Oak Park Place of Nakoma

In the surveyor’s words

From the most serious findings on record at Oak Park Place of Nakoma, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Jan 22, 2026

  Based on observation, interview, and record review, the facility did not maintain a safe and sanitary environment in which food is prepared, stored, and distributed. This has the potential to affect all 23 residents who reside in the facility.Certified Nursing Assistant entered kitchenette 3 times without wearing a hair restraint during mealtime. Evidenced by:The facility policy, Hair Restraints, dated 7/13/25, states, in part;.Hair must be pulled back and properly restrained when working with exposed food, clean equipment, utensils, linens, and unwrapped single service and single use articles.On 1/20/26 at 12:15 PM, Certified Nursing Assistant D (CNA) entered kitchenette three times to get resident drinks. Surveyor observed hairnets to be available for all staff outside the kitchenette. […]

• No harm, potential for more than minimal, widespreadF814Jan 22, 2026

  Based on observation, interview, and record review, the facility did not ensure garbage and refuse was disposed of properly. This has the ability to affect all 23 residents who reside at the facility.During the initial walk through of the kitchen Surveyor observed dumpster lids open, bag of garbage outside of dumpsters, food wrappers, gloves, and cardboard on the ground near the dumpsters. Evidenced by:The facility policy, Food-Related Garbage and Refuse Disposal, dated, 2017, states, in part;.Outside dumpsters provided by garbage pickup services will be kept closed and free of surrounding litter.On 1/20/26 at 9:30 AM, during the initial walk through of the kitchen, Surveyor observed the facility dumpsters. […]

• No harm, potential for more than minimal, widespreadF868Jan 22, 2026

  Based on interview and record review, the facility did not ensure the required members of the Quality Assurance and Performance Improvement (QAPI) committee met at least quarterly. This practice had the potential to affect the census of 23 residents residing in the facility.The facility did not ensure the required members of the QAPI committee met at least quarterly in 2025.This is evidenced by:The facility's policy Quality Assurance and Performance Improvement (QAPI) Program, dated 2020, includes: This facility shall develop, implement, and maintain an ongoing, facility-wide, data-drive QAPI program that is focused on indicators fo the outcomes of care and quality of life for our residents. Authority 3. […]

• No harm, potential for more than minimal, widespreadF812Sep 18, 2024

  Based on observation, staff interview, and record review, the facility did not ensure safe food handling practices were implemented. This had the potential to affect all 14 residents residing in the facility. Cook (CK)-F did not wear an appropriate hair covering. Raw meat was stored in a manner that had the potential to cross-contaminate other food items. Findings include: The Wisconsin Food Code documents at Hair Restraints 2-402.11 Effectiveness: (A) Except as provided in (B) of this section, food employees shall wear hair restraints such as hats, hair coverings or nets, beard restraints, and clothing that covers body hair, that are designed and worn to effectively keep their hair from contacting exposed food; clean equipment, utensils and linens; and unwrapped single-service and… […]

• No harm, potential for more than minimal, widespreadF812Jul 20, 2023

  Based on observation, interview, and record review, the facility did not ensure that the food was stored, distributed, and served in accordance with professional standards for food service safety. This has the potential to affect all 12 residents residing at the facility. -Surveyor observed four examples of improper hand washing/hand hygiene -Surveyor observed three examples of wet stacking (staking dishes while wet) during dishwashing process. -Surveyor observed three examples of food stored outside of professional standards for food safety. -Surveyor observed one example of kitchen equipment used to cook food to be dirty. […]