Above average — CMS composite of the measures below.
The next survey window likely opens around March 2027
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 Aspirus Care & Rehab-medford during CMS and state inspections, most recent first.
Incomplete pressure injury assessment and treatment documentation affected two residents with existing wounds. One resident with a toe pressure injury had inconsistent weekly descriptions, missing measurements, and no documented staging, while staff gave conflicting statements about whether the wound was stageable or unstageable. Another resident admitted with stage 2 buttock pressure ulcers had an incomplete and inaccurate skin assessment, unclear wound locations, unsupported wound orders for the hip and buttocks, and staff uncertainty about the number and site of the wounds.
A resident with multiple sclerosis and paraplegia, who was dependent on staff for mobility and positioning, did not consistently receive the prescribed wedge cushion for wheelchair support as outlined in the care plan. Observations and interviews confirmed the resident was left leaning uncomfortably to one side without the proper device, despite staff being aware of the care plan requirements.
A resident admitted with a post-operative hip incision did not receive required wound assessments or care in accordance with provider orders and facility policy. The care plan lacked wound care instructions, and there was no documentation of wound assessment or treatment from admission until several days later. Nursing staff and the DON confirmed that the surgical wound was not identified or managed as required, and discharge instructions for wound care were not followed.
The facility failed to prepare, distribute, and serve food in accordance with professional standards, with a dietary aide using contaminated gloves to handle food and food contact surfaces. Additionally, the facility did not maintain accurate sanitizer bucket logs, with numerous missing dates over several months.
The facility failed to maintain an effective infection control program as staff did not perform hand hygiene when warranted during care for a resident. CNAs were observed not changing gloves or performing hand hygiene after touching various items in the resident's room, leading to potential cross-contamination. The facility's Infection Control Coordinator confirmed that the staff did not follow the expected hand hygiene practices based on CDC guidelines.
Incomplete Pressure Injury Assessment and Treatment Documentation
Penalty
Summary
The facility failed to provide complete and consistent pressure injury assessments and treatment documentation for 2 of 2 residents reviewed for pressure injuries, R7 and R30. The report states that both residents were at risk for pressure injury development, and that the facility did not ensure care was provided consistently with professional standards of practice to prevent further deterioration and promote healing of existing pressure injuries. For R7, who was admitted with diagnoses including palliative care, Parkinson’s disease, and heart failure, the record showed a pressure injury to the right second toe that was present on admission. The admission skin assessment described the area as moist, macerated, fragile, non-blanchable, with drainage and a pink wound bed. Subsequent weekly and skin condition notes described changing wound characteristics, including pink and moist tissue, white tissue at the edges, dark brown and dry wound bed, rolled and raised edges, tenderness, pain, yellow drainage, calloused surrounding tissue, scabbing, eschar, and maceration. One weekly assessment was missing, and multiple assessments did not include staging, complete measurements, or a comprehensive description of the wound. During interview, RN C stated she did not do much with staging and had no charting of staging for the pressure injury, while the DON stated the wound would be unstageable because it was scabbed over for most of the time. For R30, who was admitted after hospitalization for exacerbation of CHF and had hospital discharge diagnoses of stage 2 pressure ulcers to the right and left buttocks, the facility’s initial skin assessment was incomplete and inaccurate. The assessment documented two left buttock pressure ulcers but did not include staging, and the record also contained a wound order for a right hip area that was not supported by the skin assessment. Surveyor observation found a foam border dressing on the right lower hip with a dark purple indented area, and an open moist dark pink area on the inner left buttock with serosanguinous drainage. Staff interviews showed uncertainty about the location and number of wounds, and the DON stated the nurse who completed the admission skin assessment may have made a mistake. The report concluded that the documentation did not support the right hip or right buttock wound orders and that the wound treatment for the left buttock pressure ulcer did not follow standards of practice for the condition.
Failure to Implement Care Plan Positioning Interventions
Penalty
Summary
A deficiency occurred when the facility failed to implement person-centered care plan approaches for a resident with multiple sclerosis, seizure disorder, and paraplegia. The resident was assessed as cognitively intact but dependent on staff for mobility and activities of daily living, including positioning in bed and wheelchair. The care plan specified the use of a lateral support, such as a wedge cushion, to maintain upright positioning in the wheelchair. However, observations revealed the resident was repeatedly found leaning heavily to the left side in the wheelchair, with only a loosely folded blanket in place that did not provide adequate support. The resident expressed discomfort and stated that the wedge cushion was not available, and staff interviews confirmed the wedge cushion should have been in use according to the care plan. Further investigation showed that the care plan, including the use of the wedge cushion, was documented and accessible to staff. Despite this, the appropriate positioning device was not consistently implemented, resulting in the resident's inability to maintain an upright position and discomfort. The Director of Nursing confirmed that staff are expected to follow resident care plans, but in this instance, the care plan interventions were not properly carried out.
