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 Friendly Village Nursing And Rehab Center during CMS and state inspections, most recent first.
Unlicensed CNA applied a prescribed Lidocaine patch to a resident with cerebral palsy and back pain after a bed bath, even though facility policy allowed only licensed nurses or certified medication technicians to administer medications. The surveyor observed the patch application without a licensed nurse present, and the DON confirmed the CNA was not authorized to administer meds and that the patch was a physician-ordered medication.
Infection control precautions were not followed for two residents. A CNA provided care to a resident on EBP with only gloves, did not perform hand hygiene before care, and used contaminated gloves to apply zinc oxide cream and dress a suprapubic catheter site without changing gloves or cleaning hands between contaminated and clean tasks. Another resident’s urinary catheter drainage bag was observed lying on the floor with the drainage port touching the floor and no protective barrier in place.
The facility failed to properly store resident foods brought in by visitors, as observed by a surveyor who found unlabeled and undated items in refrigerators/freezers. Additionally, the facility did not maintain the correct concentration of chemical sanitizer in the low-temperature dishwasher, with logs showing ppm levels below the required minimum. These deficiencies had the potential to affect the health and safety of residents.
The facility failed to submit complete and accurate staffing data to CMS, affecting all 76 residents. The new HRD, responsible for entering staff hours, faced challenges with agency staff and medication assistants' hours not being accurately reflected. Additionally, staff working longer shifts did not code hours correctly, leading to discrepancies in the Payroll Based Journal reports.
The facility failed to notify residents or their representatives of transfers or discharges, affecting four residents. The facility did not provide notices or inform them of their appeal rights, including necessary contact information and assistance for appeals. This was confirmed through interviews and record reviews.
The facility inaccurately coded the MDS for two residents regarding their PASARR status. One resident's MDS incorrectly stated that a PASARR level 2 screen was not completed, while another resident was wrongly coded as having a serious mental illness requiring a PASARR level 2 screen. The errors were acknowledged by the MDS Coordinator and Social Worker during a surveyor interview.
A resident with multiple health issues experienced significant weight loss due to inadequate assistance with eating and lack of weight monitoring. Despite being at high risk for altered nutrition, the facility failed to reassess the resident's ability to feed herself or update her care plan. Observations showed meals were often left untouched, and staff did not provide necessary help. Communication from the dietitian and therapy department about the resident's needs was not acted upon, leading to a deficiency in maintaining her nutritional status.
Unlicensed CNA Applied Prescribed Lidocaine Patch
Penalty
Summary
The facility did not ensure that only qualified persons administered medications according to residents’ plans of care when an unlicensed CNA applied a Lidocaine external patch 4% to R27’s lower back. The facility policy titled "Administering Medication," revised 01/22/2024, states that only licensed staff may administer or record the administration of medications, and certified medication technicians may administer specific medications only if competency has been determined. R27 was admitted with diagnoses of cerebral palsy and back pain and had a physician’s order for Lidocaine external patch 4% to be applied to the lower back twice daily for pain. On 04/21/2026 at 9:05 AM, the surveyor observed CNA D apply the Lidocaine patch to R27’s lower back after a bed bath. CNA D stated that nurses give the patch to her to put on. The patch had been observed at R27’s bedside before application, and no licensed nurse was observed in the room during the application. The MAR showed RN D’s initials for administration of the Lidocaine patch that morning. Facility staffing records showed CNA D was not a medication administration technician. RN C and DON B both stated that only licensed nurses and certified medication technicians could administer medications, and DON B confirmed CNA D was not allowed to administer medications and that the Lidocaine patch was considered a medication ordered by a physician.
Infection Control Precautions Not Followed During Resident Care
Penalty
Summary
The facility failed to provide and implement an infection prevention and control program when staff did not follow standard and transmission-based precautions for two residents. For one resident with cerebral palsy, bowel and bladder incontinence, a suprapubic catheter, and a history of frequent UTIs, Enhanced Barrier Precautions were posted in the room and PPE was available, but a CNA did not perform hand hygiene before care, wore only gloves without a gown, and provided bathing and hygiene care while the resident was incontinent of stool. During the same care, the CNA cleansed the resident’s peri-area and buttocks, then reached into a jar of zinc oxide cream with contaminated gloves and applied the cream to the right buttock without changing gloves or performing hand hygiene. The CNA then cleansed around the suprapubic catheter insertion site with the same gloves and applied a new gauze dressing without changing gloves. For a second resident with an indwelling urinary catheter, the catheter drainage bag was observed lying on the floor near the foot of the bed without a protective barrier, and the urine drainage port was touching the floor.
Improper Food Storage and Dishwashing Practices
Penalty
Summary
The facility failed to store resident foods brought in by visitors in a manner that prevents food-borne illness. During an initial tour, a surveyor observed two refrigerators/freezers in the nurse station on the main level of the facility containing various foods and beverages that were not labeled with resident names or dated with received and use-by dates. This practice had the potential to affect 59 of the 76 residents residing on the main level. The Registered Dietician (RD) and Nursing Home Administrator (NHA) were unable to confirm ownership of the items, and the facility could not ensure that the foods were not outdated and safe for consumption. Additionally, the facility did not maintain the correct concentration of chemical sanitizer in the low-temperature dishwasher as per the manufacturer's guidelines. The dish machine logs showed that the parts per million (ppm) of the chemical sanitizer were consistently below the required minimum of 50 ppm on several occasions. The Dietary Manager (DM) was not informed of these low readings, and there was no evidence that the dish machine was checked or serviced to address the issue. This deficiency had the potential to affect all 76 residents served by the facility's kitchen. The surveyor's review of the facility's policies revealed that the Resident Food Brought in by Family or Visitors policy was not dated, and the Dishwashing Procedure policy did not specify the required ppm for the chemical sanitizer. The facility's failure to adhere to these policies and ensure proper labeling and dating of resident foods, as well as maintaining the correct chemical sanitizer concentration, posed a risk to the health and safety of the residents.
