Elroy Health Services: Resident Denied Own Clothes - WI
The inspection took place on March 3, 2025. When a surveyor encountered the resident, identified in inspection records as R316, he was wearing regular clothes. He said it felt good. Then the surveyor asked whether staff had ever offered him clothes before that day.
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See the Derila PillowHe said no. Today was the first time.
The inspection report does not say how long R316 had been a resident at Elroy Health Services, a nursing facility located at 307 Royall Ave in Elroy, Wisconsin. It does not describe what he had been wearing before, or whether he had ever asked for his own clothes and been refused, or whether no one had ever thought to ask him at all. What it records is the answer he gave: staff had never offered him clothes to wear, and on the day federal inspectors walked through the building and asked him directly, he was wearing regular clothes for what he described as the first time.
The Centers for Medicare and Medicaid Services classified the violation under a level of harm described as minimal harm or potential for actual harm, affecting few residents.
That classification is the quietest part of this story.
The detail that stays is simpler: a man living in a care facility, dependent on staff for the basics of daily life, went without being offered something as ordinary as his own clothes. Not because of a medical reason documented in the report. Not because of a supply problem or a staffing emergency on a particular shift. The report records no explanation at all. It records only that when someone finally asked him, he said it felt good.
Nursing homes are places where the smallest dignities, the ones most people outside those walls never think about, getting dressed in the morning, choosing what to wear, feeling like yourself, become entirely dependent on whether someone decides to offer them. R316 did not describe anger. He did not describe a complaint he had filed or a request that had gone unanswered. He described relief. It felt good to be wearing regular clothes, even if they were not his own.
The phrase "even if they were not his own" sits in the inspection record without elaboration. Whether he had personal clothing at the facility that had simply never been brought to him, or whether the clothes he wore that day belonged to someone else or to the facility itself, the report does not say. What it says is that he qualified his own relief. He was grateful for clothes that were not even his.
CMS assigned the deficiency tag R316, noting the violation affected few residents. The plan of correction, if one was filed, is not included in the publicly available inspection record. For information on how the facility planned to address the finding, CMS directs readers to contact Elroy Health Services or the Wisconsin state survey agency directly.
The facility has not been the subject of additional public findings included in this report. The March inspection produced this single documented deficiency in the available narrative.
What the inspection captured, in fewer than 200 words of actual findings, was a man who lit up when someone noticed what he was wearing. Who answered a straightforward question with a straightforward answer. Who said today was the first time.
He said it felt good.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Elroy Health Services from 2025-03-03 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Corrections: We strive for accuracy in everything we publish. If you believe any fact in this article is incorrect, please contact us with details, and we will review and correct it promptly.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: November 13, 2026 · Our methodology
ELROY HEALTH SERVICES in ELROY, WI was cited for violations during a health inspection on March 3, 2025.
The inspection took place on March 3, 2025.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.