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Complaint Investigation

Alden Estates Of Countryside, Inc

Inspection Date: November 25, 2025
Total Violations 1
Facility ID 525271
Location JEFFERSON, WI
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Inspection Findings

F-Tag F0760

Pharmacy Service Deficiencies
Harm Level: Actual Harm

F 0760 Level of Harm - Actual harm Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

review date. DON B was unsure when the neurology review date was scheduled for. Surveyors asked if the neurologist was ever consulted if NP D wasn't comfortable with stopping the medication without tapering it.

RNC C indicated they could not speak to that and said the neurologist did not order the Keppra to begin with. (Of note: The hospital discharge summary indicated neurology had been consulted and had given recommendations.)RNC C indicated the facility had investigated the discrepancy with the hospital orders and the facility orders when it was brought to their attention. They were unable to provide documentation of

the investigation.Resident R2 was prescribed Levetiracetam (Keppra; a medication used to treat seizures) for 7 days as a seizure prophylaxis. The facility failed to clarify, transcribe, and follow the physician order. Resident R2 continued to receive the medication. This resulted in actual harm when Resident R2 experienced a decline and was readmitted to the hospital, for Acute metabolic encephalopathy - Multifactorial at this point including continued use Keppra requiring intravenous fluids, monitoring, and the discontinuation of the medication. The facility did not thoroughly investigate this significant medication error.

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📋 Inspection Summary

ALDEN ESTATES OF COUNTRYSIDE, INC in JEFFERSON, WI inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

What this means: Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. All deficiencies must be corrected within required timeframes and are subject to follow-up verification.

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in JEFFERSON, WI, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from ALDEN ESTATES OF COUNTRYSIDE, INC or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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