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

Facility=BADGER PRAIRIE HCC, VERONA, 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
10/09/2007 FULL 132.45(5)(C)4.B. , "MEDICAL RECORDS-CONTENT-NURSING " CLASS C DEFICIENCY -- CORRECTION ORDER SERVED CORRECTED 11/09/2007 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=BALDWIN CARE CTR, BALDWIN, 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
06/24/2008 COMPLAINT 132.60(3)(A) , "RESIDENT CARE/NOTIFICATION OF CHANGE " CLASS B DEFICIENCY   NO APPEAL ON RECORD
06/24/2008 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=BARRON CARE AND REHABILITATION, BARRON, 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
05/28/2008 FULL 50.065(2)(bm) , "OUT OF STATE BACKGROUND CHECKS " CLASS C DEFICIENCY -- CORRECTION ORDER SERVED   NO APPEAL ON RECORD
05/28/2008 FULL 50.065(3)(b) , "COMPLETE BACKGROUND CHECK PROCESS " CLASS C DEFICIENCY -- CORRECTION ORDER SERVED   NO APPEAL ON RECORD
05/28/2008 FULL 50.065(4m)(b)intro , "HIRING OR CONTRACTING REQUIREMENTS " CLASS C DEFICIENCY -- CORRECTION ORDER SERVED   NO APPEAL ON RECORD
05/28/2008 FULL 132.60(1)(B) , "RESIDENT CARE/DECUBITI PREVENTION " CLASS B DEFICIENCY   NO APPEAL ON RECORD
05/28/2008 FULL 132.60(8)(B) , "UPDATING OF CARE PLANS " CLASS B DEFICIENCY   NO APPEAL ON RECORD
05/28/2008 FULL 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=BECKER SHOOP CTR, RACINE, 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
07/10/2007 COMPLAINT 132.60(8)(C) , "IMPLEMENTATION OF CARE PLANS " CLASS B DEFICIENCY CORRECTED 09/14/2007 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=BEL AIR CARE CENTER, 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
05/07/2008 FULL/COMPLAINT 132.60(3)(A) , "RESIDENT CARE/NOTIFICATION OF CHANGE " CLASS C DEFICIENCY -- CORRECTION ORDER SERVED   NO APPEAL ON RECORD
05/07/2008 FULL/COMPLAINT 132.65(6)(B)4. , "SEPARATION OF MEDICATIONS " CLASS C DEFICIENCY -- CORRECTION ORDER SERVED   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=BELMONT NUR REHAB 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
08/22/2007 COMPLAINT 132.60(2)(D) , "RESIDENT CARE/DIET ACCEPTANCE " CLASS B DEFICIENCY CORRECTED 10/04/2007 NO APPEAL ON RECORD
08/22/2007 COMPLAINT 132.60(1)(c)5 , "FACILITY SHALL PROVIDE PAIN ASSESSMNT/TREATMT" CLASS B DEFICIENCY CORRECTED 10/04/2007 NO APPEAL ON RECORD
10/04/2007 COMPLAINT 50.09(1)(L) , "Care " CLASS B DEFICIENCY CORRECTED 10/31/2007 NO APPEAL ON RECORD
11/29/2007 FULL/COMPLAINT 132.52(4) , "ADMISSION PROCEDURES/INITIAL CARE PLAN " CLASS B DEFICIENCY CORRECTED 01/16/2008 NO APPEAL ON RECORD
11/29/2007 FULL/COMPLAINT 132.60(8)(C) , "IMPLEMENTATION OF CARE PLANS " CLASS B DEFICIENCY CORRECTED 01/16/2008 NO APPEAL ON RECORD
11/29/2007 FULL/COMPLAINT 50.09(6) , "RESIDENT'S RIGHTS IN CERTAIN FACILITIES " CLASS B DEFICIENCY CORRECTED 01/16/2008 NO APPEAL ON RECORD
11/29/2007 FULL/COMPLAINT 50.09(1)(k) , "Abuse and Restraints " MULTIPLE CLASS 'B' OR 'A' DEFICIENCIES CORRECTED 01/16/2008 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.


