Masonic Center for Health & Rehab Inc.

In the surveyor’s words

From the most serious findings on record at Masonic Center for Health & Rehab Inc., in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Jun 4, 2025

  Based on observation, staff interview, and record review, the facility did not sanitize dishware in accordance with professional standards for food service safety. This practice had the potential to affect all 41 residents residing in the facility. The facility did not monitor utensil surface temperatures with an irreversible registered temperature indicator for four unit dishwashers used to wash and sanitize residents' dishes. Findings include: During an initial kitchen tour on 6/2/25 at 9:30 AM, Director of Dining (DOD)-I confirmed the facility follows the Wisconsin Food Code and the Food and Drug Administration (FDA) Food Code as their standards of practice. […]

• No harm, potential for more than minimal, isolatedF610Jan 29, 2026

  Based on record review and staff interviews, the facility did not ensure they conducted a thorough investigation of 1 of 2 facility reported incidents (FRIs) involving R2 and R1.On 1/4/26, at approximately 2:00 pm, R2 was observed to have his hand on top of the brief of another resident (R1) while they were sitting, watching television in the living room area. Review of the facility's investigation did not provide evidence of a thorough investigation of the incident. The investigation did not include interviews with additional residents and staff members who may have had knowledge of this incident or any previous interactions and to ensure no other residents may have experienced similar abuse.Findings include:Review of the facility policy titled Freedom from Abuse, Neglect and Exploitation… […]

• No harm, potential for more than minimal, isolatedF880Jun 4, 2025

  Based on observation, staff interview, and record review, the facility did not ensure staff followed enhanced barrier precautions (EBP) for 2 residents (R) (R5 and R149) of 3 sampled residents observed during the provision of care. In addition, the facility did not ensure staff followed catheter care infection control practices for 1 resident (R32) of 1 sampled resident. R5 was on EBP due to a pressure injury. On 6/3/25, Certified Nursing Assistant (CNA)-E and CNA-F did not wear personal protective equipment (PPE) while transferring R5 from bed to wheelchair. R149 was on EBP due to the presence of a central line (a dialysis access site for hemodialysis). On 6/3/25, CNA-J did not wear PPE during pericare and while transferring R149 from toilet to wheelchair. […]