Wisconsin Nursing Homes: State Citations Issued from 07/01/2007 to 06/30/2008
Information is current as of 07/24/2008

Facility=SAMARITAN HLTH CTR, WEST BEND, SOUTHEAST REGION (CONTACT: RFOS Carol Jean Rucker, (414) 227-4563)*

Survey
Exit Date		 Survey Type Wisconsin
Administrative
Code Cited		 Class Code Revisit
Survey Result		 Status
of Appeal
08/16/2007 FULL/COMPLAINT 132.60(1)(C)2. , "RESIDENT CARE/BASIC NRSG CARE " CLASS B DEFICIENCY CORRECTED 09/16/2007 NO APPEAL ON RECORD

*Please direct questions to the Bureau of Nursing Home Resident Care regional field
operations supervisor (RFOS) noted above after the facility name and location.


Wisconsin Nursing Homes: State Citations Issued from 07/01/2007 to 06/30/2008
Information is current as of 07/24/2008

Facility=SAN LUIS MED AND REHAB, GREEN BAY, NORTHEAST REGION (CONTACT: RFOS Dolores Zwiers, (920) 448-5245)*

Survey
Exit Date		 Survey Type Wisconsin
Administrative
Code Cited		 Class Code Revisit
Survey Result		 Status
of Appeal
07/17/2007 COMPLAINT 50.065(2)(b)intro , "ENTITY BACKGROUND-CHECK REQUIREMENTS " CLASS C DEFICIENCY -- CORRECTION ORDER SERVED CORRECTED 06/28/2007 NO APPEAL ON RECORD
07/17/2007 COMPLAINT 50.065(3)(b) , "COMPLETE BACKGROUND CHECK PROCESS " CLASS C DEFICIENCY -- CORRECTION ORDER SERVED CORRECTED 06/28/2007 NO APPEAL ON RECORD
07/17/2007 COMPLAINT 50.065(4m)(b)intro , "HIRING OR CONTRACTING REQUIREMENTS " CLASS C DEFICIENCY -- CORRECTION ORDER SERVED CORRECTED 06/28/2007 NO APPEAL ON RECORD
04/09/2008 COMPLAINT 132.60(1) , "RESIDENT CARE/INDIVIDUAL CARE " CLASS B DEFICIENCY CORRECTED 05/09/2008 NO APPEAL ON RECORD

*Please direct questions to the Bureau of Nursing Home Resident Care regional field
operations supervisor (RFOS) noted above after the facility name and location.


Wisconsin Nursing Homes: State Citations Issued from 07/01/2007 to 06/30/2008
Information is current as of 07/24/2008

Facility=SARAH CHUDNOW CAMPUS, MEQUON, SOUTHEAST REGION (CONTACT: RFOS Carol Jean Rucker, (414) 227-4563)*

Survey
Exit Date		 Survey Type Wisconsin
Administrative
Code Cited		 Class Code Revisit
Survey Result		 Status
of Appeal
05/21/2008 FULL/COMPLAINT 132.51(2)(B)1. , "ADMISSIONS/COMMUNICABLE DISEASE " CLASS B DEFICIENCY   NO APPEAL ON RECORD
05/21/2008 FULL/COMPLAINT 132.60(2)(D) , "RESIDENT CARE/DIET ACCEPTANCE " CLASS B DEFICIENCY   NO APPEAL ON RECORD
05/21/2008 FULL/COMPLAINT 132.62(2)(A)3.F. , "DON/DEFINING NRSG ROLES " CLASS B DEFICIENCY   NO APPEAL ON RECORD

*Please direct questions to the Bureau of Nursing Home Resident Care regional field
operations supervisor (RFOS) noted above after the facility name and location.


