MENOMONEE FALLS HEALTH SERVICES

πŸ“ N84 W17049 MENOMONEE AVE, menomonee-falls, WI 53051 πŸ“ž 2622551180 πŸ›οΈ 100 beds

Overall Rating

⭐
1/5

Health Inspection

⭐⭐
2/5

Staffing

⭐
1/5

Quality Measures

⭐⭐⭐
3/5

Inspection History Overview

89
Total Violations
8 years of data
$164,960
Total Fines
3 penalties
9
Inspections
Since 2014
21
Quality Metrics
Tracked measures

Health Violations by Year

2024 26 violations

Tag 0554 D May 1, 2024

Allow residents to self-administer drugs if determined clinically appropriate.

βœ“ Corrected: Jun 6, 2024
Tag 0582 D May 1, 2024

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

βœ“ Corrected: Jun 6, 2024
Tag 0584 E May 1, 2024

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Tag 0623 D May 1, 2024

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

βœ“ Corrected: Jun 6, 2024
Tag 0625 D May 1, 2024

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

βœ“ Corrected: Jun 6, 2024
Tag 0644 D May 1, 2024

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

βœ“ Corrected: Jun 6, 2024
Tag 0677 D May 1, 2024

Provide care and assistance to perform activities of daily living for any resident who is unable.

βœ“ Corrected: Jun 6, 2024
Tag 0678 E May 1, 2024

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

βœ“ Corrected: Jun 6, 2024
Tag 0684 D May 1, 2024

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

βœ“ Corrected: Jun 6, 2024
Tag 0686 G May 1, 2024

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

βœ“ Corrected: Jun 6, 2024
Tag 0689 G May 1, 2024

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

βœ“ Corrected: Jun 6, 2024
Tag 0690 D May 1, 2024

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

βœ“ Corrected: Jun 6, 2024
Tag 0692 D May 1, 2024

Provide enough food/fluids to maintain a resident's health.

βœ“ Corrected: Jun 6, 2024
Tag 0699 D May 1, 2024

Provide care or services that was trauma informed and/or culturally competent.

βœ“ Corrected: Jun 6, 2024
Tag 0725 F May 1, 2024

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

βœ“ Corrected: Jun 6, 2024
Tag 0756 E May 1, 2024

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

βœ“ Corrected: Jun 6, 2024
Tag 0757 D May 1, 2024

Ensure each resident’s drug regimen must be free from unnecessary drugs.

βœ“ Corrected: Jun 6, 2024
Tag 0759 D May 1, 2024

Ensure medication error rates are not 5 percent or greater.

βœ“ Corrected: Jun 6, 2024
Tag 0761 D May 1, 2024

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

βœ“ Corrected: Jun 6, 2024
Tag 0811 D May 1, 2024

Ensure that residents are assessed for appropriateness for a feeding assistant program, receive services as per their plan of care, and feeding assistants are trained and supervised.

βœ“ Corrected: Jun 6, 2024

2023 5 violations

Tag 0686 G Dec 18, 2023

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

βœ“ Corrected: Jan 16, 2024
Tag 0687 D Dec 18, 2023

Provide appropriate foot care.

βœ“ Corrected: Jan 16, 2024
Tag 0609 D Mar 23, 2023

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

βœ“ Corrected: Apr 21, 2023
Tag 0610 E Mar 23, 2023

Respond appropriately to all alleged violations.

βœ“ Corrected: Apr 21, 2023
Tag 0888 D Mar 23, 2023

Ensure staff are vaccinated for COVID-19

βœ“ Corrected: Apr 21, 2023

2022 6 violations

Tag 0880 D Aug 19, 2022

Provide and implement an infection prevention and control program.

βœ“ Corrected: Sep 14, 2022
Tag 0689 D Jan 6, 2022

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

βœ“ Corrected: Feb 6, 2022
Tag 0693 D Jan 6, 2022

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

βœ“ Corrected: Feb 6, 2022
Tag 0700 D Jan 6, 2022

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

βœ“ Corrected: Feb 6, 2022
Tag 0758 D Jan 6, 2022

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

βœ“ Corrected: Feb 6, 2022
Tag 0804 E Jan 6, 2022

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

βœ“ Corrected: Feb 6, 2022

2021 17 violations

Tag 0572 D Oct 14, 2021

Give residents a notice of rights, rules, services and charges.

