Based on observation and interview, the facility did not provide a safe, sanitary, and comfortable environment for 2 of 16 residents (R). (R16 and R13)-R16's and R13's bathroom had foul urine odor, urine stains, and free-standing water around the toilet. R16 reported not being able to use the bathroom due to the function and cleanliness of the bathroom. Findings include:On 08/03/26 at 1:41 PM, Surveyor interviewed R16 and asked if they had any concerns with the environment pertaining to their room. R16 stated they are concerned with their toilet not working and how the bathroom is filthy. Surveyor observed R16's bathroom to have an odor of urine and observed urine stains all over R16's bathroom floor. …
F921 citations in Wisconsin
Safe, clean, comfortable environment · Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Wisconsin cites F921 less often than its own record predicts
0.17 times the national share — cited less often here than elsewhere.
Of every deficiency written in Wisconsin in 2025, this is the portion that was F921.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Wisconsin surveyors wrote
F921 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 a complaint investigation alleging a family member went down to the facility laundry room on 3/14/19, and it was a mess with water, socks, and bags on the floor, environmental quality assessment of the facility laundry and staff interview, the facility did not provide a safe and sanitary environment for residents, staff and the public. This had the potential to effect all 171 residents of the facility. *Observation of the facility laundry on 4/15/19, revealed unsafe chemical spills, dirty conditions and unclean laundry equipment. Findings include: The surveyor conducted an environmental quality assessment of the facility laundry on 4/15/19 at 10:00a.m., and made the following observations. …
The short window
Recent years
| Year | Share of Wisconsin citations | vs expected |
|---|---|---|
| 2023 | 0.06% | 0.07× |
| 2024 | 0.07% | 0.09× |
| 2025 | 0.15% | 0.17× |
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