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Complaint Investigation

Lindengrove Menomonee Falls

March 3, 2025 · Menomonee Falls, WI · W180 N8071 Town Hall Rd
Citations 1
CMS Rating 1/5
Beds 73
Provider ID 525421
Healthcare Facility
Lindengrove Menomonee Falls
Menomonee Falls, WI  ·  View full profile →
Inspection Summary

Lindengrove Menomonee Falls in MENOMONEE FALLS, WI — inspection on March 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.

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Inspection Findings

FF686
Immediate wound with Puracyn Plus, saturate gauze and soak 5 minutes. 2. Pat dry with gauze. 3. Apply 3M Cavilon Few affected

F-F686.

Education provided on 2/18/2025. safety - Facility skin sweep done by midnight 2/17/25.

- All skin care plans updated and individualized per skin sweep observations completed by 2/20/25 which included support surface assessments and updates.

- Weekly comprehensive wound rounds to continue with RN and NP.

- Skin care plans will be reviewed weekly with clinical IDT focus meeting to ensure support surface interventions, and weekly wound rounds to validate appropriate support surfaces in place.

- Standard Skin Protocol reviewed and updated 2/17/25.

- Skin policy and procedure reviewed.

- Updated and reviewed citation with Medical Director.

- DON or designee will audit five residents weekly for comprehensive skin system compliance.

Results to QAPI (Quality Assurance and Performance Improvement).

The deficient practice continues at a scope/severity of D (potential for more than minimal harm/isolated) as evidenced by the following:

49435

2.) R350 was admitted to the facility on [DATE] with diagnoses that include Alzheimer's disease, Dementia, Pressure ulcer of right buttock, and Pressure ulcer of left heel.

R350's admission Minimum Data Set assessment was in the process of being completed.

R350's Brief Interview for Mental Status (BIMS) assessment dated [DATE], documents a score of 4, indicating that R350 is severely cognitively impaired.

R350's Admission Section GG assessment dated [DATE], documents R350 requires substantial/maximum assist for bed mobility and R350 is dependent for transfers.

R350's Braden Scale Assessment used for predicting pressure ulcer risk dated 2/6/25, documents that R350 is at risk for pressure injuries. R350 has an activated Power of Attorney (POA).

R350's hospital Wound/Skin Nurse Specialist Consult note dated 2/3/25 documents, in part: [R350] has a full thickness, stage 3 pressure injury to right buttock that measures 8 x 8 x 0.1 centimeters (cm) and a stage 1 pressure injury to R350's left heel that measures 2.5 x 2.5 cm.

525421

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 525421 B.

Wing 03/03/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Lindengrove Menomonee Falls W180 N8071 Town Hall Rd Menomonee Falls, WI 53051

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 MENOMONEE FALLS, 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 Lindengrove Menomonee Falls or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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