Based on interview and record review, the facility did not ensure the medical director followed through on his responsibilities regarding the coordination of care and treatment the residents received in the facility. This has the likelihood to cause serious harm, injury, or impairment to all 85 residents currently residing in the facility.Medical Director (MD)-QQ was not aware of and did not ensure facility residents with wounds had care and treatment necessary to prevent and heal pressure and non-pressure injury wounds. Medical Director-QQ deferred all wound care and treatment to the facility's wound team and Wound MD (Medical Doctor). …
F841 citations in Wisconsin
Nursing and Physician Services Deficiencies
Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Wisconsin cites F841 more often than its own record predicts
1.10 times the share F841 takes of citations nationally.
Of every deficiency written in Wisconsin in 2025, this is the portion that was F841.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Wisconsin surveyors wrote
F841 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's medical director has not been involved in the facility's implementation of resident care policies and procedures or involved in the facility QA process. This has the ability to impact all of the facility's residents. Interview with the facility's medical director revealed he has not been involved in providing input into facility policies and procedures or their quality assurance process for months. This is evidenced by: Interview with Medical Director (MD) X on 09/30/22 at 4:15 PM revealed the following information: When asked if he is in involved in the facility's administrative decisions, MD X responded: No. …
The short window
Recent years
| Year | Share of Wisconsin citations | vs expected |
|---|---|---|
| 2023 | 0.06% | 3.23× |
| 2025 | 0.04% | 1.10× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Wisconsin surveyors cite →
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction