Average — CMS composite of the measures below.
The next survey window likely opens around March 2027
Estimate from public CMS data, current as of August 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Beaver Dam Nursing & Rehab Center, Inc during CMS and state inspections, most recent first.
A dietary menu substitution was made for four residents on a puree diet when pureed mashed potatoes were served instead of the planned pureed stewed tomatoes. The DSD said the tomatoes were stopped because staff could not puree the seeds and stated she contacted the RD, but the RD later said she was not notified and expected the menu to be followed. The CEO/Administrator and COO stated staff were expected to follow menus and related policies.
Failure to Perform Insulin Pen Safety Checks: An LPN failed to perform the required safety test/priming step before administering Lantus and Novolog to two residents with DM and hyperglycemia. Observation and interviews showed the LPN attached new needles and injected insulin without priming the pens, and the facility’s medication error rate was 9.38% (3 errors in 32 opportunities), above the 5% threshold.
An LPN failed to maintain infection control during medication administration by reaching into her jacket pocket with a gloved hand to retrieve disinfectant wipes while cleaning glucometers for two residents with DM and hyperglycemia. The LPN said she kept the wipes in her pocket and did not realize she had put her gloved hand back into the pocket; the Clinical Operations Officer stated hand hygiene was expected at the appropriate times.
The facility did not maintain food temperatures within the preferred range during a lunch meal, as per their policy. The baked glazed ham and pulled barbecue chicken were served below the preferred temperature range of 140-165°F, recorded at 116°F and 126°F respectively. A resident also reported that their pulled pork sandwich was cold. Interviews with the Registered Dietician and Administrator confirmed the expectation for food to be maintained between 135-140°F on the steam table.
The facility's infection prevention and control program was found lacking due to improper handling of drinking straws by staff. Observations revealed that SRNAs and the Director of Rehabilitation used bare hands to place straws in residents' drinkware, affecting residents with varying levels of cognitive impairment. Interviews indicated a lack of clarity on proper procedures and potential gaps in training. The DON and Administrator expected adherence to infection control guidelines, but repeated instances of improper handling highlighted deficiencies in the program.
Menu Substitution Made Without RD Review
Penalty
Summary
The facility failed to ensure staff consulted the Registered Dietician before substituting pureed mashed potatoes for pureed stewed tomatoes for four residents ordered a puree texture diet. The facility policy titled, Menus, stated menus were to be developed and prepared to meet resident choices and nutritional needs, follow established national guidelines, and be reviewed and approved by the dietitian. The dinner menu for 04/20/2026 listed macaroni and cheese, stewed tomatoes, carrots, and baked apples, and the resident summary report showed that R15, R16, R41, and R49 were ordered a puree texture diet. During a dinner meal tray line observation, the Dietary Services Director placed pureed mashed potatoes on the dinner trays of residents ordered a puree texture diet and stated they were being used as a substitution for pureed tomatoes. The DSD stated the dietary department had stopped serving pureed tomatoes because staff could not get the seeds to a puree consistency and said she contacted the RD before the meal to obtain permission to serve mashed potatoes instead. However, the RD later stated she was not notified that mashed potatoes would be served instead of pureed stewed tomatoes and stated the menu should have been followed. The RD also stated she would have expected a vegetable substitution that was not a starchy vegetable like mashed potatoes because the meal already included macaroni and cheese, and noted tomatoes had fewer calories and more vitamin C than potatoes. The CEO/Administrator and COO stated they expected staff to follow the menu.
Failure to Perform Insulin Pen Safety Checks
Penalty
Summary
Medication administration errors exceeded the 5 percent threshold when staff failed to perform a safety check before administering insulin. During observation, record review, document review, and interviews, the facility was found to have 3 medication errors out of 32 opportunities, resulting in a medication error rate of 9.38% for two residents observed during medication administration. Facility policy stated medications were to be administered in a safe and timely manner and as prescribed, and manufacturer information for both Lantus SoloStar and Novolog pens indicated that a safety test or priming step should be performed before each injection. One resident had an admission diagnosis of type 2 diabetes mellitus with hyperglycemia and an active order for Lantus SoloStar 50 units daily. During medication administration observation, an LPN attached a new needle to the Lantus pen, dialed the dose to 50 units, cleaned the resident’s abdominal area, and injected the insulin without performing a safety test. The same LPN stated she never primed insulin pens and was unsure what that meant. Another resident also had type 2 diabetes mellitus with hyperglycemia and active orders for Lantus SoloStar 48 units daily and Novolog 3 units when blood glucose was between 151 mg/dL and 200 mg/dL. During observation, the LPN administered both the Lantus and Novolog injections without performing a safety test before either injection. The Clinical Operations Officer and Consultant Pharmacist stated their expectation was that insulin pens be primed before use.
