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

Facility=RENNES HLTH CTR APPLETON, 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
07/31/2007 FULL 132.71(3) , "MAINTENANCE OF EQUIPMENT " 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=RENNES HLTH CTR EAST, PESHTIGO, 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
09/07/2007 FULL 132.60(1)(c)5 , "FACILITY SHALL PROVIDE PAIN ASSESSMNT/TREATMT" CLASS B DEFICIENCY CORRECTED 10/07/2007 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=RENNES HLTH CTR WEST, PESHTIGO, 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
06/24/2008 FULL 50.065(3)(b) , "COMPLETE BACKGROUND CHECK PROCESS " 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=RIDGEWOOD CARE 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
01/09/2008 FULL/COMPLAINT 132.60(8)(B) , "UPDATING OF CARE PLANS " CLASS C DEFICIENCY -- CORRECTION ORDER SERVED 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 07/01/2007 to 06/30/2008
Information is current as of 07/24/2008

Facility=RIVERS BEND HLTH REHAB, 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
07/16/2007 COMPLAINT 132.60(5)(A)1. , "RESIDENT CARE/ORDERS " CLASS B DEFICIENCY CORRECTED 08/20/2007 NO APPEAL ON RECORD
11/20/2007 FULL/COMPLAINT 132.60(5)(A)2. , "RESIDENT CARE/ORAL ORDERS " CLASS C DEFICIENCY -- CORRECTION ORDER SERVED UNCORRECTED AT REVISIT NO APPEAL ON RECORD
01/29/2008 REVISIT 132.60(5)(A)2. , "RESIDENT CARE/ORAL ORDERS " CLASS C DEFICIENCY CORRECTED 03/18/2008 NO APPEAL ON RECORD
02/13/2008 COMPLAINT 132.60(1) , "RESIDENT CARE/INDIVIDUAL CARE " CLASS B DEFICIENCY CORRECTED 03/13/2008 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=ROCKY KNOLL HLTH CARE, PLYMOUTH, 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
10/05/2007 FULL 132.60(1)(c)5 , "FACILITY SHALL PROVIDE PAIN ASSESSMNT/TREATMT" CLASS B DEFICIENCY CORRECTED 11/21/2007 NO APPEAL ON RECORD
10/05/2007 FULL 50.09(1)(L) , "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 07/01/2007 to 06/30/2008
Information is current as of 07/24/2008

Facility=ROLLING HILLS REHAB CTR, 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
05/13/2008 FULL 132.60(8)(C) , "IMPLEMENTATION OF CARE PLANS " CLASS B DEFICIENCY CORRECTED 06/13/2008 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=RUSK CTY MEM HSPTL NH, LADYSMITH, 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
01/30/2008 FULL 132.60(5)(A)1. , "RESIDENT CARE/ORDERS " 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.