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Ssm Health St Clare Meadows Care Ctr

πŸ“ 1414 Jefferson St, Baraboo, WI 53913 πŸ“ž (608) 356-4838 πŸ›οΈ 102 beds

Inspection History Overview

Detailed Inspection Reports

Notice: These are official CMS inspection narratives containing detailed regulatory findings. This information is not available in searchable format anywhere else online.

May 13, 2025 Health Inspection

Fines and Penalties by Year

2025 1 penalties totaling $54,140

$54,140
Jan 31, 2025

Fine

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Health Violations by Year

2025 15 violations

Tag 0600 D May 13, 2025

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

βœ“ Corrected: Jun 10, 2025
Tag 0610 D May 13, 2025

Respond appropriately to all alleged violations.

βœ“ Corrected: Jun 10, 2025
Tag 0645 D May 13, 2025

PASARR screening for Mental disorders or Intellectual Disabilities

βœ“ Corrected: Jun 10, 2025
Tag 0679 D May 13, 2025

Provide activities to meet all resident's needs.

βœ“ Corrected: Jun 10, 2025
Tag 0692 G May 13, 2025

Provide enough food/fluids to maintain a resident's health.

βœ“ Corrected: Jun 10, 2025
Tag 0693 D May 13, 2025

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

βœ“ Corrected: Jun 10, 2025
Tag 0740 D May 13, 2025

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

βœ“ Corrected: Jun 10, 2025
Tag 0760 D May 13, 2025

Ensure that residents are free from significant medication errors.

βœ“ Corrected: Jun 10, 2025
Tag 0761 E May 13, 2025

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

βœ“ Corrected: Jun 10, 2025
Tag 0812 F May 13, 2025

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

βœ“ Corrected: Jun 10, 2025
Tag 0842 E May 13, 2025

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

βœ“ Corrected: Jun 10, 2025
Tag 0849 D May 13, 2025

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

βœ“ Corrected: Jun 10, 2025
Tag 0880 C May 13, 2025

Provide and implement an infection prevention and control program.

βœ“ Corrected: Jun 10, 2025
Tag 0881 E May 13, 2025

Implement a program that monitors antibiotic use.

βœ“ Corrected: Jun 10, 2025
Tag 0700 K Jan 31, 2025

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

βœ“ Corrected: Feb 21, 2025

2023 7 violations

Tag 0561 D Feb 27, 2023

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

βœ“ Corrected: Mar 24, 2023
Tag 0580 D Feb 27, 2023

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

βœ“ Corrected: Mar 24, 2023
Tag 0583 D Feb 27, 2023

Keep residents' personal and medical records private and confidential.

βœ“ Corrected: Mar 13, 2023
Tag 0604 E Feb 27, 2023

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

βœ“ Corrected: Mar 13, 2023
Tag 0686 J Feb 27, 2023

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

βœ“ Corrected: Mar 24, 2023
Tag 0688 D Feb 27, 2023

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

βœ“ Corrected: Mar 24, 2023
Tag 0757 D Feb 27, 2023

Ensure each resident’s drug regimen must be free from unnecessary drugs.

βœ“ Corrected: Mar 24, 2023
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2021 6 violations

Tag 0553 E Nov 4, 2021

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

βœ“ Corrected: Dec 31, 2021
Tag 0690 D Nov 4, 2021

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

βœ“ Corrected: Dec 31, 2021
Tag 0880 D Nov 4, 2021

Provide and implement an infection prevention and control program.

βœ“ Corrected: Dec 31, 2021
Tag 0552 D Sep 16, 2021

Ensure that residents are fully informed and understand their health status, care and treatments.

βœ“ Corrected: Oct 5, 2021
Tag 0689 D Sep 16, 2021

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

βœ“ Corrected: Oct 13, 2021
Tag 0887 D Sep 16, 2021

Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

βœ“ Corrected: Oct 5, 2021

2019 5 violations

Tag 0585 E Aug 28, 2019

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

βœ“ Corrected: Sep 30, 2019
Tag 0689 G Aug 28, 2019

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

βœ“ Corrected: Sep 30, 2019
Tag 0692 D Aug 28, 2019

Provide enough food/fluids to maintain a resident's health.

βœ“ Corrected: Sep 30, 2019
Tag 0758 D Aug 28, 2019

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

βœ“ Corrected: Sep 30, 2019
Tag 0761 E Aug 28, 2019

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

βœ“ Corrected: Sep 30, 2019
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2017 3 violations

Tag 0225 D Apr 11, 2017

1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.

βœ“ Corrected: May 11, 2017
Tag 0329 E Apr 11, 2017

Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.

βœ“ Corrected: May 11, 2017
Tag 0441 D Apr 11, 2017

Have a program that investigates, controls and keeps infection from spreading.

βœ“ Corrected: Jun 2, 2017
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