Based on interview and record review, the facility did not ensure that the policy and procedures that prohibit mistreatment, abuse, and neglect of residents were implemented for 7 residents (R19, R20, R14, R15, R22, R6 and R18) with the potential to affect 16 females and 6 males on the Memory Care Unit (MCU) out of a total of 54 residents that reside in the facility. The facility did not immediately report allegations of abuse to the administrator and/or to the State Agency and investigate R19, R20, R14, R15, R22, R6 and R18), and did not fully investigate allegations of abuse and put measures in place to protect residents while an investigation was occurring (R19, R20, R14, R15, R22, R6 and R18). …
F607 citations in Wisconsin
Abuse-prevention policies · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Wisconsin cites F607 more often than its own record predicts
1.82 times the share F607 takes of citations nationally.
Of every deficiency written in Wisconsin in 2025, this is the portion that was F607.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Wisconsin surveyors wrote
F607 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 interview and record review, the facility did not implement policies and procedures to prevent abuse, neglect, exploitation of residents, and misappropriation of resident property. The facility did not complete timely background checks for 3 of 8 (CNA L, CNA M and Maintenance K) sampled staff.-CNA L's date of hire (DOH) was 08/17/19. The facility's most current Background Information Disclosure (BID) was completed on 02/19/21. The Integrated Background Information System (IBIS) and Department of Justice (DOJ) report were completed on 02/24/21. The facility did not complete a background check for CNA L every four years.CNA M's DOH was 09/30/14. The facility's most current BID was completed on 02/24/21. The IBIS and DOJ were completed on 02/26/21. …
Based on interview and record review, the facility did not develop and implement an Abuse, Neglect, and Exploitation policy to prevent and identify potential abuse concerns. This had the potential to affect all residents in the facility that would need a self report made. -Facility had an abuse policy that referred to Nebraska reporting regulations instead of Wisconsin reporting regulations. Findings include:The facility's policy and procedure for Abuse Prevention, last reviewed November 2024, includes, in part.7. Reporting: a. Any employee who suspects an alleged violation immediately notifies the administrator. The administrator notifies the appropriate state agency immediately, following state law. b. …
The short window
Recent years
| Year | Share of Wisconsin citations | vs expected |
|---|---|---|
| 2023 | 1.56% | 2.09× |
| 2024 | 1.22% | 1.62× |
| 2025 | 1.20% | 1.82× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Wisconsin surveyors cite →
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