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

Facility=CAMEO 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
09/13/2007 FULL/COMPLAINT 132.60(2)(D) , "RESIDENT CARE/DIET ACCEPTANCE " MULTIPLE CLASS 'B' OR 'A' DEFICIENCIES CORRECTED 10/16/2007 SETTLED
01/16/2008 COMPLAINT 132.60(3)(A) , "RESIDENT CARE/NOTIFICATION OF CHANGE " CLASS C DEFICIENCY -- CORRECTION ORDER SERVED CORRECTED 02/25/2008 NO APPEAL ON RECORD
01/16/2008 COMPLAINT 132.60(8)(C) , "IMPLEMENTATION OF CARE PLANS " CLASS C DEFICIENCY -- CORRECTION ORDER SERVED CORRECTED 02/25/2008 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=CAPITOL LAKES HEALTH CENTER, 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
10/29/2007 COMPLAINT 132.60(8)(C) , "IMPLEMENTATION OF CARE PLANS " CLASS B DEFICIENCY CORRECTED 10/29/2007 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=CEDAR LAKE HLTH AND REHAB CENTER, 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
07/09/2007 COMPLAINT 50.065(2)(bm) , "OUT OF STATE BACKGROUND CHECKS " CLASS C DEFICIENCY -- CORRECTION ORDER SERVED CORRECTED 08/07/2007 NO APPEAL ON RECORD
01/30/2008 FULL/COMPLAINT 132.60(1)(B) , "RESIDENT CARE/DECUBITI PREVENTION " CLASS B DEFICIENCY CORRECTED 03/01/2008 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=CHRISTIAN COMM HOME, HUDSON, 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
12/05/2007 FULL 50.065(3)(b) , "COMPLETE BACKGROUND CHECK PROCESS " CLASS C DEFICIENCY -- CORRECTION ORDER SERVED CORRECTED 01/04/2008 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=CITY VIEW NUR HOME, 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
04/17/2008 FULL/COMPLAINT 132.60(1)(B) , "RESIDENT CARE/DECUBITI PREVENTION " CLASS B DEFICIENCY CORRECTED 05/17/2008 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=CLAIREMONT NUR REHAB, EAU CLAIRE, 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
03/28/2008 COMPLAINT 132.60(8)(C) , "IMPLEMENTATION OF CARE PLANS " CLASS B DEFICIENCY CORRECTED 04/28/2008 NO APPEAL ON RECORD
03/28/2008 COMPLAINT 50.09(1)(L) , "Care " CLASS B DEFICIENCY CORRECTED 04/28/2008 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=COLONIAL CTR, COLBY, 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
01/24/2008 FULL 132.62(2)(B)1.C. , "CHARGE NURSE/75 TO 99 RES. " CLASS C DEFICIENCY -- CORRECTION ORDER SERVED   NO APPEAL ON RECORD
06/05/2008 COMPLAINT 50.09(1)(e) , "Treatment " CLASS B DEFICIENCY CORRECTED 05/20/2008 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=COLONIAL MNR MED REHAB CTR, WAUSAU, 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
08/09/2007 COMPLAINT 132.60(1)(C)4. , "RESIDENT CARE/BASIC NRSG CARE " CLASS A DEFICIENCY CORRECTED 08/02/2007 NO APPEAL ON RECORD
08/09/2007 COMPLAINT 132.60(2)(D) , "RESIDENT CARE/DIET ACCEPTANCE " CLASS A DEFICIENCY CORRECTED 08/02/2007 NO APPEAL ON RECORD
09/25/2007 FULL/COMPLAINT 50.065(2)(bm) , "OUT OF STATE BACKGROUND CHECKS " CLASS C DEFICIENCY -- CORRECTION ORDER SERVED CORRECTED 11/01/2007 NO APPEAL ON RECORD
09/25/2007 FULL/COMPLAINT 132.60(1) , "RESIDENT CARE/INDIVIDUAL CARE " CLASS B DEFICIENCY CORRECTED 11/01/2007 NO APPEAL ON RECORD
09/25/2007 FULL/COMPLAINT 132.60(8)(C) , "IMPLEMENTATION OF CARE PLANS " CLASS B DEFICIENCY CORRECTED 11/01/2007 NO APPEAL ON RECORD
03/27/2008 COMPLAINT 50.09(1)(L) , "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.


