Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
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 Timber Ridge Health And Rehabilitation during CMS and state inspections, most recent first.
Unsafe food storage, sanitation, and hand hygiene practices were observed throughout the kitchen. Staff left food unlabeled, unsealed, or past use-by dates; sanitizer testing and dish machine temps were not maintained correctly; the kitchen was dirty; cooling logs showed foods not cooled to safe temps; and staff were observed moving between dirty and clean dishes, changing gloves without hand hygiene, and working without proper hair/beard restraints.
A resident with moderate cognitive impairment reported arm pain and bruising, suggesting potential abuse by staff. The facility delayed reporting the incident to the State Agency, missing the required timeframe. The Nursing Home Administrator initially treated the incident as a grievance, later deciding to notify the SA after further review. No abuse or reporting education was provided following the incident.
A resident with moderate cognitive impairment reported arm pain and was found with bruises, suggesting potential abuse. The facility did not thoroughly investigate the incident or remove the involved staff member from resident care, contrary to its policy. The resident had a history of COPD, esophageal ulcer, and falls.
A resident with multiple health conditions experienced a delay in notification to their NP and POAHC after a suspected burn from a hot pack was observed. The facility's policy requires immediate notification of any injury, but the NP was informed the next day, and the POAHC was notified four days later. Miscommunication among staff and lack of documentation on notification procedures contributed to the delay.
A resident with a history of endocarditis and renal disease developed skin redness and blisters after an LPN applied a hot pack following a topical analgesic cream. The LPN did not adhere to facility policies, failing to check the skin every five minutes and leaving the hot pack within the resident's reach. The incident was compounded by inadequate documentation and lack of staff education on using Muscle Rub with hot packs, resulting in a deficiency in maintaining a safe environment.
A resident with moderate cognitive impairment alleged rough treatment by a CNA, with red marks observed on their arms. Despite facility policy requiring immediate reporting of such allegations, the incident was not reported to the State Agency. In contrast, a similar allegation involving another resident was reported. The Nursing Home Administrator confirmed the oversight but could not explain the discrepancy.
A resident with moderate cognitive impairment alleged rough care by a CNA, resulting in red marks on their arms. The facility failed to thoroughly investigate the abuse allegation, did not document follow-up assessments, and did not remove the CNA from care areas. The facility also did not interview other residents or notify the resident's physician, contrary to its policy.
Unsafe Food Storage, Sanitation, and Hand Hygiene Practices
Penalty
Summary
Food was not stored, prepared, distributed, and served in accordance with professional standards. During the initial kitchen tour, surveyors observed multiple food storage problems, including open or unsealed dry goods, unlabeled bulk containers, and refrigerated and frozen items without proper date marking or with use-by dates that had passed. Examples included pasta, bread crumbs, oats, flour, hot dogs, fruit, mushrooms, macaroni salad, marinara, ciabatta bread, and pepperoni that were either unlabeled, unsealed, or past the documented use-by date. The kitchen manager acknowledged that food should be sealed, labeled, and dated, but also stated the kitchen did not have enough containers and that some guidance sheets were inaccurate. Sanitizing solution testing and dishwashing practices were not completed correctly. The sanitizer log had missing entries, no space to record solution temperature, and every recorded PPM entry was 400. When the sanitizer was tested during the survey, the kitchen manager was not aware of the temperature requirement and measured the solution at 80.4 degrees F, outside the stated range. The dishwasher temperatures were also below the facility’s posted and policy-required levels, with surveyors observing wash and rinse temperatures that did not consistently meet the required standards. Staff stated the machine had been running low for weeks, that repair attempts had not corrected the problem, and that the temperature testing puck showed a maximum temperature below the required level. The kitchen was observed in an unclean condition, with caked food and debris on stovetop burners, food and debris on transport carts, debris on prep counters and shelves, stains and spilled food on the floor, crumbs in the toaster, and debris on storage shelving. Cleaning logs and opening checklists were marked complete even though staff confirmed the listed tasks had not been done. Surveyors also observed unsafe cooling practices, with several cooked foods still above 40 degrees F on the cooling log, and unsanitary dishwashing practices, including a staff member moving from dirty dishes to clean dishes without cleansing hands or removing a soiled apron. Hair restraints were not used consistently, as staff were observed working in the kitchen without beard restraints or with hair exposed from under hats, and a housekeeper entered the kitchen without a hairnet. Hand hygiene was also not followed consistently, including glove changes without hand cleansing while serving food.
