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F0610
D

Inconsistent Staff Training on Resident-to-Resident Altercations

Mount Horeb, Wisconsin Survey Completed on 07-09-2025

Penalty

No penalty information released
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

Surveyor interviews revealed inconsistent staff training regarding resident-to-resident altercations. A CNA reported having received training on deescalating and reporting such incidents, while an LPN stated she had not received any recent training on this topic. The LPN described her intended response to future altercations, which included separating residents and redirecting them, but this was not based on formal training. An RN indicated she had received training in the previous months and referenced a flow sheet on resident altercations posted at a nurses station, as well as the use of a 24-hour board to communicate resident behaviors and incidents between shifts. The Nursing Home Administrator confirmed that all alleged violations should be thoroughly investigated.

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