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Complaint Investigation

Meadowbrook At Appleton

October 22, 2025 · Appleton, WI · 1335 S Oneida St
Citations 2
CMS Rating 2/5
Beds 104
Provider ID 525264
Healthcare Facility
Meadowbrook At Appleton
Appleton, WI  ·  View full profile →
Inspection Summary

Meadowbrook at Appleton in Appleton, WI — inspection on October 22, 2025.

Found 2 citations. 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.

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Inspection Findings

FF0580
Resident Rights Deficiencies
Potential for More Than Minimal Harm

Based on staff interview and record review, the facility did not notify a representative when an antipsychotic medication was increased for 1 resident (R) (R1) of 3 sampled residents.R1 was prescribed an atypical antipsychotic medication. R1's representative was not notified when the dose of the medication was increased.Findings include: The facility's undated Notify of Changes policy indicates: The purpose of this policy is to ensure the facility promptly informs the resident, consults the resident's physician, and notifies, consistent with his or her authority, the resident's representative when there is a change requiring notification .3.

Circumstances that require a need to alter treatment.

This may include: a.

New treatment; b.

Discontinuation of current treatment due to: .iii.

Exacerbation of a chronic condition.

R1's admission Record revealed a facility admission date of 8/18/25.

A psychiatric practitioner note, dated 8/21/25, indicated R1 was admitted with hallucinations and the dose of R1's atypical antipsychotic medication was increased.

R1's progress notes and assessments did not reveal R1's represenative was notified of the dose increase.

During an interview on 10/22/25 at 3:30 PM, the Administrator stated they could not find notice of the medication increase which should have been completed.

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 REPRESENTATIVE'S SIGNATURE

TITLE

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

10/22/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Meadowbrook at Appleton

1335 S Oneida St Appleton, WI 54915

SUMMARY STATEMENT OF DEFICIENCIES

Based on staff interview and policy review, the facility did not ensure a qualified person was designated to serve as the Dietary Manager.

This practice had the potential to affect kitchen sanitation and quality of care related to food and nutrition for all 35 residents residing in the facility.

The former Dietary Manager left employement with the facility in October.

The Administrator was acting as the Dietary Manager.

The Administrator was not certified in food service management.Findings include: The facility's Dietitian policy, revised February 2021, indicates: .7. If a Dietitian is not employed full time (35 or more hours per week) a Director of Food Service Management will be designated.

This individual will: a.

Be a certified Dietary Manager; or b. Be a certified Food Service Manager; or c. Be nationally certified in food service management and safety; or d.

Have an associates (or higher) level degree in food service management or hospitality (must be from an accredited institution and include courses in food service or restaurant management); e.

Meet any state requirements for Food Service or Dietary Managers; and f.

Receive frequently scheduled consultations from a qualified Dietitian or qualified Nutrition Professional.

During an interview on 10/20/25 at 10:00 AM, the Administrator indicated the Dietary Managter left at the beginning of October and the Administrator was filling in.

The Administrator verified she did not have a food service certification.

During an interview on 10/20/25 at 3:16 PM, the Registered Dietician stated she did not work full time at the facility but approved the menus and was responsible for the spreadsheets.

During an interview on 10/22/25 at 1:45 PM, the Administrator provided the facility's Dietitian policy which indicated the Dietary Manager needs to be certified.

Facility ID:

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in Appleton, WI, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from Meadowbrook at Appleton or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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