Based on interview and record review, the facility failed to protect a resident's (R2) right to be free from physical abuse from another Resident (R3) for 1 of 11 sampled residents. R3 had 5 verbal and physical altercations with other residents, including entering R2's room while he was sleeping and punching him 7-8 times in the jaw. The facility's failure to provide adequate supervision and protect residents from physical abuse created a reasonable likelihood for psychosocial harm, thus resulting in the finding of immediate jeopardy (IJ) that began on 8/4/26. Surveyor notified NHA A (Nursing Home Administrator) of immediate jeopardy on 8/18/26 at 4:07 PM. The immediate jeopardy was removed on 8/13/26). …
F600 citations in Wisconsin
Abuse and neglect · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Wisconsin cites F600 less often than its own record predicts
0.72 times the national share — cited less often here than elsewhere.
Of every deficiency written in Wisconsin in 2025, this is the portion that was F600.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Wisconsin surveyors wrote
F600 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 interviews, observations, and record review, the facility failed to protect the resident's right to be free from physical and verbal abuse by staff for 1 of 4 residents (R) reviewed for abuse (R1). R1 voiced being physically and verbally abused by staff. R1 stated Certified Nursing Assistants (CNA) L and CNA M attempted to undress R1 while they were sitting in their wheelchair. R1 requested staff place him in bed first. The CNAs yelled at R1 to shut up and pulled and tugged on R1 to the point R1 was close to falling on the floor. R1 verbalized feeling verbally and physically abused which caused R1 to be fearful of the two staff. R1 voiced feeling humiliated. …
Based on observations, interviews, record reviews, and facility policy review, the facility failed to protect the residents' (R3 and R4's) right to be free from physical abuse by a resident (R2). The facility failed to ensure interventions were implemented after R2 slapped R3 across the face and when R2 slapped R4's head after an unprovoked interaction. Findings include: Review of the facility policy titled, Abuse, Neglect and Exploitation Procedural Guidelines, dated 12/26/24 revealed, .The purpose of this policy is to.ensure the prevention and reporting of suspected or alleged resident use and neglect.ABUSE is the willful infliction of injury.means the individual must have acted deliberately.PHYSICAL ABUSE.includes, but is not limited to hitting, slapping, punching, biting and… …
The short window
Recent years
| Year | Share of Wisconsin citations | vs expected |
|---|---|---|
| 2023 | 1.39% | 0.79× |
| 2024 | 1.05% | 0.45× |
| 2025 | 1.89% | 0.72× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Wisconsin surveyors cite →
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