Wisconsin Nursing Homes: State Citations Issued from 07/01/2007 to 06/30/2008
Information is current as of 07/24/2008

Facility=SCHMITT WOODLAND HILLS, RICHLAND CENTER, SOUTHERN REGION (CONTACT: RFOS Pat Virnig, (608) 243-2379)*

Survey
Exit Date		 Survey Type Wisconsin
Administrative
Code Cited		 Class Code Revisit
Survey Result		 Status
of Appeal
05/23/2008 FULL 132.60(2)(D) , "RESIDENT CARE/DIET ACCEPTANCE " MULTIPLE CLASS 'B' OR 'A' DEFICIENCIES   NO APPEAL ON RECORD
05/23/2008 FULL 132.60(8)(B) , "UPDATING OF CARE PLANS " CLASS B DEFICIENCY   NO APPEAL ON RECORD

*Please direct questions to the Bureau of Nursing Home Resident Care regional field
operations supervisor (RFOS) noted above after the facility name and location.


Wisconsin Nursing Homes: State Citations Issued from 07/01/2007 to 06/30/2008
Information is current as of 07/24/2008

Facility=SEVEN OAKS, GLENDALE, SOUTHEAST REGION (CONTACT: RFOS Carol Jean Rucker, (414) 227-4563)*

Survey
Exit Date		 Survey Type Wisconsin
Administrative
Code Cited		 Class Code Revisit
Survey Result		 Status
of Appeal
11/15/2007 FULL/COMPLAINT 132.60(5)(d)1. , "Resident Care Admin of Meds " CLASS C DEFICIENCY -- CORRECTION ORDER SERVED CORRECTED 12/15/2007 NO APPEAL ON RECORD

*Please direct questions to the Bureau of Nursing Home Resident Care regional field
operations supervisor (RFOS) noted above after the facility name and location.


Wisconsin Nursing Homes: State Citations Issued from 07/01/2007 to 06/30/2008
Information is current as of 07/24/2008

Facility=SHEBOYGAN PROGRESSIVE CARE CTR, SHEBOYGAN, NORTHEAST REGION (CONTACT: RFOS Dolores Zwiers, (920) 448-5245)*

Survey
Exit Date		 Survey Type Wisconsin
Administrative
Code Cited		 Class Code Revisit
Survey Result		 Status
of Appeal
04/30/2008 FULL/COMPLAINT 132.60(8)(C) , "IMPLEMENTATION OF CARE PLANS " CLASS B DEFICIENCY CORRECTED 05/30/2008 NO APPEAL ON RECORD

*Please direct questions to the Bureau of Nursing Home Resident Care regional field
operations supervisor (RFOS) noted above after the facility name and location.


Wisconsin Nursing Homes: State Citations Issued from 07/01/2007 to 06/30/2008
Information is current as of 07/24/2008

Facility=SHEBOYGAN SENIOR COMMUNITY INC, SHEBOYGAN, NORTHEAST REGION (CONTACT: RFOS Dolores Zwiers, (920) 448-5245)*

Survey
Exit Date		 Survey Type Wisconsin
Administrative
Code Cited		 Class Code Revisit
Survey Result		 Status
of Appeal
12/13/2007 FULL 50.065(2)(bm) , "OUT OF STATE BACKGROUND CHECKS " CLASS C DEFICIENCY -- CORRECTION ORDER SERVED CORRECTED 02/13/2008 NO APPEAL ON RECORD
02/13/2008 COMPLAINT 132.60(8)(C) , "IMPLEMENTATION OF CARE PLANS " CLASS B DEFICIENCY   NO APPEAL ON RECORD

*Please direct questions to the Bureau of Nursing Home Resident Care regional field
operations supervisor (RFOS) noted above after the facility name and location.


Wisconsin Nursing Homes: State Citations Issued from 07/01/2007 to 06/30/2008
Information is current as of 07/24/2008

Facility=SHERIDAN MED COMPLEX, KENOSHA, SOUTHEAST REGION (CONTACT: RFOS Carol Jean Rucker, (414) 227-4563)*

Survey
Exit Date		 Survey Type Wisconsin
Administrative
Code Cited		 Class Code Revisit
Survey Result		 Status
of Appeal
10/22/2007 FULL/COMPLAINT 132.60(5)(A)1. , "RESIDENT CARE/ORDERS " CLASS C DEFICIENCY -- CORRECTION ORDER SERVED CORRECTED 11/22/2007 NO APPEAL ON RECORD
05/21/2008 COMPLAINT 132.60(8)(C) , "IMPLEMENTATION OF CARE PLANS " CLASS A DEFICIENCY CORRECTED 06/03/2008 NO APPEAL ON RECORD

*Please direct questions to the Bureau of Nursing Home Resident Care regional field
operations supervisor (RFOS) noted above after the facility name and location.


