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Complaint Investigation

Mineral Point Health Services

August 22, 2025 · Mineral Point, WI · 109 N Iowa St
Citations 1
CMS Rating 4/5
Beds 39
Provider ID 525354
Healthcare Facility
Mineral Point Health Services
Mineral Point, WI  ·  View full profile →
Inspection Summary

MINERAL POINT HEALTH SERVICES in MINERAL POINT, WI — inspection on August 22, 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

FF0600
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Potential for More Than Minimal Harm

Review of R3's admission Record, located in the EMR under the Profile tab, revealed an admission date of 08/12/24 and readmitted on [DATE] with medical diagnoses that included alcoholic cirrhosis of the liver with ascites and ankylosing spondylitis of unspecified sites in the spine.

During an interview on 08/22/25 at 12:35 PM, LPN1 explained R3 was agitated and in pain on 08/13/25 when LPN1 entered the room to administer scheduled evening medications. R3 requested pain medication and LPN1 attended to another resident's medication and then returned to R3's room. R3 had grown impatient and yelled at LPN1 using vulgar language. LPN1 requested R3 not to use that language and when more vulgar language was used, LPN1, who was frustrated, yelled and swore back at R3.

During an interview on 08/22/25 at 2:35PM, the Director of Nursing (DON) explained R3 had recently been increasing requests for pain medication and exhibiting the behavior of dictating what R3 wanted whenever possible.

The physician was aware, a psychiatric evaluation appointment had been scheduled, and a door alarm was placed on R3's door so when R3 exits, staff were alerted for increased supervision by the staff.

The DON confirmed the residents were to be protected from abuse from other residents and staff.

During an interview on 08/22/25 at 2:35 PM, the Executive Director confirmed the investigations into the two incidents involving R3 were abuse.

The Executive Director stated LPN1 was suspended then disciplined at the completion of the investigation.

The facility continues to work with R3 and local resources to meet the needs of R3 and the facility for the safety of the residents.

Review of the facility's policy titled Abuse, Neglect and Exploitation, revised 07/15/22, revealed It is the policy of this facility to provide protection for the health, welfare and rights of each resident by developing and implementing written policies and procedures that prohibit and prevent abuse, neglect, exploitation and misappropriation of resident property.

The facility will develop and implement written policies and procedures that: Prohibit and prevent abuse, neglect, and exploitation of residents and misappropriation of resident property.

Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.

For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.

LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE

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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 MINERAL POINT, 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 MINERAL POINT HEALTH SERVICES or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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