Marquardt Memorial Manor: Resident Left Without POA Help - WI
That finding sits at the center of an October 2025 complaint inspection at the Watertown nursing home, where federal inspectors cited the facility for failing to act on a resident's request to exercise a basic legal right.
The resident, identified in inspection records only as R1, had asked to complete a new power of attorney document. What happened next, according to inspectors, was nothing. The facility's social worker, identified as SW-E, and the nursing home administrator, identified as NHA-A, both acknowledged to inspectors that no further action had been taken to fulfill the request.
The administrator did not deny that the request had gone unanswered. Instead, NHA-A pointed to Adult Protective Services, explaining that an APS representative had made clear that R1 was R1's own decision maker. That framing, that the resident could decide for themselves, appeared to be the facility's justification for inaction. But inspectors found it unconvincing as a reason to simply stop.
The inspection report does not say how long R1 waited. It does not say whether R1 asked again, or whether anyone at the facility followed up to explain why the request stalled. What the record shows is that two people, the social worker and the administrator, were aware of the request, spoke with inspectors about it, and confirmed that nothing further had been done.
A power of attorney document is not a bureaucratic formality. For a nursing home resident, it is the legal mechanism through which they name someone to make decisions on their behalf if they become unable to do so. For a resident who wants to change or create that document, the request carries real stakes. The timing matters. A resident who asks for help completing a POA and does not receive it may lose the window to do so.
CMS tagged the deficiency under F0578, which covers a resident's right to participate in their own care and to have their legal rights respected and supported. The level of harm was cited as minimal harm or potential for actual harm, the lower end of the federal harm scale. Few residents were noted as affected.
That designation, minimal harm, can obscure what it means in practice for the person waiting. R1 asked for something specific. R1 was told, or at least understood, that help would come. It did not.
The inspection was completed October 6, 2025, following a complaint. The facility is located at 1020 Hill St in Watertown.
What the record does not answer is whether R1 ever got the document completed.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Marquardt Memorial Manor from 2025-10-06 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 10, 2026 · Our methodology
Marquardt Memorial Manor in Watertown, WI was cited for violations during a health inspection on October 6, 2025.
The resident, identified in inspection records only as R1, had asked to complete a new power of attorney document.
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.