Fair View Nursing And Rehabilitation Center
FAIR VIEW NURSING AND REHABILITATION CENTER in MAUSTON, WI — inspection on September 24, 2025.
Found 2 citations. 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
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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IDENTIFICATION NUMBER:
A.
Building
COMPLETED
09/24/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Fair View Nursing and Rehabilitation Center
1050 Division St Mauston, WI 53948
SUMMARY STATEMENT OF DEFICIENCIES
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). R2's medical record indicated R1 had occasional sexual inappropriate behaviors. 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. R2 was admitted to the facility 9/12/24. R2's diagnosis include dementia, history of stroke, osteoarthritis and diabetes. R2's most recent MDS (Minimum Data Set) with and ARD (Assessment Reference Date) of 8/28/25, includes, in part, the following: R1 usually understands, is usually understood and has severe cognitive impairment. 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 R2's Care Plan Conference on 9/11/25. RN G stated yes she did.
Surveyor asked RN G if she had updated R2's Care Plan to include the concerns for sexual inappropriateness. RN G and surveyor reviewed R2's Care Plan. RN G stated no she had not updated R1's Care Plan to include concerns of sexual inappropriateness or interventions when R2 was sexually inappropriate. RN G stated she should have updated R2's Care Plan to include the concerns with sexual inappropriateness. RN G stated she would update R2's Care Plan right away.
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