This is an uncorrected deficiency from Survey Event: VLJH11 Based on interview and record review the facility did not ensure 4 (R2, R4, R5, & R32) of 4 residents received necessary behavioral health care to attain their highest practicable mental health well-being. * R2 is a long-term resident with a history of substance abuse, behavioral and mental health concerns. R2 had an extensive history of taking Clonazepam multiple times daily to address an anxiety disorder. In May of 2023, the facility became aware of treatment concerns in the relationship between R2 and the psychiatric Nurse Practitioner who had been addressing his anxiety disorder and prescribing his Clonazepam. …
F740 citations in Wisconsin
Behavioral health services · Quality of Life and Care Deficiencies
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Wisconsin cites F740 more often than its own record predicts
1.52 times the share F740 takes of citations nationally.
Of every deficiency written in Wisconsin in 2025, this is the portion that was F740.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Wisconsin surveyors wrote
F740 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 ensure 1 (R11) of 3 residents reviewed received and the facility provided the necessary behavioral health care and services to attain or maintain the highest practicable physical, mental, and psychosocial well-being, in accordance with the comprehensive assessment and plan of care. Behavioral health encompasses a resident's whole emotional and mental well-being, which includes, but is not limited to, the prevention and treatment of mental and substance use disorders. R11 was admitted to the facility with a history of Substance Use Disorder (SUD). On 11/19/22, 3/17/23, 5/4/23 and 8/3/23 R11 overdosed on drugs and had to have Narcan (Naloxone) administered. …
Based on interview and record review, the facility did not provide behavioral health services to ensure a resident received the highest practicable mental and psychosocial well-being. The facility did not implement person centered interventions for substance use disorder (SUD) for 1 of 1 resident (R2) reviewed for SUDs.Based on interview and record review, the facility did not provide behavioral health services to ensure a resident received the highest practicable mental and psychosocial well-being. The facility did not implement person centered interventions for substance use disorder (SUD) for 1 of 1 resident (R2) reviewed for SUDs.Findings include:The facility's undated Social Services policy and procedure documented: .k. …
The short window
Recent years
| Year | Share of Wisconsin citations | vs expected |
|---|---|---|
| 2023 | 0.22% | 0.84× |
| 2024 | 0.17% | 0.70× |
| 2025 | 0.40% | 1.52× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Wisconsin surveyors cite →
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