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

Facility=WAUKESHA SPRINGS HLTH REHAB, WAUKESHA, 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++
09/22/2009 FULL/COMPLAINT 132.60(1)(C)2. , "RESIDENT CARE/BASIC NRSG CARE " CLASS B DEFICIENCY   NO APPEAL ON RECORD
09/22/2009 FULL/COMPLAINT 132.60(8)(C) , "IMPLEMENTATION 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=WHEATON FRANCISCAN HC - LAKESHORE MANOR, RACINE, 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++
04/28/2009 FULL 132.60(1)(B) , "RESIDENT CARE/DECUBITI PREVENTION " CLASS B DEFICIENCY CORRECTED 05/28/2009 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=WI VETERANS HM OLSON 600, KING, 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++
03/17/2009 FULL 132.60(8)(B) , "UPDATING OF CARE PLANS " CLASS B DEFICIENCY CORRECTED 04/17/2009 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=WILD ROSE MNR, WILD ROSE, 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++
04/20/2009 COMPLAINT 50.09(6) , "RESIDENT'S RIGHTS IN CERTAIN FACILITIES " CLASS B DEFICIENCY CORRECTED 05/19/2009 NO APPEAL ON RECORD
04/20/2009 COMPLAINT 50.09(1)(k) , "Abuse and Restraints " CLASS B DEFICIENCY CORRECTED 05/19/2009 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=WILLIAMS BAY CARE CTR, WILLIAMS BAY, 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++
03/11/2009 COMPLAINT 132.60(2)(A) , "RESIDENT CARE/NOURISHMENT-DIETS " CLASS B DEFICIENCY CORRECTED 04/06/2009 NO APPEAL ON RECORD
03/11/2009 COMPLAINT 50.09(1)(e) , "Treatment " CLASS B DEFICIENCY CORRECTED 04/06/2009 NO APPEAL ON RECORD
06/25/2009 FULL/COMPLAINT 132.60(1)(C)2. , "RESIDENT CARE/BASIC NRSG CARE " CLASS B DEFICIENCY CORRECTED 07/22/2009 APPEALED: 07/16/2009
06/25/2009 FULL/COMPLAINT 132.60(5)(A)1. , "RESIDENT CARE/ORDERS " CLASS B DEFICIENCY CORRECTED 07/22/2009 APPEALED: 07/16/2009

*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=WILLOW RIDGE HLTHCARE, AMERY, 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++
10/22/2008 FULL/COMPLAINT 50.09(1)(L) , "Care " CLASS B DEFICIENCY CORRECTED 12/10/2008 NO APPEAL ON RECORD
12/10/2008 REVISIT 132.45(5)(C)4.B. , "MEDICAL RECORDS-CONTENT-NURSING " CLASS C DEFICIENCY CORRECTED 02/04/2009 NO APPEAL ON RECORD
12/10/2008 REVISIT 132.60(1)(C)4. , "RESIDENT CARE/BASIC NRSG CARE " CLASS B DEFICIENCY CORRECTED 02/04/2009 NO APPEAL ON RECORD
02/04/2009 REVISIT 132.60(1)(C)4. , "RESIDENT CARE/BASIC NRSG CARE " CLASS B DEFICIENCY   APPEALED: 02/24/2009

*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=WILLOWBROOK NUR AND REHAB, LAKE MILLS, 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++
11/26/2008 COMPLAINT 132.60(8)(C) , "IMPLEMENTATION OF CARE PLANS " CLASS B DEFICIENCY CORRECTED 12/26/2008 APPEALED: 12/17/2008

