Based on observation, interview and record review, the facility did not allow the right to exercise autonomy when choosing a mealtime preference for 1 resident (R10) of 13 residents reviewed for self-determination in a sample of 13 residents.The facility did not allow R10 to have a bowl of soup when requested because it was not during a facility scheduled mealtime. This resulted in R10 being denied the right to make choices about aspects of life that are significant to R10 that could lead to psychosocial harm.Findings:The facility policy titled Water's Edge Care Center Rights of Residents, last revised 04/03/2026, states, The resident has a right to choose activities, schedules.the resident has the right to make choices about aspects of his or her life in the facility that are significant… …
F561 citations in Wisconsin
Self-determination · Resident Rights Deficiencies
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Wisconsin cites F561 less often than its own record predicts
0.85 times the national share — cited less often here than elsewhere.
Of every deficiency written in Wisconsin in 2025, this is the portion that was F561.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Wisconsin surveyors wrote
F561 findings written in Wisconsin, one from each severity band recorded here, most serious first.
Severity is as the surveyor wrote it. Some findings had already been corrected before the survey.
The short window
Recent years
| Year | Share of Wisconsin citations | vs expected |
|---|---|---|
| 2023 | 0.28% | 0.53× |
| 2024 | 0.14% | 0.34× |
| 2025 | 0.33% | 0.85× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Wisconsin surveyors cite →
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction