Above average — CMS composite of the measures below.
The next survey window likely opens around February 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 Trempealeau Cty Hcc Imd during CMS and state inspections, most recent first.
Controlled substances were not stored in a locked container separate from non-controlled medications. During a tour of the locked med room, a medication refrigerator without a lock was found to contain unopened liquid oral lorazepam and IV lorazepam. The RN said the lorazepam was an emergency supply not prescribed for a specific resident, and the DON stated she was unaware of the requirement for a separate locked compartment.
EBP was not followed for a resident with a chronic pressure ulcer and MRSA wound. Surveyors observed two CNAs provide high-contact care, including hygiene, peri-care, brief change, and transfer, while wearing gloves but not gowns, despite an EBP sign posted at the room and PPE available. The CNAs said they thought gowns were only needed for wound care, and the IP acknowledged confusion after reviewing the facility policy requiring gown and glove use for high-contact care.
A resident who is cognitively impaired and dependent on staff for ADLs did not receive complete morning care as required. CNAs failed to wash the resident's face, hands, and body, contrary to the care plan and facility policy. The CNAs acknowledged the oversight, citing forgetfulness and nerves.
A resident assessed as high risk for falls was left unattended in a high bed position by CNAs during morning care, contrary to the facility's fall prevention policy. The resident, who is cognitively impaired and dependent on staff for transfers, was left without supervision, despite requiring assistance from two staff members for safe transfers. The DON confirmed the resident's high fall risk and acknowledged the unsafe practice.
Two residents received improper care due to inadequate infection control practices. A CNA failed to change gloves and perform hand hygiene when moving from a dirty to a clean area during perineal care for one resident. Another CNA contaminated clean washcloths by placing a used washcloth back into the basin, then used a washcloth from the same basin to clean a resident's catheter area. Both CNAs acknowledged their errors, and the DON confirmed the correct procedures.
Unsecured Controlled Substances in Medication Refrigerator
Penalty
Summary
The facility failed to secure controlled substances in a locked container separate from containers for non-controlled medications and failed to limit access to authorized personnel consistent with state or federal requirements and professional standards of practice for all 31 residents in the facility. During a tour of the locked medication storage room on the unit, the surveyor observed a medication refrigerator inside the room that did not have a lock securing entry to medications. When the surveyor asked the RN to open the refrigerator, a box of liquid oral lorazepam and a vial for IV injection of lorazepam were observed inside, and both packages were unopened. The RN stated the lorazepam was for emergency supply and not prescribed for a specific resident, and stated there was no lock for the refrigerator. The DON later stated being unaware of the requirement to store the controlled medication in a refrigerator in a separate locked compartment and said it would be addressed and fixed immediately.
EBP Not Used During High-Contact Care for Resident With Chronic Wound
Penalty
Summary
The facility did not establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for one resident with a chronic pressure ulcer and MRSA wound. The resident was admitted with a stage 3 sacral pressure ulcer and a MRSA wound, and the physician orders included daily wound dressing changes. The resident’s care plan was reviewed and did not include Enhanced Barrier Precautions (EBP) for the chronic wound or during high-contact care, and no orders for EBP were noted. During morning care, the resident’s room had an EBP sign posted and a bag of PPE on the door indicating gown and glove use for high-contact care. Surveyors observed two CNAs provide care in bed, including removing sleep clothes, washing the resident’s face and upper body, providing peri-care, applying a new incontinent brief, and transferring the resident from bed to wheelchair. The CNAs performed hand hygiene and donned gloves, but did not use gowns during the high-contact care. When interviewed, the CNAs stated they believed gowns were only needed during wound care and not during other personal care. The Infection Preventionist stated staff would be expected to use EBP during high-contact care for residents with wounds if they were not covered or were draining, and acknowledged confusion after reviewing the facility policy, which required gown and glove use for all high-contact care for residents with chronic wounds.
Failure to Provide Complete ADLs for Dependent Resident
Penalty
Summary
The facility failed to provide adequate activities of daily living (ADLs) care for a resident who is dependent on staff assistance. The resident, identified as R23, is cognitively impaired and requires substantial assistance for personal hygiene tasks such as washing, rinsing, and drying. During an observation, Certified Nursing Assistants (CNAs) C and D did not perform the necessary ADLs, including washing R23's face, hands, and body, as part of the morning care routine. This omission was acknowledged by both CNAs, with CNA C stating it slipped her mind and CNA D attributing it to nerves. The surveyor reviewed R23's care plan, which indicated that the resident is dependent on staff for transfers and bed mobility and requires substantial assistance for hygiene. The facility's policy, as explained by the Director of Nursing (DON), expects staff to thoroughly wash residents from top to bottom during morning care. However, the observed care did not meet these expectations, as the CNAs failed to perform the complete ADLs as outlined in the care plan and facility protocol.
Failure to Maintain Safe Environment for High-Risk Resident
Penalty
Summary
The facility failed to ensure a resident's environment was free from accident hazards, as observed during a survey. Certified Nursing Assistants (CNAs) C and D left a resident, identified as R23, unattended in a high bed position while providing morning care. This occurred despite R23 being assessed as high risk for falls, with a score of 19 on the fall risk assessment. R23 is cognitively impaired, dependent on staff for transfers and bed mobility, and has range of motion limitations. The care plan for R23 included strategies to prevent falls, such as keeping the bed in a low position with brakes on at all times, but these were not followed during the incident. During the survey, CNA D acknowledged that leaving R23 unattended in a high bed position was not a safe practice, especially since R23 attempts to self-transfer and requires assistance from two staff members for safe transfers. CNA C was unsure about the safety of leaving the bed in a high position. The Director of Nursing (DON) confirmed that R23 was at high risk for falls and that the care plan did not specify the need for a low bed, but acknowledged that leaving the bedside when the bed is in a high position is unsafe. The incident highlights a failure to adhere to the facility's fall prevention policy and the care plan for R23, potentially putting the resident at risk of falls.
Infection Control Deficiency in Resident Care
Penalty
Summary
The facility failed to maintain an effective infection prevention and control program, as evidenced by improper hand hygiene and glove use during morning care for two residents. For one resident, a CNA did not change gloves or perform hand hygiene after cleaning the groin and scrotum before proceeding to clean the tip of the penis and catheter tube. This was contrary to the facility's policy, which requires changing gloves and performing hand hygiene when moving from a contaminated body site to a clean body site. The CNA acknowledged the mistake when questioned by the surveyor. In another instance, a CNA placed a used washcloth back into a basin of clean water and then used another washcloth from the same basin to clean the tip of a resident's penis and catheter tube. This action contaminated the clean water and washcloths, violating the facility's infection control practices. The CNA admitted to the error during an interview with the surveyor. The Director of Nursing confirmed that the staff should clean from clean to dirty areas and change gloves and perform hand hygiene when transitioning from dirty to clean areas.
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Illustrative
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.
Illustrative
A prioritized, do-first checklist
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Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Whitehall
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Grand View Care Ctr | 6.6 mi | ★★★★★ | 0 | 0 |
| Pigeon Falls Hcc | 6.7 mi | ★★★★★ | 0 | 0 |
| Dove Healthcare - Osseo | 16.4 mi | ★★★★★ | 6 | 0 |
| Marinuka Manor | 19 mi | ★★★★★ | 2 | 0 |
| American Lutheran Home-mondovi | 21.9 mi | ★★★★★ | 5 | 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.