Above average — CMS composite of the measures below.
A standard survey is most likely before around August 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Moose Lake Village during CMS and state inspections, most recent first.
The facility did not ensure hot water temperatures remained below the safe limit, with measurements reaching up to 134°F in resident areas, and failed to provide adequate supervision or follow care plans for residents needing assistance with transfers and ADLs. Multiple residents at risk for falls were observed or reported to be transferring independently without staff help or required safety equipment, despite care plans specifying assistance and use of gait belts. Staff interviews revealed inconsistent knowledge and adherence to care plans, and facility policies for fall prevention and care planning were not consistently followed.
Surveyors found that several medication orders for multiple residents did not include the required indications for use, despite facility policy mandating that all orders specify the diagnosis or reason for each medication. For example, a resident with dementia and other complex conditions had orders for medications such as Miralax, furosemide, and lisinopril without documented indications, and another resident with severe cognitive impairment had orders for melatonin and ondansetron without specified reasons.
A resident who was cognitively intact did not receive quarterly statements for her personal trust account as required, because the facility sent the statements to her former home address instead of directly to her. Interviews with staff confirmed the error, and facility policy required that such statements be provided to the resident.
A resident with multiple medical conditions and a history of repeated falls experienced several unwitnessed and witnessed falls, many related to self-transfers. Despite changes in transfer assistance after a significant fall, the care plan was not consistently updated with additional fall prevention interventions after subsequent incidents. Staff interviews revealed inconsistent understanding of the resident's needs, and some interventions were implemented but not documented in the care plan, leading to a deficiency in care planning.
A resident with a history of severe childhood abuse and a diagnosis of PTSD did not have their PTSD symptoms or triggers adequately assessed or documented in the care plan. While staff were aware of some triggers through verbal communication, this information was not formally included in the care plan or electronic medical record, contrary to facility policy requiring trauma-informed care planning.
Staff with beards, including the culinary director, food service consultant, and a dietary aide, were repeatedly observed in the kitchen preparing and handling food without wearing required beard coverings. This lapse in sanitary practice occurred during food preparation, serving, and storage activities, and was confirmed by staff interviews.
Failure to Maintain Safe Water Temperatures and Provide Adequate Supervision for Transfers
Penalty
Summary
The facility failed to maintain safe hot water temperatures at point-of-use for all residents on the 200 hallway and the specialty care unit. Observations and temperature measurements revealed that hot water temperatures in resident rooms and common areas reached as high as 134 degrees Fahrenheit, significantly exceeding the recommended safe upper limit of 120 degrees Fahrenheit. Residents and staff reported that the water became very hot after running for a few minutes, and maintenance staff confirmed the malfunction of the blender valve responsible for regulating water temperature. Monthly water temperature logs showed repeated instances of temperatures above 120 degrees Fahrenheit, but these were not consistently identified or addressed by facility leadership. Additionally, the facility did not provide adequate supervision or follow care plans for residents requiring assistance with transfers and activities of daily living. Multiple residents with documented fall risks and care plans specifying the need for staff assistance and use of gait belts were observed or reported to be transferring themselves without staff help. Interviews with residents and staff indicated that some residents regularly performed transfers and dressing independently, despite care plans requiring assistance. Staff were not consistently aware of or following the prescribed level of assistance for these residents, and there was a lack of clear communication and adherence to care plans during shift handoffs. Furthermore, direct observations showed that staff did not always use required safety equipment, such as gait belts, during resident transfers. In one instance, a nursing assistant assisted a resident with a pivot transfer without using a gait belt, contrary to the resident's care plan and facility policy. Interviews with therapy and nursing staff confirmed that these residents were not approved for independent transfers and required at least standby or one-person assistance. Facility policies required regular assessment of fall risk and updating of care plans, but these were not consistently implemented in practice.
Medication Orders Lacking Required Indications
Penalty
Summary
The facility failed to ensure that medication orders for several residents included the required indications for use, as identified through interviews and document review. For three out of five residents reviewed, provider orders for multiple medications did not specify the medical reason or diagnosis for which the medication was prescribed. For example, one resident with a complex medical history including dementia, agitation, delusional disorders, hypothyroidism, and other conditions, had orders for medications such as Miralax, furosemide, hydrocortisone cream, magnesium oxide, docusate, Senna S, and lisinopril without documented indications. Additionally, the resident's care plan did not address certain diagnoses or problems related to some of these medications. Another resident with severe cognitive impairment and multiple diagnoses, including stroke, diabetes, hypertension, and dementia with psychotic disturbance, had orders for melatonin and ondansetron without documented indications. The facility's policy required that all medication orders include the name, dosage, route, frequency, and diagnosis for usage, and that nurses verify the completeness and accuracy of transcribed orders. However, the lack of documented indications for these medications constituted a failure to comply with both facility policy and regulatory requirements.
