Whispering Creek
WHISPERING CREEK in JANESVILLE, MN — inspection on May 27, 2026.
Found 1 citation. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
During an interview on 5/27/26 at 9:03 a.m., licensed practical nurse (LPN)-A stated a nurse worked in the charge nurse capacity every shift - either an LPN or a registered nurse.
During an interview on 5/27/26, at 9:57 a.m., the administrator was informed the facility PBJ report had triggered for failure to have licensed nursing coverage 24 hours/day on 10/5/25, 10/5/25, 11/15/25, and 11/16/25.
The administrator was informed schedules, time sheets and agency invoices verified licensed nursing staff had worked the infraction dates.
The administrator stated the facility scheduled one licensed nurse each shift; they checked and verified all shifts were covered.
Data for employed nurses and data from staffing agencies were uploaded to the CMS database.
The administrator couldn't explain the discrepancy.
During an interview on 5/27/26 at 10:07 a.m., the administrator stated he realized the problem.
The individual who uploaded the data had not been informed the facility had started utilizing a particular agency in 2025, and had not added those agency nurses to the database.
During an interview on 5/27/26 at 2:26 p.m., the director of nursing (DON) stated she did scheduling for the nursing staff, and verified a licensed nurse was scheduled as the charge nurse for each shift.
The facility Reporting Direct Care Staffing Information (Payroll-Based Journal) policy with revised date of August 2022, indicated direct care staffing information was reported electronically to CMS through the Payroll-Based Journal system.
Complete and accurate direct care staffing information was reported electronically to CMS through the Payroll-Based Journal (PBJ) system in a uniform format specified by CMS.
For auditing purposes, reported staffing information was based on payroll records, invoices, tied back to a contract, or other verifiable information.
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.
For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.