Average — CMS composite of the measures below.
The next survey window likely opens around September 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 Wausau Manor Health Services during CMS and state inspections, most recent first.
Dietary staff were observed failing to wash hands between glove changes and handling ready-to-eat foods with contaminated gloved hands during meal prep. One aide repeatedly removed gloves, returned to food service tasks without hand hygiene, and touched food items and equipment, while another aide made salads, handled lettuce, tomatoes, and cheese, and changed gloves without washing hands. The DM stated gloves do not replace handwashing and that staff should wash hands before donning gloves and between tasks.
Uncovered Garbage Dumpster: The facility did not ensure the outside garbage dumpster was kept covered. Surveyors observed the dumpster with the right-side lid open on multiple occasions, including when it was not being used. The ESM stated Waste Management picks up garbage early on Monday, Wednesday, and Friday, and the DM stated the dumpster should be closed and never left open.
Hand hygiene and equipment cleaning lapses occurred during resident care. Staff were observed donning PPE and gloves without hand hygiene, changing gloves without cleaning hands, and using a mechanical lift between residents without wiping it down. During care for multiple residents, CNAs touched soiled briefs, groin areas, bedding, and clean items with contaminated gloves, and interviews confirmed staff knew hand hygiene should occur before resident contact and between glove changes.
Incomplete CHF Care Plan: A resident with CHF, hypertensive heart disease, and edema had orders for diuretics, but the care plan had no CHF-related problems or interventions. The MDS showed the resident could not complete a BIMS and staff assessed moderately impaired cognition. An LPN said weight, edema, and lung sounds would be checked when fluid overload symptoms were present, and the DON stated the resident should have an individualized care plan, though the CHF care plan was found resolved and later unresolved in the record.
Failure to Hold and Document Care Planning Conferences: The facility did not consistently hold or document care planning conferences with the resident or representative for several residents reviewed. A resident's POA reported being unsure about the resident's status and possible discharge, while record review showed only scattered care conference letters, progress notes, and care plan documents without evidence that conferences were actually held. The SSD stated care conferences were supposed to occur after admission and quarterly with MDS reviews, but the facility had not been tracking them, and an NHA acknowledged the conferences were not consistently being held or documented.
A resident who was dependent for repositioning, peri-care, and hydration was observed with dry lips and fluids placed out of reach on a tray table pushed away from the bed. Staff provided care and repositioning but did not offer a drink, and the resident went more than 3 hours without staff entering the room after care. Interviews confirmed the resident was supposed to be repositioned every 2 hours and encouraged to drink whenever staff were in the room, but the CNA acknowledged not offering fluids during care.
A resident with multiple chronic conditions, including DM, CKD, HF, weakness, and no cognitive impairment, had a stage 2 PI on the left elbow and was identified as at risk for additional PIs. The care plan directed daily elbow protectors and skin checks, but surveyors observed the resident resting in bed with elbows on the bed and no elbow protectors in place. A CNA did not verify or apply the protectors, and the RN and DON gave differing descriptions of the dressing versus the elbow protector; the DON later confirmed the protectors were not on the resident.
Pharmaceutical services did not meet the needs of a resident because ordered SBP checks were not completed before metolazone was given. The resident had an order to hold the medication if SBP was below 110, but the record showed no evidence of BP checks before administration. An LPN was unaware of the requirement, and the DON confirmed the BP checks were not being done as ordered.
A resident receiving wound care for buttock and sacral wounds was exposed to potential public view when an RN performed the procedure without closing the window blinds. The resident, who was alert and oriented, had to lower his clothing for the treatment, and later expressed discomfort about the lack of privacy. The RN acknowledged the oversight, and the DON confirmed that staff are expected to maintain resident dignity by closing blinds during such care.
The facility did not establish or maintain an infection prevention and control program as required, resulting in a deficiency identified by surveyors.
Two residents who were dependent on staff for ADLs did not consistently receive scheduled weekly showers or restorative care as required by their care plans. Documentation was incomplete or missing for several care activities, and there was no evidence that missed cares were reported or followed up on by facility administration.
The facility failed to properly dispose of garbage over a three-day survey period, with observations of garbage bags left on the ground and dumpster lids open. Interviews revealed that waste collection was halted due to unpaid invoices, leading to overflowing dumpsters. This issue had occurred several times over the past year, indicating a recurring problem with waste disposal management.
