Suring Health And Rehab Center
Suring Health and Rehab Center in Suring, WI — inspection on September 15, 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.
Inspection Findings
for increased acetaminophen, diclofenac cream, and to wean R1 from oxygen should have been
jeopardy to resident health or who provided care for R1 should have completed a full assessment, including vital signs and a range safety of motion assessment, and updated the physician with the results. DON-B also indicated staff should have administered as needed diclofenac gel, acetaminophen, and/or tramadol and should have
pain, staff should complete a pain assessment, provide non-pharmacological interventions, and/or administer and document medications. DON-B spoke with RN-D who cared for R1 from 6:00 PM until R1 was transferred to the ER regarding the steps to take to provide care for R1. DON-B indicated RN-D did not complete the steps DON-B had provided. DON-B discussed with staff the importance of visualizing a resident to ensure pain medication is effective and confirmed oxygen use should be documented in the resident's medical record. DON-B indicated staff discussed implementing a triple carbon copy system so if staff have a concern, they can fill out a copy and give it to the nurse, DON-B, and NHA-A to ensure follow-up.The failure to recognize and act upon a change in condition in a timely manner led to serious harm for R1 who was still hospitalized on [DATE] and created a finding of immediate jeopardy.
The immediate jeopardy was removed on 9/5/25, however, the deficient practice conitnues at a scope/severity level D (potential for more than minimal harm/isolated) as the facility continues to implement the following action plan:Completed a head-to-toe assessment for all in-house residents.Implemented an eInteract Point Click Care (PCC) Evaluation for Change in Condition and use of internet tools and resources.Reviewed in-house residents in daily Interdisciplinary Team (IDT) meetings for completion, documention, and identification of a change in condition, assessments (including vital signs), and provider notification.Educated staff on the facility's policies regarding notification, pain management, identifying a change in condition, and transcription and documentation of orders.Implemented audits and reviewed progress notes for change of condition response.
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.