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Edgerton Care Center, Inc

📍 313 Stoughton Rd, Edgerton, WI 53534 📞 (608) 884-1330 🛏️ 61 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.

March 31, 2025 Complaint Investigation

March 31, 2025 Health Inspection

Fines and Penalties by Year

2022 1 penalties totaling $20,000

$20,000
Aug 15, 2022

Fine

2021 5 penalties totaling $33,803

$15,000
Sep 7, 2021

Fine

$9,750
Sep 7, 2021

Fine

$0
Sep 7, 2021

Payment Denial

$8,398
Jul 15, 2021

Fine

$655
Jul 12, 2021

Fine

2020 1 penalties totaling $3,250

$3,250
Oct 28, 2020

Fine

2018 1 penalties totaling $8,775

$8,775
Aug 16, 2018

Fine

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Health Violations by Year

2025 13 violations

Tag 0582 D May 29, 2025

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

✓ Corrected: Jun 16, 2025
Tag 0578 D Mar 31, 2025

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

✓ Corrected: Apr 24, 2025
Tag 0585 D Mar 31, 2025

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 24, 2025
Tag 0600 D Mar 31, 2025

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

✓ Corrected: Apr 24, 2025
Tag 0604 D Mar 31, 2025

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

✓ Corrected: Apr 24, 2025
Tag 0609 E Mar 31, 2025

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

✓ Corrected: Apr 24, 2025
Tag 0610 E Mar 31, 2025

Respond appropriately to all alleged violations.

✓ Corrected: Apr 24, 2025
Tag 0684 G Mar 31, 2025

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Apr 24, 2025
Tag 0689 D Mar 31, 2025

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

✓ Corrected: Apr 24, 2025
Tag 0690 D Mar 31, 2025

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

✓ Corrected: Apr 24, 2025
Tag 0697 D Mar 31, 2025

Provide safe, appropriate pain management for a resident who requires such services.

✓ Corrected: Apr 24, 2025
Tag 0804 D Mar 31, 2025

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

✓ Corrected: Apr 24, 2025
Tag 0812 F Mar 31, 2025

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

✓ Corrected: Apr 24, 2025

2024 16 violations

Tag 0580 D May 30, 2024

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

✓ Corrected: Jun 12, 2024
Tag 0760 D May 30, 2024

Ensure that residents are free from significant medication errors.

✓ Corrected: Jun 12, 2024
Tag 0607 E May 15, 2024

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

✓ Corrected: Jun 7, 2024
Tag 0609 D May 15, 2024

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

✓ Corrected: Jun 7, 2024
Tag 0610 D May 15, 2024

Respond appropriately to all alleged violations.

✓ Corrected: Jun 7, 2024
Tag 0686 D May 15, 2024

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

✓ Corrected: Jun 7, 2024
Tag 0550 D Mar 28, 2024

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

✓ Corrected: Apr 22, 2024
Tag 0585 D Mar 28, 2024

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 22, 2024
Tag 0609 E Mar 28, 2024

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

✓ Corrected: Apr 22, 2024
Tag 0610 D Mar 28, 2024

Respond appropriately to all alleged violations.

✓ Corrected: Apr 22, 2024
Tag 0677 E Mar 28, 2024

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

✓ Corrected: Apr 22, 2024
Tag 0686 D Mar 28, 2024

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

✓ Corrected: Apr 22, 2024
Tag 0689 D Mar 28, 2024

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

✓ Corrected: Apr 22, 2024
Tag 0812 F Mar 28, 2024

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

✓ Corrected: Apr 22, 2024
Tag 0880 F Mar 28, 2024

Provide and implement an infection prevention and control program.

✓ Corrected: Apr 22, 2024
Tag 0883 D Mar 28, 2024

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

✓ Corrected: Apr 22, 2024
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2023 25 violations

Tag 0684 D Oct 25, 2023

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Nov 17, 2023
Tag 0622 D Feb 14, 2023

Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

✓ Corrected: Mar 15, 2023
Tag 0626 D Feb 14, 2023

Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

✓ Corrected: Mar 15, 2023
Tag 0554 D Jan 25, 2023

Allow residents to self-administer drugs if determined clinically appropriate.

Tag 0600 J Jan 25, 2023

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

Tag 0609 D Jan 25, 2023

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

Tag 0610 G Jan 25, 2023

Respond appropriately to all alleged violations.