Wisconsin Nursing Homes: State Citations Issued from 07/01/2007 to 06/30/2008
Information is current as of 07/24/2008

Facility=SKAALEN SUNSET HOME, STOUGHTON, SOUTHERN REGION (CONTACT: RFOS Pat Virnig, (608) 243-2379)*

Survey
Exit Date		 Survey Type Wisconsin
Administrative
Code Cited		 Class Code Revisit
Survey Result		 Status
of Appeal
09/20/2007 FULL 132.60(1) , "RESIDENT CARE/INDIVIDUAL CARE " CLASS B DEFICIENCY CORRECTED 10/19/2007 NO APPEAL ON RECORD
09/20/2007 FULL 132.60(8)(C) , "IMPLEMENTATION OF CARE PLANS " CLASS B DEFICIENCY CORRECTED 10/19/2007 NO APPEAL ON RECORD

*Please direct questions to the Bureau of Nursing Home Resident Care regional field
operations supervisor (RFOS) noted above after the facility name and location.


Wisconsin Nursing Homes: State Citations Issued from 07/01/2007 to 06/30/2008
Information is current as of 07/24/2008

Facility=SOUTHPOINTE HLTHCARE CTR, GREENFIELD, SOUTHEAST REGION (CONTACT: RFOS Carol Jean Rucker, (414) 227-4563)*

Survey
Exit Date		 Survey Type Wisconsin
Administrative
Code Cited		 Class Code Revisit
Survey Result		 Status
of Appeal
11/07/2007 FULL/COMPLAINT 132.60(2)(D) , "RESIDENT CARE/DIET ACCEPTANCE " CLASS B DEFICIENCY CORRECTED 12/07/2007 NO APPEAL ON RECORD

*Please direct questions to the Bureau of Nursing Home Resident Care regional field
operations supervisor (RFOS) noted above after the facility name and location.


Wisconsin Nursing Homes: State Citations Issued from 07/01/2007 to 06/30/2008
Information is current as of 07/24/2008

Facility=SOUTHWEST HLTH CTR, CUBA CITY, SOUTHERN REGION (CONTACT: RFOS Pat Virnig, (608) 243-2379)*

Survey
Exit Date		 Survey Type Wisconsin
Administrative
Code Cited		 Class Code Revisit
Survey Result		 Status
of Appeal
09/17/2007 COMPLAINT 132.60(8)(C) , "IMPLEMENTATION OF CARE PLANS " CLASS B DEFICIENCY CORRECTED 09/20/2007 NO APPEAL ON RECORD

*Please direct questions to the Bureau of Nursing Home Resident Care regional field
operations supervisor (RFOS) noted above after the facility name and location.


Wisconsin Nursing Homes: State Citations Issued from 07/01/2007 to 06/30/2008
Information is current as of 07/24/2008

Facility=SPOONER HLTH SYS, SPOONER, WESTERN REGION (CONTACT: RFOS Kathy Lyons, (715) 836-3030)*

Survey
Exit Date		 Survey Type Wisconsin
Administrative
Code Cited		 Class Code Revisit
Survey Result		 Status
of Appeal
10/16/2007 FULL/COMPLAINT 50.09(1)(L) , "Care " CLASS B DEFICIENCY CORRECTED 10/18/2007 NO APPEAL ON RECORD

*Please direct questions to the Bureau of Nursing Home Resident Care regional field
operations supervisor (RFOS) noted above after the facility name and location.


