Based on interview and record review the facility did not ensure 1 (R50) of 1 residents reviewed for discharge received a thorough discharge summary in order to communicate necessary information to care for the resident. *R50 discharged from the facility on 1/13/25. The facility did not complete a discharge summary or a recapitulation of their stay that was available to R50. Findings include: R50 was admitted to the facility for rehabilitation on 1/7/25 with dehydration, weakness and congestive heart failure. On 1/13/25, R50 had a planned discharge from the facility into the community. Surveyor reviewed R50's physician orders and noted no discharge order documented by a physician. Surveyor reviewed R50's electronic medical record. R50 was discharged from the facility on 1/13/25. …
F661 citations in Wisconsin
Resident Assessment and Care Planning Deficiencies
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Wisconsin cites F661 less often than its own record predicts
0.57 times the national share — cited less often here than elsewhere.
Of every deficiency written in Wisconsin in 2025, this is the portion that was F661.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Wisconsin surveyors wrote
F661 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 staff interview and record review, the facility did not ensure Resident (R) discharge summary included a recapitulation of stay for 1 (R1[AGE]) of 1 closed records reviewed. R1[AGE]'s discharge summary did not include a recapitulation (recap) of stay. Findings include: On 2/27/20, Surveyor reviewed R1[AGE]'s discharge summary and noted no recap of stay was included. On 2/27/20 at 11:47 AM, former Director of Nursing (DON)-B and Nursing Home Administrator (NHA)-A verified the recap area of discharge summary information in the Electronic Health Record discharge assessment was not completed for R1[AGE]. NHA-A further indicated the facility will be getting a computer program that assists in creating discharge summaries, but they do not have this in place at this time.
The short window
Recent years
| Year | Share of Wisconsin citations | vs expected |
|---|---|---|
| 2023 | 0.39% | 1.51× |
| 2024 | 0.28% | 1.22× |
| 2025 | 0.04% | 0.57× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Wisconsin surveyors cite →
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