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WAUNAKEE VALLEY SENIOR LIVING

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WAUNAKEE VALLEY SENIOR LIVING is a for profit - corporation facility in WAUNAKEE, WI with 94 certified beds and a 3-star overall CMS rating. The facility has 38 deficiency records on file. Total penalties: $42K.

801 KLEIN DR, WAUNAKEE, WI 53597

Phone: 6088495016

Overall Rating

3/5

Health Inspection

3/5

Staffing

1/5

Quality Measures

5/5

Long-Stay Quality

5/5

Facility Information

Provider Number
525098
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
Beds
94
Residents
58
In Hospital
No
County
Dane
Last Inspection
Jan 23, 2025

Staffing Data

RN Hours
0.50 (nat'l avg: 0.68)
LPN Hours
0.67
CNA Hours
2.02
Total Nursing Hours
3.19 (nat'l avg: 3.89)
PT Hours
0.11
Nursing Turnover
54.0%
RN Turnover
76.9%

What the CMS Record Reveals About WAUNAKEE VALLEY SENIOR LIVING

WAUNAKEE VALLEY SENIOR LIVING operates 94 certified beds in WAUNAKEE, WI with approximately 58 residents currently in care, and carries a CMS overall rating of 3 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (3★), staffing levels (1★), and quality measures (5★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 38 deficiency records from recent surveys, of which 5 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 2 penalties totaling $42K against this provider, a tangible indicator that regulators moved beyond citation into financial consequence. Staffing is reported at 3.19 total nursing hours per resident day (national average 3.89), with RN coverage at 0.50 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "For profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, WAUNAKEE VALLEY SENIOR LIVING falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 54.0%, above the level where continuity of care typically begins to suffer. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (38 most recent)

D — Isolated - Minimal harm Jan 23, 2025 Tag: 0760

Ensure that residents are free from significant medication errors.

Category: Pharmacy Service Deficiencies

Corrected: Feb 21, 2025

D — Isolated - Minimal harm Jan 23, 2025 Tag: 0740

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

Category: Quality of Life and Care Deficiencies

Corrected: Feb 21, 2025

D — Isolated - Minimal harm Jan 23, 2025 Tag: 0761

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Category: Pharmacy Service Deficiencies

Corrected: Feb 21, 2025

D — Isolated - Minimal harm Jan 23, 2025 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Feb 21, 2025

D — Isolated - Minimal harm Jan 23, 2025 Tag: 0645

PASARR screening for Mental disorders or Intellectual Disabilities

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Feb 21, 2025

E — Pattern - Minimal harm Nov 11, 2024 Tag: 0804

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Category: Nutrition and Dietary Deficiencies

Corrected: Dec 6, 2024

D — Isolated - Minimal harm Nov 11, 2024 Tag: 0755

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Category: Pharmacy Service Deficiencies

Corrected: Dec 12, 2024

E — Pattern - Minimal harm Nov 11, 2024 Tag: 0730

Observe each nurse aide's job performance and give regular training.

Category: Nursing and Physician Services Deficiencies

Corrected: Dec 6, 2024

J — Isolated - Jeopardy Nov 11, 2024 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 30, 2024

J — Isolated - Jeopardy Aug 6, 2024 Tag: 0686

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 18, 2024

D — Isolated - Minimal harm Aug 6, 2024 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 18, 2024

E — Pattern - Minimal harm Aug 6, 2024 Tag: 0610

Respond appropriately to all alleged violations.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Sep 3, 2024

E — Pattern - Minimal harm Aug 6, 2024 Tag: 0609

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Sep 3, 2024

F — Widespread - Minimal harm Jan 8, 2024 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Feb 5, 2024

E — Pattern - Minimal harm Jan 8, 2024 Tag: 0804

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Category: Nutrition and Dietary Deficiencies

Corrected: Feb 5, 2024

D — Isolated - Minimal harm Jan 8, 2024 Tag: 0742

Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.

Category: Quality of Life and Care Deficiencies

Corrected: Feb 5, 2024

D — Isolated - Minimal harm Jan 8, 2024 Tag: 0692

Provide enough food/fluids to maintain a resident's health.

Category: Quality of Life and Care Deficiencies

Corrected: Feb 5, 2024

D — Isolated - Minimal harm Jan 8, 2024 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Feb 5, 2024

D — Isolated - Minimal harm Jan 8, 2024 Tag: 0677

Provide care and assistance to perform activities of daily living for any resident who is unable.

Category: Quality of Life and Care Deficiencies

Corrected: Feb 5, 2024

K — Pattern - Jeopardy Feb 17, 2023 Tag: 0678

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

Category: Quality of Life and Care Deficiencies

Corrected: Feb 18, 2023

D — Isolated - Minimal harm Dec 8, 2022 Tag: 0887

Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

Category: Infection Control Deficiencies

Corrected: Jan 10, 2023

F — Widespread - Minimal harm Dec 8, 2022 Tag: 0886

Perform COVID19 testing on residents and staff.

