Wisconsin Nursing Homes: State Citations Issued from 04/01/2007 to 03/31/2008
Information is current as of 04/28/2008

Facility=MANAWA COM NUR CTR, MANAWA, 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
06/04/2007 REVISIT 132.41(2)(B) , "ADMINISTRATOR-SMALL HOMES " CLASS C DEFICIENCY -- CORRECTION ORDER SERVED CORRECTED 08/01/2007 NO APPEAL ON RECORD
06/12/2007 COMPLAINT 132.60(8)(C) , "IMPLEMENTATION OF CARE PLANS " CLASS B DEFICIENCY CORRECTED 07/30/2007 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 04/01/2007 to 03/31/2008
Information is current as of 04/28/2008

Facility=MANITOWOC HLTH CARE CTR, 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
11/12/2007 FULL 132.60(1)(B) , "RESIDENT CARE/DECUBITI PREVENTION " CLASS B DEFICIENCY UNCORRECTED AT REVISIT NO APPEAL ON RECORD
01/07/2008 REVISIT 132.60(1)(B) , "RESIDENT CARE/DECUBITI PREVENTION " CLASS B DEFICIENCY CORRECTED 12/12/2007 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 04/01/2007 to 03/31/2008
Information is current as of 04/28/2008

Facility=MANORCARE HEALTH SERVICES-SHAWANO, SHAWANO, 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
04/04/2007 COMPLAINT 132.60(1) , "RESIDENT CARE/INDIVIDUAL CARE " CLASS B DEFICIENCY CORRECTED 05/04/2007 NO APPEAL ON RECORD
07/19/2007 FULL 132.60(1)(C)2. , "RESIDENT CARE/BASIC NRSG CARE " CLASS B DEFICIENCY CORRECTED 08/13/2007 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 04/01/2007 to 03/31/2008
Information is current as of 04/28/2008

Facility=MANORCARE HLTH SVCS EAST, 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
07/11/2007 COMPLAINT 132.60(5)(A)1. , "RESIDENT CARE/ORDERS " CLASS B DEFICIENCY CORRECTED 08/14/2007 NO APPEAL ON RECORD
10/04/2007 FULL 132.60(1)(C)2. , "RESIDENT CARE/BASIC NRSG CARE " CLASS B DEFICIENCY CORRECTED 10/23/2007 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 04/01/2007 to 03/31/2008
Information is current as of 04/28/2008

Facility=MANORCARE HLTH SVCS WEST, 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
10/24/2007 COMPLAINT 132.60(1)(C)4. , "RESIDENT CARE/BASIC NRSG CARE " CLASS A DEFICIENCY CORRECTED 11/09/2007 NO APPEAL ON RECORD
01/14/2008 FULL 132.60(1)(B) , "RESIDENT CARE/DECUBITI PREVENTION " CLASS B DEFICIENCY UNCORRECTED AT REVISIT NO APPEAL ON RECORD
01/14/2008 FULL 50.09(1)(L) , "Care " CLASS B DEFICIENCY UNCORRECTED AT REVISIT 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 04/01/2007 to 03/31/2008
Information is current as of 04/28/2008

Facility=MANORCARE HLTH SVCS, 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
04/17/2007 COMPLAINT 132.60(8)(B) , "UPDATING OF CARE PLANS " CLASS B DEFICIENCY CORRECTED 05/15/2007 NO APPEAL ON RECORD
11/16/2007 FULL 132.60(1) , "RESIDENT CARE/INDIVIDUAL CARE " CLASS B DEFICIENCY CORRECTED 12/15/2007 NO APPEAL ON RECORD
11/16/2007 FULL 132.60(2)(D) , "RESIDENT CARE/DIET ACCEPTANCE " CLASS B DEFICIENCY 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 04/01/2007 to 03/31/2008
Information is current as of 04/28/2008

Facility=MAPLE RIDGE HEALTH AND REHABILITATION 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
07/16/2007 FULL/COMPLAINT 132.60(8)(C) , "IMPLEMENTATION OF CARE PLANS " CLASS B DEFICIENCY CORRECTED 08/27/2007 NO APPEAL ON RECORD
12/11/2007 FULL/COMPLAINT 132.60(1)(B) , "RESIDENT CARE/DECUBITI PREVENTION " CLASS B DEFICIENCY CORRECTED 01/25/2008 NO APPEAL ON RECORD
12/11/2007 FULL/COMPLAINT 132.60(3)(A) , "RESIDENT CARE/NOTIFICATION OF CHANGE " CLASS B DEFICIENCY CORRECTED 01/25/2008 NO APPEAL ON RECORD
01/25/2008 COMPLAINT 132.60(5)(A)1. , "RESIDENT CARE/ORDERS " CLASS B DEFICIENCY 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 04/01/2007 to 03/31/2008
Information is current as of 04/28/2008

