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Mercy Manor Transition Center Inspection Report, Violations & Safety Grade (Janesville, Wisconsin)

1000 Mineral Point Ave., Janesville, Wisconsin 53547

Phone: 6087566050

CMS Overall:5/5

Overview & