Based on interview, record review, and facility policy review, the facility failed to employ a Registered Nurse (RN) ensuring the minimum requirement of having an RN providing services at least eight consecutive hours a day, seven days a week and failed to employ an RN who was designated to serve as the Director of Nursing (DON) on a full-time basis. These failures caused the facility's nursing staff department to have no oversight of Licensed Practical Nurses (LPNs) and non-licensed personnel (Certified Medication Aide/Medication Technician [CMA/MTs]) who administered medications which placed all residents at risk of not being able to attain or maintain their highest practical physical, mental, and psychosocial well-being. …
F727 citations in Wisconsin
Registered nurse coverage · Nursing and Physician Services Deficiencies
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Wisconsin cites F727 less often than its own record predicts
0.51 times the national share — cited less often here than elsewhere.
Of every deficiency written in Wisconsin in 2025, this is the portion that was F727.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Wisconsin surveyors wrote
F727 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 a Registered Nurse (RN) was on duty at least 8 consecutive hours per day 7 days per week. This practice had the potential to affect all 77 residents residing in the facility. The facility did not have an RN on duty for 8 consecutive hours per day 7 days per week on 5 of 10 days reviewed. Findings include: The Facility Assessment, dated 1/2026, indicates: .Part 3: Facility Resources Needed to Provide Competent Support and Care for our Resident Population Every Day and During Emergencies .3.3 The acuity of care is reviewed daily to determine the need of the current patient population. The facility utilizes a staffing template to assist with determining the staffing needs. …
Based on record review and staff interview, the facility did not ensure an RN (Registered Nurse) worked at the facility for at least eight consecutive hours a day, seven days a week, on 1 of 20 days reviewed. Additionally the facility did not have a full time Director of Nursing for 28 days. * The facility did not have an RN (Registered Nurse) working in the facility for at least eight consecutive hours on 7/7/21. * The facility did not have a full time Director of Nursing from 6/22/21 through 7/19/21 (28 days). A full time interim Director of Nursing started on 7/20/21. This deficient practice had the potential to affect all of the residents residing at the facility from 6/22/21 through 7/19/21. …
The short window
Recent years
| Year | Share of Wisconsin citations | vs expected |
|---|---|---|
| 2023 | 0.39% | 0.57× |
| 2024 | 0.24% | 0.46× |
| 2025 | 0.22% | 0.51× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Wisconsin surveyors cite →
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