Based on record observation, interview, and record review the facility did not establish procedures to ensure the availability of emergency water to the facility in the event of a loss of normal water supply. This had the potential to affect all 43 residents of the facility. Finding include: On 08/05/19 at 08:20 AM, Surveyor conducted an initial tour of the facility kitchen which revealed no emergency water was kept at the facility. During an interview the same day at 09:08 AM, Nursing Home Administrator (NHA)-A indicated emergency water was not kept at the facility but the facility had an agreement to have water delivered if needed. …
F922 citations in Wisconsin
Environmental Deficiencies
Have enough backup water supply for essential areas of the nursing home.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2023
Wisconsin cites F922 more often than its own record predicts
2.66 times the share F922 takes of citations nationally.
Of every deficiency written in Wisconsin in 2023, this is the portion that was F922.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Wisconsin surveyors wrote
F922 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 interview, and record review, the facility did not establish procedures to ensure the availability of water in the event of a loss of its normal water supply. This had the potential to affect all 24 residents residing in the facility. The facility did not have an emergency water plan that included a contract with a vendor to provide water to the facility in case of an emergency. In addition, the facility did not maintain the appropriate amount of drinking water on hand in case of an emergency. …
What else Wisconsin surveyors cite →
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