01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-05-22 | 7 | 2025-05-22 | 8 |
| Cycle 2 | 2024-04-03 | 13 | 2024-04-03 | 4 |
| Cycle 3 | 2023-01-25 | 1 | 2023-01-25 | 6 |
CMS CCN 5253652026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Pine Valley Community Village
25951 Circle View Lane · Richland Center, WI 53581 · Richland County
Certified beds80CMS provider file
Recent citation rows39current CMS citation release
Penalty rows2current CMS penalties file
Read this record carefully.
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.
02 / CITATION DETAIL
39 rows in the current release
3 rows carry G–L scope/severity codes; 2 carry J–L. 5 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-01-14 · HEALTHF0755Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Correction field: Deficient, Provider has date of correction · 2026-01-29 · complaint2025-07-22 · HEALTHF0678Severity J · isolated immediate jeopardy
Quality of Life and Care Deficiencies
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Correction field: Past Non-Compliance · 2025-07-03 · complaint2025-07-22 · HEALTHF0730Severity F · widespread; potential for more than minimal harm
Nursing and Physician Services Deficiencies
Observe each nurse aide's job performance and give regular training.
Correction field: Deficient, Provider has date of correction · 2025-08-06 · complaint2025-07-22 · HEALTHF0941Severity F · widespread; potential for more than minimal harm
Administration Deficiencies
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
Correction field: Deficient, Provider has date of correction · 2025-08-06 · complaint2025-07-22 · HEALTHF0944Severity F · widespread; potential for more than minimal harm
Administration Deficiencies
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Correction field: Deficient, Provider has date of correction · 2025-08-06 · complaint2025-07-22 · HEALTHF0945Severity F · widespread; potential for more than minimal harm
Infection Control Deficiencies
Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
Correction field: Deficient, Provider has date of correction · 2025-08-06 · complaint2025-07-22 · HEALTHF0946Severity F · widespread; potential for more than minimal harm
Administration Deficiencies
Provide training in compliance and ethics.
Correction field: Deficient, Provider has date of correction · 2025-08-06 · complaint2025-06-30 · HEALTHF0760Severity G · isolated actual harm
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Correction field: Deficient, Provider has date of correction · 2025-07-21 · complaint2025-05-22 · FIREE0013Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Develop Emergency Preparedness policies and procedures.
Correction field: Deficient, Provider has date of correction · 2025-06-202025-05-22 · FIREE0033Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Establish methods for sharing information.
Correction field: Deficient, Provider has date of correction · 2025-06-202025-05-22 · HEALTHF0554Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
Correction field: Deficient, Provider has date of correction · 2025-06-132025-05-22 · HEALTHF0607Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Correction field: Deficient, Provider has date of correction · 2025-06-132025-05-22 · HEALTHF0759Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Correction field: Deficient, Provider has date of correction · 2025-06-132025-05-22 · HEALTHF0761Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2025-06-132025-05-22 · HEALTHF0812Severity F · widespread; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2025-06-132025-05-22 · HEALTHF0880Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2025-06-132025-05-22 · FIREK0223Severity D · isolated; potential for more than minimal harm
Egress Deficiencies
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Correction field: Deficient, Provider has date of correction · 2025-06-202025-05-22 · FIREK0291Severity F · widespread; potential for more than minimal harm
Egress Deficiencies
Install emergency lighting that can last at least 1 1/2 hours.
Correction field: Deficient, Provider has date of correction · 2025-06-202025-05-22 · FIREK0345Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Correction field: Deficient, Provider has date of correction · 2025-06-202025-05-22 · FIREK0353Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2025-06-202025-05-22 · FIREK0761Severity F · widespread; potential for more than minimal harm
Miscellaneous Deficiencies
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Correction field: Deficient, Provider has date of correction · 2025-06-202025-05-22 · FIREK0912Severity E · pattern; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have power receptacles that are properly grounded.
Correction field: Deficient, Provider has date of correction · 2025-06-202025-03-31 · HEALTHF0610Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Correction field: Deficient, Provider has date of correction · 2025-04-18 · complaint2025-03-31 · HEALTHF0684Severity J · isolated immediate jeopardy
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2025-04-18 · complaint03 / ENFORCEMENT FILE
Penalties reported by CMS
Fine 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 |
|---|---|---|---|
| 2025-07-22 | Fine | $22,925 | 0 |
| 2025-03-31 | Fine | $74,386 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- COUNTY OF RICHLANDOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST100% · since 03/09/1978
- CARROW, STEPHENIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 04/16/2024
- COUEY, MARCIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 04/16/2024
- ENGEL, LARRYIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 04/16/2024
- FLEMING, JULIAIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 04/16/2024
- HENDRICKS, ALAYNEIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 04/16/2025
- KRAMER, SANDRAIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 04/16/2024
- MCKEE, RICHARDIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 04/16/2024
- MILLER, MARYIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 04/16/2024
- SCHOONOVER, RANDYIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 05/20/2025
- SEVERSON, KERRYIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 04/16/2024
- THOMPSON, TIFFANYIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 10/20/2025
- TURK, DAVIDIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 04/16/2024
- WILLIAMSON, STEVEIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 04/16/2024
- PAULUS, BRITTANYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 03/05/2025
- COUNTY OF RICHLANDOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 03/09/1978
- PAULUS, BRITTANYIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 03/05/2025
- SIDHU, SARFRAZIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 01/01/2022
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.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours4.60per resident day
RN hours1.12per resident day
Weekend nurse hours3.95per resident day
Staff turnover45.0%CMS reported field
06 / LOCAL RECORDS
Open the Richland Center ledger →