EPIONE PAVILION

📍 808 S WASHINGTON ST, cuba-city, WI 53807 📞 6087442161 🛏️ 78 beds

Overall Rating

⭐⭐⭐
3/5

Health Inspection

⭐⭐
2/5

Staffing

⭐⭐⭐⭐
4/5

Quality Measures

⭐⭐⭐⭐
4/5

Inspection History Overview

47
Total Violations
7 years of data
$425,407
Total Fines
10 penalties
0
Inspections
No data available
21
Quality Metrics
Tracked measures

Health Violations by Year

2022 21 violations

Tag 0557 D Mar 16, 2022

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

✓ Corrected: Apr 14, 2022
Tag 0561 D Mar 16, 2022

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

✓ Corrected: Apr 14, 2022
Tag 0585 E Mar 16, 2022

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.

✓ Corrected: Apr 14, 2022
Tag 0600 D Mar 16, 2022

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

✓ Corrected: Apr 14, 2022
Tag 0609 D Mar 16, 2022

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: Apr 14, 2022
Tag 0610 D Mar 16, 2022

Respond appropriately to all alleged violations.

✓ Corrected: Apr 14, 2022
Tag 0655 E Mar 16, 2022

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

✓ Corrected: Apr 14, 2022
Tag 0689 G Mar 16, 2022

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

✓ Corrected: May 9, 2022
Tag 0726 D Mar 16, 2022

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

✓ Corrected: Apr 14, 2022
Tag 0758 D Mar 16, 2022

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.

✓ Corrected: Apr 14, 2022
Tag 0812 F Mar 16, 2022

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

✓ Corrected: Apr 14, 2022
Tag 0835 F Mar 16, 2022

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

✓ Corrected: Apr 14, 2022
Tag 0868 F Mar 16, 2022

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

✓ Corrected: Apr 14, 2022
Tag 0880 F Mar 16, 2022

Provide and implement an infection prevention and control program.

✓ Corrected: Apr 14, 2022
Tag 0881 D Mar 16, 2022

Implement a program that monitors antibiotic use.

✓ Corrected: Apr 14, 2022
Tag 0882 F Mar 16, 2022

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

✓ Corrected: Apr 14, 2022
Tag 0883 D Mar 16, 2022

Develop and implement policies and procedures for flu and pneumonia vaccinations.

✓ Corrected: Apr 14, 2022
Tag 0885 E Mar 16, 2022

Report COVID19 data to residents and families.

✓ Corrected: Apr 14, 2022
Tag 0886 F Mar 16, 2022

Perform COVID19 testing on residents and staff.

✓ Corrected: Apr 14, 2022
Tag 0887 D Mar 16, 2022

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.

✓ Corrected: Apr 14, 2022

2021 4 violations

Tag 0689 G Sep 28, 2021

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

✓ Corrected: Nov 1, 2021
Tag 0760 D Sep 28, 2021

Ensure that residents are free from significant medication errors.

✓ Corrected: Nov 1, 2021
Tag 0686 J Jun 8, 2021

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

✓ Corrected: Jun 21, 2021
Tag 0610 D Mar 17, 2021

Respond appropriately to all alleged violations.

✓ Corrected: Apr 17, 2021

2020 2 violations

Tag 0758 D Mar 5, 2020

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.

✓ Corrected: Apr 5, 2020
Tag 0761 D Mar 5, 2020

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.

✓ Corrected: Apr 5, 2020

2019 6 violations

Tag 0677 D Aug 12, 2019

Provide care and assistance to perform activities of daily living for any resident who is unable.

✓ Corrected: Sep 3, 2019
Tag 0580 G Jun 3, 2019

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

Tag 0686 D Feb 14, 2019

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

✓ Corrected: Mar 6, 2019
Tag 0758 D Feb 14, 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.

✓ Corrected: Mar 11, 2019
Tag 0761 E Feb 14, 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.

✓ Corrected: Mar 11, 2019
Tag 0812 F Feb 14, 2019

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

✓ Corrected: Mar 11, 2019

2018 2 violations

Tag 0677 D Oct 31, 2018

Provide care and assistance to perform activities of daily living for any resident who is unable.

✓ Corrected: Nov 30, 2018
Tag 0880 D Oct 31, 2018

Provide and implement an infection prevention and control program.

✓ Corrected: Nov 30, 2018

2017 6 violations

Tag 0610 D Dec 12, 2017

Respond appropriately to all alleged violations.

✓ Corrected: Jan 27, 2018
Tag 0755 D Dec 12, 2017

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

✓ Corrected: Jan 12, 2018
Tag 0759 D Dec 12, 2017

Ensure medication error rates are not 5 percent or greater.

✓ Corrected: Jan 12, 2018
Tag 0812 F Dec 12, 2017

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

✓ Corrected: Jan 12, 2018
Tag 0880 D Dec 12, 2017

Provide and implement an infection prevention and control program.

✓ Corrected: Jan 12, 2018
Tag 0323 J Nov 10, 2017

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

✓ Corrected: Oct 20, 2017

2016 6 violations

Tag 0157 D Nov 3, 2016

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

✓ Corrected: Nov 30, 2016
Tag 0323 E Nov 3, 2016

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

✓ Corrected: Nov 30, 2016
Tag 0371 F Nov 3, 2016

Store, cook, and serve food in a safe and clean way.

✓ Corrected: Nov 30, 2016
Tag 0425 D Nov 3, 2016

Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.

✓ Corrected: Nov 30, 2016
Tag 0441 E Nov 3, 2016

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

✓ Corrected: Nov 30, 2016
Tag 0514 D Nov 3, 2016

Keep accurate, complete and organized clinical records on each resident that meet professional standards.

✓ Corrected: Nov 30, 2016

Detailed Inspection Reports

No detailed inspection reports available yet. Check back soon as we're processing new reports daily.

Fines and Penalties by Year

2022 5 penalties totaling $174,772

$112,860
Fine
March 16, 2022
$0
Payment Denial
March 16, 2022
$994
Fine
February 21, 2022
$36,920
Fine
January 13, 2022
$23,998
Fine
January 13, 2022
Average: $34,954 | Range: $0 - $112,860

2021 4 penalties totaling $239,585

$655
Fine
November 22, 2021
$34,000
Fine
September 28, 2021
$0
Payment Denial
September 28, 2021
$204,930
Fine
June 8, 2021
Average: $59,896 | Range: $0 - $204,930

2017 1 penalties totaling $11,050

$11,050
Fine
November 10, 2017
Average: $11,050 | Range: $11,050 - $11,050

Fire Safety Deficiencies

Unknown Date

No description available

Inspection Survey Reports

No survey data available for this facility.

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Ownership Information

Non profit - Corporation
Independent (Not part of a chain)
525395
525395
6087442161
Grant