Based on interview and record review, the facility did not ensure that 5 of 15 residents reviewed (R6, R14, R15, R12 and R11) received medically related social services to attain or maintain the highest practicable physical, mental and psychosocial well-being of each resident. * R6 has had 13 episodes of aggressive behaviors toward staff and other residents since 7/26/24, On 7/17/25, R6 punched another resident in the mouth. On 8/25/25, R6 hit R5 on the head with R6's cane, resulting in a traumatic brain injury for R5. The facility did not identify and seek ways to support R6's psychosocial and behavioral needs by reevaluating and assessing R6's behaviors. …
F745 citations in Wisconsin
Quality of Life and Care Deficiencies
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Wisconsin cites F745 more often than its own record predicts
1.67 times the share F745 takes of citations nationally.
Of every deficiency written in Wisconsin in 2025, this is the portion that was F745.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Wisconsin surveyors wrote
F745 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 upon observation, interview and record review, the facility did not ensure 1 (R106) of 1 residents reviewed received medically related social services to address individual Resident needs in order to maintain the highest practicable physical, mental, and psychosocial well-being.*R106 was not provided medically related social services to address the emotional distress R106 was expressing that affected R106's mental and psychosocial well-being, resulting in R106 left the facility Against Medical Advice(AMA) without medically needed medications.Findings Include:The facility's Facility assessment dated [DATE] documents that the facility can provide person-centered/directed care: psycho/social/spiritual support including mental health and behavior.R106 was admitted to the facility on… …
Based on observation, interview, and record review, the facility did not provide medically related social services to R1 following an allegation of verbal and physical abuse. Social Services did follow-up with R1 to ensure R1 maintained their highest practicable psychosocial well-being following the incident. The facility failed to identify and seek ways to support R1's mental and psychosocial well-being needs through the assessment and care planning process. The facility policy, titled Abuse, Neglect, Mistreatment and Misappropriation of Resident property Policy and Procedure, states: it is the policy of [NAME] County Rehabilitation & Living Center that each resident will be free from Abuse. Abuse can include verbal, mental.Under section F. …
The short window
Recent years
| Year | Share of Wisconsin citations | vs expected |
|---|---|---|
| 2023 | 0.39% | 2.08× |
| 2024 | 0.59% | 2.70× |
| 2025 | 0.29% | 1.67× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Wisconsin surveyors cite →
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