Fair View Nursing And Rehabilitation Center
FAIR VIEW NURSING AND REHABILITATION CENTER in MAUSTON, WI — inspection on September 3, 2025.
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.
Inspection Findings
facility's EHR (Electronic Health Records) system flagged the above blood pressures as either high or low.
Additionally, 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, R1's blood pressure registered at 52/40.
The facility called a rapid response and 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 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 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 R1's medications or could have potentially discontinued her Metoprolol. MD C also stated that 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 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 R1's nursing order for 3 blood pressure recordings daily for 3 days.The facility was aware R1 was experiencing low blood pressure (both systolic and diastolic), continued to administer metoprolol and did not communicate with R1's physician regarding her low blood pressures.
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