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

Facility=COLONY OAKS CARE CTR, 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
10/08/2007 COMPLAINT 50.065(3)(b) , "COMPLETE BACKGROUND CHECK PROCESS " CLASS C DEFICIENCY -- CORRECTION ORDER SERVED CORRECTED 11/08/2007 NO APPEAL ON RECORD
03/13/2008 FULL 132.60(1)(B) , "RESIDENT CARE/DECUBITI PREVENTION " CLASS B DEFICIENCY CORRECTED 04/13/2008 NO APPEAL ON RECORD
03/13/2008 FULL 132.60(1)(C)4. , "RESIDENT CARE/BASIC NRSG CARE " CLASS B DEFICIENCY CORRECTED 04/13/2008 NO APPEAL ON RECORD
04/24/2008 COMPLAINT 132.60(1)(C)4. , "RESIDENT CARE/BASIC NRSG CARE " CLASS B DEFICIENCY CORRECTED 05/23/2008 NO APPEAL ON RECORD
04/24/2008 COMPLAINT 132.60(1)(c)5 , "FACILITY SHALL PROVIDE PAIN ASSESSMNT/TREATMT" CLASS B DEFICIENCY CORRECTED 05/23/2008 NO APPEAL ON RECORD
05/05/2008 COMPLAINT 132.60(8)(B) , "UPDATING OF CARE PLANS " CLASS B DEFICIENCY CORRECTED 05/23/2008 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.


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

Facility=COLUMBIA HLTH CARE CTR, WYOCENA, 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
07/31/2007 COMPLAINT 132.60(1)(C)4. , "RESIDENT CARE/BASIC NRSG CARE " CLASS B DEFICIENCY CORRECTED 09/12/2007 NO APPEAL ON RECORD
09/12/2007 COMPLAINT 132.60(1)(B) , "RESIDENT CARE/DECUBITI PREVENTION " CLASS B DEFICIENCY CORRECTED 10/16/2007 NO APPEAL ON RECORD
09/12/2007 COMPLAINT 132.60(8)(B) , "UPDATING OF CARE PLANS " CLASS B DEFICIENCY CORRECTED 10/16/2007 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=COLUMBUS NUR REHAB CTR, COLUMBUS, 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
07/05/2007 COMPLAINT 132.83(1) , "MAINTENANCE " CLASS B DEFICIENCY CORRECTED 08/14/2007 APPEALED: 08/29/2007
08/14/2007 REVISIT 132.60(1) , "RESIDENT CARE/INDIVIDUAL CARE " CLASS B DEFICIENCY CORRECTED 09/05/2007 APPEALED: 08/29/2007
08/14/2007 REVISIT 132.60(1)(c)5 , "FACILITY SHALL PROVIDE PAIN ASSESSMNT/TREATMT" CLASS B DEFICIENCY CORRECTED 09/05/2007 APPEALED: 08/29/2007

*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=CORNELL AREA CARE CTR, CORNELL, 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
10/04/2007 FULL 132.60(1) , "RESIDENT CARE/INDIVIDUAL CARE " CLASS B DEFICIENCY CORRECTED 11/04/2007 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=COUNTRYSIDE HOME, JEFFERSON, 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
01/08/2008 COMPLAINT 132.60(8)(C) , "IMPLEMENTATION OF CARE PLANS " CLASS B DEFICIENCY CORRECTED 01/18/2008 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.


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

Facility=CRANDON NUR HOME, CRANDON, 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
08/03/2007 COMPLAINT 50.065(2)(bm) , "OUT OF STATE BACKGROUND CHECKS " CLASS C DEFICIENCY -- CORRECTION ORDER SERVED CORRECTED 01/08/2008 NO APPEAL ON RECORD
06/19/2008 FULL 132.60(1)(B) , "RESIDENT CARE/DECUBITI PREVENTION " CLASS B DEFICIENCY   NO APPEAL ON RECORD
06/19/2008 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=CREST VIEW, NEW LISBON, 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
04/29/2008 FULL 132.60(8)(C) , "IMPLEMENTATION OF CARE PLANS " CLASS B DEFICIENCY CORRECTED 05/28/2008 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=CUMBERLAND MEM HSPTL ECU, CUMBERLAND, 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
10/04/2007 FULL 132.60(1)(C)4. , "RESIDENT CARE/BASIC NRSG CARE " CLASS B DEFICIENCY CORRECTED 11/04/2007 NO APPEAL ON RECORD
10/04/2007 FULL 132.72(4)(A) , "GARBAGE/STORAGE CONTAINERS " CLASS C DEFICIENCY -- CORRECTION ORDER SERVED CORRECTED 11/04/2007 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.