Inspection History Overview

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Detailed Inspection Reports

Notice: These are official CMS inspection narratives containing detailed regulatory findings. This information is not available in searchable format anywhere else online.

November 12, 2025 Complaint Investigation

Fines and Penalties by Year

2025 1 penalties totaling $15,945

$15,945
Jan 29, 2025

Fine

2022 1 penalties totaling $13,000

$13,000
Apr 6, 2022

Fine

2021 3 penalties totaling $86,470

$650
Nov 29, 2021

Fine

$85,820
Apr 7, 2021

Fine

$0
Apr 7, 2021

Payment Denial

2020 2 penalties totaling $13,266

$3,250
Oct 28, 2020

Fine

$10,016
Feb 18, 2020

Fine

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Health Violations by Year

2025 1 violations

Tag 0689 J Jan 29, 2025

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Feb 12, 2025

2024 10 violations

Tag 0625 D May 22, 2024

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

✓ Corrected: Jun 17, 2024
Tag 0677 D May 22, 2024

Provide care and assistance to perform activities of daily living for any resident who is unable.

✓ Corrected: Jun 17, 2024
Tag 0684 D May 22, 2024

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Jun 17, 2024
Tag 0686 D May 22, 2024

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: Jun 17, 2024
Tag 0688 E May 22, 2024

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

✓ Corrected: Jun 17, 2024
Tag 0725 E May 22, 2024

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

✓ Corrected: Jun 17, 2024
Tag 0758 D May 22, 2024

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

✓ Corrected: Jun 17, 2024
Tag 0812 F May 22, 2024

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Jun 17, 2024
Tag 0851 F May 22, 2024

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

✓ Corrected: Apr 12, 2024
Tag 0880 D May 22, 2024

Provide and implement an infection prevention and control program.

✓ Corrected: Jun 17, 2024

2023 8 violations

Tag 0600 D May 10, 2023

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

✓ Corrected: Jun 9, 2023
Tag 0637 D May 10, 2023

Assess the resident when there is a significant change in condition

✓ Corrected: Jun 9, 2023
Tag 0655 D May 10, 2023

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

✓ Corrected: Jun 9, 2023
Tag 0684 D May 10, 2023

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Jun 9, 2023
Tag 0688 E May 10, 2023

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

✓ Corrected: Jun 9, 2023
Tag 0689 D May 10, 2023

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Jun 9, 2023
Tag 0880 D May 10, 2023

Provide and implement an infection prevention and control program.

✓ Corrected: Jun 9, 2023
Tag 0883 E May 10, 2023

Develop and implement policies and procedures for flu and pneumonia vaccinations.

✓ Corrected: Jun 9, 2023

2022 6 violations

Tag 0554 D Apr 6, 2022

Allow residents to self-administer drugs if determined clinically appropriate.

✓ Corrected: May 19, 2022
Tag 0583 D Apr 6, 2022

Keep residents' personal and medical records private and confidential.

✓ Corrected: May 19, 2022
Tag 0758 D Apr 6, 2022

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

✓ Corrected: May 19, 2022
Tag 0812 F Apr 6, 2022

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: May 19, 2022
Tag 0868 F Apr 6, 2022

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

✓ Corrected: May 19, 2022
Tag 0880 F Apr 6, 2022

Provide and implement an infection prevention and control program.

✓ Corrected: May 19, 2022

2021 10 violations

Tag 0600 J Apr 7, 2021

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

✓ Corrected: Jun 7, 2021
Tag 0608 D Apr 7, 2021

Develop and implement policies and procedures to ensure (1) employees report any suspicion of a crime against any resident, according to timelines; (2) post the notice of employee rights; and (3) prohibit and prevent retaliation for reporting.

✓ Corrected: May 5, 2021
Tag 0609 D Apr 7, 2021

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: May 5, 2021
Tag 0610 D Apr 7, 2021

Respond appropriately to all alleged violations.

✓ Corrected: May 5, 2021
Tag 0656 D Apr 7, 2021

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: May 5, 2021
Tag 0689 E Apr 7, 2021

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: May 5, 2021
Tag 0756 D Apr 7, 2021

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

✓ Corrected: May 5, 2021
Tag 0838 F Apr 7, 2021

Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies.