Wisconsin Nursing Homes: State Citations Issued from 07/01/2007 to 06/30/2008
Information is current as of 07/24/2008

Facility=SPRING VALLEY HCC, SPRING VALLEY, WESTERN REGION (CONTACT: RFOS Kathy Lyons, (715) 836-3030)*

Survey
Exit Date		 Survey Type Wisconsin
Administrative
Code Cited		 Class Code Revisit
Survey Result		 Status
of Appeal
01/07/2008 FULL 50.065(2)(b)intro , "ENTITY BACKGROUND-CHECK REQUIREMENTS " CLASS C DEFICIENCY -- CORRECTION ORDER SERVED CORRECTED 02/21/2008 NO APPEAL ON RECORD
03/06/2008 COMPLAINT 132.60(3)(A) , "RESIDENT CARE/NOTIFICATION OF CHANGE " CLASS B DEFICIENCY CORRECTED 03/30/2008 NO APPEAL ON RECORD

*Please direct questions to the Bureau of Nursing Home Resident Care regional field
operations supervisor (RFOS) noted above after the facility name and location.


Wisconsin Nursing Homes: State Citations Issued from 07/01/2007 to 06/30/2008
Information is current as of 07/24/2008

Facility=ST ANNS REST HOME, MILWAUKEE, SOUTHEAST REGION (CONTACT: RFOS Carol Jean Rucker, (414) 227-4563)*

Survey
Exit Date		 Survey Type Wisconsin
Administrative
Code Cited		 Class Code Revisit
Survey Result		 Status
of Appeal
11/20/2007 FULL 132.51(2)(B)1. , "ADMISSIONS/COMMUNICABLE DISEASE " CLASS B DEFICIENCY CORRECTED 12/20/2007 NO APPEAL ON RECORD

*Please direct questions to the Bureau of Nursing Home Resident Care regional field
operations supervisor (RFOS) noted above after the facility name and location.


Wisconsin Nursing Homes: State Citations Issued from 07/01/2007 to 06/30/2008
Information is current as of 07/24/2008

Facility=ST CAMILLUS HLTH CTR, WAUWATOSA, SOUTHEAST REGION (CONTACT: RFOS Carol Jean Rucker, (414) 227-4563)*

Survey
Exit Date		 Survey Type Wisconsin
Administrative
Code Cited		 Class Code Revisit
Survey Result		 Status
of Appeal
01/17/2008 FULL 132.60(1)(B) , "RESIDENT CARE/DECUBITI PREVENTION " CLASS B DEFICIENCY CORRECTED 02/17/2008 NO APPEAL ON RECORD

*Please direct questions to the Bureau of Nursing Home Resident Care regional field
operations supervisor (RFOS) noted above after the facility name and location.


Wisconsin Nursing Homes: State Citations Issued from 07/01/2007 to 06/30/2008
Information is current as of 07/24/2008

Facility=ST CLARE MEADOWS CARE CTR, BARABOO, SOUTHERN REGION (CONTACT: RFOS Pat Virnig, (608) 243-2379)*

Survey
Exit Date		 Survey Type Wisconsin
Administrative
Code Cited		 Class Code Revisit
Survey Result		 Status
of Appeal
08/01/2007 FULL 132.60(1)(B) , "RESIDENT CARE/DECUBITI PREVENTION " CLASS B DEFICIENCY CORRECTED 08/15/2007 NO APPEAL ON RECORD

*Please direct questions to the Bureau of Nursing Home Resident Care regional field
operations supervisor (RFOS) noted above after the facility name and location.


Wisconsin Nursing Homes: State Citations Issued from 07/01/2007 to 06/30/2008
Information is current as of 07/24/2008

Facility=ST CROIX HLTH CTR, NEW RICHMOND, WESTERN REGION (CONTACT: RFOS Kathy Lyons, (715) 836-3030)*

Survey
Exit Date		 Survey Type Wisconsin
Administrative
Code Cited		 Class Code Revisit
Survey Result		 Status
of Appeal
02/12/2008 COMPLAINT 132.45(5)(C)4.B. , "MEDICAL RECORDS-CONTENT-NURSING " CLASS C DEFICIENCY -- CORRECTION ORDER SERVED CORRECTED 03/06/2008 NO APPEAL ON RECORD
02/12/2008 COMPLAINT 50.09(1)(L) , "Care " CLASS B DEFICIENCY CORRECTED 03/06/2008 NO APPEAL ON RECORD

*Please direct questions to the Bureau of Nursing Home Resident Care regional field
operations supervisor (RFOS) noted above after the facility name and location.


