Lindengrove Menomonee Falls
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.
Inspection Findings
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