✓ Corrected: May 5, 2021
Tag 0880 F Apr 7, 2021

Provide and implement an infection prevention and control program.

✓ Corrected: May 5, 2021
Tag 0555 E Jan 7, 2021

Honor the resident's right to choose his or her attending physician.

✓ Corrected: Feb 7, 2021

2020 5 violations

Tag 0550 F Oct 28, 2020

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

✓ Corrected: Nov 23, 2020
Tag 0880 E Oct 28, 2020

Provide and implement an infection prevention and control program.

✓ Corrected: Nov 23, 2020
Tag 0580 E Feb 18, 2020

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

✓ Corrected: Mar 16, 2020
Tag 0585 D Feb 18, 2020

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

✓ Corrected: Mar 16, 2020
Tag 0880 L Feb 18, 2020

Provide and implement an infection prevention and control program.

✓ Corrected: Mar 16, 2020

2019 3 violations

Tag 0637 D Aug 7, 2019

Assess the resident when there is a significant change in condition

✓ Corrected: Sep 7, 2019
Tag 0760 D Aug 7, 2019

Ensure that residents are free from significant medication errors.

✓ Corrected: Sep 7, 2019
Tag 0812 F Aug 7, 2019

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Sep 7, 2019

2018 3 violations

Tag 0726 E Jul 11, 2018

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

✓ Corrected: Jul 11, 2018
Tag 0761 E Jul 11, 2018

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

✓ Corrected: Jul 11, 2018
Tag 0883 D Jul 11, 2018

Develop and implement policies and procedures for flu and pneumonia vaccinations.

✓ Corrected: Jul 11, 2018

2017 3 violations

Tag 0155 D May 3, 2017

Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives.

✓ Corrected: Jun 2, 2017
Tag 0225 D May 3, 2017

1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.

✓ Corrected: Jun 2, 2017
Tag 0371 E May 3, 2017

Store, cook, and serve food in a safe and clean way.

✓ Corrected: Jun 2, 2017
🏥 Facility Summary

NORTHERN LIGHTS HCC is a 3-star nursing home in WASHBURN, WI with 50 beds.

Most recent inspection: Data not available. No current violations on record.

📞 7153735621
📍 706 BRATLEY DR, WASHBURN, WI
💵 Accepts Medicare and Medicaid
Data source: Centers for Medicare & Medicaid Services (CMS). Facility information updated daily. Star ratings range from 1 (much below average) to 5 (much above average).

Frequently Asked Questions About NORTHERN LIGHTS HCC

What violations has NORTHERN LIGHTS HCC received?
NORTHERN LIGHTS HCC has 0 health and safety violation(s) documented by CMS inspections. All violation data comes from official Medicare inspection reports and is updated regularly from government sources.
What is the quality rating of NORTHERN LIGHTS HCC?
NORTHERN LIGHTS HCC has a 3-star rating out of 5 from CMS. This is an average rating, meeting basic quality standards. The rating is based on health inspections, staffing levels, and quality measures.
When was NORTHERN LIGHTS HCC last inspected?
Inspection reports are documented by state survey agencies and the Centers for Medicare & Medicaid Services (CMS). Reports typically lag 2-3 months behind the actual inspection date. Visit the facility's full profile page for detailed violation information and inspection history.
Is NORTHERN LIGHTS HCC safe?
Safety at NORTHERN LIGHTS HCC should be evaluated based on multiple factors: the facility's CMS rating, recent violation history, and personal visits. We recommend reviewing the complete inspection history, speaking with current residents and families, consulting healthcare professionals, and visiting in person before making placement decisions.
How do I contact NORTHERN LIGHTS HCC?
Phone: 7153735621. Address: 706 BRATLEY DR, WASHBURN, WI. For visiting hours and admission information, call the facility directly.
What services does NORTHERN LIGHTS HCC offer?
NORTHERN LIGHTS HCC is a skilled nursing facility with 50 beds. The facility accepts Medicare and Medicaid. For specific services like rehabilitation, memory care, or short-term recovery, contact the facility directly.
What are better facilities near WASHBURN, WI?
Compare NORTHERN LIGHTS HCC with other nursing homes in WASHBURN, WI on our facilities page. Filter by star rating, bed count, and recent inspection results to find the best match for your needs.