Wisconsin Rapids Health Services
Wisconsin Rapids Health Services in Wisconsin Rapids, WI — inspection on October 6, 2025.
Found 4 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
authorities.
staff interview and record review, the facility did not ensure an allegation of verbal abuse was
on 9/3/25 that Certified Nursing Assistant (CNA)-E yelled at R7 (who was R8's spouse).
The facility did not report the allegation of abuse to the SA.Findings include:The facility's Abuse, Neglect, and Exploitation policy, revised 7/15/22, indicates: .IV.
Identification of Abuse, Neglect, and Exploitation: .B.
Possible indicators of abuse include, but are not limited to: Verbal abuse of a resident overheard or inappropriate verbal conduct overheard .VII.
Reporting Response.
The facility will have written procedures that include: 1.
Reporting of all alleged violations to the Administrator, State Agency, Adult Protective Services, and to all other required agencies (e.g., law enforcement when applicable) within specified time frames. B.
Not later than 24 hours if the events that cause the allegation do not involve abuse and do not result in serious bodily injury. B.
The Administrator will follow-up with government agencies to report the results of the investigation when final within 5 working days of the incident, as required by State Agencies. On 10/6/25, Surveyor reviewed R7's medical record. R7 was admitted to the facility on [DATE] and had diagnoses including hemiplegia and hemiparesis following cerebral infarction affecting the right dominant side and dysphagia. A Minimum Data Set (MDS) assessment completed 9/10/25 included a Brief Interview for Mental Status (BIMS) score of 12 out of 15 which indicated R7 had moderate cognitive impairment. On 10/6/25, Surveyor reviewed R8's medical record.
R8 was admitted to the facility on [DATE] and had diagnoses including chronic obstructive pulmonary disease (COPD). An MDS assessment completed 1/31/22 included a BIMS score of 15 out of 15 which indicated R8 was not cognitively impaired. On 10/6/25, Surveyor reviewed a grievance, reported by R8 and dated 9/3/25, that indicated CNA-E yelled at R7 (who was R8's spouse) on 9/2/25 for getting out of bed. An alarm was activated when R7 was watching TV in a wheelchair and attempted to get the remote. CNA-E entered the room and yelled at R7.
The grievance form indicated Nursing Home Administrator (NHA)-A investigated the grievance.
Staff had no follow-up or further information and did not confirm or deny the incident.
The writer discussed being firm with a resident who puts themself at risk and the perception of coming across as yelling.
The form indicated the grievance was resolved on 9/20/25. On 10/6/25 at 1:22 PM, Surveyor interviewed NHA-A who confirmed NHA-A did not report the allegation of abuse to the SA. NHA-A indicated NHA-A knew R7, R8, and CNA-E and felt CNA-E's tone was taken wrong. NHA-A indicated CNA-E is not a soft person and it sounded like CNA-E entered the room with intensity which was perceived as yelling. NHA-A agreed the allegation of abuse should have been reported to the SA.
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.
For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE
525212 10/06/2025
Wisconsin Rapids Health Services 1350 River Run Dr Wisconsin Rapids, WI 54494
Investigation of Alleged Abuse, Neglect, and Exploitation.
A. An immediate investigation is warranted when an allegation or suspicion of abuse, neglect, or exploitation, or reports of abuse, neglect, or exploitation occur. VI.
Protection of Resident: The facility will make efforts to ensure all residents are protected from physical and psychosocial harm during and after the investigation.On 10/6/25, Surveyor reviewed R7's medical record. R7 was admitted to the facility on [DATE] and had diagnoses including hemiplegia and hemiparesis following cerebral infarction affecting the right dominant side and dysphagia. A Minimum Data Set (MDS) assessment completed 9/10/25 included a Brief Interview for Mental Status (BIMS) score of 12 out of 15 which indicated R7 had moderate cognitive impairment.On 10/6/25, Surveyor reviewed R8's medical record.
R8 was admitted to the facility on [DATE] and had diagnoses including chronic obstructive pulmonary disease (COPD). An MDS assessment completed 1/31/22 included a BIMS score of 15 out of 15 which indicated R8 was not cognitively impaired.On 10/6/25, Surveyor reviewed a grievance, reported by R8 and dated 9/3/25, that indicated CNA-E yelled at R7 (who was R8's spouse) on 9/2/25 for getting out of bed. An alarm went off when R7 was watching TV in a wheelchair and attempted to get the remote.
CNA-E entered the room and yelled at R7.
The grievance form indicated Nursing Home Administrator (NHA)-A investigated the grievance.
Staff had no follow-up or further information and did not confirm or deny the incident.
Staff had no comment when the writer discussed being firm with a resident who puts themself at risk and the perception of coming across as yelling.
The form indicated the grievance was resolved on 9/20/25. On 10/6/25 at 1:22 PM, Surveyor interviewed NHA-A who confirmed NHA-A did not complete a thorough investigation for the allegation of verbal abuse. NHA-A indicated NHA-A knew R7, R8, and CNA-E and thought CNA-E's tone was taken wrong. NHA-A indiated CNA-E is not a soft person and it sounded like CNA-E entered the room with intensity which was perceived as yelling. NHA-A stated NHA-A talks with staff frequently about checking themselves at the door prior to entering a resident's room. NHA-A agreed the allegation of abuse should have been thoroughly investigated, including resident and staff interviews and staff education.
525212 10/06/2025
Wisconsin Rapids Health Services 1350 River Run Dr Wisconsin Rapids, WI 54494
injection button.
525212 10/06/2025
Wisconsin Rapids Health Services 1350 River Run Dr Wisconsin Rapids, WI 54494
remote and was not sure why a new remote did not arrive right away. MD-F verified MD-F was
confirmed the issue with the lifts started approximately 2 weeks prior when a remote stopped
MD-F then went to the storage room.
When Surveyor indicated the rented bariatric EZ stand lift did not work, MD-F tried to turn on the lift. MD-F verified the lift did not work and was not sure why.On 10/6/25 at 11:08 AM, Surveyor interviewed Rental Company Staff (RCS)-I who stated NHA-A contacted the company on 9/22/25 and indicated the lift battery was fully charged but the lift didn't work. RCS-I indicated the company picked up the lift that day at 5:42 PM and a new bariatric lift was delivered on 9/23/25 at 5:43 PM. On 10/6/25 at 4:30 PM, Surveyor interviewed CNA-J via phone.
CNA-J indicated the bariatric Hoyer lift did not work on 9/21/25 which affected one resident who was no longer at the facility. CNA-J could not recall the resident's name. CNA-J stated the resident usually got up to eat but had to stay in bed because the lift didn't work. CNA-J did not recall if R1 asked to get up. CNA-J informed the nurse when the lift stopped working and stated CNA-J probably should have initiated a work order.On 10/6/24 at 1:24 PM, Surveyor interviewed NHA-A who confirmed a rented bariatric lift stopped operating on the weekend of 9/21/25. NHA-A contacted the company and thought it only affected one resident. NHA-A was not aware that R1 was affected and stated R1 did not choose to get up every day.
When NHA-A learned staff had been sharing a controller and asked why the company did not send a new controller for the lift, the company brought a new lift to the facility. NHA-A had not completed staff education on how to report issues so they are resolved timely.
Surveyor informed NHA-A that there was a broken bariatric EZ stand lift in the storage room on R1's unit and confusion between staff regarding which lifts worked.
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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.