Tag 0677 D Jan 25, 2023

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

Tag 0679 E Jan 25, 2023

Provide activities to meet all resident's needs.

Tag 0686 D Jan 25, 2023

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

Tag 0689 J Jan 25, 2023

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

Tag 0690 D Jan 25, 2023

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

Tag 0726 F Jan 25, 2023

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.

Tag 0744 D Jan 25, 2023

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

✓ Corrected: Mar 1, 2023
Tag 0744 J Jan 25, 2023

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

Tag 0755 E Jan 25, 2023

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

Tag 0758 D Jan 25, 2023

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.

Tag 0761 D Jan 25, 2023

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.

Tag 0812 F Jan 25, 2023

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

Tag 0835 F Jan 25, 2023

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

2022 9 violations

Tag 0585 D Oct 31, 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: Nov 25, 2022
Tag 0600 J Oct 31, 2022

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

✓ Corrected: Nov 28, 2022
Tag 0609 D Oct 31, 2022

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

✓ Corrected: Nov 28, 2022
Tag 0610 D Oct 31, 2022

Respond appropriately to all alleged violations.

✓ Corrected: Nov 28, 2022
Tag 0758 D Oct 31, 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: Nov 25, 2022
Tag 0655 D Sep 27, 2022

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

✓ Corrected: Oct 21, 2022
Tag 0686 J Sep 27, 2022

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

✓ Corrected: Sep 28, 2022
Tag 0727 F Sep 27, 2022

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

✓ Corrected: Oct 21, 2022
Tag 0880 F Aug 15, 2022

Provide and implement an infection prevention and control program.

✓ Corrected: Sep 8, 2022
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2021 11 violations

Tag 0580 D Sep 20, 2021

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

✓ Corrected: Oct 13, 2021
Tag 0761 E Sep 20, 2021

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: Oct 8, 2021
Tag 0725 F Sep 7, 2021

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

✓ Corrected: Oct 1, 2021
Tag 0880 E Sep 7, 2021

Provide and implement an infection prevention and control program.

✓ Corrected: Sep 29, 2021
Tag 0677 D Jul 15, 2021

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

✓ Corrected: Jul 30, 2021
Tag 0689 G Jul 15, 2021

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

✓ Corrected: Jul 30, 2021
Tag 0580 D May 18, 2021

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

✓ Corrected: Jun 15, 2021
Tag 0584 D May 18, 2021

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

✓ Corrected: Jun 15, 2021
Tag 0690 D May 18, 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.

✓ Corrected: Jun 15, 2021
Tag 0692 D May 18, 2021

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

✓ Corrected: Jun 15, 2021
Tag 0697 G May 18, 2021

Provide safe, appropriate pain management for a resident who requires such services.

✓ Corrected: Jun 15, 2021

2020 2 violations

Tag 0880 D Oct 28, 2020

Provide and implement an infection prevention and control program.

✓ Corrected: Nov 25, 2020
Tag 0880 E Jun 16, 2020

Provide and implement an infection prevention and control program.

✓ Corrected: Jul 15, 2020
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2018 6 violations

Tag 0585 D Aug 16, 2018

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: Aug 16, 2018
Tag 0689 D Aug 16, 2018

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

✓ Corrected: Aug 16, 2018
Tag 0697 G Aug 16, 2018

Provide safe, appropriate pain management for a resident who requires such services.

✓ Corrected: Sep 11, 2018
Tag 0755 D Aug 16, 2018

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

✓ Corrected: Sep 1, 2018
Tag 0759 D Aug 16, 2018

Ensure medication error rates are not 5 percent or greater.

✓ Corrected: Sep 1, 2018
Tag 0812 F Aug 16, 2018

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

✓ Corrected: Sep 11, 2018

2017 5 violations

Tag 0157 G Nov 20, 2017

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

✓ Corrected: Dec 20, 2017
Tag 0156 D May 24, 2017

Give residents a notice of rights, rules, services and charges.

✓ Corrected: May 24, 2017
Tag 0201 D May 24, 2017

Permit residents to remain in the facility and not be transferred or discharged without adequate reason.

✓ Corrected: May 24, 2017
Tag 0371 F May 24, 2017

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

✓ Corrected: May 24, 2017
Tag 0516 D May 24, 2017

Keep clinical record information safe.

✓ Corrected: May 24, 2017
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