Fair View Nursing And Rehabilitation Center
Inspection Findings
F-Tag F0609
F 0609 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
interviewed DON B (Director of Nursing). Surveyor asked DON B about the reporting requirements for abuse allegations. DON B stated, it is 24 hours if no immediate danger or physical injury. Police should be notified immediately and if not reported timely re-education to staff on the abuse policy. Surveyor asked DON B when she was educated on abuse reporting requirements. DON B stated, I was verbally educated by the NHA (Nursing Home Administrator) on 9/15/25 but did not sign the education sheet until today.On 9/24/25 at 2:15 PM, Surveyor interviewed NHA A . Surveyor asked NHA A about reporting of abuse allegations. NHA A stated, 2-hour reporting is required if there is serious bodily injury. This report was a unique situation where they approached each other and were hand holding. Surveyor discussed SOM (State Operations Manual) reporting requirements with NHA A. Surveyor asked NHA A about the facility policies indicate 2-hour reporting for serious bodily injury. NHA A stated, this is what our policy states.
Surveyor asked NHA A when she started education with staff on the reporting requirements. NHA A stated that she had given education to the RN and DON but did not document that education.The facility failed to report an abuse allegation within 2-hours.
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If continuation sheet
Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
09/24/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Fair View Nursing and Rehabilitation Center
1050 Division St Mauston, WI 53948
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0656
F 0656 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Based on record review and staff interview the facility did not develop and implement a Comprehensive Resident Centered Care Plan for 1 of 4 residents reviewed (R 2). Resident R2's medical record indicated Resident R1 had occasional sexual inappropriate behaviors. Resident R2's comprehensive care plan does not include a care plan for sexual inappropriate behaviors.Evidenced by:The facility's Multidisciplinary Plan of Care Policy, undated, includes in part the following: D. The comprehensive plan of care is maintained in the electronic medical
record (EMR) and is updated to reflect the resident's current status and goals. It will be reviewed at minimum quarterly and per resident need. Resident R2 was admitted to the facility 9/12/24. Resident R2's diagnosis include dementia, history of stroke, osteoarthritis and diabetes. Resident R2's most recent MDS (Minimum Data Set) with and ARD (Assessment Reference Date) of 8/28/25, includes, in part, the following: Resident R1 usually understands, is usually understood and has severe cognitive impairment. Resident R1's Interdisciplinary Notes includes, in part,
the following:9/11/25, 10:07 AM, Care Plan Conference, What staff attended meeting: Care Plan reviewed by each IDT (Interdisciplinary Team) prior to Care Conference attended by RN G (Registered Nurse), .
Annual . FM H (Family Member) apologized for pt's (patient's) occasional sexual inappropriateness .On 9/24/25 at 2:10 PM Surveyor interviewed RN G. RN G stated she was responsible for updating care plans
after Care Plan Conferences. Surveyor asked RN G if she had attended Resident R2's Care Plan Conference on 9/11/25. RN G stated yes she did. Surveyor asked RN G if she had updated Resident R2's Care Plan to include the concerns for sexual inappropriateness. RN G and surveyor reviewed Resident R2's Care Plan. RN G stated no she had not updated Resident R1's Care Plan to include concerns of sexual inappropriateness or interventions when Resident R2 was sexually inappropriate. RN G stated she should have updated Resident R2's Care Plan to include the concerns with sexual inappropriateness. RN G stated she would update Resident R2's Care Plan right away.
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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.
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.