Aria of Waukesha

In the surveyor’s words

From the most serious findings on record at Aria of Waukesha, in the surveyor’s own words.

• Immediate jeopardy, isolatedF600Aug 17, 2026

  Based on interview and record review, the facility did not ensure residents were free from sexual abuse for 1 (R1) of 1 residents reviewed for abuse.On 7/21/26, staff reported seeing R2 touching R1's breasts and thigh. R1 was screaming for R2 to stop. The staff who observed it did not report the incident until the next day. There were no interventions put into place to protect R1 from additional sexual contact. During investigation into the first incident, the facility learned of a second incident where R2 was observed touching R1's breasts and thighs. The exact date of this incident was unknown. The incident was not immediately reported to facility administration. […]

• Immediate jeopardy, isolatedF689Oct 15, 2025

  Based on observation, interview, and record review, the facility did not ensure each resident receives adequate supervision to prevent accidents for 1 of 3 residents (R1) reviewed for accidents/supervision. The facility did not correctly assess R1's risk for elopement and, thus, did not implement interventions to monitor and supervise R1 to prevent R1 from eloping from the facility. The facility had gaps in the monitoring of the main entrance of the building once the alarm system was turned off and before the area was staffed for the day, allowing R1 to leave the facility unnoticed by staff. R1 was returned to the facility 8 hours later when his family found him 20 miles away from the facility. […]

• Immediate jeopardy, isolatedF686Mar 15, 2021

  Based on observation, interview and record review the facility did not ensure residents received care and services consistent with professional standards of practice to prevent pressure injuries and did not ensure residents received necessary treatment and services to promote the healing of existing pressure injuries for 3 of 5 (R159, R35, and R156 ) residents reviewed for pressure injuries. R159 developed a pressure injury to her right ishial tuberosity. The pressure injury was not assessed, staged or measured. treatment for [MEDICAL RECORD OR PHYSICIAN ORDER] . This failure resulted in decline of the wound to a stage 4 pressure injury. The Facility failure to comprehensively assess, measure and implement treatment for [MEDICAL RECORD OR PHYSICIAN ORDER] . […]

• Actual harm, isolatedF686Feb 16, 2026

  Based on record review, observation and interview, the facility did not ensure a resident with a pressure injury was comprehensively assessed. This was observed with 1(R47) of 4 residents reviewed with pressure injury. * R47 was re-admitted into the facility from the hospital on 1/5/26. The medical record documents a stage 2 wound on the coccyx, with only a measurement, on 1/5/26. On 1/8/26, the wound consult assessment assesses stage 3 pressure injury with treatment. The medical record does not have documentation of treatment implementation until 1/8/26, along with a revised plan of care not initiated until 1/29/26. This resulted in actual harm to R47.Findings include:The facility policy and procedure Wound Management-Wound Prevention and Treatment dated 10/11/24. […]

• Actual harm, isolatedF684Apr 18, 2023

  Based on observation, interviews, and record reviews, the facility did not ensure quality of care was provided to 3 (R3, R19, and R18) of 24 residents reviewed. *R3 had diagnoses of irritable bowel syndrome and constipation. From 12/19/22 to 12/21/22 R3 experienced severe constipation and was hospitalized due to an obstructed bowel. The facility did not have a comprehensive care plan in place to address R3's bowel management and diagnoses of irritable bowel syndrome and constipation. *R19 had a skin condition that was not comprehensively assessed by the facility or addressed with a comprehensive skin integrity care plan. […]