RecordWell Data

Waunakee Valley Senior Living

Nursing home · 801 KLEIN DR, Waunakee, WI 53597 · Dane County

3★Medicare overall
56cited deficiencies
4harm or jeopardy level
3penalties

Prices

No published price is available. Ask the facility directly.

Facility

Type
Nursing home · TITLE 18 SNF TITLE 19 NF
Capacity
84
State license
2450
Medicare CCN
525098
Licensed entity
AHR WAUNAKEE TRS SUB, LLC
Chain
TRILOGY HEALTH SERVICES
Ownership
For profit - Corporation
Phone
(608) 849-5016
Nurse staffing
3.64 hours per resident per day; 62.5% nursing staff turnover
Medicare ratings
Inspections 2★ · Staffing 2★ · Quality 5★
Official record
Wisconsin DQA Provider Search
Official record
Medicare Care Compare

Other public records for this operator

Penalties

Inspection findings

  1. Apr 9, 2026 Health · 15 findings
    • Not serious Scope/severity D

      F0554 Resident Rights Deficiencies

      Allow residents to self-administer drugs if determined clinically appropriate.

      Corrected May 8, 2026 · 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 May 8, 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 May 8, 2026 · CMS health inspection

    • Serious Scope/severity G

      F0695 Quality of Life and Care Deficiencies

      Provide safe and appropriate respiratory care for a resident when needed.

      Corrected May 8, 2026 · CMS health inspection

    • Not serious Scope/severity F

      F0880 Infection Control Deficiencies

      Provide and implement an infection prevention and control program.

      Corrected May 8, 2026 · CMS health inspection

    • Not serious Scope/severity E

      K0211 Egress Deficiencies

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

      Corrected May 1, 2026 · CMS fire safety

    • Not serious Scope/severity E

      K0331 Smoke Deficiencies

      Construct fire resistant interior walls.

      Corrected May 1, 2026 · CMS fire safety

    • Not serious Scope/severity D

      K0351 Smoke Deficiencies

      Install an approved automatic sprinkler system.

      Corrected May 1, 2026 · CMS fire safety

    • Not serious Scope/severity E

      K0353 Smoke Deficiencies

      Inspect, test, and maintain automatic sprinkler systems.

      Corrected May 1, 2026 · CMS fire safety

    • Not serious Scope/severity E

      K0355 Smoke Deficiencies

      Properly select, install, inspect, or maintain portable fire extinguishes.

      Corrected May 1, 2026 · 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 May 1, 2026 · 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 May 1, 2026 · CMS fire safety

    • Not serious Scope/severity D

      K0912 Gas, Vacuum, and Electrical Systems Deficiencies

      Have power receptacles that are properly grounded.

      Corrected May 1, 2026 · CMS fire safety

    • Not serious Scope/severity E

      K0919 Gas, Vacuum, and Electrical Systems Deficiencies

      Meet requirements for the use of electrical equipment.

      Corrected May 1, 2026 · 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 1, 2026 · CMS fire safety

  2. Jan 23, 2025 Health · 18 findings
    • Not serious Scope/severity D

      F0645 Resident Assessment and Care Planning Deficiencies

      PASARR screening for Mental disorders or Intellectual Disabilities

      Corrected Feb 21, 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 Feb 21, 2025 · CMS health inspection

    • Not serious Scope/severity D 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 Feb 21, 2025 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0760 Pharmacy Service Deficiencies

      Ensure that residents are free from significant medication errors.

      Corrected Feb 21, 2025 · 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 Feb 21, 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 Feb 17, 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 Feb 17, 2025 · CMS fire safety

    • Not serious Scope/severity D

      K0331 Smoke Deficiencies

      Construct fire resistant interior walls.

      Corrected Feb 17, 2025 · CMS fire safety

    • Not serious Scope/severity D

      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 Feb 17, 2025 · CMS fire safety

    • Not serious Scope/severity D

      K0351 Smoke Deficiencies

      Install an approved automatic sprinkler system.

      Corrected Feb 17, 2025 · CMS fire safety

    • Not serious Scope/severity D

      K0353 Smoke Deficiencies

      Inspect, test, and maintain automatic sprinkler systems.

      Corrected Feb 17, 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 Feb 17, 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 Feb 17, 2025 · CMS fire safety

    • Not serious Scope/severity D

      K0372 Smoke Deficiencies

      Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

      Corrected Feb 17, 2025 · CMS fire safety

    • Not serious Scope/severity D

      K0511 Services Deficiencies

      Have properly installed electrical wiring and gas equipment.

      Corrected Feb 17, 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 Feb 17, 2025 · CMS fire safety

    • Not serious Scope/severity E

      K0912 Gas, Vacuum, and Electrical Systems Deficiencies

      Have power receptacles that are properly grounded.

      Corrected Feb 17, 2025 · CMS fire safety

    • Not serious Scope/severity E

      K0920 Gas, Vacuum, and Electrical Systems Deficiencies

      Ensure proper usage of power strips and extension cords.

      Corrected Feb 17, 2025 · CMS fire safety

  3. Nov 11, 2024 Health · 4 findings
    • 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 Oct 30, 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 Dec 6, 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 12, 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 6, 2024 · CMS health inspection

  4. Aug 6, 2024 Health · 4 findings
    • Not serious Scope/severity E 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 Sep 3, 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 Sep 3, 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 Oct 18, 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 Oct 18, 2024 · CMS health inspection

  5. Jan 8, 2024 Fire Safety · 15 findings
    • Not serious Scope/severity F

      E0006 Emergency Preparedness Deficiencies

      Conduct risk assessment and an All-Hazards approach.

      Corrected Feb 1, 2024 · CMS fire safety

    • 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 Feb 5, 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 Feb 5, 2024 · 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 Feb 5, 2024 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0742 Quality of Life and Care Deficiencies

      Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.

      Corrected Feb 5, 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 Feb 5, 2024 · 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 Feb 5, 2024 · CMS health inspection

    • Not serious Scope/severity E

      K0132 Construction Deficiencies

      Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction.

      Corrected Feb 1, 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 Feb 15, 2024 · CMS fire safety

    • Not serious Scope/severity D

      K0331 Smoke Deficiencies

      Construct fire resistant interior walls.

      Corrected Feb 15, 2024 · CMS fire safety

    • Not serious Scope/severity E

      K0345 Smoke Deficiencies

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

      Corrected Feb 1, 2024 · CMS fire safety

    • Not serious Scope/severity E

      K0353 Smoke Deficiencies

      Inspect, test, and maintain automatic sprinkler systems.

      Corrected Feb 1, 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 Feb 1, 2024 · CMS fire safety

    • Not serious Scope/severity D

      K0912 Gas, Vacuum, and Electrical Systems Deficiencies

      Have power receptacles that are properly grounded.

      Corrected Feb 1, 2024 · CMS fire safety

    • Not serious Scope/severity E

      K0920 Gas, Vacuum, and Electrical Systems Deficiencies

      Ensure proper usage of power strips and extension cords.

      Corrected Feb 1, 2024 · CMS fire safety

Owners and managers (as published by CMS)

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.