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Chimney Rock Villa: Safe Environment Failures - NE
The nursing home has not submitted a plan of correction....
Latest reports, citations, and penalties from CMS data
The nursing home has not submitted a plan of correction....
The incidents occurred on August 23, 2025, at Four Seasons Health Care Inc, where both residents have severe cognitive impairment and dementia diagnoses....
Staff must also assess any injuries present and observe both resident and staff behaviors during the investigation process....
The resident, admitted on May 12, 2015, carried diagnoses of dementia and depression....
The resident, identified as Resident #9, had developed severe wounds across their body....
By November 13, sixteen residents and eight staff members had tested positive for COVID-19 in an outbreak that began November 2....
Getting those textures wrong is not a minor paperwork problem....
The defiant stance emerged during a complaint investigation when inspectors sought internal incident reports involving residents #1, #5, #10, #15, and #20....
The November incident exposed multiple failures in the facility's wandering prevention system....
The November inspection, triggered by a complaint, found that staff had moved a resident in a wheelchair without the leg rests in place....
She moved $6,600 in June, $7,200 in July, and $11,050 in August....
That is what federal inspectors found during a complaint inspection at New Glarus Home, a nursing facility in this small southern Wisconsin community....
Under federal regulatory tag **F0584**, facilities are required to ensure that residents receive treatment and supports for daily living in a safe manner....
Federal regulations under F0921 require nursing homes to maintain their physical environment in a manner that protects residents from potential hazards....
The facility has since reported correcting the issue as of December 1, 2025....
The facility has not submitted a correction plan....
The incident surfaced during a complaint inspection completed November 21, 2025, when federal surveyors interviewed staff and reviewed facility records....
The F0812 regulatory tag falls under the **Nutrition and Dietary Deficiencies** category of federal nursing home regulations....
The facility reported correcting the deficiency as of **December 5, 2025**, approximately one month after the inspection....
That was one of at least six shifts between October 22 and November 5, 2025, where the facility ran short....