Failure to Timely Report Allegation of Abuse
Penalty
Summary
The facility failed to report an allegation of abuse to the State Agency (SA) in a timely manner for one resident. On December 13, 2024, a resident complained of arm pain during care and indicated that a staff member was bruising them. Staff discovered two round bruises on the back of the resident's right arm and a reddened area on the right elbow. Despite these findings, the facility did not report the potential allegation of abuse and injuries of unknown origin to the SA until December 15, 2024, which was not within the required timeframe. The resident involved had a history of chronic obstructive pulmonary disease (COPD), ulcer of the esophagus with bleeding, and a history of falling. The resident's Minimum Data Set (MDS) assessment indicated moderate cognitive impairment. The Nursing Home Administrator (NHA) initially documented the incident as a grievance and conducted an investigation, concluding that no abuse occurred. However, the NHA later decided to notify the SA after further discussion with the Director of Nursing (DON). The facility did not provide education on abuse or reporting following the incident.
Failure to Investigate Alleged Abuse and Injuries of Unknown Origin
Penalty
Summary
The facility failed to thoroughly investigate a potential allegation of abuse and injuries of unknown origin for a resident who complained of arm pain and was found with bruises. On the specified date, the resident reported arm pain during care, and staff discovered two round bruises on the back of the resident's right arm and a reddened area on the right elbow. The resident initially indicated that a staff member was responsible for the bruising but later mentioned possibly bumping the arm on a wheelchair tray. Despite these conflicting accounts, the facility did not conduct a comprehensive investigation into the potential abuse or the injuries of unknown origin. The facility's policy required immediate investigation of injuries of unknown origin to rule out abuse and mandated the removal of the alleged perpetrator from resident care during the investigation. However, the Nursing Home Administrator did not believe the injuries were the result of abuse and did not remove the staff member involved from resident care. Additionally, the facility did not provide staff education on the abuse policy and procedure, as noted by the surveyor. The resident had a history of chronic obstructive pulmonary disease, esophageal ulcer with bleeding, and a history of falling, with a moderate cognitive impairment as indicated by a BIMS score of 12 out of 15.
Delayed Notification of Change in Resident Condition
Penalty
Summary
The facility failed to ensure timely notification of a physician and resident representative regarding a change in condition for a resident. On November 10, 2024, staff observed a suspected burn on the resident's skin after using a hot pack. However, the resident's Nurse Practitioner was not notified until the following day, and the resident's Power of Attorney for Healthcare was not informed until four days later. This delay in communication was contrary to the facility's First Aid Treatment policy, which mandates immediate notification of any resident injury or illness to the attending physician and family. The resident involved had a history of acute and sub-acute endocarditis, end-stage renal disease, dependence on dialysis, and discitis. Despite having a Brief Interview for Mental Status score indicating no cognitive impairment, the resident's activated Power of Attorney for Healthcare was responsible for healthcare decisions. The incident was initially reported by a Licensed Practical Nurse to the Director of Nursing, who then informed the Nursing Home Administrator. However, there was a breakdown in communication among staff, as assumptions were made about who would notify the necessary parties, leading to the delay. The facility lacked documentation of staff education on the notification process, contributing to the deficiency.
