Dove Healthcare - Rice Lake

In the surveyor’s words

From the most serious findings on record at Dove Healthcare - Rice Lake, in the surveyor’s own words.

• Actual harm, isolatedF689Jul 2, 2026

  Based on observation, interview, and record review, the facility did not ensure the resident environment remains as free of accident hazards as possible and each resident receives adequate supervision and assistive devices to prevent accidents for 1 of 1 resident (R) reviewed (R36).R36 was a 1 person assist with a 2 wheeled walker (WW) for transfers. Certified Nursing Assistant (CNA) transferred R36 without use of a gait belt and two wheeled walker, and R36 fell resulting in a displaced intertrochanteric fracture of right femur. R36 was transferred to another hospital requiring surgical repair of the fracture. […]

• No harm, potential for more than minimal, widespreadF812Apr 7, 2021

  Based on observations, interviews and record review, the facility did not prepare, store and distribute food in a sanitary manner. This has the potential to affect all 46 residents. Example #1: Nutritional Services Aide (NSA) C and Cook D were observed to spray dirty dishes, contaminate their clothing with the dirty water spray, and proceeded to put away clean dishes. The clean dishes were contaminated by coming into contact with NSA C and Cook D's soiled clothing. Example#2: NSA C was observed wiping a thermometer used to take food temperatures with an alcohol pad. […]

• No harm, potential for more than minimal, isolatedF684Jul 2, 2026

  Based on interview and record review, the facility did not ensure a resident received treatment and care in accordance with professional standards of practice for 1 out of 4 sampled residents (R10). -The facility did not comprehensively assess R10's non-pressure wounds weekly. -An intervention to prevent R10 from scratching their skin was discontinued, the facility did not implement a new intervention, and R10 continued to scratch at their skin. -Staff did not place elbow and heel protectors on R10 when R10 was up in their broda chair. -Staff did not place device in R10's hand to provide palm protection and prevent further contracture. -R10's treatment was discontinued and staff continued to provide treatment for 27 days after order was discontinued. […]

• No harm, potential for more than minimal, isolatedF610Jan 5, 2026

  Based on interview and record review, the facility did not complete a thorough investigation of the alleged violation for 1 of 3 residents (R) reviewed. (R1)The facility failed to interview staff and other residents as part of the investigation.According to statute S483.12(c)(2) and S483.12(c)(3), the facility must have evidence that all alleged violations are thoroughly investigated to prevent further potential misappropriation while the investigation was in progress. R1 was admitted to the facility on [DATE] with a diagnosis of mild cognitive impairment. Surveyor reviewed the facility's investigative file that revealed on 11/24/25, R1 reported missing identification documents and an unauthorized $10,000 transfer and $5,000 withdrawal from his bank account that was later returned. […]

• No harm, potential for more than minimal, isolatedF627Aug 13, 2025

  Based on interview and record review, the facility did not ensure proper documentation and communication for discharge for 1 of 2 residents reviewed (R42).-Facility did not provide documented reasoning in the medical record for what needs could not be met for R42.-The facility did not provide and document sufficient preparation and orientation to R42 to ensure safe and orderly transfer or discharge from the facility. -Facility did not communicate with hospital staff after transfer to ensure R42 no longer needed skilled services.Findings include:Facility policy titled, Transfer and Discharge Requirements, last reviewed January 2020, reads in part: Medical record documentation will include the following.the basis for the transfer.as applicable, the specific resident need(s) that cannot be… […]