Northern Lights HCC: Fall Safety Failures - WI
The resident, identified in inspection records only as R3, lived at Northern Lights Health Care Center in Washburn, Wisconsin....
Latest reports, citations, and penalties from CMS data
The resident, identified in inspection records only as R3, lived at Northern Lights Health Care Center in Washburn, Wisconsin....
The cup was still there at 1:00 p.m....
That is what inspectors found when they arrived at the 506 Third Street facility on November 6, 2025, responding to a complaint....
The citation, issued under F0689, is one of the more consequential tags inspectors can assign....
That is what federal inspectors found at Jerseyville Nursing & Rehab Center following a complaint inspection completed in November 2025....
All eighteen coffee mugs had loose food particles and a removable brown film coating the inside....
The resident fell sometime before October 26, 2025....
Federal inspectors arrived November 10....
That finding came out of a complaint inspection at Embassy of Saxonburg on November 13, 2025....
She had a Wander Guard on her right wrist....
The finding was confirmed on November 10, 2025, when the facility's own top leadership sat down with inspectors and said so directly....
When inspectors observed the resident on November 5, 2025, at 1:45 p.m., the skin on the resident's perineal area and buttocks was described as extremely red....
That is what federal inspectors documented during a November 10 complaint inspection at the facility....
The incident had occurred on June 26....
It took two staff members and a Hoyer lift to get the resident off the floor....
The resident, identified in inspection records only as R1, had been assessed as an elopement risk....
And during those bed baths, she said, she did not wash R2's hair....
Federal inspectors cited the facility for actual harm to residents following a complaint inspection completed November 5, 2025....
The inspection was triggered by a complaint....
Nobody at the facility had started an investigation by the time state inspectors arrived nearly three months later....