Based on interview and record review, the facility did not request a waiver when unable to meet the requirements of recruiting appropriate personnel. This had the potential to affect all 48 residents in the facility.The facility did not request a waiver when unable to recruit a registered nurse for the Director of Nurse's position.Findings include:The facility requested a waiver related to the requirement for the Director of Nursing (DON) be a registered nurse. Waiver was requested on 10/22/25. DON H resigned from her DON position on 07/05/25. …
F731 citations in Wisconsin
Nursing and Physician Services Deficiencies
Request a waiver if it can't meet the nurse staffing requirements.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Wisconsin cites F731 more often than its own record predicts
13.16 times the share F731 takes of citations nationally.
Of every deficiency written in Wisconsin in 2025, this is the portion that was F731.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Wisconsin surveyors wrote
F731 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.
What else Wisconsin surveyors cite →
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