βœ“ Corrected: Nov 16, 2021
Tag 0580 J Oct 14, 2021

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

βœ“ Corrected: Nov 16, 2021
Tag 0585 D Oct 14, 2021

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

βœ“ Corrected: Nov 16, 2021
Tag 0623 D Oct 14, 2021

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

βœ“ Corrected: Nov 16, 2021
Tag 0625 D Oct 14, 2021

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

βœ“ Corrected: Nov 16, 2021
Tag 0684 J Oct 14, 2021

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

βœ“ Corrected: Nov 16, 2021
Tag 0689 D Oct 14, 2021

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

βœ“ Corrected: Nov 16, 2021
Tag 0692 D Oct 14, 2021

Provide enough food/fluids to maintain a resident's health.

βœ“ Corrected: Nov 16, 2021
Tag 0755 D Oct 14, 2021

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

βœ“ Corrected: Nov 16, 2021
Tag 0641 D Jul 27, 2021

Ensure each resident receives an accurate assessment.

βœ“ Corrected: Oct 14, 2021
Tag 0684 D Jul 27, 2021

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

βœ“ Corrected: Nov 16, 2021
Tag 0686 J Jul 27, 2021

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

βœ“ Corrected: Oct 14, 2021
Tag 0727 C Jul 27, 2021

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

βœ“ Corrected: Oct 14, 2021
Tag 0842 C Jul 27, 2021

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

βœ“ Corrected: Oct 14, 2021
Tag 0880 D Jul 27, 2021

Provide and implement an infection prevention and control program.

βœ“ Corrected: Oct 14, 2021
Tag 0947 F Jul 27, 2021

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

βœ“ Corrected: Oct 14, 2021
Tag 0689 D Mar 16, 2021

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

βœ“ Corrected: Apr 16, 2021

2020 5 violations

Tag 0609 D Jul 29, 2020

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

βœ“ Corrected: Aug 27, 2020
Tag 0610 D Jul 29, 2020

Respond appropriately to all alleged violations.

βœ“ Corrected: Aug 27, 2020
Tag 0690 G Jul 29, 2020

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

βœ“ Corrected: Aug 27, 2020
Tag 0842 D Jul 29, 2020

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

βœ“ Corrected: Aug 27, 2020
Tag 0849 D Jul 29, 2020

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

βœ“ Corrected: Aug 27, 2020

2019 13 violations

Tag 0551 D Sep 25, 2019

Give the resident's representative the ability to exercise the resident's rights.

βœ“ Corrected: Oct 25, 2019
Tag 0552 D Sep 25, 2019

Ensure that residents are fully informed and understand their health status, care and treatments.

βœ“ Corrected: Oct 25, 2019
Tag 0565 E Sep 25, 2019

Honor the resident's right to organize and participate in resident/family groups in the facility.

βœ“ Corrected: Oct 25, 2019
Tag 0606 D Sep 25, 2019

Not hire anyone with a finding of abuse, neglect, exploitation, or theft.

βœ“ Corrected: Oct 25, 2019
Tag 0656 D Sep 25, 2019

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

βœ“ Corrected: Oct 25, 2019
Tag 0710 D Sep 25, 2019

Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.

βœ“ Corrected: Oct 25, 2019
Tag 0755 D Sep 25, 2019

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

βœ“ Corrected: Oct 25, 2019
Tag 0791 D Sep 25, 2019

Provide or obtain dental services for each resident.

βœ“ Corrected: Oct 25, 2019
Tag 0812 E Sep 25, 2019

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

βœ“ Corrected: Oct 25, 2019
Tag 0880 C Sep 25, 2019

Provide and implement an infection prevention and control program.

βœ“ Corrected: Oct 25, 2019
Tag 0883 E Sep 25, 2019

Develop and implement policies and procedures for flu and pneumonia vaccinations.

