Above average — CMS composite of the measures below.
The next survey window likely opens around December 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 Upland Hills Nursing And Rehab during CMS and state inspections, most recent first.
A resident with a history of GI bleeding was receiving Eliquis for Afib, but a CNA's report of possible blood in the stool was not promptly assessed by an RN and no ongoing bleeding monitoring was started. The resident later became weak and diaphoretic with dark red, tarry stool, was sent to the ED, and was diagnosed with GI bleed and acute blood loss anemia, requiring 2 units of PRBCs.
A significant med error occurred when an RN crushed and administered a resident’s metoprolol succinate ER 50 mg tablet in applesauce during med pass. The resident had an order for the ER tablet once daily for A-fib, and facility policy stated that extended-release meds should generally not be crushed. When notified, the NHA confirmed that metoprolol succinate ER and other ER meds should not be crushed.
The facility failed to maintain a clean and sanitary environment for food preparation, as observed by a surveyor. Issues included expired food items, uncovered frozen food, and incomplete documentation of dishwasher and sanitizing solution temperatures. Additionally, a CNA was seen handling fresh cantaloupe with contaminated gloves, violating the facility's glove use policy.
Two residents in the facility did not have comprehensive care plans developed for their medical needs. One resident, on anticoagulant medication for atrial fibrillation, lacked a care plan addressing medication use and symptom monitoring. Another resident with type 2 diabetes mellitus did not have a care plan for diabetes management, despite receiving insulin and following a diabetic diet. The DON attributed these oversights to the departure of the MDS nurse responsible for care plan development.
Two residents in the facility experienced multiple falls due to inadequate supervision and communication among staff. One resident, with Alzheimer's and moderate cognitive impairment, suffered a hip fracture after self-transferring without assistance. Another resident, with Parkinson's and severe cognitive impairment, had several falls resulting in injuries, including a wrist fracture. The facility failed to implement effective interventions and did not provide staff education on using communication devices to address emergencies promptly.
Failure to Monitor Bleeding in a Resident on Eliquis
Penalty
Summary
The facility failed to ensure that a resident's drug regimen was free from unnecessary drugs when a resident with a history of GI bleeding was receiving Eliquis for atrial fibrillation and did not receive adequate monitoring for bleeding. The resident's records showed a prior GI bleed, a recent hospital discharge summary noting that Eliquis had been resumed after a stroke admission, and admission orders for Eliquis 5 mg twice daily. The surveyor also found no precautionary anticoagulant instructions in the resident's care plan or MAR/TAR, even though the facility had such monitoring language for other residents on anticoagulants. A CNA notified RN G that the resident may have had blood in her stool, but RN G did not complete a GI assessment when the concern was first reported and did not initiate continued monitoring at that time. RN G later stated she wanted to see the stool herself and did not chart the initial report because she had not personally observed it. The resident's chart showed that staff had been aware of possible bloody stool for at least several days, but ongoing assessment and monitoring for bleeding were not started until later, after additional reports and worsening symptoms. The resident then developed weakness, diaphoresis, and a near-syncopal episode while on the toilet, and stool was observed to be dark red and tarry. A CBC was drawn, the resident was transferred to the ED, and the hospital documented GI bleed and acute blood loss anemia. The hospital summary stated the resident had a past history of GI bleeding and that the GI bleed was likely exacerbated by Eliquis. She received 2 units of PRBCs during the hospitalization before returning to the facility.
Crushed Extended-Release Metoprolol Administered
Penalty
Summary
A significant medication error occurred when R4’s metoprolol succinate ER 50 mg tablet was crushed and administered during medication administration observation. R4 had an order for metoprolol succinate ER 50 mg by mouth once daily for atrial fibrillation, and the medication was labeled and ordered as an extended-release tablet. During the observation, RN F crushed the tablet and gave it to R4 in applesauce. The facility’s Medication Management Policy and Crushed Medications policy both state that long-acting or extended-release dosage forms generally should not be crushed and that extended-release formulations should not be crushed or chewed prior to administration. R4 was admitted with diagnoses including essential hypertension and pulmonary hypertension, and the record review confirmed the metoprolol succinate ER order and MAR entry for once-daily administration for A-fib. When the NHA was notified of the observation, the NHA stated that metoprolol succinate ER should not be crushed and that no extended-release medications should be crushed for safety reasons.
