Based on observation, interview, and record review, the facility failed to establish and maintain an infection prevention and control program designed to provide a safe environment and to help prevent the development and transmission of communicable disease and infections. This has the potential to affect all 61 residents.The facility failed to follow infection control standards of practice and procedures.The facility failed to maintain accurate and up to date outbreak line listings for staff and residents. Staff were allowed to return to work early after the onset of GI (Gastrointestinal Illness) symptoms.The facility failed to ensure residents experiencing GI symptoms were put into precautions timely. …
F880 citations in Wisconsin
Infection prevention and control · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Wisconsin cites F880 more often than its own record predicts
1.24 times the share F880 takes of citations nationally.
Of every deficiency written in Wisconsin in 2025, this is the portion that was F880.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Wisconsin surveyors wrote
F880 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 observation, staff and resident representative interview, and record review, the facility did not establish and maintain an infection prevention and control program designed to help prevent the development and transmission of communicable disease and infection for 1 resident (R) (R14) of 1 resident who used a humidifier and contracted Legionnaires' disease. The facility also did not ensure COVID-19 positive staff members returned to work in accordance with the facility's policy. In addition, the facility did not ensure enhanced barrier precautions (EBP) were implemented for 1 resident (R25) of 2 sampled residents. R14 used a humidifier that was filled with tap water and was diagnosed with Legionnaires' disease on 3/4/25. …
Based on observation, interview, and record review, the facility did not establish and maintain an infection prevention and control program designed to help prevent the development and transmission of communicable diseases and infections. This had potential to affect all 28 residents (R). -The facility did not have an accurate and complete infection surveillance process in place for months the reviewed of March 2026-August 2026.-R32 was not added to the line list for their related respiratory infection in April 2026.Findings include:Facility policy titled, Infection Prevention & Control Plan, with revision date of 12/10/2025, states: 4.2 The Infection Control Practitioner (ICP) will:4.2.7 Collection and analysis and documentation of infection data from surveillance, prevention, and control… …
The short window
Recent years
| Year | Share of Wisconsin citations | vs expected |
|---|---|---|
| 2023 | 7.56% | 1.47× |
| 2024 | 6.68% | 1.19× |
| 2025 | 7.69% | 1.24× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Wisconsin surveyors cite →
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