Facility=MAPLEWOOD 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
05/24/2007 FULL 132.60(5)(A)1. , "RESIDENT CARE/ORDERS " CLASS C DEFICIENCY -- CORRECTION ORDER SERVED CORRECTED 06/24/2007 NO APPEAL ON RECORD
08/22/2007 COMPLAINT 132.31(1)(L) , "CARE " CLASS B DEFICIENCY CORRECTED 09/22/2007 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 04/01/2007 to 03/31/2008
Information is current as of 04/28/2008

Facility=MAPLEWOOD OF SAUK PRAIRIE, SAUK 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
10/30/2007 FULL/COMPLAINT 132.60(3)(A) , "RESIDENT CARE/NOTIFICATION OF CHANGE " CLASS A DEFICIENCY CORRECTED 12/03/2007 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 04/01/2007 to 03/31/2008
Information is current as of 04/28/2008

Facility=MARKESAN RESIDENT HOME, MARKESAN, 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
01/09/2008 FULL 132.60(1)(B) , "RESIDENT CARE/DECUBITI PREVENTION " CLASS B DEFICIENCY CORRECTED 02/09/2008 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 04/01/2007 to 03/31/2008
Information is current as of 04/28/2008

Facility=MARSHFIELD CARE CENTER, MARSHFIELD, 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
07/20/2007 FULL/COMPLAINT 132.31(1)(L) , "CARE " CLASS B DEFICIENCY UNCORRECTED AT REVISIT NO APPEAL ON RECORD
07/20/2007 FULL/COMPLAINT 132.60(1)(C)2. , "RESIDENT CARE/BASIC NRSG CARE " CLASS B DEFICIENCY CORRECTED 10/11/2007 NO APPEAL ON RECORD
10/11/2007 REVISIT 132.31(1)(L) , "CARE " CLASS C DEFICIENCY -- CORRECTION ORDER SERVED 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 04/01/2007 to 03/31/2008
Information is current as of 04/28/2008

Facility=MARY JUDE NUR HOME, 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
06/14/2007 COMPLAINT 50.065(2)(b)intro , "ENTITY BACKGROUND-CHECK REQUIREMENTS " CLASS C DEFICIENCY -- CORRECTION ORDER SERVED   NO APPEAL ON RECORD
06/14/2007 COMPLAINT 132.45(5)(C)4.B. , "MEDICAL RECORDS-CONTENT-NURSING " CLASS C DEFICIENCY -- CORRECTION ORDER SERVED   NO APPEAL ON RECORD
10/04/2007 COMPLAINT 132.60(8)(C) , "IMPLEMENTATION OF CARE PLANS " 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 04/01/2007 to 03/31/2008
Information is current as of 04/28/2008

Facility=MARYHILL MNR, NIAGARA, 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
02/27/2008 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 04/01/2007 to 03/31/2008
Information is current as of 04/28/2008

Facility=MASONIC HLTH CARE CTR, DOUSMAN, 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
07/12/2007 FULL 132.60(1)(B) , "RESIDENT CARE/DECUBITI PREVENTION " CLASS B DEFICIENCY CORRECTED 07/20/2007 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 04/01/2007 to 03/31/2008
Information is current as of 04/28/2008

Facility=MAYVILLE NUR REHAB CTR, MAYVILLE, 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
05/16/2007 COMPLAINT 132.60(1) , "RESIDENT CARE/INDIVIDUAL CARE " CLASS B DEFICIENCY CORRECTED 06/16/2007 NO APPEAL ON RECORD
05/16/2007 COMPLAINT 132.60(4) , "RESIDENT CARE/EMERGENCIES " CLASS B DEFICIENCY CORRECTED 06/16/2007 NO APPEAL ON RECORD
05/16/2007 COMPLAINT 132.60(8)(C) , "IMPLEMENTATION OF CARE PLANS " CLASS B DEFICIENCY CORRECTED 06/16/2007 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 04/01/2007 to 03/31/2008
Information is current as of 04/28/2008