Failure to Perform Hand Hygiene During Food Preparation
Penalty
Summary
The facility did not maintain a safe and sanitary environment for food preparation and distribution when dietary staff were observed failing to perform hand hygiene and using contaminated gloved hands while handling ready-to-eat foods. During kitchen observation, CK I removed gloves after serving food, returned to the kitchen without washing hands, put on gloves, and adjusted food pans in the warming table and handled bread, jelly, and peanut butter. CK I also returned to the kitchen with lunch tickets without washing hands, adjusted the plate warming cart, removed foil from food items in the steamer table, served food onto plates, and later washed hands but used bare fingertips to open the garbage can lid before putting on gloves again. CK I repeated similar actions later in the observation, including removing gloves, washing hands, opening the garbage lid with bare fingertips, and then putting on new gloves to make another peanut butter sandwich. DA J was also observed making chef salads while failing to wash hands between glove changes and while handling ready-to-eat foods with contaminated gloves. DA J finished placing lettuce in bowls, removed gloves without washing hands, and then spooned tomatoes onto salads. DA J later put on new gloves on unwashed hands and placed cheese on the salads, removed gloves again without washing hands, put on new gloves, retrieved supplies, reached into a lettuce bag, and filled bowls on a pan. DA J again removed gloves without washing hands, put on gloves on contaminated hands, and cut more tomatoes. The Dietary Manager stated staff should never use hands to touch food, should wash hands before entering or leaving the kitchen, and should wash hands in between glove use. Both DA J and CK I stated hands should be washed when entering the kitchen and between glove use.
Uncovered Garbage Dumpster
Penalty
Summary
Garbage and refuse were not properly disposed in the outside garbage storage receptacles. Based on observation and interview, the facility did not ensure the garbage dumpster was kept covered, as the right side lid was observed open on multiple occasions. On 9/29/25 at 11:30 AM, the surveyor observed the dumpster uncovered with the right side lid open, and the same condition was observed again at 2:30 PM after a 15-minute observation to confirm it was not being used. On 09/30/25 at 9:30 AM, the Environment Services Manager stated that Waste Management comes early on Monday, Wednesday, and Friday to take garbage. Later that day at 2:54 PM, the surveyor and Dietary Manager observed the dumpster uncovered with the right side lid open, and the Dietary Manager stated that it should be closed and should never be left open.
Hand Hygiene and Equipment Cleaning Lapses During Resident Care
Penalty
Summary
The facility did not maintain an infection prevention and control program to help prevent the development and transmission of communicable diseases and infections. During observation, staff were seen providing resident care without performing hand hygiene when changing gloves, and a mechanical lift was not cleaned between resident uses. The report cites the facility policy on hand hygiene, which states that glove use does not replace hand hygiene and that hand hygiene should be performed before donning gloves and immediately after removing them. On 9/29/25, a CNA entered R31's room wearing PPE but without hand hygiene, applied a mechanical lift sling, and assisted R31 to the bathroom. The CNA and another CNA used the same contaminated gloves while removing soiled clothing and brief, then changed tasks without hand hygiene. The mechanical lift was then taken from R31's room and moved down the hall to R9's room without being wiped down. The lift was observed being pushed into R9's room still dirty, and staff continued resident care with contaminated gloves, including applying the sling, assisting to the toilet, handling a colostomy, and touching clean items in the room without hand hygiene between glove changes or after leaving the room. On 9/30/25 and 10/1/25, additional observations showed similar lapses during care of R5 and R56. Staff donned gloves and gowns without hand hygiene first, touched residents' groin, brief, thighs, bedding, and positioning items, and changed gloves without performing hand hygiene. In one instance, a CNA removed gloves and put on new gloves with no hand hygiene before continuing peri-care and repositioning. Interviews with CNAs and the ADON confirmed that hand hygiene should occur before resident contact and between glove changes, and one CNA acknowledged missing hand hygiene between glove changes and that the lift should have been wiped off before being moved.
Incomplete CHF Care Plan
Penalty
Summary
The facility did not develop a comprehensive person-centered care plan for a resident with chronic diastolic congestive heart failure, hypertensive heart disease, and edema, despite orders for Metolazone 5 mg every other day for possible heart failure exacerbation and Lasix 40 mg daily for diuresis. The resident was admitted on [DATE], and the MDS assessment confirmed that a BIMS could not be completed. Staff assessment showed moderately impaired cognition. Review of the resident’s care plan identified no problems or interventions related to the CHF diagnosis or the use of diuretics. The facility policy stated that the comprehensive care plan must describe the services to be furnished to attain or maintain the resident’s highest practicable physical, mental, and psychosocial well-being. During interview, an LPN stated assessments for increased weight, increased edema, and lung sounds would be completed when a resident had symptoms related to fluid overload. The DON stated the resident should have an individualized care plan and said the CHF care plan had been resolved, then later was made unresolved and present in the record; however, the surveyor found the CHF care plan was resolved in 03/2025 and unresolved on 10/02/25.