Wisconsin Nursing Homes: State Citations Issued from 07/01/2007 to 06/30/2008
Information is current as of 07/24/2008

Facility=ST ELIZABETHS NUR HOME, JANESVILLE, SOUTHERN REGION (CONTACT: RFOS Pat Virnig, (608) 243-2379)*

Survey
Exit Date		 Survey Type Wisconsin
Administrative
Code Cited		 Class Code Revisit
Survey Result		 Status
of Appeal
02/18/2008 COMPLAINT 132.60(8)(C) , "IMPLEMENTATION OF CARE PLANS " CLASS B DEFICIENCY CORRECTED 03/14/2008 NO APPEAL ON RECORD
06/10/2008 COMPLAINT 132.60(1) , "RESIDENT CARE/INDIVIDUAL CARE " CLASS B DEFICIENCY   NO APPEAL ON RECORD

*Please direct questions to the Bureau of Nursing Home Resident Care regional field
operations supervisor (RFOS) noted above after the facility name and location.


Wisconsin Nursing Homes: State Citations Issued from 07/01/2007 to 06/30/2008
Information is current as of 07/24/2008

Facility=ST FRANCIS IN THE PARK HLTH REHAB, SUPERIOR, WESTERN REGION (CONTACT: RFOS Kathy Lyons, (715) 836-3030)*

Survey
Exit Date		 Survey Type Wisconsin
Administrative
Code Cited		 Class Code Revisit
Survey Result		 Status
of Appeal
06/16/2008 COMPLAINT 132.41(1) , "ADMINISTRATOR " CLASS A DEFICIENCY   NO APPEAL ON RECORD
06/16/2008 COMPLAINT 132.60(1)(B) , "RESIDENT CARE/DECUBITI PREVENTION " MULTIPLE CLASS 'B' OR 'A' DEFICIENCIES   NO APPEAL ON RECORD
06/16/2008 COMPLAINT 132.60(1)(C)4. , "RESIDENT CARE/BASIC NRSG CARE " MULTIPLE CLASS 'B' OR 'A' DEFICIENCIES   NO APPEAL ON RECORD
06/16/2008 COMPLAINT 132.60(5)(d)1. , "Resident Care Admin of Meds " CLASS C DEFICIENCY -- CORRECTION ORDER SERVED   NO APPEAL ON RECORD
06/16/2008 COMPLAINT 132.60(8)(C) , "IMPLEMENTATION OF CARE PLANS " CLASS B DEFICIENCY   NO APPEAL ON RECORD
06/16/2008 COMPLAINT 132.62(3)(B) , "NURSING ASSIGNMENTS " CLASS B DEFICIENCY   NO APPEAL ON RECORD
06/16/2008 COMPLAINT 132.60(1)(c)5 , "FACILITY SHALL PROVIDE PAIN ASSESSMNT/TREATMT" CLASS B DEFICIENCY   NO APPEAL ON RECORD
06/16/2008 COMPLAINT 50.09(1)(L) , "Care " CLASS B DEFICIENCY   NO APPEAL ON RECORD

*Please direct questions to the Bureau of Nursing Home Resident Care regional field
operations supervisor (RFOS) noted above after the facility name and location.


Wisconsin Nursing Homes: State Citations Issued from 07/01/2007 to 06/30/2008
Information is current as of 07/24/2008

Facility=ST JOSEPH RESIDENCE, NEW LONDON, NORTHEAST REGION (CONTACT: RFOS Dolores Zwiers, (920) 448-5245)*

Survey
Exit Date		 Survey Type Wisconsin
Administrative
Code Cited		 Class Code Revisit
Survey Result		 Status
of Appeal
08/22/2007 COMPLAINT 132.31(1)(L) , "CARE " CLASS B DEFICIENCY CORRECTED 09/22/2007 NO APPEAL ON RECORD
12/10/2007 FULL/COMPLAINT 132.60(1) , "RESIDENT CARE/INDIVIDUAL CARE " CLASS B DEFICIENCY NO APPEAL ON RECORD
12/10/2007 FULL/COMPLAINT 132.60(1)(B) , "RESIDENT CARE/DECUBITI PREVENTION " CLASS B DEFICIENCY NO APPEAL ON RECORD
12/10/2007 FULL/COMPLAINT 50.09(1)(L) , "Care " CLASS B DEFICIENCY NO APPEAL ON RECORD

*Please direct questions to the Bureau of Nursing Home Resident Care regional field
operations supervisor (RFOS) noted above after the facility name and location.


