Facility profile · CCN 525415
Menomonee Falls Health Services
48 federal citations on record , and 5 federal enforcement actions totaling $136,375.
Record summary
Federal record · Q1 202648
Total citations
45
Last 3 years
5
Actual harm+
5
Federal penalties
$136,375
Total fines
1
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
48 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Dec 3, 2025 | F554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Complaint |
| Aug 4, 2025 | F947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | F | Standard |
| Aug 4, 2025 | F887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | D | Standard |
| Aug 4, 2025 | F883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard |
| Aug 4, 2025 | F880 | Provide and implement an infection prevention and control program. | F | Standard |
| Aug 4, 2025 | F849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | Standard |
| Aug 4, 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 | Standard |
| Aug 4, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Standard |
| Aug 4, 2025 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard |
| Aug 4, 2025 | F641 | Ensure each resident receives an accurate assessment. | E | Standard |
| Aug 4, 2025 | F628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | E | Standard |
| Aug 4, 2025 | F607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Standard |
| Nov 26, 2024 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint |
| Nov 26, 2024 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Complaint |
| Nov 26, 2024 | F685 | Assist a resident in gaining access to vision and hearing services. | D | Complaint |
| Nov 26, 2024 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint |
| Nov 26, 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 |
| May 1, 2024 | F584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | Complaint |
| May 1, 2024 | F883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard |
| May 1, 2024 | F880 | Provide and implement an infection prevention and control program. | F | Standard |
| May 1, 2024 | F851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | F | Standard |
| May 1, 2024 | F849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | Standard |
| May 1, 2024 | F814 | Dispose of garbage and refuse properly. | F | Standard |
| May 1, 2024 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| May 1, 2024 | F811 | Ensure that residents are assessed for appropriateness for a feeding assistant program, receive services as per their plan of care, and feeding assistants are trained and supervised. | D | Standard |
| May 1, 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 |
| May 1, 2024 | F759 | Ensure medication error rates are not 5 percent or greater. | D | Standard |
| May 1, 2024 | F757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard |
| May 1, 2024 | 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 |
| May 1, 2024 | F725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | Standard |
| May 1, 2024 | F699 | Provide care or services that was trauma informed and/or culturally competent. | D | Standard |
| May 1, 2024 | F692 | Provide enough food/fluids to maintain a resident's health. | D | Standard |
| May 1, 2024 | F690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard |
| May 1, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Standard |
| May 1, 2024 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Standard |
| May 1, 2024 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard |
| May 1, 2024 | F678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | E | Standard |
| May 1, 2024 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard |
| May 1, 2024 | F644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard |
| May 1, 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 |
| May 1, 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 |
| May 1, 2024 | F582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard |
| May 1, 2024 | F554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard |
| Dec 18, 2023 | F687 | Provide appropriate foot care. | D | Complaint |
| Dec 18, 2023 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Complaint |
| Mar 23, 2023 | F888 | Ensure staff are vaccinated for COVID-19 | D | Standard |
| Mar 23, 2023 | F610 | Respond appropriately to all alleged violations. | E | Complaint |
| Mar 23, 2023 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint |
Federal enforcement history
Federal regulators have imposed 5 enforcement actions against this facility, including 4 civil money penalties totaling $136,375 and 1 payment-denial actions spanning 8 days.
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Nov 26, 2024 | Fine | $47,850 | — |
| May 1, 2024 | Fine | $55,419 | — |
| May 1, 2024 | Payment Denial | — | Jun 1, 2024 · 8 days |
| Dec 18, 2023 | Fine | $29,961 | — |
| Dec 11, 2023 | Fine | $3,145 | — |
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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