Deficiency timeline

Congregational Home, Inc.

Dated inspection findings, penalties, and correction notes for this continuing care retirement community in Brookfield, WI. Newest events first.

21 eventsClass insights →
  1. Class IIIPotential for more than minimal harm (F)cms

    F0812: Nutrition and Dietary

    Nutrition & dietary

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

    Corrected Aug 14, 2025

  2. Class IIIPotential for more than minimal harm (E)cms

    F0636: Resident Assessment and Care Planning

    Assessment & care planning

    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

    Corrected Aug 15, 2025

  3. Class IIIPotential for more than minimal harm (E)cms

    F0640: Resident Assessment and Care Planning

    Assessment & care planning

    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

    Corrected Aug 15, 2025

  4. Class IIIPotential for more than minimal harm (D)cms

    F0638: Resident Assessment and Care Planning

    Assessment & care planning

    Assure that each resident’s assessment is updated at least once every 3 months.

    Corrected Aug 15, 2025

  5. Class IIIPotential for more than minimal harm (D)cms

    F0689: Quality of Life and Care

    Quality of life & care

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

    Corrected Aug 15, 2025

  6. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0609: Freedom from Abuse, Neglect, and Exploitation

    Abuse, neglect & exploitation

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

    Corrected Feb 6, 2025

  7. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0688: Quality of Life and Care

    Quality of life & care

    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 Feb 23, 2025

  8. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0689: Quality of Life and Care

    Quality of life & care

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

    Corrected Feb 23, 2025

  9. Class IIActual harm (G)cms

    F0686: Quality of Life and Care

    Quality of life & care

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

    Corrected May 2, 2024

  10. Class IIIPotential for more than minimal harm (F)cms

    F0812: Nutrition and Dietary

    Nutrition & dietary

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

    Corrected May 2, 2024

  11. Class IIIPotential for more than minimal harm (D)cms

    F0656: Resident Assessment and Care Planning

    Assessment & care planning

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

    Corrected May 2, 2024

  12. Class IIIPotential for more than minimal harm (D)cms

    F0689: Quality of Life and Care

    Quality of life & care

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

    Corrected May 3, 2024

  13. Class IIIPotential for more than minimal harm (D)cms

    F0700: Quality of Life and Care

    Quality of life & care

    Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

    Corrected May 2, 2024

  14. Class IIIPotential for more than minimal harm (D)cms

    F0849: Administration

    Administration

    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.

    Corrected May 2, 2024

  15. Class IIIPotential for more than minimal harm (F)cms

    F0880: Infection Control

    Infection control

    Provide and implement an infection prevention and control program.

    Corrected Apr 14, 2023

  16. Class IIIPotential for more than minimal harm (E)cms

    F0656: Resident Assessment and Care Planning

    Assessment & care planning

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

    Corrected Apr 4, 2023

  17. Class IIIPotential for more than minimal harm (E)cms

    F0657: Resident Assessment and Care Planning

    Assessment & care planning

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected Apr 4, 2023

  18. Class IIIPotential for more than minimal harm (E)cms

    F0689: Quality of Life and Care

    Quality of life & care

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

    Corrected Apr 4, 2023

  19. Class IIIPotential for more than minimal harm (D)cms

    F0684: Quality of Life and Care

    Quality of life & care

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

    Corrected Apr 4, 2023

  20. Class IIIPotential for more than minimal harm (D)cms

    F0686: Quality of Life and Care

    Quality of life & care

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

    Corrected Apr 6, 2023

  21. Class IIIPotential for more than minimal harm (D)cms

    F0758: Pharmacy Service

    Pharmacy services

    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 Apr 4, 2023

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AHCA class rollups without individual citation dates appear as a single summary row. CMS nursing home deficiencies include survey date, tag, category, scope/severity, and fine amounts when published. Back to community profile