Frederic Nursing and Rehab Community
Frederic, Wisconsin · CCN 525665
21 surveys since 2011, 2 of them producing a finding at harm level or worse.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 84
- Surveys
- 21
- Harm or worse
- 2
- Immediate jeopardy
- 1
Findings at the most serious level CMS records.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 60
- Ownership
- For profit - Corporation
- Chain
- ATRIUM CENTERS
- County
- Polk · rural
- Medicare-certified since
- 2002
CMS ratings
- Overall
- 3
- Health inspection
- 3
- Staffing
- 3
- Quality measures
- 3
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded somewhat more weighted findings than its peer group.
Weighted by harm level, against 92 for-profit facilities with fewer than 66 beds in Wisconsin.
Last survey on record
May 19, 2026
174 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 3.14 | 3.73 |
| Registered-nurse hours per resident day | 0.68 | — |
| Annual nurse turnover | 51.0% | 45.7% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
No fines, payment denials or special-focus designation on the current CMS record.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D1760.7% | E621.4% | F414.3% |
| No harm, potential for minimal | A— | B— | C13.6% |
Most frequently cited here
In CMS’s current monthly file.
- F8804×
Provide and implement an infection prevention and control program.
- F6282×
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- F7552×
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- F8832×
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- F5581×
Reasonably accommodate the needs and preferences of each resident.
In the surveyor’s words
From the most serious findings on record at Frederic Nursing and Rehab Community, in the surveyor’s own words.
- No harm, potential for more than minimal, widespreadF725May 19, 2026
Based on observation, interview and record review, the facility did not ensure sufficient nursing staff was provided to attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident. This has the potential to affect all 54 residents residing at the facility.The facility's Payroll Based Journal (PBJ) triggered for excessively low weekend staffing for Quarter 3 2025 and Quarter 1 2026.Resident Council interviews voiced concerns with short staffing on weekends and longer call light wait times.Staff interviews voiced insufficient staffing levels to meet resident needs.Findings include:Example 1On Sunday, 05/17/26, Surveyors entered facility shortly after 9 AM. […]
- No harm, potential for more than minimal, widespreadF838May 19, 2026
Based on interview and record review, the facility did not ensure the facility wide assessment developed by the facility included all relevant details to ensure the facility provided care and services to residents to meet their individual needs within the facility's identified resources. This has the potential to affect all 54 residents.The Facility Assessment did not indicate how resident needs are assessed to determine sufficient staffing levels.Findings include:Facility Assessment Tool, with a reviewed date of 03/09/26, states: .Average daily census: 50-53.Assistance with Activities of Daily Living include an assist of 1-2 for up to 85% of residents and dependent assist up to 15% of residents.Direct care staff needs of 5-6 CNAs on day shift; 4-5 CNAs on evening shift; 2-3 CNAs on… […]
- No harm, potential for more than minimal, widespreadF812Jan 23, 2024
Based on observation, interview and record review, the facility did not store, prepare, distribute and serve food in accordance with professional standards for food service safety by not wearing hairnets appropriately, and did not ensure proper hand hygiene with food handling. This has the potential to affect all 45 of the 45 residents residing in the facility. Findings include: The facility policy, entitled Dietary Dress Code, dated August 2023, states in part: Hairnets or hair restraints are to be worn. […]
- No harm, potential for more than minimal, widespreadF851Jan 23, 2024
Based on interview and record review, the facility did not ensure that the mandatory staffing data that had been submitted from 7/1/23-9/30/23 was complete, accurate, and auditable. This has the potential to affect all 45 residents that reside in the facility. This is evidenced by: The Payroll Based Journal (PBJ) Staffing Data Reports that were generated quarterly document that the facility triggered for Excessively low weekend staffing from 7/1/23-9/30/23 for specified dates. The specified dates are as follows: FY (Fiscal Year) Q4 (Quarter 4) 2023 (July 1-September 30). The facility was not able to produce the data that was submitted during this time frame for the specified dates therefore Surveyor was not able to audit the exact document(s) that were submitted. […]
- No harm, potential for more than minimal, widespreadF812Sep 20, 2021
Based on observations, interview the facility did not monitor and store foods in a safe and sanitary manner. This has the potential to affect all 50 residents. The facility did not consistently monitor the refrigerator and freezer temperatures of the refrigerator/freezer on the unit where resident snacks and foods are stored, or label the foods with name of resident and date brought in. This is evidenced by: On 09/16/21 the Surveyor observed the refrigerator/freezer in the assisted dining room. The refrigerator/freezer is used for storage of resident snacks and food items brought in from family members. The refrigerator contained a variety of individual snacks. The Surveyor observed the Temperature log on the front of the freezer; it was dated July 2021. […]
Read 22 findings in full →The most serious and the most recent: 22 of 84 on record.
Every survey on record
FindingsAt actual harm or above
- May 19, 2026Standard14 findings
- May 5, 2026Complaint1 finding
- Jul 1, 2025Complaint4 findings
- Apr 7, 2025Complaint1 finding
- Feb 18, 2025Standard2 findings
- Jan 23, 2024Standard6 findings
- Dec 8, 2022Standard5 findings
- Jul 12, 2022Complaint1 finding
Show the 13 earlier surveys
- May 18, 2022Complaint1 finding
- Sep 20, 2021Standard7 findings
- Dec 17, 2020Infection control1 finding
- Dec 14, 2020Complaint2 findings · 1 harm
- Oct 10, 2019Standard4 findings
- Dec 5, 2018Standard6 findings
- Sep 20, 2017Standard and complaint9 findings
- Sep 15, 2016Standard6 findings
- Sep 23, 2015Standard3 findings
- Oct 22, 2014Standard3 findings
- Dec 12, 2013—4 findings
- Nov 1, 2012—1 finding
- Aug 11, 2011—3 findings · 1 harm
Surveys that found no deficiencies are not in CMS’s files and do not appear here.
Comparable facilities
The nearest facilities to this one in the same peer group, by weighted findings.
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