βœ“ Corrected: Oct 25, 2019
Tag 0609 D Mar 6, 2019

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

βœ“ Corrected: Mar 18, 2019
Tag 0610 D Mar 6, 2019

Respond appropriately to all alleged violations.

βœ“ Corrected: Mar 18, 2019

2018 14 violations

Tag 0656 D Aug 7, 2018

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

βœ“ Corrected: Sep 6, 2018
Tag 0684 D Aug 7, 2018

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

βœ“ Corrected: Sep 6, 2018
Tag 0689 G Aug 7, 2018

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

βœ“ Corrected: Sep 6, 2018
Tag 0692 D Aug 7, 2018

Provide enough food/fluids to maintain a resident's health.

βœ“ Corrected: Sep 6, 2018
Tag 0693 D Aug 7, 2018

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

βœ“ Corrected: Sep 6, 2018
Tag 0742 D Aug 7, 2018

Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.

βœ“ Corrected: Sep 6, 2018
Tag 0758 D Aug 7, 2018

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

βœ“ Corrected: Sep 6, 2018
Tag 0759 D Aug 7, 2018

Ensure medication error rates are not 5 percent or greater.

βœ“ Corrected: Sep 6, 2018
Tag 0550 D Mar 27, 2018

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

βœ“ Corrected: Apr 27, 2018
Tag 0677 D Mar 27, 2018

Provide care and assistance to perform activities of daily living for any resident who is unable.

βœ“ Corrected: Apr 27, 2018
Tag 0686 D Mar 27, 2018

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

βœ“ Corrected: Apr 27, 2018
Tag 0688 D Mar 27, 2018

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

βœ“ Corrected: Apr 27, 2018
Tag 0690 D Mar 27, 2018

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

βœ“ Corrected: Apr 27, 2018
Tag 0880 D Mar 27, 2018

Provide and implement an infection prevention and control program.

βœ“ Corrected: Apr 27, 2018

2017 3 violations

Tag 0314 D Jun 27, 2017

Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.

βœ“ Corrected: Jul 26, 2017
Tag 0329 D Jun 27, 2017

Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.

βœ“ Corrected: Jul 26, 2017
Tag 0386 D Jun 27, 2017

Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing.

βœ“ Corrected: Jul 26, 2017

Detailed Inspection Reports

No detailed inspection reports available yet. Check back soon as we're processing new reports daily.

Fines and Penalties by Year

2022 1 penalties totaling $5,000

$5,000
Fine
August 19, 2022
Average: $5,000 | Range: $5,000 - $5,000

2021 2 penalties totaling $159,960

$159,960
Fine
July 27, 2021
$0
Payment Denial
July 27, 2021
Average: $79,980 | Range: $0 - $159,960

Fire Safety Deficiencies

Unknown Date

No description available

Inspection Survey Reports

Health

May 1, 2024
0.00

Health

December 18, 2023
0.00

Health

March 23, 2023
0.00

Health

August 19, 2022
0.00

Health

January 6, 2022
0.00

Health

October 14, 2021
0.00

Health

July 27, 2021
0.00

Health

March 16, 2021
0.00

Health

September 25, 2019
0.00

Quality Measures

Quality Measure

Long Stay

Quality Measure

Long Stay

Quality Measure

Long Stay

Quality Measure

Long Stay

Quality Measure

Long Stay

Quality Measure

Long Stay

Quality Measure

Long Stay

Quality Measure

Long Stay

Quality Measure

Long Stay

Quality Measure

Long Stay

Quality Measure

Long Stay

Quality Measure

Long Stay

Quality Measure

Long Stay

Quality Measure

Short Stay

Quality Measure

Short Stay

Quality Measure

Short Stay

Quality Measure

Short Stay

Quality Measure

Short Stay

Quality Measure

Long Stay

Quality Measure

Long Stay

Quality Measure

Short Stay

Ownership Information

For profit - Corporation
Independent (Not part of a chain)
525415
525415
2622551180
Waukesha

Historical Ownership Records

August 25, 2025
Organization
August 25, 2025
Individual
August 25, 2025
Individual