*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=WILLOWCREST CARE CTR, SOUTH 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++
01/29/2009 COMPLAINT 132.60(2)(D) , "RESIDENT CARE/DIET ACCEPTANCE " CLASS B DEFICIENCY CORRECTED 03/01/2009 NO APPEAL ON RECORD
04/02/2009 COMPLAINT 132.60(5)(A)1. , "RESIDENT CARE/ORDERS " CLASS C DEFICIENCY -- CORRECTION ORDER SERVED CORRECTED 05/02/2009 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=WILLOWDALE NUR AND REHAB, NEW HOLSTEIN, 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++
09/01/2009 COMPLAINT 132.60(1)(C)4. , "RESIDENT CARE/BASIC NRSG CARE " CLASS B DEFICIENCY CORRECTED 09/28/2009 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=WILLOWFIELD NUR AND REHAB, DELAVAN, 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++
07/21/2009 COMPLAINT 50.09(1)(k) , "Abuse and Restraints " CLASS C DEFICIENCY -- CORRECTION ORDER SERVED CORRECTED 08/21/2009 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=WISCONSIN RAPIDS CARE CENTER, WISCONSIN RAPIDS, 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++
02/23/2009 FULL/COMPLAINT 132.44(1)(C) , "TRAINING-ASSIGNMENTS " CLASS B DEFICIENCY CORRECTED 03/29/2009 APPEALED: 03/12/2009
02/23/2009 FULL/COMPLAINT 132.51(2)(C) , "ADMISSIONS/DESTRUCTIVE RESIDENTS " CLASS B DEFICIENCY CORRECTED 03/29/2009 APPEALED: 03/12/2009
02/23/2009 FULL/COMPLAINT 50.09(1)(L) , "Care " CLASS B DEFICIENCY CORRECTED 03/29/2009 APPEALED: 03/12/2009

*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=WOODLAND VILLAGE NH, SURING, 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++
10/22/2008 COMPLAINT 13.05(3)(b) , "DEPARTMENT OF REGULATION & LICENSING " CLASS C DEFICIENCY -- CORRECTION ORDER SERVED CORRECTED 12/11/2008 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=WOODLANDS OF OCONTO, OCONTO, 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++
12/10/2008 FULL/COMPLAINT 132.60(8)(C) , "IMPLEMENTATION OF CARE PLANS " CLASS B DEFICIENCY CORRECTED 12/31/2008 NO APPEAL ON RECORD
12/10/2008 FULL/COMPLAINT 50.09(1)(L) , "Care " CLASS B DEFICIENCY CORRECTED 12/31/2008 NO APPEAL ON RECORD
08/19/2009 COMPLAINT 132.53(3)(B)3.D. , "INVOLUNTARY D/C " CLASS C DEFICIENCY -- CORRECTION ORDER SERVED CORRECTED 09/19/2009 NO APPEAL ON RECORD
09/21/2009 COMPLAINT 132.60(8)(C) , "IMPLEMENTATION OF CARE PLANS " CLASS B DEFICIENCY   NO APPEAL ON RECORD
09/21/2009 COMPLAINT 132.72(3) , "POISONS " 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=WOODSIDE LUTH HOME, GREEN BAY, 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++
12/02/2008 COMPLAINT 132.60(8)(C) , "IMPLEMENTATION OF CARE PLANS " CLASS B DEFICIENCY CORRECTED 01/02/2009 APPEALED: 12/22/2008
02/11/2009 COMPLAINT 132.60(1)(B) , "RESIDENT CARE/DECUBITI PREVENTION " CLASS B DEFICIENCY CORRECTED 04/23/2009 DISMISSED
03/31/2009 COMPLAINT 132.60(1)(B) , "RESIDENT CARE/DECUBITI PREVENTION " CLASS B DEFICIENCY CORRECTED 04/23/2009 APPEALED: 04/21/2009

*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=WOODSTOCK HLTH AND REHAB, 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++
02/10/2009 FULL/COMPLAINT 132.60(2)(D) , "RESIDENT CARE/DIET ACCEPTANCE " CLASS B DEFICIENCY CORRECTED 03/10/2009 NO APPEAL ON RECORD
03/25/2009 COMPLAINT 132.60(5)(A)1. , "RESIDENT CARE/ORDERS " CLASS C DEFICIENCY -- CORRECTION ORDER SERVED CORRECTED 05/05/2009 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=ZIMMERMAN NH, REEDSBURG, 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++
11/12/2008 FULL 50.065(2)(b)intro , "ENTITY BACKGROUND-CHECK REQUIREMENTS " CLASS C DEFICIENCY -- CORRECTED BEFORE VISIT COMPLETED CORRECTED 12/12/2008 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.