Aria Of Waukesha
Aria of Waukesha in WAUKESHA, WI — inspection on October 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
supervision for all residents including R1.On 10/9/25 at 11:09 AM, NHA-A followed up with Surveyor
jeopardy to resident health or 8am.The facility's failure to provide adequate supervision for R1 allowed R1 to elope from the facility; safety R1 was found 20 miles away by his family.
The failure created a reasonable likelihood for serious harm or injury thus leading to a finding of immediate jeopardy.
The facility removed the immediate
re-assessed to identify risk for elopement and ensure proper interventions were implemented.-Identified residents at risk for elopement and ensure person centered care plans are in place with preventative measures to include the specified level of supervision for residents at risk for elopement.-Reviewed elopement/missing resident policy to address the timing of searching for/reporting a missing resident to help ensure an expedited search.-Education was provided to all staff on following the facility's updated elopement policy, accuracy of elopement assessments, monitoring resident's at risk for elopement and timely response to door alarms.-Elopement risk assessments completed will be reviewed during clinical meeting to verify accuracy and ensure appropriate interventions were put in place.-New elopement risk assessments were completed for all facility residents.-Facility implemented cameras at facility entrance.-Reviewed updated facility policy and procedure on elopement and coordination with medical director.
Including updated elopement assessments, and addition of cameras at the facility entrance to ensure adequate resident supervision is in place to identify residents exiting the facility and to ensure facility policy and procedure meets current standard of practice.-Facility Maintenance will complete audits to ensure door alarms are properly functioning.
Audits will be completed weekly on all shifts.-IDT will review daily in clinical meeting any new admissions elopement assessments, incidents regarding changes in residents' behaviors, and document on eagle board to ensure proper assessments have been obtained and appropriate interventions have been implemented.
Audits will be conducted twice a week for 3 weeks, weekly for 3 weeks, every 2 weeks and x2 monthly x3. (sic) Results will be reviewed by QAPI Committee to determine compliance or additional follow up required.-An Ad Hoc QAPI completed 08/29/25.
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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.