Deficiency timeline

Menomonee Falls Health Services

Dated inspection findings, penalties, and correction notes for this nursing home in Menomonee Falls, WI. Newest events first.

52 eventsTimeline fines $214,308Class insights →
  1. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0554: Resident Rights

    Resident rights

    Allow residents to self-administer drugs if determined clinically appropriate.

    Corrected Dec 8, 2025

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

    F0887: Infection Control

    Infection control

    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.

    Corrected Aug 30, 2025

  3. Class IIActual harm (G)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 26, 2025

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

    F0883: Infection Control

    Infection control

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Corrected Aug 30, 2025

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

    F0641: Resident Assessment and Care Planning

    Assessment & care planning

    Ensure each resident receives an accurate assessment.

    Corrected Aug 26, 2025

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

    F0607: Freedom from Abuse, Neglect, and Exploitation

    Abuse, neglect & exploitation

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Corrected Aug 26, 2025

  7. 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 Aug 26, 2025

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

    F0761: Pharmacy Service

    Pharmacy services

    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.

    Corrected Aug 26, 2025

  9. 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 Aug 26, 2025

  10. Fine $94,680cms

    CMS fine

    Civil money penalty recorded in CMS Nursing Home Compare.

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

    F0880: Infection Control

    Infection control

    Provide and implement an infection prevention and control program.

    Corrected Sep 3, 2025

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

    F0947: Nursing and Physician Services

    Nursing & physician services

    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

    Corrected Aug 26, 2025

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

    F0628: Resident Rights

    Resident rights

    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

    Corrected Aug 26, 2025

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

    F0580: Resident Rights

    Resident rights

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected Dec 24, 2024

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

    F0684: Quality of Life and Care

    Quality of life & care

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

    Corrected Dec 24, 2024

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

    F0685: Quality of Life and Care

    Quality of life & care

    Assist a resident in gaining access to vision and hearing services.

    Corrected Dec 24, 2024

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

    F0755: Pharmacy Service

    Pharmacy services

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected Dec 24, 2024

  18. Fine $31,103cms

    CMS fine

    Civil money penalty recorded in CMS Nursing Home Compare.

  19. Class IIActual harm (G)Complaint-relatedcms

    F0686: Quality of Life and Care

    Quality of life & care

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

    Corrected Dec 24, 2024

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

    F0690: Quality of Life and Care

    Quality of life & care

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Corrected Jun 6, 2024

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

    F0692: Quality of Life and Care

    Quality of life & care

    Provide enough food/fluids to maintain a resident's health.

    Corrected Jun 6, 2024

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

    F0699: Quality of Life and Care

    Quality of life & care

    Provide care or services that was trauma informed and/or culturally competent.

    Corrected Jun 6, 2024

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

    F0759: Pharmacy Service

    Pharmacy services

    Ensure medication error rates are not 5 percent or greater.

    Corrected Jun 6, 2024

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

    F0811: Nutrition and Dietary

    Nutrition & dietary

    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.

    Corrected Jun 6, 2024

  25. 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 Jun 6, 2024

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

    F0883: Infection Control

    Infection control

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Corrected Jun 6, 2024

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

    F0761: Pharmacy Service

    Pharmacy services

    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.

    Corrected Jun 6, 2024

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

    F0757: Pharmacy Service

    Pharmacy services

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Corrected Jun 6, 2024

  29. 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 Jun 6, 2024

  30. Class IIActual harm (G)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 Jun 6, 2024

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

    F0725: Nursing and Physician Services

    Nursing & physician services

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Corrected Jun 6, 2024

  32. 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 Jun 6, 2024

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

    F0814: Nutrition and Dietary

    Nutrition & dietary

    Dispose of garbage and refuse properly.

    Corrected Jun 6, 2024

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

    F0851: Administration

    Administration

    Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

    Corrected Jun 6, 2024

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

    F0880: Infection Control

    Infection control

    Provide and implement an infection prevention and control program.

    Corrected Jun 6, 2024

  36. Class IIIPotential for more than minimal harm (E)Complaint-relatedcms

    F0584: Resident Rights

    Resident rights

    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.

    Corrected Jun 6, 2024

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

    F0678: Quality of Life and Care

    Quality of life & care

    Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

    Corrected Jun 6, 2024

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

    F0756: Pharmacy Service

    Pharmacy services

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Corrected Jun 6, 2024

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

    F0554: Resident Rights

    Resident rights

    Allow residents to self-administer drugs if determined clinically appropriate.

    Corrected Jun 6, 2024

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

    F0582: Resident Rights

    Resident rights

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    Corrected Jun 6, 2024

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

    F0623: Resident Rights

    Resident rights

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    Corrected Jun 6, 2024

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

    F0625: Resident Rights

    Resident rights

    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.

    Corrected Jun 6, 2024

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

    F0644: Resident Assessment and Care Planning

    Assessment & care planning

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    Corrected Jun 6, 2024

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

    F0677: Quality of Life and Care

    Quality of life & care

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected Jun 6, 2024

  45. 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 Jun 6, 2024

  46. Fine $55,419cms

    CMS fine

    Civil money penalty recorded in CMS Nursing Home Compare.

  47. cms

    Payment denial

    Medicare/Medicaid payment denial issued following a survey deficiency.

  48. Fine $29,961cms

    CMS fine

    Civil money penalty recorded in CMS Nursing Home Compare.

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

    F0687: Quality of Life and Care

    Quality of life & care

    Provide appropriate foot care.

    Corrected Jan 16, 2024

  50. Class IIActual harm (G)Complaint-relatedcms

    F0686: Quality of Life and Care

    Quality of life & care

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

    Corrected Jan 16, 2024

  51. Fine $3,145cms

    CMS fine

    Civil money penalty recorded in CMS Nursing Home Compare.

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

    F0888: Infection Control

    Infection control

    Ensure staff are vaccinated for COVID-19

    Corrected Apr 21, 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