Below average — CMS composite of the measures below.
The next survey window likely opens around November 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 Rennes Health And Rehab Center-rhinelander during CMS and state inspections, most recent first.
Infection control practices were not consistently followed. A laundry aide transported uncovered clean resident clothing, a CNA dragged a bag of dirty linen down the hall, an RN gave insulin injections without hand hygiene or gloves, and CNAs delivered water to multiple residents without cleaning their hands between rooms or after handling used cups. The ADON stated dirty laundry should be bagged and tied closed and that hand hygiene was expected after handling used dishes and before entering another resident's room.
Improper Tube Feeding Setup and Administration: An RN set up a resident’s bolus enteral feeding without accurately measuring the ordered formula at first and then connected the tubing without priming it. The resident was alert and oriented and had a J/G PEG tube order for Jevity 1.5 with sterile water; the RN later acknowledged the measurement error and that the tubing should have been primed, and the NM confirmed priming was required.
A resident with multiple chronic conditions was left unsupervised in a spa bath for approximately two hours, during which staff only intermittently checked on the individual. The resident was found unresponsive with a body temperature of 106°F and suffered burns, requiring emergency intervention and ICU transfer. Staff had not received adequate training on spa tub use or supervision, there was no accessible call light in the spa room, and water temperature monitoring was insufficient. The facility lacked clear policies and documentation regarding safe spa bath practices.
A resident was left unsupervised in a spa tub room without access to a call light, as surveyors observed that call lights were only available near the vanity and shower areas, not within reach of the spa tub. Facility leadership was unaware of this deficiency, and the resident's preference for privacy during spa baths had not been formally care planned or assessed for safety.
A resident with multiple medical conditions was found unresponsive in the spa tub and transferred to the ED by EMS. Facility staff failed to immediately notify the resident's representative about the incident and hospital transfer, and the representative only learned of the situation days later after intervention by a surveyor. Interviews confirmed that timely notification was not provided.
A resident with multiple medical conditions was left unsupervised in the spa room and found unresponsive, requiring EMS transport. The NHA did not report this potential neglect incident to the State's Office of Caregiver Quality as required, citing a lack of willful intent, despite facility policy mandating immediate reporting of such events.
A facility failed to conduct a PASRR Level II screening for a resident with a serious mental disorder on psychotropic medication. The resident was admitted under a 30-day exemption, but the necessary follow-up screening was missed due to not receiving the Level I exemption back. This oversight led to the resident not being assessed for appropriate care settings.
The facility failed to implement comprehensive care plans for two residents, one with a neurocognitive disorder and another with heart and kidney disease. The first resident did not receive the prescribed intervention of wearing blue heel boots, and the second resident lacked a care plan for a newly discovered pressure injury. These deficiencies highlight a lack of adherence to care plan protocols.
Infection Control Lapses in Laundry Handling, Injections, and Hand Hygiene
Penalty
Summary
The facility did not ensure an infection prevention and control program was maintained to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections. Survey observations and interviews showed soiled laundry was not always handled in a sanitary manner, clean linen was not always transported in a covered manner, and staff did not consistently perform hand hygiene during resident care activities. During a tour of the laundry area, a laundry aide was observed exiting the elevator with a large cart of uncovered clean resident clothing, with some items hanging and some folded on the base of the rack. The laundry aide stated the rack should have been covered and acknowledged it was not covered during transport. In another observation, a CNA left a resident room with a bag of dirty linen and dragged it down the hall to the dirty linen storage area. The CNA later stated the linen had been dragged and that it should not have been. The ADON, who was also the infection preventionist, stated dirty laundry should not be dragged down the hall and should be bagged and tied closed. Hand hygiene and glove use were also not followed during resident care. An RN administered insulin injections to a resident without performing hand hygiene or wearing gloves. In separate observations, CNAs delivered fresh water to multiple residents and handled used water cups without performing hand hygiene between rooms or after handling contaminated cups. The CNAs stated they were unsure of the correct timing for hand hygiene or acknowledged they were not doing it correctly, and the ADON stated hand hygiene was expected after handling used dishes and before handling clean cups and entering another resident's room.
