VIRGINIA HIGHLANDS HLTH AND REHAB

πŸ“ W173 N10915 BERNIES WAY, germantown, WI 53022 πŸ“ž 2625093300 πŸ›οΈ 121 beds

Overall Rating

⭐⭐
2/5

Health Inspection

⭐
1/5

Staffing

⭐⭐⭐
3/5

Quality Measures

⭐⭐⭐⭐⭐
5/5

Inspection History Overview

123
Total Violations
9 years of data
$602,505
Total Fines
11 penalties
16
Inspections
Since 2014
21
Quality Metrics
Tracked measures

Health Violations by Year

2025 4 violations

Tag 0551 D Mar 5, 2025

Give the resident's representative the ability to exercise the resident's rights.

βœ“ Corrected: Mar 21, 2025
Tag 0645 D Mar 5, 2025

PASARR screening for Mental disorders or Intellectual Disabilities

βœ“ Corrected: Mar 25, 2025
Tag 0812 E Mar 5, 2025

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

βœ“ Corrected: Mar 25, 2025
Tag 0755 E Jan 30, 2025

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

βœ“ Corrected: Mar 1, 2025

2024 7 violations

Tag 0609 D Jul 17, 2024

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

βœ“ Corrected: Aug 16, 2024
Tag 0610 D Jul 17, 2024

Respond appropriately to all alleged violations.

βœ“ Corrected: Aug 16, 2024
Tag 0609 D May 8, 2024

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

βœ“ Corrected: Jun 8, 2024
Tag 0610 D May 8, 2024

Respond appropriately to all alleged violations.

βœ“ Corrected: Jun 8, 2024
Tag 0585 D Jan 24, 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.

Tag 0677 E Jan 24, 2024

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

βœ“ Corrected: Feb 23, 2024
Tag 0700 D Jan 24, 2024

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 23, 2024

2023 9 violations

Tag 0585 D Nov 7, 2023

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 23, 2023
Tag 0657 D Nov 7, 2023

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

βœ“ Corrected: Dec 1, 2023
Tag 0580 D Oct 25, 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: Nov 23, 2023
Tag 0585 D Oct 25, 2023

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 23, 2023
Tag 0607 D Oct 25, 2023

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

βœ“ Corrected: Nov 23, 2023
Tag 0689 D Oct 25, 2023

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

βœ“ Corrected: Nov 23, 2023
Tag 0584 E Jan 18, 2023

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.

βœ“ Corrected: Feb 10, 2023
Tag 0698 D Jan 18, 2023

Provide safe, appropriate dialysis care/services for a resident who requires such services.

βœ“ Corrected: Feb 10, 2023
Tag 0836 D Jan 18, 2023

Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.

βœ“ Corrected: Feb 10, 2023

2022 34 violations

Tag 0582 D Nov 10, 2022

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

βœ“ Corrected: Dec 8, 2022
Tag 0660 D Nov 10, 2022

Plan the resident's discharge to meet the resident's goals and needs.

βœ“ Corrected: Dec 8, 2022
Tag 0677 D Nov 10, 2022

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

βœ“ Corrected: Dec 8, 2022
Tag 0689 D Nov 10, 2022

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

βœ“ Corrected: Dec 8, 2022
Tag 0692 D Nov 10, 2022

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

βœ“ Corrected: Dec 8, 2022
Tag 0695 D Nov 10, 2022

Provide safe and appropriate respiratory care for a resident when needed.

βœ“ Corrected: Dec 8, 2022
Tag 0759 E Nov 10, 2022

Ensure medication error rates are not 5 percent or greater.

βœ“ Corrected: Dec 8, 2022
Tag 0761 E Nov 10, 2022

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: Dec 8, 2022
Tag 0849 D Nov 10, 2022

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: Dec 8, 2022
Tag 0880 E Nov 10, 2022

Provide and implement an infection prevention and control program.

βœ“ Corrected: Dec 8, 2022
Tag 0908 F Nov 10, 2022

Keep all essential equipment working safely.

βœ“ Corrected: Dec 8, 2022
Tag 0584 E Jul 20, 2022

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.

βœ“ Corrected: Aug 19, 2022
Tag 0609 D Jul 20, 2022

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

βœ“ Corrected: Aug 19, 2022
Tag 0610 E Jul 20, 2022

Respond appropriately to all alleged violations.

