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Complaint Investigation

Muskego Health And Rehabilitation Center

February 25, 2025 · Muskego, WI · S77 W18690 Janesville Rd
Citations 3
CMS Rating 2/5
Beds 49
Provider ID 525686
Healthcare Facility
Muskego Health And Rehabilitation Center
Muskego, WI  ·  View full profile →
Inspection Summary

MUSKEGO HEALTH AND REHABILITATION CENTER in MUSKEGO, WI — inspection on February 25, 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.

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Inspection Findings

FF580
Minimal harm or Few The care plan should address the following, to extent possible: affected

F-F580). On 1/25/25, weights 2 times a week on Tuesday and Saturday were initiated per physician's order. On 2/11/25, weights were recommended by Registered Dietitian (RD)-G to be obtained 3 times a week. No new physician order was obtained. 9 weights were not obtained. On 2/4/25, R2's swallow study recommended to treat R2's tongue thrush and a physician's order was not obtained. No new interventions were updated on R2's person-centered plan of care.

Findings Include:

The facility's policy and procedure Weight Monitoring implemented 1/4/24 and revised 6/4/24 documents:

Policy:

.Based on the Resident's comprehensive assessment, the facility will ensure that all Residents maintain acceptable parameters of nutritional status, such as usual body weight or desirable body weight range and electrolyte balance, unless the Resident's clinical condition demonstrates that this is not possible or Resident preferences indicate otherwise.

Compliance Guidelines:

Weight can be a useful indicator of nutritional status.

Significant unintended changes in weight(loss of gain) or insidious weight loss(gradual unintended loss over a period of time) may indicate a nutritional problem.

1.

The facility will utilize a systemic approach to optimize a Resident's nutritional status.

This process includes:

a.

Identifying and assessing each Resident's nutritional status and risk factors.

b.

Evaluating/analyzing the assessment information.

c.

Developing and consistently implementing pertinent approaches.

d.

Monitoring the effectiveness of interventions and revising them as necessary.

525686

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 525686 B.

Wing 02/25/2025

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

Muskego Health and Rehabilitation Center S77 W18690 Janesville Rd Muskego, WI 53150

F-F609.

5.) The facility did not implement their abuse policy for R2. R2's allegation of verbal abuse was not thoroughly investigated timely.

Cross reference

Investigation of Alleged Abuse, Neglect, and Exploitation

525686

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 525686 B.

Wing 02/25/2025

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

Muskego Health and Rehabilitation Center S77 W18690 Janesville Rd Muskego, WI 53150

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 MUSKEGO, 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 MUSKEGO HEALTH AND REHABILITATION CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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