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Complaint Investigation

Fair View Nursing And Rehabilitation Center

Inspection Date: September 3, 2025
Total Violations 1
Facility ID 525437
Location MAUSTON, WI
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Inspection Findings

F-Tag F0580

Resident Rights Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0580 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

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

facility's EHR (Electronic Health Records) system flagged the above blood pressures as either high or low.

Additionally, Resident R1's Metoprolol was given consistently twice per day and specifically was given on 7/29/25 at 7:15 PM, on 7/30/25 at 7:31 AM and 8:37 PM, on 7/31/25 at 9:13 AM and 8:25 PM, and on 8/1/25 at 8:22 AM.On 8/1/25 at approximately 3:35 PM, Resident R1's blood pressure registered at 52/40. The facility called a rapid response and Resident R1 was taken to the ED (emergency department) where she was found to be septic.On 9/3/25 at 12:18 PM, Surveyor interviewed MD C who stated that she was familiar with Resident R1 and had been trying to manage her blood pressure for years, even as an outpatient before being at the facility. MD C stated that she had not received any notification from the facility regarding Resident R1's low blood pressures but would have expected notification if her systolic blood pressure had dipped below 100. MD C stated that it is hard to say for sure what would have happened if she had been notified but stated that she could have altered Resident R1's medications or could have potentially discontinued her Metoprolol. MD C also stated that Resident R1's C. diff may have contributed to her low blood pressure. MD C stated there is an opportunity to improve communication.On 9/3/25 at 2:23 PM, Surveyor interviewed DON B (Director of Nursing) who stated that

the facility did not have any specific blood pressure parameters for Resident R1 but would expect the nurses to use their nursing judgement as to if a blood pressure was too low or high. DON B stated that their facility's parameters for a low blood pressure is 80 systolic and was unaware that the facility's EHR had 90/60 as the low parameters for blood pressure. DON B was unable to find the additional blood pressure readings as part of Resident R1's nursing order for 3 blood pressure recordings daily for 3 days.The facility was aware Resident R1 was experiencing low blood pressure (both systolic and diastolic), continued to administer metoprolol and did not communicate with Resident R1's physician regarding her low blood pressures.

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📋 Inspection Summary

FAIR VIEW NURSING AND REHABILITATION CENTER in MAUSTON, 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 MAUSTON, 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 FAIR VIEW NURSING AND REHABILITATION CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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