Category: Infection Control Deficiencies

Corrected: Jan 10, 2023

D — Isolated - Minimal harm Dec 8, 2022 Tag: 0883

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Category: Infection Control Deficiencies

Corrected: Jan 10, 2023

E — Pattern - Minimal harm Dec 8, 2022 Tag: 0881

Implement a program that monitors antibiotic use.

Category: Infection Control Deficiencies

Corrected: Jan 10, 2023

F — Widespread - Minimal harm Dec 8, 2022 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Jan 10, 2023

C — Widespread - No harm Dec 8, 2022 Tag: 0851

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Category: Administration Deficiencies

Corrected: Jan 10, 2023

E — Pattern - Minimal harm Dec 8, 2022 Tag: 0849

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

Category: Administration Deficiencies

Corrected: Jan 10, 2023

F — Widespread - Minimal harm Dec 8, 2022 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Jan 10, 2023

E — Pattern - Minimal harm Dec 8, 2022 Tag: 0804

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Category: Nutrition and Dietary Deficiencies

Corrected: Jan 10, 2023

D — Isolated - Minimal harm Dec 8, 2022 Tag: 0759

Ensure medication error rates are not 5 percent or greater.

Category: Pharmacy Service Deficiencies

Corrected: Jan 10, 2023

D — Isolated - Minimal harm Dec 8, 2022 Tag: 0726

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Category: Nursing and Physician Services Deficiencies

Corrected: Jan 10, 2023

G — Isolated - Actual harm Dec 8, 2022 Tag: 0693

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Category: Quality of Life and Care Deficiencies

Corrected: Jan 10, 2023

D — Isolated - Minimal harm Dec 8, 2022 Tag: 0692

Provide enough food/fluids to maintain a resident's health.

Category: Quality of Life and Care Deficiencies

Corrected: Jan 10, 2023

G — Isolated - Actual harm Dec 8, 2022 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Jan 10, 2023

D — Isolated - Minimal harm Dec 8, 2022 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Jan 10, 2023

D — Isolated - Minimal harm Dec 8, 2022 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jan 10, 2023

E — Pattern - Minimal harm Dec 8, 2022 Tag: 0565

Honor the resident's right to organize and participate in resident/family groups in the facility.

Category: Resident Rights Deficiencies

Corrected: Jan 10, 2023

D — Isolated - Minimal harm Dec 8, 2022 Tag: 0552

Ensure that residents are fully informed and understand their health status, care and treatments.

Category: Resident Rights Deficiencies

Corrected: Jan 10, 2023

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 9.4% Yes
Percentage of long-stay residents who lose too much weight Long Stay 2.3% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.0% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.0% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 5.7% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 2.2% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 100.0% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 100.0% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.7% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 10.0% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 8.8% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 98.0% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 97.7% No
Percentage of long-stay residents with pressure ulcers Long Stay 1.6% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 26.8% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 20.0% Yes

Penalty History 2 penalties totaling $42K

Date Type Amount
Nov 11, 2024 Fine $25K
Aug 6, 2024 Fine $17K
Aug 6, 2024 Payment Denial -

Frequently Asked Questions

What is the overall CMS rating for WAUNAKEE VALLEY SENIOR LIVING?
WAUNAKEE VALLEY SENIOR LIVING has an overall CMS rating of 3 out of 5 stars. This rating combines health inspection results (3★), staffing levels (1★), and quality measures (5★).
What are the staffing levels at WAUNAKEE VALLEY SENIOR LIVING?
WAUNAKEE VALLEY SENIOR LIVING reports 3.19 total nursing hours per resident day (national average: 3.89). RN hours are 0.50 per resident day (national average: 0.68). Nursing staff turnover is 54.0%.
How many beds does WAUNAKEE VALLEY SENIOR LIVING have?
WAUNAKEE VALLEY SENIOR LIVING has 94 certified beds with approximately 58 residents. The facility is located at 801 KLEIN DR, WAUNAKEE, WI 53597.
Does WAUNAKEE VALLEY SENIOR LIVING have any deficiencies on record?
Yes, WAUNAKEE VALLEY SENIOR LIVING has 38 deficiencies on record from recent inspections. Of these, 5 are classified as causing actual harm or jeopardy.
Has WAUNAKEE VALLEY SENIOR LIVING received any fines or penalties?
Yes, WAUNAKEE VALLEY SENIOR LIVING has received 2 penalties totaling $42K.
Who owns WAUNAKEE VALLEY SENIOR LIVING?
WAUNAKEE VALLEY SENIOR LIVING is classified as "For profit - Corporation" ownership. The facility type is "Medicare and Medicaid".
When was WAUNAKEE VALLEY SENIOR LIVING last inspected?
The most recent health inspection for WAUNAKEE VALLEY SENIOR LIVING was on Jan 23, 2025. The facility received a health inspection rating of 3 out of 5 stars.
What quality measures are tracked for WAUNAKEE VALLEY SENIOR LIVING?
WAUNAKEE VALLEY SENIOR LIVING is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial