Wisconsin Nursing Homes: State Citations Issued from 10/01/2008 to 09/30/2009
Information is current as of 10/29/2009

Facility=CAMEO CARE CTR, MILWAUKEE, SOUTHEAST REGION (CONTACT: Carol Jean Rucker, (414) 227-4563)*

Survey
Exit Date		 Survey Type Wisconsin
Administrative
Code Cited		 Class Code Revisit
Survey Result		 Status
of Appeal++
11/12/2008 FULL/COMPLAINT 132.60(1)(B) , "RESIDENT CARE/DECUBITI PREVENTION " CLASS B DEFICIENCY CORRECTED 12/14/2008 NO APPEAL ON RECORD
11/12/2008 FULL/COMPLAINT 132.60(1)(C)2. , "RESIDENT CARE/BASIC NRSG CARE " CLASS B DEFICIENCY CORRECTED 12/14/2008 NO APPEAL ON RECORD
11/12/2008 FULL/COMPLAINT 132.60(1)(C)4. , "RESIDENT CARE/BASIC NRSG CARE " CLASS B DEFICIENCY CORRECTED 12/14/2008 NO APPEAL ON RECORD
11/12/2008 FULL/COMPLAINT 132.60(8)(a) , "Care Planning " CLASS B DEFICIENCY CORRECTED 12/14/2008 NO APPEAL ON RECORD
11/12/2008 FULL/COMPLAINT 132.60(8)(C) , "IMPLEMENTATION OF CARE PLANS " CLASS B DEFICIENCY CORRECTED 12/14/2008 NO APPEAL ON RECORD
04/21/2009 COMPLAINT 132.60(2)(D) , "RESIDENT CARE/DIET ACCEPTANCE " CLASS B DEFICIENCY CORRECTED 05/06/2009 APPEALED: 04/30/2009

*Please direct questions to the Bureau of Nursing Home Resident Care regional contact
noted above after the facility name and location.
++Because State appeals of citations are not now available on an accessible central
repository, appeal information is incomplete.


Wisconsin Nursing Homes: State Citations Issued from 10/01/2008 to 09/30/2009
Information is current as of 10/29/2009

Facility=CARE AGE OF BROOKFIELD, BROOKFIELD, SOUTHEAST REGION (CONTACT: Carol Jean Rucker, (414) 227-4563)*

Survey
Exit Date		 Survey Type Wisconsin
Administrative
Code Cited		 Class Code Revisit
Survey Result		 Status
of Appeal++
05/07/2009 FULL/COMPLAINT 132.60(8)(C) , "IMPLEMENTATION OF CARE PLANS " CLASS B DEFICIENCY CORRECTED 05/07/2009 APPEALED: 05/20/2009

*Please direct questions to the Bureau of Nursing Home Resident Care regional contact
noted above after the facility name and location.
++Because State appeals of citations are not now available on an accessible central
repository, appeal information is incomplete.


Wisconsin Nursing Homes: State Citations Issued from 10/01/2008 to 09/30/2009
Information is current as of 10/29/2009

Facility=CEDAR LAKE HEALTH AND REHAB CENTER, WEST BEND, SOUTHEAST REGION (CONTACT: Carol Jean Rucker, (414) 227-4563)*

Survey
Exit Date		 Survey Type Wisconsin
Administrative
Code Cited		 Class Code Revisit
Survey Result		 Status
of Appeal++
06/29/2009 COMPLAINT 132.60(1) , "RESIDENT CARE/INDIVIDUAL CARE " CLASS A DEFICIENCY CORRECTED 07/10/2009 APPEALED: 07/06/2009
06/29/2009 COMPLAINT 132.60(1)(C)4. , "RESIDENT CARE/BASIC NRSG CARE " CLASS A DEFICIENCY CORRECTED 06/29/2009 APPEALED: 07/06/2009

*Please direct questions to the Bureau of Nursing Home Resident Care regional contact
noted above after the facility name and location.
++Because State appeals of citations are not now available on an accessible central
repository, appeal information is incomplete.