Failure to Provide Resident with Required Personal Funds Statement
Penalty
Summary
The facility failed to provide a quarterly financial statement to a resident who had requested to receive statements for her personal trust account. The resident, who was identified as cognitively intact on her annual Minimum Data Set (MDS), reported that she was not receiving statements and was unsure of her account balance. Interviews with the business office manager and the administrator confirmed that the statements were being sent to the resident's former home address instead of being provided directly to her as required. The corporate associate vice president of revenue cycle management also verified that the statements should have been sent to the resident. The facility's trust fund policy specified that residents or their financially responsible persons are to receive quarterly statements detailing deposits, withdrawals, and interest earned.
Failure to Update Care Plan with Resident-Specific Fall Prevention Interventions
Penalty
Summary
The facility failed to update and individualize the care plan with resident-specific fall prevention interventions for a resident who experienced multiple falls. The resident, who was cognitively intact and had diagnoses including osteomyelitis, chronic respiratory failure, congestive heart failure, diabetes type II, repeated falls, muscle weakness, and unsteadiness, had a care plan that was not consistently revised after each fall event. Although the care plan was updated to change the transfer assistance level after a fall that resulted in a clavicle fracture, there was no evidence that additional or modified fall prevention interventions were implemented following five subsequent falls. Event reports and nursing notes documented multiple unwitnessed and witnessed falls, many of which occurred during self-transfers in the resident's room or bathroom. Interviews with the resident revealed that they often transferred themselves between bed, wheelchair, and recliner, and sometimes did not use the call light or non-skid footwear. Staff interviews indicated inconsistent understanding and communication regarding the resident's transfer status and the need for assistance, with some staff believing the resident was independent and others acknowledging the need for standby or one-person assist. The care plan did not reflect interventions such as increased rounding, toileting assistance, or environmental modifications that were discussed or implemented informally by staff. The facility's policies required that fall risk and appropriate interventions be included in the care plan and updated after each fall review. However, both the RN and DON confirmed that while some interventions were carried out, they were not documented in the care plan. The care plan also did not address the resident's self-transfer behaviors under the behavior section, despite repeated incidents. This lack of comprehensive and updated documentation in the care plan contributed to the deficiency identified by surveyors.
Failure to Assess and Document PTSD Triggers in Trauma-Informed Care
Penalty
Summary
The facility failed to adequately assess and document post-traumatic stress disorder (PTSD) symptoms and triggers for a resident with a significant trauma history. The resident had a documented history of physical abuse as a minor, including being tied up, gagged, and burned, and was diagnosed with PTSD, among other psychiatric and neurocognitive disorders. While the care plan acknowledged the trauma history and included a general intervention stating the resident was fine with both male and female caregivers, it did not specify PTSD symptoms or triggers, nor did it include interventions to address them. The electronic medical record lacked a PTSD-specific assessment, and other care plan sections related to behavior and mood did not reference PTSD triggers or symptoms. Interviews with facility staff revealed that knowledge of the resident's PTSD triggers, such as not closing doors or making the resident feel confined, was communicated verbally rather than documented in the care plan. Staff members were aware of the resident's trauma history and some specific triggers through word of mouth, but this information was not consistently or formally included in the care plan. The facility's policy required the development of a trauma-informed care plan when a history of trauma was identified, but this was not fully implemented for the resident in question.
Failure to Ensure Use of Beard Coverings in Kitchen
Penalty
Summary
The facility failed to ensure that staff in the kitchen wore required beard coverings while preparing, handling, and serving food. Multiple observations over several days documented that the food service consultant, culinary director, and a dietary aide, all with beards, were present in various kitchen areas—including food preparation, storage, and dishwashing—without beard coverings. These staff members were observed performing tasks such as wrapping silverware, placing desserts into containers, removing and temping chicken, and assisting with pureeing food, all without the required beard coverings. Interviews with the culinary director and food service consultant confirmed that staff had not been wearing beard coverings in the kitchen during the observed period. The culinary director acknowledged that beard coverings were required for sanitary and infection prevention reasons and explained that the lapse occurred after mandatory mask wearing was lifted, and the transition back to beard coverings had not been implemented. The deficiency had the potential to impact all residents receiving nourishment from the facility's dietary services.
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 23 citations issued within 25 miles in the last 12 months — including the 1 immediate-jeopardy cases — 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 Moose Lake
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Cura Of Sandstone | 22.2 mi | ★★★★★ | 12 | 1 |
| Interfaith Care Center | 22.9 mi | ★★★★★ | 11 | 0 |
| The North Shore Estates Llc | 33.6 mi | ★★★★★ | 16 | 0 |
| Dove Healthcare - Superior | 35.9 mi | ★★★★★ | 3 | 0 |
| Twin Ports Health Services | 36.4 mi | ★★★★★ | 4 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.