Careview Health And Rehab Of Minocqua
CAREVIEW HEALTH AND REHAB OF MINOCQUA in MINOCQUA, WI — inspection on November 24, 2025.
Found 3 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
deep wound are all covered with stool.At this point decision has been made to send the patient back to a local emergency room for application of wound VAC.Plan: patient will be sent to local emergency room once again the patient will need a wound VAC application after wound is cleaned and free from feces.
The patient would really need wound VAC should be applied prior to discharge to skilled nursing facility and if there is a need to switch the wound VAC the nursing facility could switch it and ensure there is no contamination of stool to the right wound because that is the primary goal.
Also it would allow healing and that the patient could have grafting skin graft down the road. On 11/24/25 at 12:04 PM, Surveyor interviewed Registered Nurse (RN) F. RN F reported she was present when R1 admitted but was not R1's admitting nurse.
The admitting nurse was from an agency. RN F stated R1's admitting orders included wound care orders, but again was not sure of the orders as she did not admit R1. RN F stated, We didn't know she (R1) was supposed to have vancomycin solution. RN F reported on 11/05/25, she worked on the hall R1 resided on and noted R1 had a wound without wound care orders. RN F stated she called NP D for an order to complete a wet-to-dry dressing change. RN F reported no concerns related to R1 having pain. On 11/24/25 at 12:15 PM, Surveyor interviewed MD C. MD C was able to recall the situation with R1, stating R1's wound appeared as if it had been packed with stool.
Surveyor asked MD C about R1's orders for vancomycin solution twice daily and a wound VAC. MD C stated, I don't really know what to say.
Whatever is not written was not done. MD C confirmed the wound VAC would help keep the wound from being contaminated with stool as, The wound was in a bad area. MD C was not sure why wound VAC was not delivered to the facility, or why the vancomycin solution was not administered as ordered, as 11/06/25 was his first visit with R1.
MD C stated moving forward the facility needs to ensure a resident arrives with an already placed wound VAC, or that a wound VAC arrives to the facility prior to a resident's admission. On 11/24/25 at 12:53 PM, Surveyor interviewed Licensed Practical Nurse (LPN) B who reported on 11/05/25 staff found documentation in R1's room indicating R1 was to have a wound VAC, and this was the first date staff were aware R1 was to have a wound VAC. LPN B stated she ordered the wound VAC, and it was delivered on 11/05/25 at 8:18 PM. LPN B stated staff went to place wound VAC the morning of 11/06/25, and that is when it was noted R1 had stool in her wound, and was sent to the emergency room.
Surveyor noted to LPN B, R1's hospital discharge orders, received on 11/03/25 and scanned into R1's record on 11/04/25, included instructions for both the vancomycin solution and wound VAC.
Surveyor noted to DON B the order for vancomycin solution was not documented in R1's physician orders, TAR, or record until 11/05/25, when RN F updated NP D that the facility did not have vancomycin solution, and a wet-to-dry dressing was ordered until vancomycin arrived.
Surveyor was unable to find evidence the facility ordered vancomycin solution at all.
Surveyor noted to LPN B, R1's record showed R1 did not receive any wound care on 11/03/25-PM shift, 11/04/25-AM and PM shift, and 11/05/25-PM shift, prior to being sent the emergency room on [DATE]. LPN B stated she believed R1 had received appropriate care between 11/03/25-11/06/25, and she would attempt to obtain additional evidence to support this. No additional documentation was provided. On 11/24/25, Surveyor attempted to interview R1's admitting nurse, without success.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
11/24/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Careview Health and Rehab of Minocqua
9969 Old Hwy 70 Rd Minocqua, WI 54548
SUMMARY STATEMENT OF DEFICIENCIES
During R1's hospitalization, she required multiple debridements of right groin wound, and extensive antibiotic therapy. A Foley catheter was placed to keep the area clean.
Last noted wound measurements were on 10/31/25, 20 x 11 x 2 cm.
Upon R1's hospital discharge, she was discharged from infectious disease (ID) with recommendations for initiation of a wound VAC.On 11/03/25, R1's hospital discharge summary included the following as it relates to her wound:-Augmentin for six more days on discharge, no need to follow with ID.- She is supposed to get a wound Vac today in SNF.-Vancomycin 1% irrigation, apply twice daily to affected area.-Instructions: BID (twice daily) vancomycin to wound kerlex until wound vac on. R1's facility physician orders included:-11/03/25, Augmentin 500-125 mg two time a day for skin and soft tissue infection.-Acetaminophen, 500 mg.
Give two tablets, three times per day. R1's care plan included:-11/04/25, Foley catheter-11/05/25, Advanced Directives(Note, R1's care plan did not include wound care). On 11/24/25 at 3:20 PM, Surveyor interviewed Licensed Practical Nurse (LPN) B. LPN B confirmed a baseline care plan for wound care was not developed for R1.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
11/24/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Careview Health and Rehab of Minocqua
9969 Old Hwy 70 Rd Minocqua, WI 54548
SUMMARY STATEMENT OF DEFICIENCIES
noted to LPN B, R1's hospital discharge orders, received on 11/03/25 and scanned into R1's record on 11/04/25, included instructions for both the vancomycin solution and wound VAC.Surveyor noted to LPN B the order for vancomycin solution was not documented in R1's physician orders, TAR, or record until 11/05/25, when RN F updated NP D that the facility did not have vancomycin solution, and a wet-to-dry dressing was ordered until vancomycin arrived.
Surveyor was unable to find evidence the facility ordered vancomycin solution at all.
Surveyor noted to LPN B, R1's record showed R1 did not receive wound care on 11/03/25-PM shift, 11/04/25-AM and PM shift, and 11/05/25-PM shift, prior to being sent the emergency room on [DATE]. LPN B stated she believed R1 had received appropriate care between 11/03/25-11/06/25, and she would attempt to obtain additional evidence to support this. No additional documentation was provided to Surveyor. On 11/24/25, Surveyor attempted to interview R1's admitting nurse, without success.R1 did not return to the facility following the hospitalization on 11/06/25.
Facility ID: