Homestead Health Services: Medication Given Without Consent - WI
The resident, identified in inspection records only as R1, was given naltrexone, a medication used to block the effects of opioids or treat alcohol dependence. R1 did not know the drug had been prescribed. R1 did not know it had been administered. R1 learned about it only after the facility contacted R1's representative to ask for consent, apparently unaware that the resident's ignorance of their own treatment was itself the problem.
R1's representative gave consent when contacted. Then, about an hour later, called back to revoke it.
The representative had reviewed the side effects.
When a surveyor interviewed R1 on September 12, 2025, the resident said they had specifically arranged for their representative to handle consent for medications and treatments. That was R1's choice, made in advance. But the arrangement assumed R1 would at least know what was being given. R1 told the surveyor they were upset. The facility had administered naltrexone without informing R1 or R1's representative at all before giving it, which R1 said was against their rights.
They were correct.
Later that same afternoon, the director of nursing, identified in the report as DON-B, approached the surveyor and confirmed what R1 had said. The facility had not obtained consent before administering naltrexone. DON-B confirmed the drug was given without the resident's consent, without the resident's knowledge, and without any explanation of what the medication was for or what risks it carried.
The inspection report does not say how many doses R1 received before anyone thought to ask permission.
It does not say who prescribed the naltrexone, or why, or whether the prescribing physician knew consent had never been obtained. It does not say how the facility came to contact R1's representative rather than R1 directly, or what the representative was told when that call was made.
What it says is that on July 24, 2025, something changed. The report notes the facility did not obtain consent prior to that date. Whether July 24 was the date the drug was first administered, or the date someone finally sought retroactive consent, is not spelled out. Either way, by the time a surveyor walked through the door in September, the director of nursing was confirming the violation in plain language.
Homestead Health Services is a nursing facility at 1712 Monroe St in New Holstein, a small city in Calumet County. The inspection was a complaint survey, meaning someone filed a report that prompted regulators to investigate.
The deficiency was cited under F0552, which covers residents' rights to be informed about their care, including medications, and to make decisions about their treatment. CMS rated the level of harm as minimal harm or potential for actual harm, one of the lower severity levels in the federal rating system.
That rating reflects, in regulatory terms, that no documented physical injury resulted from receiving naltrexone without consent. It does not capture what it means to be a person in a nursing home who discovers, after the fact, that staff had been putting a drug in their body, a drug with a specific and significant intended use, without ever telling them.
R1's representative revoked consent after reading about the side effects. R1 told the surveyor they were upset. Those are the two human responses the inspection report records.
The facility was given the opportunity to submit a plan of correction. The report notes that anyone seeking information about that plan should contact the nursing home or the state survey agency directly.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Homestead Health Services from 2025-09-12 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.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: September 19, 2026 · Our methodology
Homestead Health Services in New Holstein, WI was cited for violations during a health inspection on September 12, 2025.
The resident, identified in inspection records only as R1, was given naltrexone, a medication used to block the effects of opioids or treat alcohol dependence.
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.