Deficiency Index

F604 citations in Wisconsin

Restraints · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

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

F604 in Wisconsin. Pick another state for the same tag.

Against expectation — 2025

Wisconsin cites F604 less often than its own record predicts

Versus expected share0.96×

0.96 times the national share — cited less often here than elsewhere.

Share of Wisconsin citations0.36%

Of every deficiency written in Wisconsin in 2025, this is the portion that was F604.

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

In the surveyor’s words

What Wisconsin surveyors wrote

F604 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.

J · Immediate jeopardy, isolatedMay 1, 2025

Based on staff interview and record review, the facility did not ensure 1 resident (R) (R1) of 3 sampled residents was free from being physically restrained. R1 had Alzheimer's disease and had a history of tearing apart R1's incontinence brief. On the 4/1/25 PM shift at approximately 9:30 PM, Certified Nursing Assistant (CNA)-C tied the sleeves of R1's nightgown closed with R1's arms inside and tucked a blanket across R1's lap and under both sides of the mattress after R1 repeatedly tried to rip off R1's brief. R1 was restrained in bed until approximately 12:10 AM when staff on the next shift did a routine check on R1. R1 was restrained in such a way that R1 could not access R1's hands or call light and could not move freely in bed. …

The Pines Post Acute and Memory Care

D · No harm, potential for more than minimal, isolatedJuly 1, 2026

Based on observation, interview, and record review, the facility did not use the least restrictive device and document on-going re-evaluation of the need for the restraint for 1 (R34) of 13 sampled residents reviewed for restraints. R34 was placed in a recliner chair with the footrest elevated and recliner unplugged from the wall, which R34 could not independently release the footrest to have unrestricted movement. Findings include: Surveyor reviewed facility policy titled, Rights of Residents, dated last revised 04/03/26, states: .(e) Respect and dignity. …

Water's Edge

The short window

Recent years

YearShare of Wisconsin citationsvs expected
20230.50%1.31×
20240.14%0.38×
20250.36%0.96×

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

What else Wisconsin surveyors cite →

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