Food Safety and Sanitation Deficiencies
Penalty
Summary
The facility failed to ensure the preparation of food in a clean and sanitary environment, as observed by the surveyor. During an inspection, a food item in dry storage was found to be beyond its labeled discard date, and a frozen food item was uncovered in the freezer. The facility's documentation revealed that staff did not consistently document the water temperature or the sanitizing solution's parts per million (PPM) in the dishwasher and three-compartment sink logs. These lapses in documentation occurred on multiple days across July and August, indicating a lack of adherence to the facility's policies on food safety and sanitation. Additionally, a Certified Nursing Assistant (CNA) was observed touching fresh cantaloupe with contaminated gloves after handling various surfaces and items, such as cupboard doors and a chocolate milk powder packet. This action was contrary to the facility's policy on glove use, which requires gloves to be changed when switching tasks or when they become contaminated. The Dietary Manager acknowledged the inappropriate handling of food with contaminated gloves, highlighting a failure in maintaining proper hygiene practices during food preparation.
Deficiencies in Care Plan Development for Anticoagulant and Diabetes Management
Penalty
Summary
The facility failed to develop and implement comprehensive person-centered care plans for two residents, which led to deficiencies in meeting their medical and nursing needs. One resident, who was admitted with atrial fibrillation and prescribed anticoagulant medication, did not have a care plan addressing the use of Warfarin, a high-risk medication. The care plan lacked details on monitoring for symptoms such as bleeding, which is crucial for residents on anticoagulants. The Director of Nursing (DON) acknowledged the absence of the care plan and attributed it to the departure of the MDS nurse responsible for entering the initial care plans. Another resident, diagnosed with type 2 diabetes mellitus with hyperglycemia, diabetic retinopathy, and foot ulcers, also lacked a comprehensive care plan for diabetes management. Despite receiving insulin and following a diabetic diet, the care plan did not address the resident's diabetes needs. The DON confirmed the absence of the diabetes care plan and similarly cited the MDS nurse's departure as the reason for the oversight. These deficiencies highlight a lapse in the facility's adherence to its policy of developing baseline care plans within 48 hours of admission.
Inadequate Supervision and Communication Lead to Resident Falls
Penalty
Summary
The facility failed to ensure adequate supervision and assistance devices to prevent accidents for two residents, leading to multiple falls and injuries. One resident, diagnosed with Alzheimer's Disease and moderately cognitively impaired, experienced several falls due to self-transferring and not using the call bell. Despite being identified as a high fall risk, the facility did not implement effective measures to supervise her, resulting in a fall that caused a hip fracture. Staff communication was inadequate, and there was no education provided on using communication devices to promptly address emergencies. Another resident, with diagnoses including Parkinson's disease and severe cognitive impairment, also experienced multiple falls. The resident's care plan indicated a need for substantial assistance, but the facility did not consistently implement interventions to prevent falls. The resident frequently self-transferred without using the call light, leading to injuries such as a wrist fracture. The facility's documentation lacked thorough investigation and root cause analysis of the falls, and there was no evidence of staff interviews or detailed fall reports. The facility's falls prevention policy was not effectively followed, as evidenced by the lack of consistent interventions and supervision for both residents. The interdisciplinary team meetings and fall prevention audits did not result in adequate measures to prevent further incidents. The facility's failure to provide proper supervision and communication among staff contributed to the repeated falls and injuries of the residents.
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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 Dodgeville
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Mineral Point Health Services | 6.7 mi | ★★★★★ | 2 | 1 |
| Greenway Manor | 15.5 mi | ★★★★★ | 9 | 0 |
| Ingleside Manor | 20.8 mi | ★★★★★ | 52 | 1 |
| Edenbrook Of Platteville | 22.2 mi | ★★★★★ | 0 | 0 |
| Rivers Edge Nursing And Rehab | 23 mi | ★★★★★ | 34 | 1 |
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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.