Wisconsin Nursing Homes: State Citations Issued from 07/01/2007 to 06/30/2008
Information is current as of 07/24/2008

Facility=ST JOSEPHS REHAB CTR, LA CROSSE, WESTERN REGION (CONTACT: RFOS Kathy Lyons, (715) 836-3030)*

Survey
Exit Date		 Survey Type Wisconsin
Administrative
Code Cited		 Class Code Revisit
Survey Result		 Status
of Appeal
09/11/2007 FULL/COMPLAINT 132.65(6)(B)2. , "MEDS/TRANSFER BETWEEN CONTAINERS " CLASS C DEFICIENCY -- CORRECTION ORDER SERVED CORRECTED 10/11/2007 NO APPEAL ON RECORD

*Please direct questions to the Bureau of Nursing Home Resident Care regional field
operations supervisor (RFOS) noted above after the facility name and location.


Wisconsin Nursing Homes: State Citations Issued from 07/01/2007 to 06/30/2008
Information is current as of 07/24/2008

Facility=ST MARYS CARE CTR, MADISON, SOUTHERN REGION (CONTACT: RFOS Pat Virnig, (608) 243-2379)*

Survey
Exit Date		 Survey Type Wisconsin
Administrative
Code Cited		 Class Code Revisit
Survey Result		 Status
of Appeal
04/09/2008 FULL 132.60(2)(D) , "RESIDENT CARE/DIET ACCEPTANCE " CLASS B DEFICIENCY CORRECTED 05/07/2008 NO APPEAL ON RECORD
04/09/2008 FULL 132.60(5)(A)1. , "RESIDENT CARE/ORDERS " CLASS B DEFICIENCY CORRECTED 05/07/2008 NO APPEAL ON RECORD

*Please direct questions to the Bureau of Nursing Home Resident Care regional field
operations supervisor (RFOS) noted above after the facility name and location.


Wisconsin Nursing Homes: State Citations Issued from 07/01/2007 to 06/30/2008
Information is current as of 07/24/2008

Facility=ST MARYS HOME FOR THE AGED, MANITOWOC, NORTHEAST REGION (CONTACT: RFOS Dolores Zwiers, (920) 448-5245)*

Survey
Exit Date		 Survey Type Wisconsin
Administrative
Code Cited		 Class Code Revisit
Survey Result		 Status
of Appeal
07/20/2007 FULL 50.065(3)(b) , "COMPLETE BACKGROUND CHECK PROCESS " CLASS C DEFICIENCY -- CORRECTION ORDER SERVED CORRECTED 08/17/2007 NO APPEAL ON RECORD
07/20/2007 FULL 132.60(1)(B) , "RESIDENT CARE/DECUBITI PREVENTION " CLASS B DEFICIENCY CORRECTED 08/17/2007 NO APPEAL ON RECORD

*Please direct questions to the Bureau of Nursing Home Resident Care regional field
operations supervisor (RFOS) noted above after the facility name and location.


Wisconsin Nursing Homes: State Citations Issued from 07/01/2007 to 06/30/2008
Information is current as of 07/24/2008

Facility=ST PAUL ELDER SERVICES, INC, KAUKAUNA, NORTHEAST REGION (CONTACT: RFOS Dolores Zwiers, (920) 448-5245)*

Survey
Exit Date		 Survey Type Wisconsin
Administrative
Code Cited		 Class Code Revisit
Survey Result		 Status
of Appeal
03/06/2008 FULL/COMPLAINT 132.60(1)(C)2. , "RESIDENT CARE/BASIC NRSG CARE " CLASS B DEFICIENCY CORRECTED 04/06/2008 NO APPEAL ON RECORD

*Please direct questions to the Bureau of Nursing Home Resident Care regional field
operations supervisor (RFOS) noted above after the facility name and location.