Wisconsin Nursing Homes: State Citations Issued from 10/01/2008 to 09/30/2009
Information is current as of 10/29/2009

Facility=CEDAR SPRINGS HLTH REHAB CTR, CEDARBURG, SOUTHEAST REGION (CONTACT: Carol Jean Rucker, (414) 227-4563)*

Survey
Exit Date		 Survey Type Wisconsin
Administrative
Code Cited		 Class Code Revisit
Survey Result		 Status
of Appeal++
02/02/2009 FULL/COMPLAINT 132.60(1)(C)4. , "RESIDENT CARE/BASIC NRSG CARE " CLASS B DEFICIENCY CORRECTED 03/02/2009 NO APPEAL ON RECORD
02/02/2009 FULL/COMPLAINT 132.60(2)(D) , "RESIDENT CARE/DIET ACCEPTANCE " CLASS B DEFICIENCY CORRECTED 03/02/2009 NO APPEAL ON RECORD
02/02/2009 FULL/COMPLAINT 132.60(8)(C) , "IMPLEMENTATION OF CARE PLANS " CLASS B DEFICIENCY CORRECTED 03/02/2009 NO APPEAL ON RECORD

*Please direct questions to the Bureau of Nursing Home Resident Care regional contact
noted above after the facility name and location.
++Because State appeals of citations are not now available on an accessible central
repository, appeal information is incomplete.


Wisconsin Nursing Homes: State Citations Issued from 10/01/2008 to 09/30/2009
Information is current as of 10/29/2009

Facility=CHILTON CARE CTR, CHILTON, NORTHEAST REGION (CONTACT: Dolores Zwiers, (920) 983-3185)*

Survey
Exit Date		 Survey Type Wisconsin
Administrative
Code Cited		 Class Code Revisit
Survey Result		 Status
of Appeal++
08/20/2009 FULL/COMPLAINT 132.60(1)(B) , "RESIDENT CARE/DECUBITI PREVENTION " CLASS B DEFICIENCY CORRECTED 09/20/2009 NO APPEAL ON RECORD

*Please direct questions to the Bureau of Nursing Home Resident Care regional contact
noted above after the facility name and location.
++Because State appeals of citations are not now available on an accessible central
repository, appeal information is incomplete.


Wisconsin Nursing Homes: State Citations Issued from 10/01/2008 to 09/30/2009
Information is current as of 10/29/2009

Facility=CHIPPEWA MNR NUR HOME, CHIPPEWA FALLS, WESTERN REGION (CONTACT: Sherry Walters, (715) 836-4420)*

Survey
Exit Date		 Survey Type Wisconsin
Administrative
Code Cited		 Class Code Revisit
Survey Result		 Status
of Appeal++
12/09/2008 COMPLAINT 50.09(1)(e) , "Treatment " CLASS B DEFICIENCY CORRECTED 10/28/2008 APPEALED: 12/22/2008

*Please direct questions to the Bureau of Nursing Home Resident Care regional contact
noted above after the facility name and location.
++Because State appeals of citations are not now available on an accessible central
repository, appeal information is incomplete.


Wisconsin Nursing Homes: State Citations Issued from 10/01/2008 to 09/30/2009
Information is current as of 10/29/2009

Facility=CHRISTIAN COMM HOME, HUDSON, WESTERN REGION (CONTACT: Sherry Walters, (715) 836-4420)*

Survey
Exit Date		 Survey Type Wisconsin
Administrative
Code Cited		 Class Code Revisit
Survey Result		 Status
of Appeal++
08/24/2009 COMPLAINT 132.82(6)(A)1. , "DISASTER PLAN " CLASS B DEFICIENCY   APPEALED: 09/10/2009

*Please direct questions to the Bureau of Nursing Home Resident Care regional contact
noted above after the facility name and location.
++Because State appeals of citations are not now available on an accessible central
repository, appeal information is incomplete.