Infection control practice not maintained during glucose monitoring
Penalty
Summary
The facility failed to maintain infection control practices during medication administration when an LPN reached into her jacket pocket with a gloved hand to retrieve a packaged disinfectant wipe. This occurred while cleaning the glucometers for two residents who were receiving diabetes-related care. The facility policy titled, Infection Prevention and Control Program, stated the program was established and maintained to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections. One resident was admitted with a diagnosis of type 2 diabetes mellitus with hyperglycemia and had an active order for Lantus SoloStar 50 units subcutaneously daily. Another resident was also admitted with type 2 diabetes mellitus with hyperglycemia and had active orders for Lantus SoloStar 48 units subcutaneously daily and Novolog flex pen 3 units for blood glucose levels between 151 mg/dL and 200 mg/dL. During observation of medication administration, the LPN placed her gloved left hand into her jacket pocket and removed a disinfectant wipe to clean each resident's glucometer before placing the glucometer in the resident's bedside table. When interviewed, the LPN stated she did not realize she had put her gloved hand back in her pocket and said it was her process to keep disinfectant packages in her pocket. The Clinical Operations Officer stated she would expect the nurse to perform hand hygiene at the appropriate times.
Food Temperature Compliance Issues During Lunch Service
Penalty
Summary
The facility failed to provide food and drink that were palatable, attractive, and at a safe and appetizing temperature during the lunch meal on 03/19/2024. The facility's policy on food temperatures indicated that meat entrees should be served at temperatures greater than 140 degrees Fahrenheit but preferred between 140 and 165 degrees Fahrenheit. However, during lunch service, the baked glazed ham and alternative meat selection, pulled barbecue chicken, were both below the preferred temperature range, with the ham at 116 degrees Fahrenheit and the chicken at 126 degrees Fahrenheit. Observations during lunch service also revealed that Resident #1 complained that his pulled pork sandwich was cold, indicating a recurring issue with food temperatures being below expectations. Interviews with the Registered Dietician and the Administrator further highlighted the expectation for food temperatures to be maintained between 135 and 140 degrees Fahrenheit while on the steam table, emphasizing the importance of following the facility's policy to ensure meals are served at the correct temperatures.
Infection Control Deficiency in Handling Drinking Straws
Penalty
Summary
The facility failed to establish and maintain an infection prevention and control program, leading to deficiencies in handling drinking straws for several residents. Observations on multiple occasions revealed staff members, including SRNAs and the Director of Rehabilitation, using their bare hands to place straws in residents' drinkware. Residents #25, #39, #41, #47, #50, and #54 were directly affected by this practice, with varying levels of cognitive impairment noted in their records. Additionally, unsampled residents #64, #65, #66, and #67 were observed having their straws handled in a similar manner during a dining room service. Interviews with staff members, including SRNAs and the Director of Rehabilitation, indicated a lack of clarity on proper procedures for handling straws and a potential gap in training. The Director of Nursing and the Administrator expressed expectations for staff to adhere to infection control guidelines and follow the facility's policies. The deficiency in the infection prevention and control program was highlighted by the repeated instances of improper handling of straws, posing a risk to the residents' health and safety.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 17 citations issued within 25 miles in the last 12 months — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Beaver Dam
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Signature Healthcare Of Hartford Rehab & Wellness | 5.8 mi | ★★★★★ | 0 | 0 |
| Morgantown Care & Rehabilitation Center | 13.6 mi | ★★★★★ | 6 | 0 |
| Fordsville Nursing And Rehabilitation Center | 19.6 mi | ★★★★★ | 0 | 0 |
| Greenville Nursing And Rehabilitation | 21.2 mi | ★★★★★ | 0 | 0 |
| Maple Health And Rehabilitation | 21.2 mi | ★★★★★ | 0 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Beaver Dam Nursing & Rehab Center, Inc.
100% money-back within 48 hours.
Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.