Failure to Maintain Safe Environment Leads to Resident Injury
Penalty
Summary
The facility failed to ensure a resident's environment was free from accident hazards, resulting in a resident developing skin redness with blisters similar to a second-degree burn. The incident involved a resident with a history of endocarditis, end-stage renal disease, and discitis, who had a BIMS score indicating no cognitive impairment. The resident experienced back pain and requested a hot pack, which was applied by an LPN after using a topical analgesic cream. The LPN did not follow the facility's policy to check the skin every five minutes during the application of the hot pack. The LPN heated the hot pack in a microwave for less than two minutes and applied it to the resident's right hip. The resident initially indicated the hot pack was too hot, leading the LPN to reposition it. The LPN did not check the resident's skin after removing the hot pack and left it within the resident's reach. Later, CNAs discovered the reddened area and notified the LPNs, who assessed but did not measure the area. The LPNs did not offer a cold pack or notify the resident's Nurse Practitioner, assuming the follow-up would be completed by another LPN. The facility's policies were not adhered to, as the topical medication was not documented in the resident's TAR, and there was no staff education on using Muscle Rub with hot packs. The Muscle Rub used contained menthol and methyl salicylate, with instructions not to use it with a heating pad. The facility's failure to follow proper procedures and documentation led to the resident's injury, highlighting a deficiency in maintaining a safe environment free from accident hazards.
Failure to Report Allegation of Abuse to State Agency
Penalty
Summary
The facility failed to report an allegation of abuse involving a resident, identified as R4, to the State Agency (SA) as required by their policy and federal and state law. On September 20, 2024, R4 alleged that a Certified Nursing Assistant (CNA-C) was rough during care, and staff observed red marks on R4's arms. Despite these observations, the facility did not report the allegation to the SA. The facility's policy mandates that any allegations of abuse, neglect, or mistreatment be reported immediately, or within 2 hours if the allegation involves abuse or results in serious bodily injury, and within 24 hours if it does not. However, this protocol was not followed in R4's case. R4, who was admitted to the facility with diagnoses including cerebral infarction, type 2 diabetes, hypertensive chronic kidney disease, and a history of falling, had a moderate cognitive impairment as indicated by a BIMS score of 10 out of 15. The grievance filed on September 20, 2024, detailed that R4 expressed concerns about CNA-C's care to another CNA, who then reported it to an LPN. The LPN assessed R4's arms and noted red areas, but the incident was not reported to the SA. In contrast, a similar allegation involving another resident (R2) against the same CNA was reported to the SA on September 27, 2024. The Nursing Home Administrator confirmed the oversight but could not explain why R4's allegation was not reported while R2's was.
Failure to Investigate Abuse Allegation
Penalty
Summary
The facility failed to thoroughly investigate an allegation of abuse involving a resident, identified as R4, who reported that a Certified Nursing Assistant (CNA-C) was rough during care. On the date of the incident, R4 was observed to have red marks on their arms, which were reported by another CNA (CNA-D) to a Licensed Practical Nurse (LPN-E). LPN-E assessed R4's arms and noted flat and irregular red areas, but there was no documentation of a follow-up skin assessment or notification to R4's physician. The facility's grievance did not indicate how R4 and other residents were protected following the allegation, nor did it document interviews with other residents or corrective actions taken. The Director of Nursing (DON-B) confirmed the absence of documentation for nursing skin assessments, and the Nursing Home Administrator (NHA-A) admitted that other residents were not interviewed because they felt confident that abuse did not occur. NHA-A also confirmed that CNA-C was not removed from resident care areas following the allegation. Despite R4's moderate cognitive impairment and activated Power of Attorney for Healthcare, the facility did not adhere to its policy of promptly and thoroughly investigating abuse allegations, which includes removing the alleged perpetrator and protecting the resident.
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 19 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 Stevens Point
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Stevens Point Health Services | 1 mi | ★★★★★ | 0 | 0 |
| Edenbrook Of Wisconsin Rapids | 13.2 mi | ★★★★★ | 1 | 0 |
| Wisconsin Rapids Health Services | 14.8 mi | ★★★★★ | 5 | 0 |
| Edgewater Haven Nursing Home | 17.6 mi | ★★★★★ | 10 | 0 |
| Wi Veterans Home Moses Hall | 24.6 mi | ★★★★★ | 3 | 1 |
Every risk area ranked, a do-first checklist, and your local survey patterns
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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.