Wisconsin Nursing Homes: State Citations Issued from 10/01/2007 to 09/30/2008
Information is current as of 10/17/2008

Facility=ALDEN MEADOW PARK HCC, CLINTON, 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++
03/18/2008 FULL/COMPLAINT 132.60(1)(C)4. , "RESIDENT CARE/BASIC NRSG CARE " CLASS B DEFICIENCY CORRECTED 04/18/2008 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.
++Because State appeals of citations are not now available on an accessible central
repository, appeal information is incomplete.


Wisconsin Nursing Homes: State Citations Issued from 10/01/2007 to 09/30/2008
Information is current as of 10/17/2008

Facility=ALEXIAN VILLAGE OF MILWAUKEE, 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 COMPLAINT 132.60(8)(C) , "IMPLEMENTATION OF CARE PLANS " CLASS B DEFICIENCY CORRECTED 12/21/2007 NO APPEAL ON RECORD
09/15/2008 FULL 132.51(2)(B)1. , "ADMISSIONS/COMMUNICABLE DISEASE " 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.
++Because State appeals of citations are not now available on an accessible central
repository, appeal information is incomplete.


Wisconsin Nursing Homes: State Citations Issued from 10/01/2007 to 09/30/2008
Information is current as of 10/17/2008

Facility=ALL ABOUT LIFE REHAB CTR, FOND DU LAC, 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++
05/08/2008 FULL/COMPLAINT 132.60(1) , "RESIDENT CARE/INDIVIDUAL CARE " CLASS B DEFICIENCY CORRECTED 06/10/2008 NO APPEAL ON RECORD
05/08/2008 FULL/COMPLAINT 132.60(1)(C)4. , "RESIDENT CARE/BASIC NRSG CARE " CLASS A DEFICIENCY CORRECTED 06/10/2008 NO APPEAL ON RECORD
05/08/2008 FULL/COMPLAINT 132.60(5)(A)1. , "RESIDENT CARE/ORDERS " CLASS B DEFICIENCY CORRECTED 06/10/2008 NO APPEAL ON RECORD
06/11/2008 REVISIT 132.54 , "TRANSFER WTIHIN THE FACILITY " CLASS C DEFICIENCY -- CORRECTION ORDER SERVED CORRECTED 07/23/2008 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.
++Because State appeals of citations are not now available on an accessible central
repository, appeal information is incomplete.


Wisconsin Nursing Homes: State Citations Issued from 10/01/2007 to 09/30/2008
Information is current as of 10/17/2008

Facility=ALLIS CARE CTR, WEST ALLIS, 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++
04/10/2008 COMPLAINT 132.60(1)(C)4. , "RESIDENT CARE/BASIC NRSG CARE " CLASS B DEFICIENCY CORRECTED 05/10/2008 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.
++Because State appeals of citations are not now available on an accessible central
repository, appeal information is incomplete.


Wisconsin Nursing Homes: State Citations Issued from 10/01/2007 to 09/30/2008
Information is current as of 10/17/2008

Facility=AMER LUTHERAN HOME MONDOVI, MONDOVI, 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++
11/28/2007 FULL 132.62(2)(B)1.C. , "CHARGE NURSE/75 TO 99 RES. " CLASS C DEFICIENCY -- CORRECTION ORDER SERVED   NO APPEAL ON RECORD
01/14/2008 COMPLAINT 132.45(5)(C)4.B. , "MEDICAL RECORDS-CONTENT-NURSING " CLASS C DEFICIENCY -- CORRECTION ORDER SERVED CORRECTED 02/09/2008 NO APPEAL ON RECORD
01/14/2008 COMPLAINT 50.09(1)(k) , "Abuse and Restraints " CLASS B DEFICIENCY CORRECTED 02/09/2008 NO APPEAL ON RECORD
09/08/2008 FULL 132.42(5) , "VOLUNTEERS " CLASS B DEFICIENCY   NO APPEAL ON RECORD
09/08/2008 FULL 132.60(3)(B) , "RESIDENT CARE/CHANGE IN STATUS " CLASS B DEFICIENCY   NO APPEAL ON RECORD
09/08/2008 FULL 132.60(1)(c)5 , "FACILITY SHALL PROVIDE PAIN ASSESSMNT/TREATMT" 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.
++Because State appeals of citations are not now available on an accessible central
repository, appeal information is incomplete.