Wisconsin Nursing Homes: State Citations Issued from 10/01/2008 to 09/30/2009
Information is current as of 10/29/2009

Facility=CHRISTIAN HOME REHAB CTR, WAUPUN, SOUTHERN REGION (CONTACT: Kristy Pecosky, (608) 266-8633)*

Survey
Exit Date		 Survey Type Wisconsin
Administrative
Code Cited		 Class Code Revisit
Survey Result		 Status
of Appeal++
09/02/2009 FULL 132.60(1) , "RESIDENT CARE/INDIVIDUAL CARE " CLASS B DEFICIENCY   NO APPEAL ON RECORD
09/02/2009 FULL 132.60(1)(B) , "RESIDENT CARE/DECUBITI PREVENTION " CLASS B DEFICIENCY   NO APPEAL ON RECORD

*Please direct questions to the Bureau of Nursing Home Resident Care regional contact
noted above after the facility name and location.
++Because State appeals of citations are not now available on an accessible central
repository, appeal information is incomplete.


Wisconsin Nursing Homes: State Citations Issued from 10/01/2008 to 09/30/2009
Information is current as of 10/29/2009

Facility=CITY VIEW NUR HOME, MADISON, SOUTHERN REGION (CONTACT: Kristy Pecosky, (608) 266-8633)*

Survey
Exit Date		 Survey Type Wisconsin
Administrative
Code Cited		 Class Code Revisit
Survey Result		 Status
of Appeal++
02/17/2009 FULL/COMPLAINT 132.60(2)(D) , "RESIDENT CARE/DIET ACCEPTANCE " CLASS B DEFICIENCY CORRECTED 04/01/2009 APPEALED: 03/13/2009
02/17/2009 FULL/COMPLAINT 132.60(8)(B) , "UPDATING OF CARE PLANS " CLASS B DEFICIENCY CORRECTED 03/19/2009 APPEALED: 03/13/2009
02/17/2009 FULL/COMPLAINT 132.60(8)(C) , "IMPLEMENTATION OF CARE PLANS " CLASS B DEFICIENCY CORRECTED 03/19/2009 APPEALED: 03/13/2009
02/17/2009 FULL/COMPLAINT 132.60(1)(c)5 , "FACILITY SHALL PROVIDE PAIN ASSESSMNT/TREATMT" CLASS B DEFICIENCY CORRECTED 03/19/2009 APPEALED: 03/13/2009
07/16/2009 COMPLAINT 132.60(1) , "RESIDENT CARE/INDIVIDUAL CARE " CLASS B DEFICIENCY CORRECTED 08/11/2009 NO APPEAL ON RECORD

*Please direct questions to the Bureau of Nursing Home Resident Care regional contact
noted above after the facility name and location.
++Because State appeals of citations are not now available on an accessible central
repository, appeal information is incomplete.


Wisconsin Nursing Homes: State Citations Issued from 10/01/2008 to 09/30/2009
Information is current as of 10/29/2009

Facility=CLAIREMONT NUR REHAB, EAU CLAIRE, WESTERN REGION (CONTACT: Sherry Walters, (715) 836-4420)*

Survey
Exit Date		 Survey Type Wisconsin
Administrative
Code Cited		 Class Code Revisit
Survey Result		 Status
of Appeal++
10/27/2008 FULL/COMPLAINT 50.09(1)(L) , "Care " CLASS B DEFICIENCY CORRECTED 12/13/2008 NO APPEAL ON RECORD
02/19/2009 COMPLAINT 132.60(5)(A)1. , "RESIDENT CARE/ORDERS " CLASS C DEFICIENCY -- CORRECTION ORDER SERVED CORRECTED 03/19/2009 NO APPEAL ON RECORD
02/19/2009 COMPLAINT 132.60(8)(C) , "IMPLEMENTATION OF CARE PLANS " CLASS B DEFICIENCY CORRECTED 03/19/2009 NO APPEAL ON RECORD
06/23/2009 COMPLAINT 50.09(1)(k) , "Abuse and Restraints " CLASS B DEFICIENCY   NO APPEAL ON RECORD

*Please direct questions to the Bureau of Nursing Home Resident Care regional contact
noted above after the facility name and location.
++Because State appeals of citations are not now available on an accessible central
repository, appeal information is incomplete.