Failure to Hold and Document Care Planning Conferences
Penalty
Summary
The facility did not include the participation of a resident or family representative at care planning conferences and did not conduct and document care planning conferences for 3 of 4 residents reviewed for care conferences: R2, R9, and R48. The facility policy stated the comprehensive care plan would be reviewed and revised by the interdisciplinary team after each comprehensive and quarterly MDS assessment, and as needed with changes in condition, and that the physician, other practitioner, or nurse designee would inform the resident and/or resident representative of the risks and benefits of proposed care, treatment, and alternatives/options. For R9, the activated POA told the surveyor she was unsure what was going on and whether R9 would be able to remain at the facility, and she reported concerns about discharge to another facility. Survey review found no documented evidence of quarterly care conferences for R9, and no care conference documentation for R2 or R48 beyond isolated progress notes or care conference-related documents that did not show a conference was actually held with the resident or representative. The SSD stated care conferences are held within 48-72 hours of admission and then offered every three months or with quarterly MDS assessments, but also stated the facility had not been tracking care conferences. LPN and CNA staff stated they were not invited to care conferences, and the NHA acknowledged care conferences were not consistently being held with the resident or representative, or documentation did not support the requirements of a care conference.
Failure to Provide Timely Repositioning and Hydration Assistance
Penalty
Summary
The facility failed to provide timely assistance with activities of daily living for a resident who was dependent for repositioning, personal care, and hydration. The resident had diagnoses including malignant neoplasm of the brain, partial removal of the right skull, left-sided paralysis, difficulty swallowing, and severe protein calorie malnutrition. The resident’s MDS indicated severe cognitive impairment, dependence for all hygiene, dressing, eating, movement, and positioning, as well as tube feeding, incontinence, and need for assistance with peri-care and skin maintenance. The care plan directed that the resident be turned and repositioned every 2 to 3 hours and as needed, and that fluids be offered consistent with needs and preferences. On observation, the resident was found in bed with dry, chapped lips and was licking her lips. A full water pitcher and a glass of what appeared to be apple juice were on the tray table, but the tray table had been pushed away from the bed and was out of reach. During care, a CNA and the ADON repositioned the resident and provided peri-care, but the resident was not offered a drink and the tray table was not moved closer. The resident remained without staff entering the room for over 3 hours after that care, and the tray table stayed out of reach with the water and juice unchanged. Later observations showed the same pattern: the resident remained in the same position with the tray table pushed away and fluids out of reach, and when staff again provided care, the resident was not offered a drink. Interviews confirmed staff expectations that the resident should be repositioned every 2 hours and encouraged to drink whenever staff were in the room, but the CNA acknowledged not offering fluids during the observed care and stated, 'Yes, I should have.' The DON stated that the resident should have been seen between 9 and 10 AM and that the resident needed help holding a glass and drinking.
Failure to Use Ordered Elbow Protectors for a Resident With a Stage 2 PI
Penalty
Summary
Provide appropriate pressure ulcer care and prevent new ulcers from developing was cited after the facility did not implement professional standards of practice to ensure that R21 received necessary treatment and services to promote healing and prevent new pressure injuries. R21 was admitted with diagnoses including hypertensive heart and chronic kidney disease, weakness, cognitive communication deficit, type 1 diabetes mellitus, asthma, heart failure, chronic kidney disease stage 3, and fibromyalgia. The admission MDS documented a BIMS score of 14, indicating no cognitive impairment, and that R21 required maximum assistance with dressing and personal hygiene and moderate assistance with toileting, transfers, and bed mobility. R21 was identified as at risk for pressure injury and had one stage 2 pressure injury present on admission. The physician ordered a border foam dressing to the left elbow every day shift every 3 days and as needed, and the care plan documented an actual stage 2 pressure injury to the left elbow related to R21 using elbows to prop self up while resting in bed. The care plan also directed elbow protectors to be worn daily and skin checks for redness on the elbows. Surveyors observed R21 resting in bed with elbows on the bed and no elbow protectors noted, despite an alternating air mattress being in place. A CNA stated she was not sure whether R21 had anything under her sweatshirt and did not check or place elbow protectors on R21, even though the care plan was posted in the closet. The RN stated the border foam dressing was the protector and that R21 would take off the dressing, while the DON stated the elbow protector was a foam device that goes over the elbow and is more than the dressing. The DON later confirmed the elbow protectors were not on R21.