Wisconsin Nursing Homes: State Citations Issued from 10/01/2007 to 09/30/2008
Information is current as of 10/17/2008

Facility=ARCADIA NUR HOME, ARCADIA, 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++
01/04/2008 COMPLAINT 50.09(1)(k) , "Abuse and Restraints " CLASS B DEFICIENCY CORRECTED 01/21/2008 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.
++Because State appeals of citations are not now available on an accessible central
repository, appeal information is incomplete.


Wisconsin Nursing Homes: State Citations Issued from 10/01/2007 to 09/30/2008
Information is current as of 10/17/2008

Facility=ASHLAND HLTH REHAB CTR, ASHLAND, 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++
07/10/2008 FULL 132.45(5)(L) , "MEDICAL RECORDS-CONTENT-DISCHARGE " NOT ENTERED CORRECTED 08/08/2008 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.
++Because State appeals of citations are not now available on an accessible central
repository, appeal information is incomplete.


Wisconsin Nursing Homes: State Citations Issued from 10/01/2007 to 09/30/2008
Information is current as of 10/17/2008

Facility=ASPIRUS LILLIAN KERR HEALTHCARE CENTER, PHELPS, 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++
10/03/2007 FULL 50.065(2)(bm) , "OUT OF STATE BACKGROUND CHECKS " CLASS C DEFICIENCY -- CORRECTED BEFORE VISIT COMPLETED CORRECTED 10/03/2007 NO APPEAL ON RECORD
10/03/2007 FULL 132.60(1)(B) , "RESIDENT CARE/DECUBITI PREVENTION " CLASS B DEFICIENCY CORRECTED 11/02/2007 NO APPEAL ON RECORD
04/02/2008 COMPLAINT 132.52(4) , "ADMISSION PROCEDURES/INITIAL CARE PLAN " CLASS B DEFICIENCY CORRECTED 05/02/2008 NO APPEAL ON RECORD
04/02/2008 COMPLAINT 132.60(1)(B) , "RESIDENT CARE/DECUBITI PREVENTION " CLASS B DEFICIENCY UNCORRECTED AT REVISIT NO APPEAL ON RECORD
04/02/2008 COMPLAINT 132.60(3)(A) , "RESIDENT CARE/NOTIFICATION OF CHANGE " CLASS B DEFICIENCY CORRECTED 05/02/2008 NO APPEAL ON RECORD
05/14/2008 COMPLAINT 132.60(1) , "RESIDENT CARE/INDIVIDUAL CARE " CLASS B DEFICIENCY CORRECTED 06/16/2008 NO APPEAL ON RECORD
05/14/2008 COMPLAINT 132.60(1)(B) , "RESIDENT CARE/DECUBITI PREVENTION " CLASS B DEFICIENCY CORRECTED 06/16/2008 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.
++Because State appeals of citations are not now available on an accessible central
repository, appeal information is incomplete.


Wisconsin Nursing Homes: State Citations Issued from 10/01/2007 to 09/30/2008
Information is current as of 10/17/2008

Facility=ASPIRUS PLEASANT VIEW, PHILLIPS, 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++
10/11/2007 COMPLAINT 132.60(8)(C) , "IMPLEMENTATION OF CARE PLANS " CLASS B DEFICIENCY CORRECTED 10/15/2007 NO APPEAL ON RECORD
01/08/2008 FULL 132.60(5)(A)2. , "RESIDENT CARE/ORAL ORDERS " CLASS C DEFICIENCY -- CORRECTION ORDER SERVED CORRECTED 02/08/2008 NO APPEAL ON RECORD
01/08/2008 FULL 50.09(1)(L) , "Care " CLASS B DEFICIENCY CORRECTED 02/08/2008 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.
++Because State appeals of citations are not now available on an accessible central
repository, appeal information is incomplete.