Wi Veterans Home at Chippewa Falls

In the surveyor’s words

From the most serious findings on record at Wi Veterans Home at Chippewa Falls, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF726Apr 5, 2023

  Based on interview and record review, the facility did not utilize staff with the appropriate competencies and skill sets to provide safe, two person staff assistance during transfer of residents with the use of a mechanical lift for six residents who utilize a mechanical lift. This is evidenced by: The facility policy, entitled Lift-Total Body/Maxi Lift, dated [DATE], states: .Refer to instructions for the facility equipment to be used. Staff must be trained in lift use and safety precautions .Transfer according to manufacture directions/guideline. The facility provided the operator's instructions for the EZ Way Smart Lift, dated [DATE], states: .The EZ Way Smart Lift was designed to be operated safely by one person. […]

• No harm, potential for more than minimal, isolatedF686Jul 15, 2026

  Based on observations, interviews, and record review, the facility did not ensure a resident at risk of Pressure Injury (PI) development received the necessary treatment and services to prevent pressure injuries for 1 of 2 sampled residents (R) (R3).- R3 has a history of pressure injuries to their heels. Staff did not offload R3's heels with pressure-relieving devices per the plan of care. Findings include:According to the National Pressure Injury Advisory Panel (NPIAP) 2019, page 115, . Repositioning and mobilizing individuals is an important component in the prevention of pressure injuries. The underlying cause and formation of pressure injuries is multifaceted; however, by definition, pressure injuries cannot form without loading, or pressure, on tissue. […]

• No harm, potential for more than minimal, isolatedF698Jul 15, 2026

  Based on interview and record review, the facility did not ensure that a resident who requires dialysis receives such service, consistent with professional standards of practice for 1 of 1 resident (R7) reviewed for dialysis.The facility failed to provide ongoing assessment of R7's condition and monitoring for complications before and after dialysis treatments. This is evidenced by:Facility's policy titled Dialysis with the revised date of 04/2026 documented, It is the policy of this community to provide coordination of care with the resident's dialysis provider.R7 was admitted to the facility on [DATE] with diagnoses including end stage renal disease, and type 2 diabetes mellitus. […]

• No harm, potential for more than minimal, isolatedF684Jun 12, 2025

  Based on observation, interview and record review the facility did not ensure that a resident (R) received treatment and care in accordance with professional standards of practice for 1 out of 72 residents sampled. (R271) The facility did not follow provider recommendations to taper gabapentin (anticonvulsant medication) and to monitor speech for R271. Findings include: R271 was admitted to the facility on [DATE] with diagnoses of congestive heart failure, chronic obstructive pulmonary disorder, Parkinsonism, neuralgia and neuritis, and dysarthria following cerebral infarction. R271's most recent annual Minimum Data Set (MDS) assessment dated [DATE] noted a Brief Interview for Mental Status (BIMS) score of 13 indicating cognition is intact. […]

• No harm, potential for more than minimal, isolatedF688Jun 12, 2025

  Based on observations, interviews and record review, the facility did not ensure residents with limited range of motion (ROM) received equipment to maintain or prevent further reduction in ROM for 1 of 2 residents (R) R29 reviewed. This is evidenced by: R29 was readmitted to the facility on [DATE] with diagnoses including, in part, spinal stenosis, atrial fibrillation, osteo arthritis, peripheral venous insufficiency, polyneuropathy, hypertension, dysphagia, and localized edema. R29's Minimum Data Sheet (MDS) dated on 03/24/25 indicates that R29 is totally dependent with all cares. R29's Activities of Daily Living (ADL) care plan and Certified Nurse Assistant (CNA) Kardex states, in part: -Dressing/Grooming: Adaptive clothing for upper body. […]