Above average — CMS composite of the measures below.
The next survey window likely opens around June 2027
Estimate from public CMS data, current as of October 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Dove Healthcare - Rice Lake during CMS and state inspections, most recent first.
Failure to Follow Transfer Plan During Shower Care Resulted in Resident Hip Fracture A resident with dementia, impaired mobility, and a history of falls required a 1-person assist with a 2WW for transfers. During shower care, a CNA transferred the resident without a gait belt or walker, and the resident was lowered to the floor. When staff later tried to stand the resident, the resident had severe R hip pain, a shortened and externally rotated leg, and was sent to the hospital with an intertrochanteric femur fracture.
A resident with severe cognitive impairment, Parkinson’s disease, contractures, skin breakdown, and hospice services did not receive care as ordered and planned. The facility did not complete weekly assessments for non-pressure wounds, allowed scratching to continue without a new intervention, did not consistently apply elbow, heel, and palm protection devices, continued a discontinued hand wound treatment, and lacked clear communication and documentation with hospice about the services being provided.
A resident with mild cognitive impairment reported missing identification documents and large unauthorized bank transactions that were later reversed. The facility’s investigation documented the initial report but did not include interviews with other residents or staff to determine whether similar misappropriation had occurred or whether staff had additional information. During the survey, the resident gave inconsistent information compared to prior reports, and the NHA acknowledged relying on the resident’s account without knowing when the resident’s wallet entered the facility. This resulted in a lack of evidence that the alleged violation was thoroughly investigated as required by regulation.
A resident with Parkinson’s disease, depression, and recent hallucinations was sent to the ER after new behavioral concerns, including calling 911 and making inappropriate sexual comments to staff. The facility documented that it could not meet the resident’s needs, but the record lacked physician documentation for the discharge basis, did not show sufficient preparation for a safe transfer, and did not include communication with hospital staff after the transfer to determine whether skilled services were still needed.
The facility failed to give written transfer/discharge notices and bed-hold information to residents or their representatives, including the reason for transfer, appeal rights, bed-hold duration, and reserve bed payment details. One resident with atrial fibrillation and constipation, another with metabolic encephalopathy, Parkinson's disease, depression, and AKI, and a third with AKI, DM2, chronic venous insufficiency, and weakness were transferred to the hospital, but records and interviews showed no written paperwork was provided.
Failure to Follow Transfer Plan During Shower Care Resulted in Resident Hip Fracture
Penalty
Summary
The facility did not ensure the resident environment remained as free of accident hazards as possible and did not ensure adequate supervision and assistive devices were used to prevent accidents for a resident who required a 1-person assist with a 2-wheeled walker for transfers. The resident had diagnoses including dementia, osteoarthritis of the knee, difficulty walking, history of falling, and later documented intertrochanteric fracture of the right femur. The resident’s MDS showed moderate cognitive impairment with a BIMS score of 9/15 and documented the need for staff assistance with transfers. The care plan directed assist of 1 with a 2WW for ambulation/locomotion, and the resident’s fall risk assessments showed medium to high fall risk. During a morning transfer in the tub room, a CNA transferred the resident from the shower chair without using a gait belt and without the walker. The resident was lowered to the floor and initially had no obvious injury, but when staff later attempted to stand the resident to pull up pants, the resident could not bear weight and complained of severe right hip pain. The resident’s right leg was noted to be shortened and externally rotated. The resident was then transferred by Hoyer lift, EMS was called, and the resident was taken to the hospital. The emergency department documented right hip pain after the resident was assisted in the shower and found a comminuted moderately displaced versus impacted right proximal femur intertrochanteric fracture. Surveyor observation later showed staff using the resident’s care plan and transferring the resident with a Hoyer lift and two staff. Interviews with nursing staff and the DON confirmed that the resident had not been transferred according to the care plan during the incident, and that the gait belt and walker were not used when the resident was moved from the shower chair and when staff attempted to stand the resident afterward.
Failure to Provide Ordered Wound Care, Protective Devices, and Hospice Coordination
Penalty
Summary
The facility did not ensure a resident with Parkinson’s disease, contractures causing skin breakdown, anxiety, a history of pressure ulcers, and hospice services received treatment and care in accordance with professional standards of practice. The resident’s MDS showed severe cognitive impairment, and the care plan included interventions for skin protection, scratching, contractures, and hospice care. However, the resident’s non-pressure wounds on the posterior right thigh were not comprehensively assessed weekly. Weekly wound tracker documentation stopped after the wound was tracked on 10/16/25, and later documentation appeared in progress notes rather than weekly wound assessments. The record also showed long gaps without wound tracking, including periods when the thigh wound remained open and was later documented as measuring larger areas with inconsistent measurements. The resident continued to scratch the skin, but after an intervention to prevent scratching was discontinued, no new intervention was implemented. On 07/01/26, the resident was observed with long painted fingernails and without fingertip protectors, even though the DON stated the protectors had been ordered in May and 40 protectors were counted in the medication room. The resident’s record did not include an order or task for fingertip protectors, and the care plan did not include them. The resident was also observed without elbow and heel protectors while seated in a Broda chair, and without the palm protection device in the left hand that was listed in the care plan. Staff gave conflicting accounts about whether the protectors were available and whether they had been applied, and one CNA stated the resident did not allow the dog device to be placed in the hand. The resident’s left hand wound treatment was continued after the order had been discontinued. The wound was documented as healed on 06/04/26, with an order to discontinue the split gauze treatment and continue only the inner dry placed over the foam dog in the contracted left hand. On 07/01/26, the TAR still showed daily split gauze treatments being completed, and the DON and LPN confirmed the order had not been discontinued in the system. The facility also did not implement a plan for clear communication with hospice services. The hospice care plan did not identify what services hospice would provide or how often, and facility staff, including CNAs, reported they did not know what hospice completed because hospice documentation was not available to them in the resident record. Hospice communication in the chart showed only limited entries, such as shower dates, with no consistent documentation of other hospice-provided care.
