Rib Lake Health Services
RIB LAKE HEALTH SERVICES in RIB LAKE, WI — inspection on September 3, 2025.
Found 2 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
and were in the steamer before 6:40 AM when Surveyor entered the kitchen to start observations. On 9/3/25 at 10:30 AM, Surveyor reviewed temperature logs.
For the last 30 days prior to today, all food temperatures were taken and recorded.On 9/3/25 at 12:28 PM, Surveyor interviewed [NAME] D, who stated that all hot foods should be temped when they come out of the oven.
Surveyor asked about the fried eggs and pancakes. [NAME] D stated, I didn't do that? I should have.On 9/3/25 at 12:43 PM, Surveyor interviewed DM E who stated DM's E expectations are that all food should be temped when it comes out of the oven, right before serving.
When Surveyor told DM E that temps were missed this morning on fried eggs and pancakes, DM E stated a second time that all food that comes out of an oven should be temped.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
09/03/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Rib Lake Health Services
650 Pearl St Rib Lake, WI 54470
SUMMARY STATEMENT OF DEFICIENCIES
Provide and implement an infection prevention and control program.
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility did not maintain an infection prevention and control program to help prevent the development and transmission of communicable diseases and infections.
This has the potential to affect all 14 residents (R) living on the unit. R5, R6, R7, R8, R9, R10, R11, R12, R13, R14, R15, R16, R17, R18 Staff did not wear proper personal protective equipment (PPE) when interacting with residents on contact precautions (R5, R6, R7, R8, and R9).Staff entered rooms of residents on contact precautions (R5, R6, R7, R8, R9) without proper PPE and then passed food trays to residents not on contact precautions which had the potential to develop and transmit communicable disease and infections.
Findings:The facility policy, titled Transmission- Based (Isolation Precautions), dated 9/24/24, states in part,
- Contact Precautions-a.
Intended to present transmission of pathogens that are spread by direct or indirect contact with the reside or the resident's environment .c.
Healthcare personnel caring for residents on Contact Precautions were a gown and gloves for all interactions that may involve contact with the resident or potentially contaminated areas in the resident's environment.This is evidenced by:On 9/3/25 at 8:05 AM, Surveyor observed Certified Nursing Assistant (CNA) H and CNA G deliver breakfast trays to residents in the south unit.
The south unit has residents currently on contact precautions and enhanced barrier precautions. CNA H and CNA G started delivering food at the end closest to the nurses' station and worked their way down towards the end. CNA G stated that all residents are on the unit eating in their rooms today.
One resident was off unit and had gone to dialysis.
Thirteen residents remained. CNA H was observed taking food to R5 and then to R6 without required PPE.
Both R5 and R6 were on contact precautions. CNA H then proceeded into R11's room, who was not on contact precautions. CNA G took food to R7 and then to R9 without required PPE.
Both R7 and R9 were on contact precautions. CNA H then took food to R12, who was not on contact precautions. On 9/3/25 at 10:25 AM, Surveyor interviewed Director of Nursing (DON) B regarding staff following contact precautions vs. enhanced barrier precautions.
DON B stated she expects staff to follow precautions as ordered. DON B stated PPE goes on outside of room when on contact and can go on when they get in the room for cares when on enhanced.
Contact precautions are followed whenever they go in their room, even passing trays. On 9/3/25 at 12:32 PM, Surveyor interviewed Assistant Director of Nursing (ADON) I, who stated the south unit is on lock down, because 5 residents have Gastrointestinal (GI) symptoms.
Fourteen residents live on the hall. room [ROOM NUMBER] (R5), room [ROOM NUMBER] (R6), room [ROOM NUMBER] (R7), room [ROOM NUMBER] (R8), and room [ROOM NUMBER] (R9). ADON I stated that contact precautions mean you put on your PPE prior to entering.
Enhanced barrier precautions, mean they have no GI symptoms but another reason for PPE during cares, like a catheter.
You can put on your PPE when you get into the room. PPE should be put on prior to passing trays when resident is on contact precautions. On 9/3/25, at 12:28 PM, Surveyor interviewed CNA H who stated contact precautions are used for anyone that was sick. It means you put on your PPE before entering the room.
Surveyor asked if that includes when going into their room to give them water or pass their food tray. CNA H stated that is including when passing trays; I missed one today. On 9/3/25 at 10:11 AM, Surveyor interviewed CNA G and asked CNA G if there is a difference between contact vs enhanced barrier precautions. CNA G stated that usually enhanced precautions means using PPE only with cares, but contact precautions is every time you go into a room. CNA G stated that rooms needing contact precautions are room [ROOM NUMBER] (R5), room [ROOM NUMBER] (R6), room [ROOM NUMBER] (R7), room [ROOM NUMBER] (R8), and room [ROOM NUMBER] (R9).
Surveyor asked if CNA G wore a gown to deliver breakfast trays this morning and if she should have. CNA G stated probably not, I didn't think to do it until I went into R7's room.
Facility ID: