Deficiency Index

F585 citations in Wisconsin

Grievances · Resident Rights Deficiencies

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

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F585 in Wisconsin. Pick another state for the same tag.

Against expectation — 2025

Wisconsin cites F585 more often than its own record predicts

Versus expected share1.99×

1.99 times the share F585 takes of citations nationally.

Share of Wisconsin citations1.27%

Of every deficiency written in Wisconsin in 2025, this is the portion that was F585.

Each state is measured against its own expected share, not against other states.

In the surveyor’s words

What Wisconsin surveyors wrote

F585 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.

G · Actual harm, isolatedFebruary 22, 2018

Based on Resident Council group interview, resident interview, and family interview, the facility did not provide an environment that encouraged residents to voice grievances without discrimination or fear of reprisal for 10 of 27 sampled residents (R44, R48, R41, R53, R24, R15, R11, R52, R39, and R17). One resident described experiences of actual retaliation for having voiced a grievance (R44). Five residents in the group interview (R44, R41, R24, R15, and R11) indicated they do not feel comfortable bringing forward any problems/concerns, because they are afraid of reprisal and that their care will be hindered and there was no follow up by management with resolution to their concerns. …

Tomah Nursing and Rehab

E · No harm, potential for more than minimal, patternAugust 27, 2026

Based on interview and record review, the facility did not ensure grievances were thoroughly completed, investigated, or resolved for 11 residents (R) (R1, R2, R5, R9, R10, R11, R12, R13, R14, R15, and R16) of 15 sampled residents in a total sample of 18 residents. Ten grievances involving care concerns that affected R1, R2, R5, R9, R10, R11, R12, R13, R14, R15, and R16 were not thoroughly completed, investigated, or resolved.Findings include:The facility's Grievance/Concern policy, revised 10/29/24, indicates: .The facility will make prompt efforts to resolve all grievances .The Administrator or designee is the Grievance Official who is responsible for .leading necessary investigations by the facility .Staff will immediately report all alleged violations involving neglect, abuse .by… …

Whispering Pines Nursing and Rehab, LLC

The short window

Recent years

YearShare of Wisconsin citationsvs expected
20231.56%2.55×
20241.71%2.71×
20251.27%1.99×

Shares of citations, not counts: earlier years hold fewer inspections.

What else Wisconsin surveyors cite →

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