Improper Tube Feeding Setup and Administration
Penalty
Summary
The facility did not ensure that a resident receiving enteral nutrition via a J/G PEG tube received appropriate treatment and services to prevent complications of tube feeding. The resident was admitted with a history of pneumonia and the goal of getting stronger and recovering, and was alert and oriented times 3 during the surveyor interview. The physician order dated 12/9/25 directed bolus tube feedings of 350 mL Jevity 1.5 mixed with 60 mL sterile water four times daily, with 60 mL sterile water before and after each feeding and additional free water with medications. During observation on 12/10/25, an RN administered medications through the tube and then began setting up the tube feeding. The RN poured 60 mL of water into the feeding bag, added Jevity, and then questioned how much formula was needed to equal the ordered 350 mL. After discussion with the resident and the Nurse Manager, the RN used a graduate to measure the formula and adjusted the amount after realizing the total would have been 357 mL instead of 350 mL. The RN then connected the tubing and started the feeding without priming the tubing, leaving air in the line. When interviewed afterward, the RN stated she should have used the graduate the whole time and acknowledged that she should have primed the tubing; the Nurse Manager also stated the tubing should be primed.
Resident Left Unsupervised in Spa Bath Resulting in Hyperthermia and Burns
Penalty
Summary
The facility failed to ensure that the environment was free from accident hazards and did not provide adequate supervision to prevent accidents, specifically in the case of a resident who was left unsupervised in a spa bath. Staff placed the resident in the spa tub and left the room multiple times, only intermittently checking on the resident over a period of approximately two hours. During this time, the resident repeatedly refused to exit the tub, and staff did not remain present or ensure continuous supervision. There was no call light accessible in the spa room, and staff did not provide the resident with a means to call for assistance. The resident, who had a history of chronic medical conditions including chronic obstructive pulmonary disease, kidney disease, and a recent urinary tract infection, was found unresponsive in the spa tub with a body temperature of 106°F, shallow respirations, and significant burns on multiple areas of the body. Emergency Medical Services (EMS) were called, and the resident required intubation and was transferred to a hospital intensive care unit. The investigation revealed that the water temperature was not properly monitored, and staff had not received adequate training on the use of the spa tub or on safe supervision practices. Additionally, the spa tub's drain was found to be obstructed by washcloths, which may have contributed to the hazardous conditions. Interviews with staff indicated a lack of clear policy or consistent practice regarding supervision during spa baths, with some staff reporting that it was not common practice to leave residents alone, while others described a relaxed or unclear policy. Several staff members, including new hires and those with years of experience, reported not having received training on spa tub use or on the risks associated with leaving residents unsupervised. The facility did not maintain logs of water temperature checks, and there was no evidence that the resident had been formally assessed for the ability to safely use the spa tub alone.
Lack of Accessible Call Light in Spa Tub Room
Penalty
Summary
Surveyors found that the facility did not provide adequate equipment to allow residents to call for staff assistance in each resident's bathroom and bathing area. Specifically, a resident was left unsupervised in a spa tub room without access to a call light or a call light cord long enough to reach the spa tub area. Observations in both the 400-wing and 100-wing spa rooms confirmed the absence of a call light in the spa tub rooms, with available call lights only located near the vanity and shower areas, not accessible from the spa tub. Interviews with the DON and NHA revealed that staff were unaware of the lack of a call light in the spa tub room and that the resident's preference for privacy during spa baths had not been formally care planned or assessed for safety. The NHA acknowledged not realizing there was no call light in reach and was unaware of the deficiency until it was pointed out by the surveyor. The deficiency had the potential to affect all residents using the spa rooms, as none had access to a call system while in the spa tub.