Wisconsin Nursing Homes: State Citations Issued from 10/01/2008 to 09/30/2009
Information is current as of 10/29/2009

Facility=CLAIRIDGE HOUSE, KENOSHA, SOUTHEAST REGION (CONTACT: Carol Jean Rucker, (414) 227-4563)*

Survey
Exit Date		 Survey Type Wisconsin
Administrative
Code Cited		 Class Code Revisit
Survey Result		 Status
of Appeal++
07/07/2009 FULL/COMPLAINT 132.60(8)(B) , "UPDATING OF CARE PLANS " CLASS B DEFICIENCY CORRECTED 08/07/2009 APPEALED: 07/29/2009
07/07/2009 FULL/COMPLAINT 132.83(7)(A)2. , "HOT WATER TEMPERATURE " CLASS B DEFICIENCY CORRECTED 08/07/2009 APPEALED: 07/29/2009

*Please direct questions to the Bureau of Nursing Home Resident Care regional contact
noted above after the facility name and location.
++Because State appeals of citations are not now available on an accessible central
repository, appeal information is incomplete.


Wisconsin Nursing Homes: State Citations Issued from 10/01/2008 to 09/30/2009
Information is current as of 10/29/2009

Facility=CLARK CTY HCC, OWEN, WESTERN REGION (CONTACT: Sherry Walters, (715) 836-4420)*

Survey
Exit Date		 Survey Type Wisconsin
Administrative
Code Cited		 Class Code Revisit
Survey Result		 Status
of Appeal++
06/18/2009 FULL 132.60(8)(C) , "IMPLEMENTATION OF CARE PLANS " CLASS B DEFICIENCY CORRECTED 07/18/2009 NO APPEAL ON RECORD

*Please direct questions to the Bureau of Nursing Home Resident Care regional contact
noted above after the facility name and location.
++Because State appeals of citations are not now available on an accessible central
repository, appeal information is incomplete.


Wisconsin Nursing Homes: State Citations Issued from 10/01/2008 to 09/30/2009
Information is current as of 10/29/2009

Facility=CLEMENT MNR HLTH CARE CTR, GREENFIELD, SOUTHEAST REGION (CONTACT: Carol Jean Rucker, (414) 227-4563)*

Survey
Exit Date		 Survey Type Wisconsin
Administrative
Code Cited		 Class Code Revisit
Survey Result		 Status
of Appeal++
03/18/2009 FULL 132.51(2)(B)1. , "ADMISSIONS/COMMUNICABLE DISEASE " CLASS B DEFICIENCY CORRECTED 04/30/2009 NO APPEAL ON RECORD
03/18/2009 FULL 132.46(2)(b) , "QAA COMMITTEE CORRECTS CARE ISSUES " CLASS B DEFICIENCY CORRECTED 04/30/2009 NO APPEAL ON RECORD

*Please direct questions to the Bureau of Nursing Home Resident Care regional contact
noted above after the facility name and location.
++Because State appeals of citations are not now available on an accessible central
repository, appeal information is incomplete.