Failure to Assess and Document Post-Operative Wound Care
Penalty
Summary
A deficiency occurred when the facility failed to provide treatment and care in accordance with professional standards and provider orders for a resident who was admitted with a post-operative surgical wound following a right hip hemiarthroplasty. The facility's policy required a total skin assessment on admission and weekly for four weeks by a licensed nurse, but this was not completed for the resident. The care plan did not include wound care for the surgical incision at the time of the state agency review, and there was no documentation of surgical wound assessment, care, or treatment from admission until several days later. The resident reported that staff had not changed or examined the bandage since admission, and a surveyor confirmed the presence of an unchanged dressing during an interview and observation. Further review revealed that there were no provider orders or documentation for post-operative incision care in the resident's record, despite clear instructions from the hospital discharge summary regarding wound care and dressing removal. Nursing staff and the Director of Nursing acknowledged that the surgical wound was not identified or assessed upon admission, resulting in the absence of a treatment record, daily wound checks, or a care plan for the incision. The facility did not follow its own wound assessment procedures or the discharge instructions, and the required assessments and documentation were not performed until after the deficiency was identified by surveyors.
Food Service Safety and Sanitization Deficiencies
Penalty
Summary
The facility did not prepare, distribute, and serve food in accordance with professional standards for food service safety, potentially affecting 21 of 22 residents. During an observation, a dietary aide (DA) was seen serving hot food with gloved hands, which were contaminated by contact with the service counter. The DA used the same contaminated gloves to handle food and food contact surfaces, including plates and a piece of chicken. The DA admitted to knowing the proper procedure but stated they were nervous. The dietary manager (DM) acknowledged the issue and suggested that staff might need to serve barehanded to ensure the use of tongs for everything they touch. Additionally, the facility failed to maintain accurate sanitizer bucket logs as required by the Wisconsin Food Code. The logs, which should be completed daily, had numerous missing dates from December 2023 to April 2024. The DM admitted that the facility was not doing a good job of keeping these logs. This lapse in documentation indicates a failure to consistently monitor and ensure proper sanitization practices in the facility's food service area.
Failure to Follow Hand Hygiene Protocols
Penalty
Summary
The facility failed to establish and maintain an effective infection prevention and control program, as evidenced by staff not performing hand hygiene when warranted during care for a resident. The facility's policy on hand hygiene, which aligns with CDC guidelines, was not followed by the staff. The policy mandates hand hygiene before direct contact with patients, before donning gloves, after contact with inanimate objects, and after contact with patients' intact skin. However, these guidelines were not adhered to during the observed care of a resident who is dependent on staff for various activities and is always incontinent of bladder and bowel. In one instance, a Certified Nursing Assistant (CNA) was observed assisting the resident with eating without changing gloves or performing hand hygiene after touching various items in the resident's room, such as the bed, glasses, chair, and bedside table. The CNA acknowledged the lapse in hand hygiene when interviewed, stating that she should have washed her hands after touching dirty items and before helping the resident eat. This failure to perform hand hygiene could lead to cross-contamination and the spread of infections. In another instance, a different CNA, associated with the resident's hospice service, was observed assisting the resident with morning care without performing hand hygiene after touching various presumably dirty items in the resident's room. The CNA did not change gloves or perform hand hygiene until after completing several tasks, including adjusting the bed, touching the resident, and handling clean clothes. The CNA admitted to not being aware of the need for hand hygiene when transitioning from dirty to clean tasks. The facility's Infection Control Coordinator confirmed that the staff did not follow the expected hand hygiene practices based on CDC guidelines, which require removing gloves, performing hand hygiene, and donning clean gloves to prevent cross-contamination.
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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.
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Nursing homes near Medford
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Abbotsford Health Care Center | 13.4 mi | ★★★★★ | 7 | 0 |
| Rib Lake Health Services | 14.5 mi | ★★★★★ | 11 | 0 |
| Colonial Health Services | 15.1 mi | ★★★★★ | 2 | 2 |
| Clark County Rehabilitation & Living Center | 16.1 mi | ★★★★★ | 18 | 0 |
| Oakbrook Health And Rehabilitation | 25 mi | ★★★★★ | 9 | 0 |
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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.