Based on observations, staff interviews, resident interviews, and family interviews, the facility did not provide safe and/or comfortable room temperature levels for 7 Residents (R) (R1, R2, R3, R4, R5, R8 and R9) of 9 sampled residents. In addition, 2 Residents (R1) and (R5) were hospitalized for [REDACTED]. R3, R4, R8 and R9 voiced concerns that the facility temperature was too hot. R1, R2 and R5's family members voiced concerns that the facility temperature was too hot. Additionally, during the time when room temperatures at the facility were above regulatory requirements, residents were not asked if they would like temporary placement at another facility. R3 and R4 were unsure if they would have accepted temporary placement had it been offered by the facility. …
F584 citations in Wisconsin
Safe, clean, homelike environment · Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Wisconsin cites F584 less often than its own record predicts
0.59 times the national share — cited less often here than elsewhere.
Of every deficiency written in Wisconsin in 2025, this is the portion that was F584.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Wisconsin surveyors wrote
F584 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.
Based on observation, interview and record review the facility did not ensure a clean homelike environment for 3 resident areas in the facility and 7 resident (R10, R11, R13, R14, R15, R16 and R6) rooms and/or bathrooms.-The facility's carpeted resident hallway down [NAME] hall was observed to be soiled. -The facility's carpeted resident lounge area [NAME] Sunroom on [NAME] hall was observed to be soiled. -The facility's main resident dining room Fireside room area was observed to be soiled. …
Based on observation, interview, and policy review, the facility failed to ensure resident rooms, dining rooms, and hallways were clean and or in good repair creating a homelike environment for the 106 current residents at the time of survey. Findings include: Review of the facility policy titled Housekeeping Policy, dated 01/01/21, showed: Policy Statement: It is the policy of the facility to provide a safe, clean, comfortable homelike environment in such a manner to acknowledge and respect resident rights. Procedure: I. The resident has a right to a safe, clean, comfortable, and homelike environment . II. The facility must provide .b. …
The short window
Recent years
| Year | Share of Wisconsin citations | vs expected |
|---|---|---|
| 2023 | 1.28% | 0.57× |
| 2024 | 1.19% | 0.56× |
| 2025 | 1.24% | 0.59× |
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