Deficiency Index

F605 citations in Wisconsin

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

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

F605 in Wisconsin. Pick another state for the same tag.

Against expectation — 2025

Wisconsin cites F605 less often than its own record predicts

Versus expected share0.93×

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

Share of Wisconsin citations0.66%

Of every deficiency written in Wisconsin in 2025, this is the portion that was F605.

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

In the surveyor’s words

What Wisconsin surveyors wrote

F605 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, isolatedAugust 19, 2025

Based on observation, interview, and record review the facility did not ensure that 1 (R8) of 5 residents drug regimen was free from unnecessary drugs. R8 was prescribed Risperidone for verbal and physical aggression. The facility failed to adequately monitor R8's response to Risperidone and failed to recognize adverse consequences of Risperidone therapy including lethargy, decreased Activities of Daily Living (ADL) function and decreased oral intake. The facility failed to adjust R8's Risperidone when R8 presented with adverse consequences. R8 was administered Risperidone (Antipsychotic) daily starting on 6/22/25 following two days of intermittent verbal and physical aggression. …

Lancaster Health Services

D · No harm, potential for more than minimal, isolatedAugust 19, 2026

Based on interview and record review, the facility did not ensure each resident's drug regimen is free from unnecessary drugs for 1 of 5 residents reviewed for unnecessary medications (R2) out of a sample of 16 residents.-The facility nurse transcribed R2's order as Diazepam 2mg tablet. Take 0.5 tablet twice a day, instead of take 0.5mg tablet twice a day as needed (PRN). R2 received a total of 9 doses of Diazepam.Findings include:The facility policy with a subject titled, Transcription of Physician Orders, last revised 06/2018, includes: Nurse will initiate a transcription check list for all new orders. Nurse taking order will follow and complete areas on the transcription check list.Nurse will make a copy of the order and staple to the transcription check list. …

Shell Lake Health Care Center

The short window

Recent years

YearShare of Wisconsin citationsvs expected
20240.04%1.70×
20250.66%0.93×

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

What else Wisconsin surveyors cite →

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