Based on interview and record review the facility did not ensure that 5 out of 5 direct care staff reviewed received the required training regarding infection control practices. CNA (Certified Nursing Assistant)TT, UU, VV, WW, XX have all worked at the facility for longer than 1 year and have not received the required training.This has the potential to affect all 112 residents as the 5 staff members work on various units of the facility.Findings include:The facility's policy dated as revised 1/1/25 and titled, Training Requirements documents: It is the policy of this facility to develop, implement, and maintain an effective training program for all new and existing staff, individuals providing services under a contractual arrangement, and volunteers, consistent with their expected roles. …
F945 citations in Wisconsin
Infection Control Deficiencies
Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Wisconsin cites F945 more often than its own record predicts
4.61 times the share F945 takes of citations nationally.
Of every deficiency written in Wisconsin in 2025, this is the portion that was F945.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Wisconsin surveyors wrote
F945 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.
The short window
Recent years
| Year | Share of Wisconsin citations | vs expected |
|---|---|---|
| 2024 | 0.07% | 1.49× |
| 2025 | 0.26% | 4.61× |
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