Deficiency Index

Rennes Health and Rehab Center-Weston

Weston, Wisconsin · CCN 525699

11 surveys since 2011. The first finding at harm level was recorded in 2019.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
33
Surveys
11
Harm or worse
1
Immediate jeopardy
0
The record, 2011–2025
’11’15’20’25
No harm recordedHarm or worseNot surveyed
Harm or worse1

Findings where a surveyor recorded actual harm to a resident.

Beyond CMS’s monthly file9/11

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

The facility

Certified beds
130
Ownership
For profit - Corporation
Chain
RENNES GROUP
County
Marathon
Medicare-certified since
2009

CMS ratings

Overall
5
Health inspection
5
Staffing
4
Quality measures
5

CMS’s own Five-Star ratings.

Compared with similar facilities

Not shown for this facility: too few citations in window (n=9, floor 20).

Last survey on record

May 15, 2025

543 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 day4.093.71
Registered-nurse hours per resident day1.05—
Annual nurse turnover52.0%58.8%

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 minimalD675.0%E225.0%F—
No harm, potential for minimalA—B—C—
CMS’s current file: 8 of the 33 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F8122×

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  • F8802×

    Provide and implement an infection prevention and control program.

  • F6561×

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  • F6771×

    Provide care and assistance to perform activities of daily living for any resident who is unable.

  • F6881×

    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

In the surveyor’s words

From the most serious findings on record at Rennes Health and Rehab Center-Weston, in the surveyor’s own words.

  • No harm, potential for more than minimal, patternF812May 15, 2025

    Based on observation, interview and record review, the facility did not ensure proper food handling practices related to thawing raw meat were followed to prevent the outbreak of foodborne illness for 26 of 82 residents. Facility did not use proper thawing method for frozen pork chops. Policy and procedure titled Food Preparation and Service last revised in August of 2014 reads in part, Submerging the item in cold running water. Guidelines from Agriculture, Trade, and Consumer Protection Subpart 3-501.13 last registered in November 2024, reads in part, Completely submerged under running water .With sufficient water velocity to agitate and float off loose particles in an overflow. The FDA Food Code states the following: 3-501.13 Thawing. […]

  • No harm, potential for more than minimal, patternF812Apr 3, 2024

    Based on observation, interview and record review, the facility did not ensure proper hand hygiene with food handling in accordance with professional standards for food service safety. This has the potential to affect all 24 residents in the south dining room out of 64 residents residing in the facility. The dietary aide touched multiple contaminated surfaces with gloved hands, did not remove her gloves or wash her hands, and used her gloved hands to serve garlic bread on resident plates. Findings: The facility policy titled, Preventing Foodborne Illness-Employee Hygiene and Sanitary Practices, states in part . 7. Employees must wash their hands: d. Before coming in contact with any food surfaces; f. After handling soiled equipment or utensils; h. […]

  • No harm, potential for more than minimal, isolatedF656May 15, 2025

    Based on observation, interview and record review, the facility did not implement comprehensive person-centered care plan approaches for 1 of 1 sampled resident (R), (R46) by ensuring fall intervention approaches were in place to meet a resident's medical, nursing, and psychosocial needs which are identified. This is evidenced by: The facility policy, titled Falls and Fall Risk, managing policy statement states, Based on previous evaluations and current data, the staff will identify interventions related to the residents from falling and to try to minimize complications from falling. 6. Staff will identify and implement relevant interventions .to try to minimize serious consequences or falling. […]

  • No harm, potential for more than minimal, isolatedF759May 15, 2025

    Based on observation, interview and record review, the facility did not ensure it was free of medication error rates of 5% or greater. There were 2 errors in 29 opportunities that affected 2 out of 7 residents (R), (R20, R53) included in the medication pass task, which resulted in an error rate of 6.9%. -R5's prescribed topical medication was used for R20. -R53's lidocaine patch was not removed after 12 hours, as ordered. Findings: Example 1 The facility's policy, Administering Medications read in part, 3. Medications must be administered in accordance with the orders. The licensed nurse shall follow the five Rights for medication pass: Right Resident, Right Medication, Right Time, Right Dose, Right Route. 5. […]

  • No harm, potential for more than minimal, isolatedF880May 15, 2025

    Based on observation, interview and record review, the facility did not maintain infection control practices to help prevent the development and transmission of communicable diseases and infection for 1 of 1 resident (R) reviewed (R57). - R57's Foley catheter collection bag was observed placed above bladder level allowing backflow which can contribute to infections. On 05/13/25, half of R57's Foley catheter bag was lying on the floor uncovered. This is evidenced by: The facility policy titled, Catheter Care, Urinary indicates the following, . 4. The urinary drainage bag must be held or positioned lower than the bladder at all times to prevent the urine in the tubing and drainage bag from flowing back into the urinary bladder . 11. […]

Read 20 findings in full →The most serious and the most recent: 20 of 33 on record.

Every survey on record

FindingsAt actual harm or above

  • May 15, 2025Standard4 findings
  • Apr 3, 2024Standard4 findings
  • Feb 17, 2022Standard1 finding
  • Jan 30, 2019Standard2 findings · 1 harm
  • Oct 18, 2017Standard4 findings
  • Aug 31, 2016Standard1 finding
  • Jun 4, 2015Standard7 findings
  • Aug 13, 2014Standard3 findings
Show the 3 earlier surveys
  • Sep 6, 2012—3 findings
  • Jun 12, 2012—1 finding
  • Jul 21, 2011—3 findings

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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