Inaccurate Staffing Data Submission to CMS
Penalty
Summary
The facility failed to ensure that the mandatory staffing data submitted to CMS from July 1, 2024, to September 30, 2024, was complete, accurate, and auditable. This deficiency potentially affects all 76 residents residing in the facility. The facility's policy requires the submission of complete and accurate direct care staffing information, including agency and contracted staff, based on payroll and other verifiable data. However, the Payroll Based Journal (PBJ) Staffing Data Reports indicated excessively low weekend staffing during the specified period, with a notable decrease in staffing percentages compared to the previous quarter. The deficiency was attributed to several issues in the facility's reporting process. The Human Resource Director (HRD), who was new and still undergoing training, was responsible for entering electronic timekeeping staff hours, which were then submitted to the corporate office for PBJ reporting. The facility's system did not accurately reflect the hours of agency staff and medication assistants (MAs) who also worked as Certified Nursing Assistants (CNAs). Additionally, staff working longer than 8-hour shifts, particularly those on 12-hour shifts, were not coding their hours correctly. These discrepancies were not identified by the facility until brought to their attention by the surveyor, and no corrective plan had been developed at the time of the survey.
Failure to Provide Transfer Notification and Appeal Rights
Penalty
Summary
The facility failed to provide timely notification of transfer or discharge to residents or their representatives, affecting four sampled residents. The facility did not issue a notice of transfer prior to facility-initiated discharges for these residents, nor did it inform them of their appeal rights, including the necessary contact information and assistance for submitting an appeal. This deficiency was identified through interviews and record reviews conducted by the surveyor. The report highlights specific cases where the facility did not comply with its policy on transfer and discharge notifications. For instance, one resident with intact cognition was transferred to the hospital without prior notice. Another resident with severe cognitive impairment, who had a Power of Attorney, was also transferred without notification. Similar issues were found with two other residents, one of whom had intact cognition and another with severe cognitive impairment. The Business Office Manager confirmed that the facility was not providing the required information at the time of transfer.
Inaccurate MDS Coding for PASARR Status
Penalty
Summary
The facility failed to accurately code the Minimum Data Set (MDS) for two residents regarding their Preadmission Screening and Resident Review (PASARR) status. For one resident, identified as R18, the MDS assessment incorrectly indicated that a PASARR level 2 screen had not been completed, despite the fact that it was completed on March 3, 2022. This resident was admitted with diagnoses including depression, anxiety, and PTSD, and the error was found in the comprehensive MDS assessment dated January 13, 2025. For another resident, identified as R48, the MDS assessment inaccurately coded the resident as having a serious mental illness, which would necessitate a PASARR level 2 screen. However, the resident's delusions were attributed to progressive dementia, as noted in the hospital discharge summary dated August 4, 2021, indicating that a level 2 PASARR was not necessary. The comprehensive MDS assessment dated April 24, 2024, correctly stated that no PASARR level 2 had been completed, but it conflicted with another section of the MDS that suggested a psychotic disorder was present. The MDS Coordinator and Social Worker acknowledged the coding errors during an interview with the surveyor.
Failure to Maintain Resident's Nutritional Status
Penalty
Summary
The facility failed to ensure that a resident, identified as R5, maintained acceptable nutritional status. R5, who was at high risk for altered nutrition, did not receive the necessary assistance with eating, and weights were not obtained for over 60 days. Despite a significant weight loss of 11.17% over this period, the facility did not reassess R5's ability to feed herself or address the weight loss in her care plan. The facility's policy required weights to be retaken within 24 hours for verification if there was a weight change of 5 pounds or greater within 30 days, but this was not followed. R5 was admitted with multiple diagnoses, including osteoarthritis, type 2 diabetes, major depressive disorder, dysphagia, muscle wasting, and chronic pain. Her care plan indicated a need for adaptive equipment and assistance with meals, yet observations showed that R5 was often left without the necessary help to eat. On several occasions, surveyors observed R5's meals untouched, and staff did not provide the required assistance. Despite communication from the Registered Dietitian and therapy department indicating R5's need for more assistance, no new interventions were added to her care plan. Interviews with facility staff revealed a lack of documentation and follow-up on R5's weight loss and feeding needs. The Director of Nursing acknowledged the failure to track and document weights properly. Additionally, the Speech and Language Pathologist confirmed that therapy had not reevaluated R5 despite changes in her feeding status. This lack of action and communication contributed to the deficiency in maintaining R5's nutritional status.
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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 Rhinelander
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Rennes Health And Rehab Center-rhinelander | 3.5 mi | ★★★★★ | 8 | 1 |
| Tomahawk Health Services | 16.5 mi | ★★★★★ | 15 | 1 |
| Riverview Health Services | 17.9 mi | ★★★★★ | 8 | 0 |
| Careview Health And Rehab Of Minocqua | 22.8 mi | ★★★★★ | 64 | 1 |
| Pine Crest Health And Memory Care | 32.9 mi | ★★★★★ | 1 | 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.