Latest reports, citations, and penalties from CMS data
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....
Resident #3 arrived at the hospital on September 5, 2025, with both patches still attached to her body....
But the abuse allegation didn't reach facility administrators until October 13....
Federal inspectors discovered the dangerous storage violation on October 22 during a complaint investigation at the facility on North West Street....
The facility's Activity Director acknowledged the practice during an interview with inspectors on November 20....
The resident, identified in inspection records only as R1, was transferred to the facility's rehabilitation unit after a hospital stay in early August 2025....
The failures affected a small number of residents....
Two separate care plans also required weight monitoring....
According to the facility's Director of Nursing, Resident #4 placed his hands on the back of Resident #2's wheelchair, prompting her to yell at him to stop....
The resident, identified in inspection records as R1, had suffered a displaced intertrochanteric fracture of the right femur before arriving at the facility....
She sent the wrong medical record....
Resident 35 has severe cognitive impairment, scoring just three out of 15 points on a mental status assessment....