Facility=MEADOW VIEW MNR, 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
04/02/2007 COMPLAINT 50.065(2)(d) , "MAINTAIN BACKGROUND INFORMATION " CLASS C DEFICIENCY -- CORRECTION ORDER SERVED CORRECTED 05/14/2007 NO APPEAL ON RECORD
04/02/2007 COMPLAINT 50.065(4m)(b)intro , "HIRING OR CONTRACTING REQUIREMENTS " CLASS C DEFICIENCY -- CORRECTION ORDER SERVED CORRECTED 05/14/2007 NO APPEAL ON RECORD
09/24/2007 COMPLAINT 132.60(2)(D) , "RESIDENT CARE/DIET ACCEPTANCE " CLASS B DEFICIENCY CORRECTED 10/24/2007 NO APPEAL ON RECORD
09/24/2007 COMPLAINT 132.60(3)(A) , "RESIDENT CARE/NOTIFICATION OF CHANGE " CLASS B DEFICIENCY CORRECTED 10/24/2007 NO APPEAL ON RECORD
10/31/2007 FULL 132.60(1)(B) , "RESIDENT CARE/DECUBITI PREVENTION " CLASS B DEFICIENCY CORRECTED 11/30/2007 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 04/01/2007 to 03/31/2008
Information is current as of 04/28/2008

Facility=MELLEN MNR, MELLEN, 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
10/17/2007 FULL 132.68(3)(B) , "SOCIAL HISTORY " 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 04/01/2007 to 03/31/2008
Information is current as of 04/28/2008

Facility=MENOMONEE FALLS HCC, MENOMONEE FALLS, 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
09/04/2007 FULL 50.065(2)(b)intro , "ENTITY BACKGROUND-CHECK REQUIREMENTS " CLASS C DEFICIENCY -- CORRECTION ORDER SERVED CORRECTED 10/04/2007 NO APPEAL ON RECORD
03/20/2008 COMPLAINT 132.60(5)(A)1. , "RESIDENT CARE/ORDERS " CLASS A 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 04/01/2007 to 03/31/2008
Information is current as of 04/28/2008

Facility=MERCY MED CTR SUBACUTE, 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
08/14/2007 FULL 132.60(1)(B) , "RESIDENT CARE/DECUBITI PREVENTION " 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 04/01/2007 to 03/31/2008
Information is current as of 04/28/2008

Facility=MERCY RES AND REHAB 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
09/12/2007 COMPLAINT 132.60(5)(A)1. , "RESIDENT CARE/ORDERS " CLASS B DEFICIENCY UNCORRECTED AT REVISIT NO APPEAL ON RECORD
10/25/2007 FULL 132.60(5)(A)1. , "RESIDENT CARE/ORDERS " CLASS C DEFICIENCY CORRECTED 11/25/2007 NO APPEAL ON RECORD
10/25/2007 FULL 132.60(8)(B) , "UPDATING OF CARE PLANS " 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 04/01/2007 to 03/31/2008
Information is current as of 04/28/2008

Facility=MERITER HLTH 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
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 04/01/2007 to 03/31/2008
Information is current as of 04/28/2008

Facility=MIDDLE RIVER HCC, SOUTH RANGE, 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
01/11/2008 COMPLAINT 132.53(2)(B)1. , "TRANSFER/DISCHARGE " CLASS C DEFICIENCY -- CORRECTION ORDER SERVED CORRECTED 03/12/2008 NO APPEAL ON RECORD
03/12/2008 FULL 132.60(1)(B) , "RESIDENT CARE/DECUBITI PREVENTION " CLASS B DEFICIENCY   NO APPEAL ON RECORD
03/12/2008 FULL 132.65(6)(B)2. , "MEDS/TRANSFER BETWEEN CONTAINERS " CLASS C DEFICIENCY -- CORRECTION ORDER SERVED   NO APPEAL ON RECORD
03/12/2008 FULL 132.65(7)(B)6. , "UNIT DOSE/LABELING " CLASS C DEFICIENCY -- CORRECTION ORDER SERVED   NO APPEAL ON RECORD
03/12/2008 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.