Failure to Thoroughly Investigate Alleged Misappropriation
Penalty
Summary
The deficiency involves the facility’s failure to thoroughly investigate an allegation of misappropriation involving one resident. The resident was admitted with a diagnosis of mild cognitive impairment and later reported missing identification documents, an unauthorized $10,000 transfer, and a $5,000 withdrawal from his bank account that was later returned. The facility’s investigative file documented the resident’s report made on 11/24/25 but did not contain evidence that other residents were interviewed to determine whether they had experienced similar misappropriation. The file also lacked documentation of staff interviews to assess whether staff had knowledge of the incident or whether other residents had reported comparable concerns. During the survey, the resident told the Surveyor that five cards were missing and that a company assists with his finances, which was inconsistent with what he had previously reported to facility staff and what was documented in the Adult Protective Services report. When interviewed, the Nursing Home Administrator stated that other residents and staff were not interviewed because they believed it was unnecessary, based on the resident’s report that his wallet was at his previous residence and their belief that he had intact cognition. The Nursing Home Administrator also reported not knowing when the resident’s wallet came into the facility and relying solely on the resident’s account, despite the resident’s diagnosis of cognitive impairment. This lack of broader interviews and corroborating information demonstrated that the facility did not have evidence that the alleged violation was thoroughly investigated as required by 42 CFR §483.12(c)(2) and §483.12(c)(3).
Discharge Documentation and Communication Failure
Penalty
Summary
The facility did not ensure proper documentation and communication for the discharge of a resident with diagnoses including metabolic encephalopathy, Parkinson’s disease, depression, and acute kidney failure. The resident’s record showed cognitive independence on the most recent MDS, and the care plan addressed mood changes, hallucinations, and adverse effects related to antidepressant use. After the resident exhibited inappropriate touching and sexual comments toward staff, the care plan was revised to require 2 staff members for peri care. The following day, the resident called 911 stating he was being held captive, wanted to leave, and was hallucinating. Staff documented that redirection was ineffective until a family member arrived, and the nurse manager was contacted and informed staff that the resident needed to go to the ER because of new onset behaviors. The resident was transported by ambulance, and the nurse manager discussed with the family member that discharge was needed because the facility could not continue care. However, the record did not contain physician documentation explaining why the resident’s needs could not be met or the basis for discharge. The record also did not show sufficient preparation and orientation for a safe and orderly transfer, and there was no documented communication with hospital staff after transfer to determine whether the resident still needed skilled services or would return to the facility. Behavior monitoring showed no behaviors on prior shifts, but on the morning of discharge the resident was documented as verbalizing persistent beliefs that were not true with no interventions attempted. Interviews with the family member, DON, and nurse manager confirmed that the transfer happened quickly, that no additional documentation supported the behaviors and interventions, and that no provider notification or order was obtained before transfer.
Failure to Provide Written Transfer and Bed-Hold Notices
Penalty
Summary
The facility did not provide written notice to residents or their representatives for transfers/discharges, including the reason for the transfer, the duration of the bed-hold policy, and the reserve bed payment information. The deficiency was identified through interview and record review and was noted as having the potential to affect all 37 residents. The facility policy titled, "Transfer and Discharge Requirement," states that before a resident is transferred or discharged, the resident and representative(s) must be notified in writing of the transfer or discharge and the reasons for the move, and the written notice must include the reason, effective date, location, appeal rights, and Ombudsman contact information. R34, who had diagnoses including atrial fibrillation and constipation and a BIMS score of 14/15 indicating intact cognition, was transferred to the hospital for nausea/vomiting and an irregular heart rate and later returned, but there was no documentation of written transfer notice or bed-hold notice. R42, who had diagnoses including metabolic encephalopathy, Parkinson's disease, depression, and acute kidney failure and was documented as cognitively independent with daily decision making, was transferred to the hospital for a change in condition and increased behaviors; the resident and family member stated they received no paperwork, and staff stated no discharge or bed-hold paperwork was given or reviewed. R8, who had diagnoses including acute kidney failure, type 2 diabetes mellitus, chronic peripheral venous insufficiency, and weakness, was transferred to the hospital for no urine output and increased edema, and the chart contained no documented bed-hold notice including the daily rate cost or reason for transfer notice.
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 67 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 Rice Lake
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Heritage Lakeside | 1.2 mi | ★★★★★ | 13 | 1 |
| Barron Care And Rehabilitation | 8.4 mi | ★★★★★ | 19 | 0 |
| Care And Rehab - Cumberland | 13.3 mi | ★★★★★ | 13 | 0 |
| Meadowbrook At Chetek | 14.5 mi | ★★★★★ | 20 | 0 |
| Dove Healthcare - Spooner | 22.7 mi | ★★★★★ | 1 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Dove Healthcare - Rice Lake.
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 October 2026) and official state health department websites.