Facility profile · CCN 525488
Meadowbrook At Black River Falls
39 federal citations on record , including 2 at the Immediate Jeopardy level, and 5 federal enforcement actions totaling $138,975.
Record summary
Federal record · Q1 202639
Total citations
39
Last 3 years
3
Actual harm+
5
Federal penalties
$138,975
Total fines
2
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
39 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Jan 14, 2026 | F880 | Provide and implement an infection prevention and control program. | F | Standard |
| Jan 14, 2026 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| Jan 14, 2026 | F756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | Standard |
| Jan 14, 2026 | F645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard |
| Jan 14, 2026 | F628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | E | Standard |
| Jan 14, 2026 | F605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | E | Standard |
| Oct 22, 2025 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint |
| Apr 1, 2025 | F740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | Complaint |
| Jan 22, 2025 | F761 | 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. | D | Complaint |
| Jan 22, 2025 | F760 | Ensure that residents are free from significant medication errors. | G | Complaint |
| Jan 22, 2025 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint |
| Dec 18, 2024 | F880 | Provide and implement an infection prevention and control program. | D | Complaint |
| Dec 18, 2024 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Complaint |
| Dec 18, 2024 | F801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | F | Complaint |
| Dec 18, 2024 | F732 | Post nurse staffing information every day. | C | Complaint |
| Oct 16, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint |
| Oct 16, 2024 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint |
| Oct 16, 2024 | F637 | Assess the resident when there is a significant change in condition | D | Complaint |
| Oct 16, 2024 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint |
| Oct 16, 2024 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Oct 16, 2024 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| Oct 16, 2024 | F761 | 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. | D | Standard |
| Oct 16, 2024 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard |
| Oct 16, 2024 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Oct 16, 2024 | F693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | Standard |
| Oct 16, 2024 | F692 | Provide enough food/fluids to maintain a resident's health. | D | Standard |
| Oct 16, 2024 | F625 | 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. | D | Standard |
| Oct 16, 2024 | F623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard |
| Oct 16, 2024 | F604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | Standard |
| Oct 16, 2024 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard |
| Oct 16, 2024 | F578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | Standard |
| Jul 10, 2024 | F726 | 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. | D | Complaint |
| Jul 10, 2024 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | J | Complaint |
| Apr 4, 2024 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint |
| Oct 18, 2023 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint |
| Oct 18, 2023 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Oct 18, 2023 | F814 | Dispose of garbage and refuse properly. | C | Standard |
| Oct 18, 2023 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| Oct 18, 2023 | F761 | 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. | D | Standard |
Federal enforcement history
Federal regulators have imposed 5 enforcement actions against this facility, including 3 civil money penalties totaling $138,975 and 2 payment-denial actions spanning 68 days.
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Jan 22, 2025 | Fine | $87,535 | — |
| Jan 22, 2025 | Payment Denial | — | Feb 20, 2025 · 32 days |
| Oct 16, 2024 | Fine | $17,250 | — |
| Jul 10, 2024 | Fine | $34,190 | — |
| Jul 10, 2024 | Payment Denial | — | Aug 6, 2024 · 36 days |
About this record
A citation is a finding by a state survey team working under federal contract. It is not a court
judgment. The description above is drawn verbatim from federal public datasets. Facilities have
the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.
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