Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-06-23 | 19 | 2025-06-23 | 10 |
| Cycle 2 | 2024-03-27 | 25 | 2024-03-27 | 8 |
| Cycle 3 | 2022-12-05 | 13 | 2022-12-05 | 3 |
NURSING HOME PUBLIC RECORD
1130 Collins Road · Jefferson, WI 53549 · Jefferson County
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-06-23 | 19 | 2025-06-23 | 10 |
| Cycle 2 | 2024-03-27 | 25 | 2024-03-27 | 8 |
| Cycle 3 | 2022-12-05 | 13 | 2022-12-05 | 3 |
10 rows carry G–L scope/severity codes; 5 carry J–L. 12 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Correction field: Deficient, Provider has date of correction · 2026-06-25 · complaintProvide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2026-06-25 · complaintProvide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2025-12-19 · complaintEnsure that residents are free from significant medication errors.
Correction field: Deficient, Provider has date of correction · 2025-12-22 · complaintDevelop and maintain an Emergency Preparedness Program (EP).
Correction field: Deficient, Provider has date of correction · 2025-07-14Conduct risk assessment and an All-Hazards approach.
Correction field: Deficient, Provider has date of correction · 2025-07-17Conduct testing and exercise requirements.
Correction field: Deficient, Provider has date of correction · 2025-07-18Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Correction field: Deficient, Provider has plan of correction · 2025-07-07Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Correction field: Deficient, Provider has plan of correction · 2025-07-07 · complaintPrevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Correction field: Deficient, Provider has plan of correction · 2025-07-07Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Correction field: Deficient, Provider has date of correction · 2025-07-07 · complaintEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has plan of correction · 2025-07-07Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Correction field: Deficient, Provider has plan of correction · 2025-07-07Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Correction field: Deficient, Provider has plan of correction · 2025-07-07Ensure each resident’s drug regimen must be free from unnecessary drugs.
Correction field: Deficient, Provider has plan of correction · 2025-07-07Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Correction field: Deficient, Provider has plan of correction · 2025-07-07Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Correction field: Deficient, Provider has plan of correction · 2025-07-07Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has plan of correction · 2025-07-07Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Correction field: Deficient, Provider has plan of correction · 2025-07-07Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has plan of correction · 2025-07-07Develop and implement policies and procedures for flu and pneumonia vaccinations.
Correction field: Deficient, Provider has plan of correction · 2025-07-07Educate 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.
Correction field: Deficient, Provider has plan of correction · 2025-07-07Use approved construction type or materials.
Correction field: Deficient, Provider has date of correction · 2025-07-14Have approved installation, maintenance and testing program for fire alarm systems.
Correction field: Deficient, Provider has date of correction · 2025-07-14Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2025-11-25 | Fine | $59,670 | 0 |
| 2025-06-23 | Fine | $197,769 | 0 |
| 2025-06-23 | Payment Denial | $0 | 10 |
| 2025-04-14 | Fine | $42,532 | 0 |
| 2024-12-03 | Fine | $33,830 | 0 |
| 2024-03-27 | Fine | $63,245 | 0 |
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
No second facility in the same city met the directory rule.
Use this ledger to frame questions—not to choose care on its own. Recheck Medicare Care Compare, contact the state survey agency and long-term care ombudsman, and ask the facility about anything you find.