Wisconsin Nursing Homes: State Citations Issued from 04/01/2007 to 03/31/2008
Information is current as of 04/28/2008

Facility=MIDDLETON VILLAGE NUR REHAB, MIDDLETON, 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 132.60(1) , "RESIDENT CARE/INDIVIDUAL CARE " CLASS B DEFICIENCY CORRECTED 08/02/2007 NO APPEAL ON RECORD
07/05/2007 COMPLAINT 132.60(5)(A)1. , "RESIDENT CARE/ORDERS " CLASS B DEFICIENCY CORRECTED 08/02/2007 NO APPEAL ON RECORD
07/05/2007 COMPLAINT 132.60(1)(c)5 , "FACILITY SHALL PROVIDE PAIN ASSESSMNT/TREATMT" CLASS B DEFICIENCY CORRECTED 08/02/2007 NO APPEAL ON RECORD
11/01/2007 COMPLAINT 132.45(5)(C)4.B. , "MEDICAL RECORDS-CONTENT-NURSING " CLASS C DEFICIENCY -- CORRECTION ORDER SERVED CORRECTED 11/30/2007 NO APPEAL ON RECORD
11/01/2007 COMPLAINT 132.60(5)(A)1. , "RESIDENT CARE/ORDERS " CLASS B DEFICIENCY CORRECTED 11/29/2007 NO APPEAL ON RECORD
03/11/2008 COMPLAINT 132.60(5)(A)1. , "RESIDENT CARE/ORDERS " 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 04/01/2007 to 03/31/2008
Information is current as of 04/28/2008

Facility=MILW CTY MHC REHAB CEN, 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
01/17/2008 FULL/COMPLAINT 132.60(1)(B) , "RESIDENT CARE/DECUBITI PREVENTION " NOT ENTERED UNCORRECTED AT REVISIT NO APPEAL ON RECORD
02/27/2008 COMPLAINT 132.60(1)(B) , "RESIDENT CARE/DECUBITI PREVENTION " CLASS C DEFICIENCY CORRECTED 03/17/2008 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 04/01/2007 to 03/31/2008
Information is current as of 04/28/2008

Facility=MILWAUKEE CATHOLIC 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
10/04/2007 FULL/COMPLAINT 132.60(1)(C)2. , "RESIDENT CARE/BASIC NRSG CARE " CLASS B DEFICIENCY CORRECTED 11/21/2007 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 04/01/2007 to 03/31/2008
Information is current as of 04/28/2008

Facility=MITCHELL MANOR, 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
03/25/2008 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 04/01/2007 to 03/31/2008
Information is current as of 04/28/2008

Facility=MONROE MNR NUR REHAB, MONROE, 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
04/19/2007 COMPLAINT 132.84(2)(F)2. , "TOILET ROOM/PERIOD C " CLASS C DEFICIENCY -- CORRECTED BEFORE VISIT COMPLETED CORRECTED 04/19/2007 NO APPEAL ON RECORD
09/12/2007 FULL/COMPLAINT 132.60(1)(B) , "RESIDENT CARE/DECUBITI PREVENTION " CLASS A DEFICIENCY CORRECTED 10/06/2007 NO APPEAL ON RECORD
11/14/2007 COMPLAINT 132.60(1)(C)2. , "RESIDENT CARE/BASIC NRSG CARE " CLASS B DEFICIENCY CORRECTED 11/24/2007 NO APPEAL ON RECORD
11/14/2007 COMPLAINT 132.63(5)(G) , "DRINKING WATER " CLASS C DEFICIENCY -- CORRECTION ORDER SERVED UNCORRECTED AT REVISIT NO APPEAL ON RECORD
12/17/2007 COMPLAINT 132.63(5)(G) , "DRINKING WATER " CLASS C DEFICIENCY -- CORRECTION ORDER SERVED CORRECTED 11/14/2007 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 04/01/2007 to 03/31/2008
Information is current as of 04/28/2008

Facility=MORROW MEM HOME, SPARTA, 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
03/05/2008 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 04/01/2007 to 03/31/2008
Information is current as of 04/28/2008