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

Facility=BELOIT HLTH REHAB CTR, BELOIT, 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
11/08/2007 COMPLAINT 132.60(5)(A)1. , "RESIDENT CARE/ORDERS " CLASS B DEFICIENCY CORRECTED 12/11/2007 NO APPEAL ON RECORD
03/13/2008 COMPLAINT 132.63(4)(B)1. , "THERAPEUTIC DIETS " CLASS B DEFICIENCY CORRECTED 05/15/2008 APPEALED: 06/12/2008
04/10/2008 FULL/COMPLAINT 132.60(1) , "RESIDENT CARE/INDIVIDUAL CARE " CLASS B DEFICIENCY CORRECTED 05/15/2008 APPEALED: 06/12/2008
04/10/2008 FULL/COMPLAINT 132.60(5)(D)5. , "RESIDENT CARE/MEDS ERRORS AND REACTIONS " CLASS B DEFICIENCY CORRECTED 05/15/2008 APPEALED: 06/12/2008
06/18/2008 COMPLAINT 132.60(1)(C)4. , "RESIDENT CARE/BASIC NRSG 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=BETHANY RIVERSIDE, 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
06/05/2008 FULL 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=BETHANY ST JOSEPH CARE 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
11/28/2007 FULL 132.60(1) , "RESIDENT CARE/INDIVIDUAL CARE " CLASS B DEFICIENCY CORRECTED 01/01/2008 NO APPEAL ON RECORD
11/28/2007 FULL 132.60(1)(B) , "RESIDENT CARE/DECUBITI PREVENTION " CLASS B DEFICIENCY CORRECTED 01/01/2008 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=BETHEL HOME, OSHKOSH, 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
09/26/2007 FULL/COMPLAINT 132.60(1)(B) , "RESIDENT CARE/DECUBITI PREVENTION " CLASS B DEFICIENCY CORRECTED 10/12/2007 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=BLOOMFIELD MNR NUR HOME, DODGEVILLE, 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
08/22/2007 FULL 132.45(4)(F)1. , "MEDICAL RECORDS-RETENTION/DESTRUCTION " CLASS C DEFICIENCY -- CORRECTION ORDER SERVED CORRECTED 10/05/2007 NO APPEAL ON RECORD
08/22/2007 FULL 132.60(1)(B) , "RESIDENT CARE/DECUBITI PREVENTION " CLASS B DEFICIENCY CORRECTED 09/26/2007 NO APPEAL ON RECORD
08/22/2007 FULL 50.09(1)(k) , "Abuse and Restraints " CLASS B DEFICIENCY CORRECTED 10/05/2007 NO APPEAL ON RECORD
02/27/2008 COMPLAINT 132.60(1) , "RESIDENT CARE/INDIVIDUAL CARE " CLASS B DEFICIENCY CORRECTED 03/21/2008 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.


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

Facility=BORNEMANN NUR HOME, 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
07/30/2007 COMPLAINT 132.31(1)(L) , "CARE " CLASS B DEFICIENCY CORRECTED 09/05/2007 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=BREWSTER VILLAGE, APPLETON, 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
10/03/2007 COMPLAINT 132.60(5)(A)1. , "RESIDENT CARE/ORDERS " CLASS B DEFICIENCY CORRECTED 11/03/2007 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=BROOKFIELD REHAB AND SPECIALTY CARE CTR, BROOKFIELD, 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 COMPLAINT 132.71(2)(D) , "OTHER EQUIPMENT " CLASS C DEFICIENCY -- CORRECTION ORDER SERVED   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=BROOKSIDE CARE CTR, 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
06/26/2008 FULL 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=BURNETT MED CTR, GRANTSBURG, 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
03/20/2008 COMPLAINT 132.44(1)(A) , "EMPLOYE DEVELOPMENT " CLASS B DEFICIENCY CORRECTED 04/16/2008 NO APPEAL ON RECORD
03/20/2008 COMPLAINT 50.09(1)(L) , "Care " MULTIPLE CLASS 'B' OR 'A' DEFICIENCIES CORRECTED 04/16/2008 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.