Waunakee Valley Senior Living
Waunakee, Wisconsin · CCN 525098
20 surveys since 2011. The first finding at harm level was recorded in 2022.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 132
- Surveys
- 20
- Harm or worse
- 11
- Immediate jeopardy
- 5
Findings at the most serious level CMS records. 1 of these were recorded as past non-compliance — corrected before the survey.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 84
- Ownership
- For profit - Corporation
- Chain
- TRILOGY HEALTH SERVICES
- County
- Dane
- Medicare-certified since
- 1967
CMS ratings
- Overall
- 3
- Health inspection
- 2
- Staffing
- 2
- Quality measures
- 5
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded more weighted findings than most of its peer group.
Weighted by harm level, against 51 for-profit facilities of 66–99 beds in Wisconsin.
Last survey on record
Apr 9, 2026
214 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 | 3.64 | 3.71 |
| Registered-nurse hours per resident day | 0.51 | — |
| Annual nurse turnover | 62.5% | 44.4% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
- Fines
- $32,856 across 2 penalties
- Payment denials
- 1
Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J28.3% | K— | L— |
| Actual harm | G28.3% | H— | I— |
| No harm, potential for more than minimal | D1354.2% | E520.8% | F28.3% |
| No harm, potential for minimal | A— | B— | C— |
Most frequently cited here
In CMS’s current monthly file.
- F6843×
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- F6893×
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- F8042×
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- F5541×
Allow residents to self-administer drugs if determined clinically appropriate.
- F6091×
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
In the surveyor’s words
From the most serious findings on record at Waunakee Valley Senior Living, in the surveyor’s own words.
- Immediate jeopardy, patternF678Feb 17, 2023
Based on observation, interview, and record review, the facility failed to provide basic life support, including cardiopulmonary resuscitation (CPR) to a resident requiring emergency care for 1 of 3 Residents (R1) reviewed for code status. This has the potential to affect 19 full code residents that reside in the facility. R1 is a full code and experienced a change of condition on [DATE]. A Registered Nurse (RN) failed to complete a nursing assessment, failed to initiate CPR when R1 presented with agonal breathing/gasping respirations, and staff failed to bring lifesaving equipment in response to a code blue, and initiate CPR. Facility failure to begin cardiopulmonary resuscitation created a finding of immediate jeopardy that began on [DATE]. […]
- Immediate jeopardy, patternF624Nov 1, 2022
Based on interview and record review the facility failed to provide and document sufficient preparation and orientation to ensure safe and orderly transfer or discharge from the facility for 5 (R7, R8, R9, R10 and R11) of 11 residents reviewed for discharge. R7, R8, R9, and R10 were involuntarily discharged on [DATE] without prior notice or care planning. R11 was emergently transferred to a local hospital on 10/18/22 and had a bed hold. R11 was not allowed to return to the facility, but rather discharged to another facility without prior care planning and an adequate reason for not being allowed to return. […]
- Immediate jeopardy, patternF835Nov 1, 2022
Based on interview and record review, administration was not promoting the highest practicable mental and psychosocial well-being of residents by failing to discharge residents appropriately and in a manner that considers the potential trauma associated with relocating and discharging residents for 5 of 5 residents (R7, R8, R9, R10, and R11) reviewed for discharge of a total sample of 11 residents. The facility abruptly discharged 5 residents that resided on the facility's ventilation unit 10/31/22 without discharge care plans or a discharge summary that included a post-discharge plan of care developed with the participation of the resident and/or their representatives in order to assist the resident to adjust to his or her new living environment. […]
- Immediate jeopardy, isolatedF689Nov 11, 2024
Based on record review and interviews, the facility did not ensure each resident received adequate supervision to prevent accidents from elopements for 1 of 3 residents (R4) reviewed for accidents. R4 was identified as a risk for wandering and has a Wanderguard attached to her walker. R4 eloped from the facility on 10/26/24 and the Wanderguard alarm system did not activate. The facility did not know R4 had left the building until local law enforcement contacted the facility. R4 traveled four (4) blocks and crossed a busy intersection. The facility's failure to provide adequate supervision created a reasonable likelihood for serious injury or harm leading to a finding of immediate jeopardy that began on 10/26/24. […]
- Immediate jeopardy, isolatedF686Aug 6, 2024
Based on observation, interview, and record review, the facility did not ensure each resident receives cares, consistent with professional standards of practice to prevent pressure injuries (PIs) for 2 of 2 residents (R) sampled out of a total sample of 13 (R4 and R6). R4 was admitted on [DATE], without a pressure injury or catheter. Resident was hospitalized on [DATE], returning on [DATE] with a foley catheter in place. The facility failed to ensure interventions to prevent medical device-related pressure injuries were implemented correctly to prevent PI development, failed to complete weekly measurements and assessments, and failed to complete treatments as ordered. […]
Read 27 findings in full →The most serious and the most recent: 27 of 132 on record.
Every survey on record
FindingsAt actual harm or above
- Apr 9, 2026Standard5 findings · 2 harm
- Jan 23, 2025Standard and complaint5 findings
- Nov 11, 2024Complaint4 findings · 1 harm
- Aug 6, 2024Complaint5 findings · 1 harm
- Jan 8, 2024Standard and complaint6 findings
- Feb 17, 2023Complaint1 finding · 1 harm
- Dec 8, 2022Standard18 findings · 2 harm
- Nov 1, 2022Complaint7 findings · 2 harm
Show the 12 earlier surveys
- Oct 3, 2022Complaint11 findings
- Jul 29, 2022Complaint4 findings · 2 harm
- Jul 21, 2022Complaint16 findings
- Aug 10, 2021Standard5 findings
- Mar 8, 2021Complaint1 finding
- Jun 12, 2019Standard8 findings
- Dec 2, 2015Standard11 findings
- Oct 13, 2014Standard9 findings
- Oct 23, 2013—3 findings
- Jul 31, 2013—5 findings
- Sep 27, 2012—4 findings
- Aug 2, 2011—4 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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