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 Markesan Resident Home during CMS and state inspections, most recent first.
The facility failed to provide written transfer notices to four residents transferred to the hospital and did not notify the Ombudsman for three of these cases. Residents were transferred for conditions like pneumonia and bowel obstruction, but neither they nor their representatives received the required notices. The facility's process involved completing a transfer form, but it was not shared with residents or their representatives, nor was the Ombudsman notified.
The facility failed to store and prepare food safely, as they did not monitor cooling temperatures or follow proper reheating protocols. Pre-cooked items were stored without cooling logs, and a staff member reheated beef broth without reaching the required 165°F, indicating a misunderstanding of the correct temperature requirements.
The facility did not implement its policies for preventing abuse and neglect by failing to conduct timely background checks for three staff members. PT-C and CNA-D were hired without dated BID forms, and CNA-E's out-of-state background check was not completed. The NHA confirmed these deficiencies, indicating a lapse in the facility's screening process.
A resident's uncovered catheter drainage bag was observed on the floor, contrary to the facility's policy requiring coverage to prevent UTIs and maintain dignity. The resident, with intact cognition and multiple diagnoses, was found with the bag uncovered, confirmed by both an RN and the DON.
Failure to Provide Transfer Notices and Ombudsman Notification
Penalty
Summary
The facility failed to provide written transfer notices to four residents who were transferred to the hospital, as well as failing to notify the Ombudsman for three of these residents. Specifically, residents were transferred for various medical conditions, including pneumonia, bowel obstruction, an unresponsive episode with low blood pressure, and gastrointestinal symptoms requiring IV antibiotics. In each case, the medical records did not indicate that the residents or their representatives received the required written transfer notices. Additionally, the facility did not notify the Ombudsman of the hospital transfers for three of the residents. Interviews with the Nursing Home Administrator and the Director of Nursing revealed that the facility believed their current process of completing a bed hold and transfer form at the time of transfer met the requirements. However, it was noted that the facility does not provide a copy of this form to the resident or their representative, nor do they notify the Ombudsman of hospital transfers. The Director of Nursing mentioned that if the transfer form is not completed when the resident leaves, it is faxed to the hospital, but no copy is given to the resident or their representative.
Deficiency in Food Storage and Reheating Protocols
Penalty
Summary
The facility failed to ensure that food was stored and prepared in a safe and sanitary manner, as observed during a survey. The Dietary Manager (DM) confirmed that the facility did not use cooling logs to monitor and document food cooling temperatures, which is a requirement according to the 2022 FDA Food Code. During a kitchen tour, pre-cooked eggs, beef patties, and French toast were found in the cooler, and previously cooked meat was stored in the freezer without proper documentation of cooling temperatures. This lack of monitoring and documentation could potentially affect the safety of food served to residents. Additionally, the facility did not adhere to safe reheating protocols for food meant for resident consumption. During an observation of lunch service, a staff member reheated beef broth in a microwave, but the temperature did not initially reach the required 165 degrees Fahrenheit as per the FDA Food Code. The staff member was unaware of the correct reheating temperature, believing it to be 135 degrees Fahrenheit. The Dietary Manager acknowledged the misunderstanding regarding the reheating protocol, indicating a lack of awareness of the correct internal temperature requirements for reheated food.
Failure to Conduct Timely Background Checks for Staff
Penalty
Summary
The facility failed to implement its policies and procedures to prevent abuse, neglect, and exploitation by not conducting thorough and timely caregiver background checks for three staff members. The facility's policy, revised in December 2019, mandates a seven-step approach to abuse and neglect detection and prevention, including screening employees and volunteers before they work with residents. This screening involves verifying references, certifications, licenses, and conducting criminal background checks. However, the facility did not ensure that these checks were completed for a Physical Therapist (PT-C) and two Certified Nursing Assistants (CNA-D and CNA-E). PT-C and CNA-D were both hired without dated Background Information Disclosure (BID) forms, and there was no proof that their BID forms were completed on or before their hire dates. Additionally, CNA-E's BID form indicated that they had lived outside of Wisconsin within the last three years, but the facility did not conduct an out-of-state background check. The Nursing Home Administrator confirmed these deficiencies, acknowledging that the Human Resources staff should have reviewed the BID forms and obtained the necessary background checks. This failure to adhere to the facility's policy resulted in a deficiency in ensuring the safety and protection of residents from potential abuse or neglect.
Failure to Cover Catheter Bag Leads to Deficiency
Penalty
Summary
The facility failed to provide appropriate care and services to prevent urinary tract infections for one resident, identified as R140. During an observation on February 11, 2025, R140's uncovered catheter drainage bag was found on the floor next to the resident's recliner. This was contrary to the facility's policy, which mandates that catheter drainage bags be covered at all times to minimize the risk of catheter-associated urinary tract infections and to maintain the resident's privacy and dignity. R140, who was admitted with diagnoses including ischemic colitis, heart failure, and diabetes, had a BIMS score indicating intact cognition. Both a registered nurse and the Director of Nursing confirmed that the catheter bag should not have been on the floor and should have been covered with a privacy bag.
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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 Markesan
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Whispering Pines Nursing And Rehab, Llc | 12.2 mi | ★★★★★ | 2 | 0 |
| Randolph Health Services | 12.8 mi | ★★★★★ | 11 | 0 |
| Complete Care At Christian Home Llc | 13.2 mi | ★★★★★ | 13 | 0 |
| Montello Care Center | 17.4 mi | ★★★★★ | 31 | 1 |
| Juliette Manor | 18.1 mi | ★★★★★ | 2 | 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.