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Complaint Investigation

St Paul Elder Services, Inc

March 26, 2026 · Kaukauna, WI · 316 East 14th Street
Citations 1
CMS Rating 5/5
Beds 105
Provider ID 525617
Healthcare Facility
St Paul Elder Services, Inc
Kaukauna, WI  ·  View full profile →
Inspection Summary

St Paul Elder Services, Inc in Kaukauna, WI — inspection on March 26, 2026.

Found 1 citation. Severity: Standard violations.

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

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Inspection Findings

FF0580
Resident Rights Deficiencies

progress note, or an order updating R1's oxygen use to 4 LPM.A progress note, dated 10/14/25 at

phone who worked for the facility's contracted medical provider. PA-C indicated if a resident has

PA-C indicated PA-C would have instructed staff to continue to monitor as long as R1 remained alert and did not use accessory muscles to breathe. PA-C indicated PA-C would not have sent R1 to the hospital at that time.On 3/26/26 at 11:10 AM, Surveyor interviewed PA-D who was called when R1 was sent to the hospital on [DATE]. PA-D indicated PA-D would want to know if oxygen was increased and why. PA-D indicated unless R1 was using accessory muscles to breathe, PA-D would have instructed staff to continue to monitor and would not have sent R1 to the hospital at that time.On 3/26/26 at 9:00 AM, Surveyor interviewed Director of Nursing (DON-B) who verified staff should have contacted R1's provider and obtained an order when they increased R1's oxygen to 4 LPM.

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 Kaukauna, 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 St Paul Elder Services, Inc or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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