Wisconsin Nursing Homes: State Citations Issued from 07/01/2007 to 06/30/2008
Information is current as of 07/24/2008

Facility=STEVENS POINT CARE CENTER, STEVENS POINT, NORTHERN REGION (CONTACT: RFOS Jessica Radtke, (715) 365-2801)*

Survey
Exit Date		 Survey Type Wisconsin
Administrative
Code Cited		 Class Code Revisit
Survey Result		 Status
of Appeal
10/09/2007 COMPLAINT 132.60(3)(A) , "RESIDENT CARE/NOTIFICATION OF CHANGE " CLASS B DEFICIENCY CORRECTED 10/31/2007 NO APPEAL ON RECORD
11/30/2007 FULL 132.60(1) , "RESIDENT CARE/INDIVIDUAL CARE " CLASS B DEFICIENCY CORRECTED 01/08/2008 NO APPEAL ON RECORD
11/30/2007 FULL 132.60(1)(B) , "RESIDENT CARE/DECUBITI PREVENTION " CLASS B DEFICIENCY CORRECTED 01/08/2008 NO APPEAL ON RECORD
03/13/2008 COMPLAINT 132.60(1)(B) , "RESIDENT CARE/DECUBITI PREVENTION " CLASS B DEFICIENCY CORRECTED 04/11/2008 NO APPEAL ON RECORD

*Please direct questions to the Bureau of Nursing Home Resident Care regional field
operations supervisor (RFOS) noted above after the facility name and location.


Wisconsin Nursing Homes: State Citations Issued from 07/01/2007 to 06/30/2008
Information is current as of 07/24/2008

Facility=STRAWBERRY LANE MEDICAL AND REHAB, WISCONSIN RAPIDS, NORTHERN REGION (CONTACT: RFOS Jessica Radtke, (715) 365-2801)*

Survey
Exit Date		 Survey Type Wisconsin
Administrative
Code Cited		 Class Code Revisit
Survey Result		 Status
of Appeal
10/25/2007 FULL 132.60(1) , "RESIDENT CARE/INDIVIDUAL CARE " CLASS B DEFICIENCY CORRECTED 11/25/2007 NO APPEAL ON RECORD

*Please direct questions to the Bureau of Nursing Home Resident Care regional field
operations supervisor (RFOS) noted above after the facility name and location.


Wisconsin Nursing Homes: State Citations Issued from 07/01/2007 to 06/30/2008
Information is current as of 07/24/2008

Facility=SUNNY HILL HLTH CARE CTR, MADISON, SOUTHERN REGION (CONTACT: RFOS Pat Virnig, (608) 243-2379)*

Survey
Exit Date		 Survey Type Wisconsin
Administrative
Code Cited		 Class Code Revisit
Survey Result		 Status
of Appeal
11/13/2007 COMPLAINT 13.05(2) , "CLIENT PROTECTION " CLASS B DEFICIENCY CORRECTED 12/13/2007 NO APPEAL ON RECORD
02/21/2008 COMPLAINT 50.065(2)(bm) , "OUT OF STATE BACKGROUND CHECKS " CLASS C DEFICIENCY -- CORRECTION ORDER SERVED CORRECTED 03/04/2008 NO APPEAL ON RECORD
02/21/2008 COMPLAINT 132.32(1)(A) , "COMMUNITY ORGANIZATION ACCESS " CLASS C DEFICIENCY   NO APPEAL ON RECORD
02/21/2008 COMPLAINT 132.60(5)(A)1. , "RESIDENT CARE/ORDERS " CLASS B DEFICIENCY CORRECTED 03/21/2008 NO APPEAL ON RECORD
02/21/2008 COMPLAINT 132.60(8)(C) , "IMPLEMENTATION OF CARE PLANS " CLASS B DEFICIENCY CORRECTED 03/21/2008 NO APPEAL ON RECORD
06/12/2008 FULL/COMPLAINT 132.60(1) , "RESIDENT CARE/INDIVIDUAL CARE " CLASS B DEFICIENCY   NO APPEAL ON RECORD

*Please direct questions to the Bureau of Nursing Home Resident Care regional field
operations supervisor (RFOS) noted above after the facility name and location.


