DIVINE REHABILITATION AND NURSING AT FENNIMORE

πŸ“ 1850 11TH ST, fennimore, WI 53809 πŸ“ž 6088226100 πŸ›οΈ 62 beds

Overall Rating

⭐⭐⭐
3/5

Health Inspection

⭐⭐⭐
3/5

Staffing

⭐⭐⭐
3/5

Quality Measures

⭐⭐⭐⭐
4/5

Inspection History Overview

58
Total Violations
8 years of data
$63,069
Total Fines
5 penalties
10
Inspections
Since 2014
21
Quality Metrics
Tracked measures

Health Violations by Year

2024 4 violations

Tag 0580 D Mar 28, 2024

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

βœ“ Corrected: Apr 26, 2024
Tag 0600 D Mar 28, 2024

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

βœ“ Corrected: Apr 26, 2024
Tag 0760 D Mar 28, 2024

Ensure that residents are free from significant medication errors.

βœ“ Corrected: Apr 26, 2024
Tag 0842 D Mar 28, 2024

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

βœ“ Corrected: Apr 26, 2024

2023 24 violations

Tag 0609 D Sep 18, 2023

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

βœ“ Corrected: Oct 17, 2023
Tag 0610 D Sep 18, 2023

Respond appropriately to all alleged violations.

βœ“ Corrected: Oct 5, 2023
Tag 0689 D Sep 18, 2023

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

βœ“ Corrected: Oct 17, 2023
Tag 0692 D Sep 18, 2023

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

βœ“ Corrected: Oct 17, 2023
Tag 0550 D Jul 20, 2023

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

βœ“ Corrected: Aug 14, 2023
Tag 0600 K Jul 20, 2023

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

βœ“ Corrected: Aug 14, 2023
Tag 0609 E Jul 20, 2023

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

βœ“ Corrected: Aug 14, 2023
Tag 0610 D Jul 20, 2023

Respond appropriately to all alleged violations.

βœ“ Corrected: Aug 14, 2023
Tag 0678 K Jul 20, 2023

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

βœ“ Corrected: Aug 14, 2023
Tag 0684 G Jul 20, 2023

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

βœ“ Corrected: Aug 14, 2023
Tag 0726 D Jul 20, 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.

βœ“ Corrected: Aug 14, 2023
Tag 0849 D Jul 20, 2023

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: Aug 14, 2023
Tag 0600 D Jun 1, 2023

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

βœ“ Corrected: Jun 28, 2023
Tag 0609 D Jun 1, 2023

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

βœ“ Corrected: Jun 28, 2023
Tag 0610 D Jun 1, 2023

Respond appropriately to all alleged violations.

βœ“ Corrected: Jun 28, 2023
Tag 0689 E Jun 1, 2023

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

βœ“ Corrected: Jun 28, 2023
Tag 0609 D Apr 12, 2023

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

βœ“ Corrected: May 8, 2023
Tag 0644 D Apr 12, 2023

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

βœ“ Corrected: May 8, 2023
Tag 0677 D Apr 12, 2023

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

βœ“ Corrected: May 8, 2023
Tag 0804 F Apr 12, 2023

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

βœ“ Corrected: May 8, 2023

2022 17 violations

Tag 0550 F Feb 24, 2022

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

βœ“ Corrected: Apr 8, 2022
Tag 0585 E Feb 24, 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.

βœ“ Corrected: Apr 8, 2022
Tag 0600 D Feb 24, 2022

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

βœ“ Corrected: Apr 8, 2022
Tag 0655 D Feb 24, 2022

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

βœ“ Corrected: Apr 8, 2022
Tag 0679 F Feb 24, 2022

Provide activities to meet all resident's needs.

βœ“ Corrected: Apr 8, 2022
Tag 0680 F Feb 24, 2022

Ensure the activities program is directed by a qualified professional.

βœ“ Corrected: Apr 8, 2022
Tag 0686 D Feb 24, 2022

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

βœ“ Corrected: Apr 8, 2022
Tag 0689 J Feb 24, 2022

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

βœ“ Corrected: Apr 8, 2022
Tag 0758 D Feb 24, 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.

βœ“ Corrected: Apr 8, 2022
Tag 0801 F Feb 24, 2022

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

βœ“ Corrected: Apr 8, 2022
Tag 0802 F Feb 24, 2022

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

βœ“ Corrected: Apr 8, 2022
Tag 0804 D Feb 24, 2022

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

βœ“ Corrected: Apr 8, 2022
Tag 0805 D Feb 24, 2022

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

βœ“ Corrected: Apr 8, 2022
Tag 0812 F Feb 24, 2022

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

βœ“ Corrected: Apr 8, 2022
Tag 0835 F Feb 24, 2022

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

βœ“ Corrected: Apr 8, 2022
Tag 0867 F Feb 24, 2022

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

βœ“ Corrected: Apr 8, 2022
Tag 0868 F Feb 24, 2022

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

βœ“ Corrected: Apr 8, 2022

2021 2 violations

Tag 0880 F Mar 3, 2021

Provide and implement an infection prevention and control program.

βœ“ Corrected: Apr 5, 2021
Tag 0686 G Jan 26, 2021

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

βœ“ Corrected: Feb 23, 2021

2020 5 violations

Tag 0585 D Oct 19, 2020

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: Nov 14, 2020
Tag 0761 E Feb 25, 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.

βœ“ Corrected: Mar 25, 2020
Tag 0812 F Feb 25, 2020

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

βœ“ Corrected: Mar 25, 2020
Tag 0880 C Feb 25, 2020

Provide and implement an infection prevention and control program.

βœ“ Corrected: Mar 25, 2020
Tag 0881 F Feb 25, 2020

Implement a program that monitors antibiotic use.

βœ“ Corrected: Mar 25, 2020

2019 3 violations

Tag 0585 D Jan 17, 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: Jan 24, 2019
Tag 0758 E Jan 17, 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: Feb 4, 2019
Tag 0761 D Jan 17, 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: Jan 24, 2019

2018 1 violations

Tag 0580 D May 22, 2018

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

βœ“ Corrected: Jun 15, 2018

2017 2 violations

Tag 0323 J Jun 7, 2017

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

βœ“ Corrected: Jun 30, 2017
Tag 0157 D Apr 13, 2017

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

βœ“ Corrected: May 13, 2017

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 3 penalties totaling $62,419

$61,425
Fine
February 24, 2022
$0
Payment Denial
February 24, 2022
$994
Fine
February 14, 2022
Average: $20,806 | Range: $0 - $61,425

2021 2 penalties totaling $650

$650
Fine
June 21, 2021
$0
Payment Denial
January 26, 2021
Average: $325 | Range: $0 - $650

Fire Safety Deficiencies

Unknown Date

No description available

Inspection Survey Reports

Health

March 28, 2024
0.00

Health

September 18, 2023
0.00

Health

July 20, 2023
0.00

Health

June 1, 2023
0.00

Health

April 12, 2023
0.00

Health

March 14, 2023
0.00

Health

February 24, 2022
0.00

Health

March 3, 2021
0.00

Health

January 26, 2021
0.00

Health

February 25, 2020
0.00

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Ownership Information

Non profit - Corporation
Independent (Not part of a chain)
525425
525425
6088226100
Grant

Historical Ownership Records

August 25, 2025
Organization
August 25, 2025
Individual
August 25, 2025
Individual