Deficiency Index

Lasata Care Center

Cedarburg, Wisconsin · CCN 525537

15 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
57
Surveys
15
Harm or worse
2
Immediate jeopardy
1
The record, 2011–2026
’11’15’20’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy1

Findings at the most serious level CMS records.

Beyond CMS’s monthly file11/15

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
106
Ownership
Government - County
Chain
Independent
County
Ozaukee
Medicare-certified since
1994

CMS ratings

Overall
5
Health inspection
4
Staffing
5
Quality measures
4

CMS’s own Five-Star ratings.

Compared with similar facilities

Not shown for this facility: too few citations in window (n=15, floor 20).

Last survey on record

Jan 7, 2026

306 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day5.734.60
Registered-nurse hours per resident day0.90—
Annual nurse turnover40.8%43.6%

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

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD880.0%E110.0%F—
No harm, potential for minimalA—B—C110.0%
CMS’s current file: 10 of the 57 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6093×

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

  • F6102×

    Respond appropriately to all alleged violations.

  • F6231×

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

  • F6861×

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

  • F7551×

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

In the surveyor’s words

From the most serious findings on record at Lasata Care Center, in the surveyor’s own words.

  • No harm, potential for more than minimal, patternF880Jan 7, 2026

    Based on observation, staff interview, and record review, the facility did not maintain an infection prevention and control program designed to prevent the development and transmission of communicable disease and infection. This practice had the potential to affect more than 4 of the 73 residents residing in the facility.Staff did not wear masks during an influenza outbreak on unit 1 East (1E).Findings Include:The facility's Nursing Respiratory Disease Outbreak Plan and Pandemic Outbreak, updated 11/2024, indicates: .It is the policy of this facility that outbreak measures will be instituted whenever there is an incident of infections above the standard set by the Division of Public Health as it relates to respiratory disease outbreaks. […]

  • No harm, potential for more than minimal, patternF812Mar 9, 2022

    Based on observations, staff interviews, and record review, the facility did not ensure food was stored, prepared, and served under sanitary conditions. The practices had the potential to affect all 75 residents. The facility stored expired and damaged products in the dry storage area. The facility did not clean equipment between uses. The facility did not follow disinfectant manufacturer contact time instructions. Findings include: On [DATE], during initial kitchen tour beginning at 10:17 AM, Dietary Manager (DM)-G indicted to Surveyor that the facility utilized the Wisconsin (WI) Food Code as its standard of practice. […]

  • No harm, potential for more than minimal, patternF880Jan 12, 2021

    Based on observations, interviews and record review, the facility did not maintain an infection prevention and control program designed to provide a safe and sanitary environment to help prevent the development and transmission of communicable diseases and infections. This deficient practice had the potential to affect (6 of 6) residents residing on the Covid unit where N95 masks are required, (5 of 11) residents residing on the 2 west north unit that require shared use of the hoyer lift, and (6 of 11) residents that require shared used of the shower chair. * Facility does not have a system to ensure N95 masks are not worn more than 5 times as directed in facility policy. * Staff did not clean shared resident equipment according to manufacturer's recommendations. […]

  • No harm, potential for more than minimal, isolatedF609Jan 7, 2026

    Based on staff interview and record review, the facility did not ensure an allegation of abuse was reported to law enforcement for 2 residents (R) (R12 and R23) of 22 sampled residents. On 10/7/25, R23 called R12 ugly and slapped R12 on the arm. Law enforcement was not notified of the alleged abuse. Findings include: The facility's Abuse/Mistreatment Policy, revised 9/2024, indicates: .Physical abuse includes but is not limited to hitting, slapping, punching, biting, and kicking .Reporting/Response: The facility shall report all violation and substantiated incidents to the proper state agency, registry/licensing authorities, and local law enforcement as required .In addition to federal and state reporting requirements, the facility must report any reasonable suspicion of a crime against… […]

  • No harm, potential for more than minimal, isolatedF755Jan 7, 2026

    Based on observation, staff and resident interview, and record review, the facility did not ensure the accurate and safe administration of medication for 1 resident (R) (R7) of 22 sampled residents.On 1/5/26, medications were observed on top of a refrigerator near the entrance to R7's room. The medications included Aquaphor, medicated menthol powder, and two tubes of DermaPhor hydrophil petrolatum topical ointment. One tube of the DermaPhor contained a pharmacy label for R7. One tube contained a pharmacy label for someone else. None of the medications had an active physician order and one had been discontinued. […]

Read 22 findings in full →The most serious and the most recent: 22 of 57 on record.

Every survey on record

FindingsAt actual harm or above

  • Jan 7, 2026Standard and complaint3 findings
  • Sep 11, 2024Standard1 finding
  • Apr 8, 2024Complaint3 findings
  • Jun 21, 2023Standard and complaint3 findings
  • Mar 9, 2022Standard4 findings
  • Jan 12, 2021Infection control1 finding
  • Jan 9, 2019Standard5 findings
  • Oct 9, 2017Standard1 finding
Show the 7 earlier surveys
  • Jul 28, 2016Standard18 findings
  • May 7, 2015Standard8 findings
  • Feb 12, 2014Standard5 findings
  • Apr 2, 2013—2 findings
  • Dec 6, 2012—1 finding
  • Feb 28, 2012—1 finding · 1 harm
  • Feb 25, 2011—1 finding · 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.

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