Failure to Immediately Notify Resident's Representative After Hospital Transfer
Penalty
Summary
The facility failed to immediately notify a resident's representative after the resident was found unresponsive in the spa tub and transferred to the emergency department via EMS. The resident, who had multiple medical diagnoses including chronic obstructive pulmonary disease, chronic kidney disease, and a history of mental health conditions, was assessed as having intact cognition and required partial to moderate assistance with bathing. On the evening of the incident, the resident was discovered unresponsive but breathing, and EMS was called to transport the resident to the hospital. Documentation shows that the facility provided a report to the emergency department nurse and noted the transfer, but there is no evidence that the resident's emergency contact was notified at the time of the incident. Interviews with the resident's family member revealed that they were unaware of the incident or the resident's hospitalization until contacted by the surveyor several days later. The family member reported not receiving any information from the facility despite multiple attempts to obtain updates, and only received limited information after speaking with the nursing home administrator days after the event. The registered nurse involved in the incident confirmed that the emergency contact was not notified, and the administrator could not confirm that timely notification had occurred. This sequence of events demonstrates a failure to immediately inform the resident's representative of a significant change in the resident's condition and transfer to the hospital.
Failure to Timely Report Suspected Neglect Incident
Penalty
Summary
The facility failed to immediately report a potential incident of neglect involving a resident who was left unsupervised in the spa room and subsequently found unresponsive, requiring emergency medical services and transfer to a higher level of care. According to the facility's Abuse Prevention policy, all alleged violations involving mistreatment, neglect, or abuse, including injuries of unknown source, must be reported immediately to the facility administration and the Division of Quality Assurance, with 'immediately' defined as not to exceed 24 hours after discovery. Despite this policy, the Nursing Home Administrator (NHA) did not report the incident to the State's Office of Caregiver Quality (OCQ) via the Misconduct Incident Reporting (MIR) system upon learning of the event. The resident involved had multiple medical diagnoses, including chronic obstructive pulmonary disease, bipolar disorder, chronic kidney disease, and other conditions, and was assessed as having intact cognition and requiring partial to moderate assistance with bathing and transfers. The NHA stated that after investigating the incident, they determined there was no willful intent and therefore did not report the event. The Director of Nursing (DON) confirmed that the incident was being reviewed internally but was not reported externally as required. This failure to report was identified during interviews and record reviews conducted by the surveyor.
Failure to Conduct PASRR Level II Screening
Penalty
Summary
The facility failed to conduct a Preadmission Screening and Resident Review (PASRR) Level II screen for a resident with a serious mental disorder who was taking psychotropic medication. This deficiency was identified during a surveyor's review of the facility's records and interviews with staff. The resident, who was admitted for short-term rehabilitation under a 30-day hospital discharge exemption, had a Level I PASRR screening indicating a major mental disorder and the use of psychotropic medications. However, the facility did not complete the necessary Level II PASRR screening after the 30-day exemption period ended. The Social Services Director, responsible for the PASRR screening process, acknowledged that the Level II screening was missed due to not receiving the Level I exemption back from human services. The facility's normal process involves requesting a Level II PASRR after the 30-day exemption, but this step was overlooked. The oversight resulted in the resident not being assessed to ensure they were receiving care in the most integrated setting appropriate to their needs.
Failure to Implement Comprehensive Care Plans for Residents
Penalty
Summary
The facility failed to develop and implement a comprehensive individualized care plan for two residents, leading to deficiencies in their care. For one resident, who was admitted with a neurocognitive disorder and dementia, the care plan included wearing blue heel boots to prevent complications from a deep tissue injury. However, during observations, the resident was not wearing the boots, and staff did not attempt to place them or offer an alternative intervention. The Director of Nursing confirmed that the care plan intervention was not implemented, and the resident was not given the opportunity to accept or refuse the boots. For another resident with hypertensive heart and chronic kidney disease on hospice care, a new sore was discovered, but there was no comprehensive care plan for the pressure injury. The care plan was only developed after the surveyor inquired about it. These actions and inactions demonstrate a failure to adhere to the required standards for developing and implementing care plans to meet the residents' needs.
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What surveyors actually found near you
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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) |
|---|---|---|---|---|
| Friendly Village Nursing And Rehab Center | 3.5 mi | ★★★★★ | 6 | 0 |
| Tomahawk Health Services | 20 mi | ★★★★★ | 15 | 1 |
| Riverview Health Services | 21.4 mi | ★★★★★ | 8 | 0 |
| Careview Health And Rehab Of Minocqua | 22.9 mi | ★★★★★ | 64 | 1 |
| Pine Crest Health And Memory Care | 36.2 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.