βœ“ Corrected: Aug 19, 2022
Tag 0684 D Jul 20, 2022

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

βœ“ Corrected: Aug 19, 2022
Tag 0688 D Jul 20, 2022

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: Aug 19, 2022
Tag 0689 G Jul 20, 2022

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

βœ“ Corrected: Aug 19, 2022
Tag 0690 D Jul 20, 2022

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: Aug 19, 2022
Tag 0755 D Jul 20, 2022

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

βœ“ Corrected: Aug 19, 2022
Tag 0885 F Jul 20, 2022

Report COVID19 data to residents and families.

βœ“ Corrected: Aug 19, 2022

2021 21 violations

Tag 0585 E Sep 8, 2021

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: Oct 7, 2021
Tag 0623 E Sep 8, 2021

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

βœ“ Corrected: Oct 7, 2021
Tag 0626 D Sep 8, 2021

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

βœ“ Corrected: Oct 7, 2021
Tag 0684 D Sep 8, 2021

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

βœ“ Corrected: Oct 7, 2021
Tag 0686 J Sep 8, 2021

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

βœ“ Corrected: Oct 7, 2021
Tag 0689 D Sep 8, 2021

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

βœ“ Corrected: Oct 7, 2021
Tag 0692 D Sep 8, 2021

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

βœ“ Corrected: Oct 7, 2021
Tag 0693 J Sep 8, 2021

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: Oct 7, 2021
Tag 0698 D Sep 8, 2021

Provide safe, appropriate dialysis care/services for a resident who requires such services.

βœ“ Corrected: Oct 7, 2021
Tag 0760 D Sep 8, 2021

Ensure that residents are free from significant medication errors.

βœ“ Corrected: Oct 7, 2021
Tag 0761 E Sep 8, 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.

βœ“ Corrected: Oct 7, 2021
Tag 0880 C Sep 8, 2021

Provide and implement an infection prevention and control program.

βœ“ Corrected: Oct 7, 2021
Tag 0684 D May 3, 2021

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

βœ“ Corrected: May 21, 2021
Tag 0689 J Feb 25, 2021

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

βœ“ Corrected: Mar 15, 2021
Tag 0842 D Feb 25, 2021

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

βœ“ Corrected: Mar 15, 2021
Tag 0585 D Feb 15, 2021

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: Mar 5, 2021
Tag 0684 D Feb 15, 2021

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

βœ“ Corrected: Mar 5, 2021
Tag 0688 D Feb 15, 2021

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 5, 2021
Tag 0760 D Feb 15, 2021

Ensure that residents are free from significant medication errors.

βœ“ Corrected: Mar 5, 2021
Tag 0842 D Feb 15, 2021

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

βœ“ Corrected: Mar 5, 2021

2020 9 violations

Tag 0580 D Oct 8, 2020

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

βœ“ Corrected: Nov 8, 2020
Tag 0585 D Oct 8, 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 8, 2020
Tag 0609 E Oct 8, 2020

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

βœ“ Corrected: Nov 8, 2020
Tag 0610 D Oct 8, 2020

Respond appropriately to all alleged violations.

βœ“ Corrected: Nov 8, 2020
Tag 0657 D Oct 8, 2020

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

βœ“ Corrected: Nov 8, 2020
Tag 0755 E Oct 8, 2020

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

βœ“ Corrected: Nov 8, 2020
Tag 0689 K Aug 5, 2020

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

βœ“ Corrected: Aug 5, 2020
Tag 0880 E Jul 1, 2020

Provide and implement an infection prevention and control program.

βœ“ Corrected: Jul 31, 2020
Tag 0880 E Mar 16, 2020

Provide and implement an infection prevention and control program.

βœ“ Corrected: Apr 16, 2020

2019 7 violations

Tag 0623 C Sep 11, 2019

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

βœ“ Corrected: Oct 11, 2019
Tag 0625 B Sep 11, 2019

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

βœ“ Corrected: Oct 11, 2019
Tag 0689 D Sep 11, 2019

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

βœ“ Corrected: Oct 11, 2019
Tag 0804 E Sep 11, 2019

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

βœ“ Corrected: Oct 11, 2019
Tag 0609 D Jun 12, 2019

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

βœ“ Corrected: Jul 15, 2019
Tag 0610 D Jun 12, 2019

Respond appropriately to all alleged violations.

βœ“ Corrected: Jul 15, 2019
Tag 0760 G Jun 12, 2019

Ensure that residents are free from significant medication errors.

βœ“ Corrected: Jul 15, 2019

2018 10 violations

Tag 0584 E Sep 20, 2018

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.

βœ“ Corrected: Oct 30, 2018
Tag 0692 G Sep 20, 2018

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

βœ“ Corrected: Oct 30, 2018
Tag 0770 D Sep 20, 2018

Provide timely, quality laboratory services/tests to meet the needs of residents.

