Wisconsin Dells Health Services

In the surveyor’s words

From the most serious findings on record at Wisconsin Dells Health Services, in the surveyor’s own words.

• Actual harm, isolatedF600Feb 23, 2022

  Based on observation, interview, and record review, the facility did not ensure that each resident was free from abuse, including for 1 of 5 sampled residents (R1) this interaction resulted in psychosocial harm as evidenced by R1 changing her social patterns. This interaction had the potential to affect 4 of 5 residents who overheard the altercation (R2, R3, R4, R5). R1 changed her social habits when she no longer ate her meals in the dining room due to DA C (Dietary Aide) yelling and swearing at/or in front of her, taking her plate of food away, and telling her to get out of the dining room. R2, R3, R4 and R5 witnessed DA C yelling and swearing at R1 in the dining room; the facility failed to monitor these residents for emotional distress after the incident. […]

• No harm, potential for more than minimal, widespreadF925Aug 7, 2025

  Based on observation, interviews, and record review, the facility failed to have an effective pest control program in place to prevent pests and rodents from entering the building through damaged exterior doors which lead into the kitchen. This has the potential to affect the census of 52. Findings include:During an initial inspection of the kitchen, on 08/06/25 at 1:20 PM, the following concerns were observed:1.There were two small black droppings in the dry storage room which appeared to be mouse droppings.2.The exterior door next to the dry storage area was observed to have gaps at the bottom of the door where light from outside was observed providing access to pests and/or rodents. […]

• No harm, potential for more than minimal, widespreadF812Mar 11, 2025

  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 44 residents who reside in the facility. Surveyor observed the facility's freezer to have frozen condensation attached to the ceiling and fallen pieces of frozen condensation on top of and inside of boxes of unsealed food causing potential for contamination. Surveyor observed a mixer to be stored covered and unclean. Supplements in the medication rooms were not dated. Evidenced by: Example 1 Facility policy, titled Food Storage: Cold Foods, undated, includes: . All . […]

• No harm, potential for more than minimal, widespreadF880Mar 11, 2025

  Based on observation, interview and record review the facility did not establish and maintain an infection prevention and control program designed to provide a safe, sanitary and comfortable environment and to help prevent the development and transmission of communicable diseases and infection, this has the potential to affect the census (44), 1 of 4 residents (R10) wound care observations with hand hygiene concerns, and 1 of 3 residents (R37) medication pass observations with hand hygiene concerns. The facility is not monitoring the temperature of 2 of their 3 water heaters as part of their control measures for Water Management Program. The facilities Policy and Procedure for Pneumococcal Vaccine is not up to date. The facility did not identify an outbreak on the date it started. […]

• No harm, potential for more than minimal, widespreadF812Apr 17, 2024

  Based on observation, interview, document review, and review of the United States (US) Food Code, Dietary Aide (DA) J failed to test a low temperature dish machine's final rinse chemical level properly. In addition, two drink items were not labeled and located in the dietary reach-in refrigerator. The deficient practice affected 46 out of 48 residents and could cause the potential spread of foodborne illness. Findings include: Review of the US Food Code 2022 indicated, .Explaining correct procedures for cleaning and sanitizing utensils and food-contact surfaces of equipment. Employees are properly sanitizing cleaned multiuse equipment and utensils before they are reused. Review of the US Food Code 2022 indicated, . […]