Failure to Check BP Before Metolazone Administration
Penalty
Summary
Pharmaceutical services did not meet the needs of one resident, R9, because the facility did not ensure accurate administration of metolazone as ordered. R9 had an order dated 01/02/25 for metolazone 5 mg every other day for possible heart failure exacerbation, with instructions to hold the medication if systolic blood pressure (SBP) was less than 110. During record review, the surveyor could not find evidence that blood pressures were checked before the medication was administered. The facility policy on medication errors stated that staff should clarify incomplete orders and ensure orders are fully understood before administering medications. When interviewed, an LPN stated she was not aware that R9’s BP needed to be checked before metolazone and said the med techs might do it, but she was not sure. The DON later confirmed that R9’s blood pressures were not being completed prior to receiving metolazone as ordered.
Failure to Ensure Privacy During Wound Care
Penalty
Summary
A deficiency occurred when a registered nurse (RN) performed wound care on a resident's buttocks and sacral area without ensuring privacy by closing the window blinds. The resident, who was alert and oriented, had orders for wound care due to left buttock wound, sacral redness, and bilateral buttock redness. During the procedure, the resident stood using a walker, unbuttoned and lowered his pants and underwear to mid-thigh, while the blinds covering the window remained open. The RN did not ask the resident if he wanted the blinds closed before starting the wound care. The open blinds allowed for the possibility that anyone passing by the window could see the resident during the procedure. The RN later confirmed that the blinds should have been closed prior to performing the wound care. The resident expressed discomfort with the situation, stating that it would bother him if someone saw him and that he would prefer staff to close the blinds. The Interim Director of Nursing also stated that nurses are expected to provide dignity and respect by closing the blinds before wound care.
Failure to Implement Infection Prevention and Control Program
Penalty
Summary
The facility failed to provide and implement an infection prevention and control program. This deficiency was identified during the survey process, indicating that the required measures to prevent and control infections were not established or maintained as per regulatory standards. The report notes the absence or inadequacy of a comprehensive infection prevention and control program, but does not provide further details regarding specific actions, inactions, or events, nor does it mention any particular residents or staff involved.
Failure to Provide Scheduled Showers and Restorative Care per Resident Care Plans
Penalty
Summary
The facility failed to ensure that activities of daily living (ADLs) and restorative care were provided according to standards of practice and resident care plans for two out of three sampled residents. One resident, who was dependent on staff for showering and required maximum assistance with transfers, toileting, and bed mobility, did not receive all scheduled weekly showers. Documentation showed that on one occasion the resident refused, but on another scheduled shower day, there was no documentation of the shower being provided, no explanation for the omission, and no evidence that the issue was reported to a supervising nurse. Another resident, with diagnoses including cerebral palsy and developmental disability and who required maximum assistance with most ADLs, also did not receive scheduled weekly showers or restorative care as outlined in their care plan. Documentation for several scheduled shower days was either marked as not applicable or left blank, with no explanation or follow-up. Additionally, there was missing documentation for restorative care activities such as bed mobility and ambulation on multiple dates. Facility administration was unable to provide further documentation or evidence that these missed cares were reported or addressed.
Improper Garbage Disposal Due to Unpaid Waste Management Services
Penalty
Summary
The facility failed to properly dispose of garbage over a three-day survey period. Observations revealed that garbage bags were left on the ground outside of dumpsters, and the dumpster lids were consistently left open. This was contrary to the facility's policy, which mandates that all trash be contained in covered, leak-proof containers and properly disposed of in external receptacles with the surrounding area free of debris. On multiple occasions, surveyors observed garbage bags on the ground and dumpster lids open, indicating a failure to adhere to the facility's waste management procedures. Interviews with facility staff, including the Director of Nursing (DON) and the Dietary Manager (DM), revealed that the facility had experienced issues with waste collection due to unpaid invoices to their waste management company. The DON provided emails indicating that services were halted because of unpaid bills, leading to overflowing dumpsters. The DM confirmed that this issue had occurred several times over the past year, suggesting a recurring problem with waste disposal management at the facility.
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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 Wausau
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Wood Aven Health And Rehabilitation | 2.2 mi | ★★★★★ | 14 | 0 |
| Amethyst Health Of Wausau | 3 mi | ★★★★★ | 37 | 4 |
| North Central Health Care | 3.8 mi | ★★★★★ | 22 | 0 |
| Rennes Health And Rehab Center-weston | 7.3 mi | ★★★★★ | 1 | 0 |
| Pride Tlc Therapy And Living Campus | 7.3 mi | ★★★★★ | 8 | 0 |
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