Wisconsin Nursing Homes: State Citations Issued from 10/01/2008 to 09/30/2009
Information is current as of 10/29/2009

Facility=COLONIAL CENTER, COLBY, WESTERN REGION (CONTACT: Sherry Walters, (715) 836-4420)*

Survey
Exit Date		 Survey Type Wisconsin
Administrative
Code Cited		 Class Code Revisit
Survey Result		 Status
of Appeal++
05/04/2009 COMPLAINT 50.09(1)(L) , "Care " CLASS B DEFICIENCY CORRECTED 05/31/2009 NO APPEAL ON RECORD

*Please direct questions to the Bureau of Nursing Home Resident Care regional contact
noted above after the facility name and location.
++Because State appeals of citations are not now available on an accessible central
repository, appeal information is incomplete.


Wisconsin Nursing Homes: State Citations Issued from 10/01/2008 to 09/30/2009
Information is current as of 10/29/2009

Facility=COLONIAL MNR MED REHAB CTR, WAUSAU, NORTHERN REGION (CONTACT: Jessica Radtke, (715) 365-2801)*

Survey
Exit Date		 Survey Type Wisconsin
Administrative
Code Cited		 Class Code Revisit
Survey Result		 Status
of Appeal++
10/28/2008 COMPLAINT 50.09(1)(L) , "Care " CLASS B DEFICIENCY CORRECTED 11/04/2008 NO APPEAL ON RECORD
01/09/2009 FULL 132.60(1) , "RESIDENT CARE/INDIVIDUAL CARE " CLASS B DEFICIENCY CORRECTED 02/09/2009 NO APPEAL ON RECORD
01/09/2009 FULL 132.60(1)(B) , "RESIDENT CARE/DECUBITI PREVENTION " CLASS B DEFICIENCY UNCORRECTED AT REVISIT NO APPEAL ON RECORD
01/09/2009 FULL 132.60(8)(C) , "IMPLEMENTATION OF CARE PLANS " CLASS B DEFICIENCY CORRECTED 02/09/2009 NO APPEAL ON RECORD
02/19/2009 REVISIT 132.60(1)(B) , "RESIDENT CARE/DECUBITI PREVENTION " CLASS C DEFICIENCY CORRECTED 03/03/2009 NO APPEAL ON RECORD
07/20/2009 FULL/COMPLAINT 50.065(2)(bm) , "OUT OF STATE BACKGROUND CHECKS " CLASS C DEFICIENCY -- CORRECTION ORDER SERVED CORRECTED 08/19/2009 NO APPEAL ON RECORD
07/20/2009 FULL/COMPLAINT 132.60(5)(A)2. , "RESIDENT CARE/ORAL ORDERS " CLASS C DEFICIENCY -- CORRECTION ORDER SERVED CORRECTED 08/19/2009 NO APPEAL ON RECORD
07/20/2009 FULL/COMPLAINT 50.09(1)(L) , "Care " CLASS B DEFICIENCY CORRECTED 08/19/2009 NO APPEAL ON RECORD

*Please direct questions to the Bureau of Nursing Home Resident Care regional contact
noted above after the facility name and location.
++Because State appeals of citations are not now available on an accessible central
repository, appeal information is incomplete.


Wisconsin Nursing Homes: State Citations Issued from 10/01/2008 to 09/30/2009
Information is current as of 10/29/2009

Facility=COLONY OAKS CARE CTR, APPLETON, NORTHEAST REGION (CONTACT: Dolores Zwiers, (920) 983-3185)*