βœ“ Corrected: Oct 30, 2018
Tag 0550 D Jul 23, 2018

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

βœ“ Corrected: Aug 23, 2018
Tag 0576 D Jul 23, 2018

Ensure residents have reasonable access to and privacy in their use of communication methods.

βœ“ Corrected: Aug 23, 2018
Tag 0580 D Jul 23, 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: Aug 23, 2018
Tag 0609 E Jul 23, 2018

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

βœ“ Corrected: Aug 23, 2018
Tag 0610 E Jul 23, 2018

Respond appropriately to all alleged violations.

βœ“ Corrected: Aug 23, 2018
Tag 0626 D Jul 23, 2018

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

βœ“ Corrected: Aug 23, 2018
Tag 0947 E Jul 23, 2018

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

βœ“ Corrected: Aug 23, 2018

2017 22 violations

Tag 0279 D Aug 24, 2017

Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

βœ“ Corrected: Sep 25, 2017
Tag 0329 D Aug 24, 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: Sep 25, 2017
Tag 0157 D May 11, 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: Jun 30, 2017
Tag 0164 D May 11, 2017

Keep residents' personal and medical records private and confidential.

βœ“ Corrected: Jun 30, 2017
Tag 0225 D May 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: Jun 30, 2017
Tag 0247 D May 11, 2017

Give notice to the resident before a room or roommate change.

βœ“ Corrected: Jun 30, 2017
Tag 0278 D May 11, 2017

Ensure each resident receives an accurate assessment by a qualified health professional.

βœ“ Corrected: Jun 30, 2017
Tag 0279 E May 11, 2017

Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

βœ“ Corrected: Jun 30, 2017
Tag 0280 D May 11, 2017

Allow residents the right to participate in the planning or revision of care and treatment.

βœ“ Corrected: Jun 30, 2017
Tag 0282 D May 11, 2017

Provide care by qualified persons according to each resident's written plan of care.

βœ“ Corrected: Jun 30, 2017
Tag 0309 J May 11, 2017

Provide necessary care and services to maintain or improve the highest well being of each resident .

βœ“ Corrected: Jun 30, 2017
Tag 0312 E May 11, 2017

Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene.

βœ“ Corrected: Jun 30, 2017
Tag 0314 G May 11, 2017

Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.

βœ“ Corrected: Jun 30, 2017
Tag 0323 E May 11, 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 0328 D May 11, 2017

Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.

βœ“ Corrected: Jun 30, 2017
Tag 0329 D May 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: Jun 30, 2017
Tag 0371 F May 11, 2017

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

βœ“ Corrected: Jun 30, 2017
Tag 0425 D May 11, 2017

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

βœ“ Corrected: Jun 30, 2017
Tag 0431 D May 11, 2017

Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.

βœ“ Corrected: Jun 30, 2017
Tag 0465 E May 11, 2017

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

βœ“ Corrected: Jun 30, 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 5 penalties totaling $341,734

$15,000
Fine
November 10, 2022
$216,365
Fine
May 4, 2022
$0
Payment Denial
May 4, 2022
$66,890
Fine
January 10, 2022
$43,479
Fine
January 10, 2022
Average: $68,347 | Range: $0 - $216,365

2021 3 penalties totaling $224,364

$80,330
Fine
August 17, 2021
$134,284
Fine
February 15, 2021
$9,750
Fine
January 14, 2021
Average: $74,788 | Range: $9,750 - $134,284

2020 2 penalties totaling $15,854

$12,604
Fine
August 5, 2020
$3,250
Fine
July 1, 2020
Average: $7,927 | Range: $3,250 - $12,604

2019 1 penalties totaling $20,553

$20,553
Fine
June 12, 2019
Average: $20,553 | Range: $20,553 - $20,553

Fire Safety Deficiencies

Unknown Date

No description available

Inspection Survey Reports

Health

July 17, 2024
0.00

Health

May 8, 2024
0.00

Health

January 24, 2024
0.00

Health

November 7, 2023
0.00

Health

October 25, 2023
0.00

Health

January 18, 2023
0.00

Health

November 10, 2022
0.00

Health

July 20, 2022
0.00

Health

May 4, 2022
0.00

Health

January 10, 2022
0.00

Health

September 8, 2021
0.00

Health

May 3, 2021
0.00

Health

February 25, 2021
0.00

Health

February 15, 2021
0.00

Health

January 14, 2021
0.00

Health

September 11, 2019
0.00

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Ownership Information

For profit - Limited Liability company
Independent (Not part of a chain)
525653
525653
2625093300
Washington

Historical Ownership Records

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