Aug 29, 2023 · CMS fire safety
-
Not serious
Scope/severity F
K0353 Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Corrected Aug 29, 2023 · 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 Aug 29, 2023 · CMS fire safety
-
Not serious
Scope/severity F
K0712 Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Corrected Aug 29, 2023 · 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 Aug 29, 2023 · 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 Aug 29, 2023 · 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 Aug 29, 2023 · 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 Aug 29, 2023 · CMS fire safety
-
Not serious
Scope/severity D
K0923 Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Corrected Aug 29, 2023 · CMS fire safety
-
Not serious
Scope/severity D
-
Jul 13, 2022 Fire Safety · 14 findings
-
Not serious
Scope/severity F
E0036 Emergency Preparedness Deficiencies
Establish emergency prep training and testing.
Corrected Aug 12, 2022 · CMS fire safety
-
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 Aug 12, 2022 · 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 Aug 12, 2022 · 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 Aug 12, 2022 · 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 Aug 12, 2022 · CMS fire safety
-
Not serious
Scope/severity E
K0341 Smoke Deficiencies
Install a fire alarm system that can be heard throughout the facility.
Corrected Aug 12, 2022 · CMS fire safety
-
Not serious
Scope/severity F
K0353 Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Corrected Aug 12, 2022 · CMS fire safety
-
Not serious
Scope/severity D
K0362 Smoke Deficiencies
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Corrected Aug 12, 2022 · CMS fire safety
-
Not serious
Scope/severity E
K0363 Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Corrected Aug 12, 2022 · CMS fire safety
-
Not serious
Scope/severity E
K0372 Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected Aug 12, 2022 · 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 Aug 12, 2022 · CMS fire safety
-
Not serious
Scope/severity E
K0521 Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected Aug 12, 2022 · CMS fire safety
-
Not serious
Scope/severity F
K0712 Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Corrected Aug 12, 2022 · 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 Aug 12, 2022 · CMS fire safety
-
Not serious
Scope/severity F
Owners and managers (as published by CMS)
- CHOPP, MARTIN — 5% or greater indirect ownership interest, 20%, since 10/01/2019
- CHOPP, MARTIN — adp of the snf, NOT APPLICABLE, since 10/01/2019
- CHOPP, PNINA — 5% or greater indirect ownership interest, 60%, since 10/01/2019
- CHOPP, PNINA — adp of the snf, NOT APPLICABLE, since 10/01/2019
- CHOPP, SOLOMON — 5% or greater indirect ownership interest, 20%, since 10/01/2019
- CHOPP, SOLOMON — adp of the snf, NOT APPLICABLE, since 10/01/2019
- FRESON, RAYMOND — operational/managerial control, NOT APPLICABLE, since 12/24/2024
- FRESON, RAYMOND — adp of the snf, NOT APPLICABLE, since 12/24/2024
- RAMANUJAM, SANDEEP — operational/managerial control, NOT APPLICABLE, since 02/01/2024
- RAMANUJAM, SANDEEP — adp of the snf, NOT APPLICABLE, since 02/01/2024
- OPAL HEALTHCARE WI LLC — adp of the snf, NOT APPLICABLE, since 03/27/2025
- 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.