Survey
Exit Date		 Survey Type Wisconsin
Administrative
Code Cited		 Class Code Revisit
Survey Result		 Status
of Appeal++
02/24/2009 FULL 132.51(2)(B)1. , "ADMISSIONS/COMMUNICABLE DISEASE " CLASS B DEFICIENCY CORRECTED 03/24/2009 NO APPEAL ON RECORD
02/24/2009 FULL 132.60(1)(C)2. , "RESIDENT CARE/BASIC NRSG CARE " CLASS B DEFICIENCY CORRECTED 03/24/2009 NO APPEAL ON RECORD
02/24/2009 FULL 132.60(8)(C) , "IMPLEMENTATION OF CARE PLANS " CLASS B DEFICIENCY UNCORRECTED AT REVISIT NO APPEAL ON RECORD
04/01/2009 COMPLAINT 132.60(1)(C)4. , "RESIDENT CARE/BASIC NRSG CARE " CLASS A DEFICIENCY CORRECTED 04/01/2009 NO APPEAL ON RECORD
05/05/2009 COMPLAINT 132.60(8)(C) , "IMPLEMENTATION OF CARE PLANS " CLASS B DEFICIENCY CORRECTED 05/08/2009 NO APPEAL ON RECORD
08/17/2009 COMPLAINT 132.60(1) , "RESIDENT CARE/INDIVIDUAL CARE " CLASS A DEFICIENCY   NO APPEAL ON RECORD
08/17/2009 COMPLAINT 132.60(8)(B) , "UPDATING OF CARE PLANS " CLASS B DEFICIENCY   NO APPEAL ON RECORD

*Please direct questions to the Bureau of Nursing Home Resident Care regional contact
noted above after the facility name and location.
++Because State appeals of citations are not now available on an accessible central
repository, appeal information is incomplete.


Wisconsin Nursing Homes: State Citations Issued from 10/01/2008 to 09/30/2009
Information is current as of 10/29/2009

Facility=COLUMBIA HLTH CARE CTR, WYOCENA, SOUTHERN REGION (CONTACT: Kristy Pecosky, (608) 266-8633)*

Survey
Exit Date		 Survey Type Wisconsin
Administrative
Code Cited		 Class Code Revisit
Survey Result		 Status
of Appeal++
04/20/2009 COMPLAINT 132.60(1) , "RESIDENT CARE/INDIVIDUAL CARE " CLASS B DEFICIENCY CORRECTED 05/20/2009 APPEALED: 05/11/2009

*Please direct questions to the Bureau of Nursing Home Resident Care regional contact
noted above after the facility name and location.
++Because State appeals of citations are not now available on an accessible central
repository, appeal information is incomplete.


Wisconsin Nursing Homes: State Citations Issued from 10/01/2008 to 09/30/2009
Information is current as of 10/29/2009

Facility=COLUMBUS NUR REHAB CTR, COLUMBUS, SOUTHERN REGION (CONTACT: Kristy Pecosky, (608) 266-8633)*

Survey
Exit Date		 Survey Type Wisconsin
Administrative
Code Cited		 Class Code Revisit
Survey Result		 Status
of Appeal++
03/20/2009 COMPLAINT 132.60(1)(C)4. , "RESIDENT CARE/BASIC NRSG CARE " CLASS B DEFICIENCY CORRECTED 04/20/2009 NO APPEAL ON RECORD
09/10/2009 FULL/COMPLAINT 50.09(1)(L) , "Care " CLASS B DEFICIENCY   APPEALED: 09/29/2009

*Please direct questions to the Bureau of Nursing Home Resident Care regional contact
noted above after the facility name and location.
++Because State appeals of citations are not now available on an accessible central
repository, appeal information is incomplete.


Wisconsin Nursing Homes: State Citations Issued from 10/01/2008 to 09/30/2009
Information is current as of 10/29/2009

Facility=CORNELL AREA CARE CTR, CORNELL, WESTERN REGION (CONTACT: Sherry Walters, (715) 836-4420)*

Survey
Exit Date		 Survey Type Wisconsin
Administrative
Code Cited		 Class Code Revisit
Survey Result		 Status
of Appeal++
01/07/2009 COMPLAINT 132.45(5)(C)4.C. , "MEDICAL RECORDS-CONTENT-NURSING " CLASS C DEFICIENCY -- CORRECTION ORDER SERVED CORRECTED 02/06/2009 NO APPEAL ON RECORD
01/07/2009 COMPLAINT 132.60(3)(A) , "RESIDENT CARE/NOTIFICATION OF CHANGE " CLASS B DEFICIENCY CORRECTED 02/06/2009 NO APPEAL ON RECORD
09/29/2009 FULL/COMPLAINT 132.60(1)(C)4. , "RESIDENT CARE/BASIC NRSG CARE " CLASS B DEFICIENCY   NO APPEAL ON RECORD
09/29/2009 FULL/COMPLAINT 132.65(6)(B)2. , "MEDS/TRANSFER BETWEEN CONTAINERS " CLASS C DEFICIENCY -- CORRECTION ORDER SERVED   NO APPEAL ON RECORD
09/29/2009 FULL/COMPLAINT 50.09(1)(L) , "Care " CLASS B DEFICIENCY   NO APPEAL ON RECORD