Wisconsin Nursing Homes: State Citations Issued from 07/01/2007 to 06/30/2008
Information is current as of 07/24/2008

Facility=SUNNY RIDGE HEALTH AND REHAB CENTER, SHEBOYGAN, NORTHEAST REGION (CONTACT: RFOS Dolores Zwiers, (920) 448-5245)*

Survey
Exit Date		 Survey Type Wisconsin
Administrative
Code Cited		 Class Code Revisit
Survey Result		 Status
of Appeal
02/08/2008 COMPLAINT 50.09(1)(L) , "Care " CLASS A DEFICIENCY CORRECTED 03/19/2008 NO APPEAL ON RECORD
03/03/2008 FULL 132.60(1)(B) , "RESIDENT CARE/DECUBITI PREVENTION " CLASS B DEFICIENCY CORRECTED 03/26/2008 NO APPEAL ON RECORD
03/03/2008 FULL 132.60(1)(C)4. , "RESIDENT CARE/BASIC NRSG CARE " CLASS A DEFICIENCY CORRECTED 03/26/2008 NO APPEAL ON RECORD
03/03/2008 FULL 132.60(2)(D) , "RESIDENT CARE/DIET ACCEPTANCE " CLASS B DEFICIENCY CORRECTED 03/26/2008 NO APPEAL ON RECORD

*Please direct questions to the Bureau of Nursing Home Resident Care regional field
operations supervisor (RFOS) noted above after the facility name and location.


Wisconsin Nursing Homes: State Citations Issued from 07/01/2007 to 06/30/2008
Information is current as of 07/24/2008

Facility=SUNNYVIEW HLTH CARE CTR, PRINCETON, NORTHEAST REGION (CONTACT: RFOS Dolores Zwiers, (920) 448-5245)*

Survey
Exit Date		 Survey Type Wisconsin
Administrative
Code Cited		 Class Code Revisit
Survey Result		 Status
of Appeal
07/12/2007 FULL 132.60(1) , "RESIDENT CARE/INDIVIDUAL CARE " CLASS B DEFICIENCY CORRECTED 08/06/2007 NO APPEAL ON RECORD
07/12/2007 FULL 132.60(8)(B) , "UPDATING OF CARE PLANS " CLASS B DEFICIENCY CORRECTED 08/06/2007 NO APPEAL ON RECORD

*Please direct questions to the Bureau of Nursing Home Resident Care regional field
operations supervisor (RFOS) noted above after the facility name and location.


Wisconsin Nursing Homes: State Citations Issued from 07/01/2007 to 06/30/2008
Information is current as of 07/24/2008

Facility=SUNRISE CARE CTR, MILWAUKEE, SOUTHEAST REGION (CONTACT: RFOS Carol Jean Rucker, (414) 227-4563)*

Survey
Exit Date		 Survey Type Wisconsin
Administrative
Code Cited		 Class Code Revisit
Survey Result		 Status
of Appeal
02/20/2008 COMPLAINT 132.60(5)(A)1. , "RESIDENT CARE/ORDERS " CLASS C DEFICIENCY -- CORRECTION ORDER SERVED CORRECTED 03/20/2008 NO APPEAL ON RECORD
04/30/2008 FULL/COMPLAINT 132.41(1) , "ADMINISTRATOR " CLASS B DEFICIENCY CORRECTED 06/10/2008 NO APPEAL ON RECORD
04/30/2008 FULL/COMPLAINT 132.51(2)(B)1. , "ADMISSIONS/COMMUNICABLE DISEASE " CLASS B DEFICIENCY CORRECTED 06/10/2008 NO APPEAL ON RECORD
04/30/2008 FULL/COMPLAINT 132.60(1)(B) , "RESIDENT CARE/DECUBITI PREVENTION " CLASS B DEFICIENCY CORRECTED 06/10/2008 NO APPEAL ON RECORD
04/30/2008 FULL/COMPLAINT 132.60(2)(D) , "RESIDENT CARE/DIET ACCEPTANCE " CLASS B DEFICIENCY CORRECTED 06/10/2008 NO APPEAL ON RECORD

*Please direct questions to the Bureau of Nursing Home Resident Care regional field
operations supervisor (RFOS) noted above after the facility name and location.