Facility=MOUNT CARMEL HEALTH AND REHAB, 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
05/14/2007 FULL/COMPLAINT 132.31(1)(E) , "TREATMENT " CLASS B DEFICIENCY CORRECTED 05/31/2007 APPEALED: 07/12/2007
05/14/2007 FULL/COMPLAINT 132.60(8)(B) , "UPDATING OF CARE PLANS " CLASS B DEFICIENCY CORRECTED 05/31/2007 APPEALED: 07/12/2007
05/14/2007 FULL/COMPLAINT 132.60(1)(c)5 , "FACILITY SHALL PROVIDE PAIN ASSESSMNT/TREATMT" CLASS B DEFICIENCY CORRECTED 05/31/2007 APPEALED: 07/12/2007
10/17/2007 COMPLAINT 132.60(1) , "RESIDENT CARE/INDIVIDUAL CARE " CLASS B DEFICIENCY UNCORRECTED AT REVISIT NO APPEAL ON RECORD
10/17/2007 COMPLAINT 132.60(3)(B) , "RESIDENT CARE/CHANGE IN STATUS " CLASS C DEFICIENCY -- CORRECTION ORDER SERVED UNCORRECTED AT REVISIT NO APPEAL ON RECORD
10/17/2007 COMPLAINT 132.60(8)(C) , "IMPLEMENTATION OF CARE PLANS " CLASS B DEFICIENCY UNCORRECTED AT REVISIT NO APPEAL ON RECORD
11/30/2007 COMPLAINT 132.60(1) , "RESIDENT CARE/INDIVIDUAL CARE " CLASS B DEFICIENCY CORRECTED 01/14/2008 NO APPEAL ON RECORD
11/30/2007 COMPLAINT 132.60(3)(B) , "RESIDENT CARE/CHANGE IN STATUS " CLASS C DEFICIENCY -- CORRECTION ORDER SERVED CORRECTED 01/14/2008 NO APPEAL ON RECORD
11/30/2007 COMPLAINT 132.60(8)(C) , "IMPLEMENTATION OF CARE PLANS " CLASS B DEFICIENCY CORRECTED 01/14/2008 NO APPEAL ON RECORD
03/27/2008 COMPLAINT 132.60(5)(A)1. , "RESIDENT CARE/ORDERS " 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 04/01/2007 to 03/31/2008
Information is current as of 04/28/2008

Facility=MOUNT CARMEL MED AND REHAB, BURLINGTON, 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
05/21/2007 FULL/COMPLAINT 132.31(1)(E) , "TREATMENT " CLASS B DEFICIENCY CORRECTED 06/21/2007 NO APPEAL ON RECORD
05/21/2007 FULL/COMPLAINT 132.60(1)(B) , "RESIDENT CARE/DECUBITI PREVENTION " CLASS B DEFICIENCY CORRECTED 06/21/2007 NO APPEAL ON RECORD
05/21/2007 FULL/COMPLAINT 132.60(5)(d)1. , "Resident Care Admin of Meds " CLASS C DEFICIENCY -- CORRECTION ORDER SERVED CORRECTED 06/21/2007 NO APPEAL ON RECORD
05/21/2007 FULL/COMPLAINT 132.60(8)(B) , "UPDATING OF CARE PLANS " CLASS B DEFICIENCY CORRECTED 06/21/2007 NO APPEAL ON RECORD
01/10/2008 COMPLAINT 132.45(5)(C)4.C. , "MEDICAL RECORDS-CONTENT-NURSING " CLASS C DEFICIENCY -- CORRECTION ORDER SERVED   NO APPEAL ON RECORD
01/10/2008 COMPLAINT 132.60(5)(A)1. , "RESIDENT CARE/ORDERS " 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 04/01/2007 to 03/31/2008
Information is current as of 04/28/2008

Facility=MULDER HLTH CARE FACILITY, WEST SALEM, 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
01/18/2008 COMPLAINT 132.60(1) , "RESIDENT CARE/INDIVIDUAL CARE " CLASS B DEFICIENCY CORRECTED 02/15/2008 NO APPEAL ON RECORD
01/18/2008 COMPLAINT 132.60(8)(B) , "UPDATING OF CARE PLANS " CLASS B DEFICIENCY CORRECTED 02/15/2008 NO APPEAL ON RECORD
01/18/2008 COMPLAINT 50.09(1)(L) , "Care " CLASS B DEFICIENCY CORRECTED 02/15/2008 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 04/01/2007 to 03/31/2008
Information is current as of 04/28/2008

Facility=MUSKEGO HEALTH CARE CENTER, MUSKEGO, 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
06/26/2007 COMPLAINT 132.60(1) , "RESIDENT CARE/INDIVIDUAL CARE " CLASS B DEFICIENCY CORRECTED 07/26/2007 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.