*Please direct questions to the Bureau of Nursing Home Resident Care regional contact
noted above after the facility name and location.
++Because State appeals of citations are not now available on an accessible central
repository, appeal information is incomplete.


Wisconsin Nursing Homes: State Citations Issued from 10/01/2008 to 09/30/2009
Information is current as of 10/29/2009

Facility=COUNTRYSIDE HOME, JEFFERSON, SOUTHEAST REGION (CONTACT: Carol Jean Rucker, (414) 227-4563)*

Survey
Exit Date		 Survey Type Wisconsin
Administrative
Code Cited		 Class Code Revisit
Survey Result		 Status
of Appeal++
10/30/2008 FULL 132.60(1)(c)5 , "FACILITY SHALL PROVIDE PAIN ASSESSMNT/TREATMT" CLASS B DEFICIENCY UNCORRECTED AT REVISIT NO APPEAL ON RECORD
12/11/2008 REVISIT 132.60(1)(c)5 , "FACILITY SHALL PROVIDE PAIN ASSESSMNT/TREATMT" CLASS C DEFICIENCY CORRECTED 01/10/2009 NO APPEAL ON RECORD

*Please direct questions to the Bureau of Nursing Home Resident Care regional contact
noted above after the facility name and location.
++Because State appeals of citations are not now available on an accessible central
repository, appeal information is incomplete.


Wisconsin Nursing Homes: State Citations Issued from 10/01/2008 to 09/30/2009
Information is current as of 10/29/2009

Facility=CRANDON NUR HOME, CRANDON, NORTHERN REGION (CONTACT: Jessica Radtke, (715) 365-2801)*

Survey
Exit Date		 Survey Type Wisconsin
Administrative
Code Cited		 Class Code Revisit
Survey Result		 Status
of Appeal++
08/10/2009 FULL 132.60(1) , "RESIDENT CARE/INDIVIDUAL CARE " MULTIPLE CLASS 'B' OR 'A' DEFICIENCIES CORRECTED 09/08/2009 APPEALED: 08/24/2009
08/10/2009 FULL 50.09(1)(k) , "Abuse and Restraints " CLASS B DEFICIENCY CORRECTED 08/18/2009 APPEALED: 08/24/2009

*Please direct questions to the Bureau of Nursing Home Resident Care regional contact
noted above after the facility name and location.
++Because State appeals of citations are not now available on an accessible central
repository, appeal information is incomplete.


Wisconsin Nursing Homes: State Citations Issued from 10/01/2008 to 09/30/2009
Information is current as of 10/29/2009

Facility=CUMBERLAND MEM HSPTL ECU, CUMBERLAND, WESTERN REGION (CONTACT: Sherry Walters, (715) 836-4420)*

Survey
Exit Date		 Survey Type Wisconsin
Administrative
Code Cited		 Class Code Revisit
Survey Result		 Status
of Appeal++
06/29/2009 COMPLAINT 132.60(8)(C) , "IMPLEMENTATION OF CARE PLANS " CLASS B DEFICIENCY CORRECTED 07/29/2009 NO APPEAL ON RECORD

*Please direct questions to the Bureau of Nursing Home Resident Care regional contact
noted above after the facility name and location.
++Because State appeals of citations are not now available on an accessible central
repository, appeal information is incomplete.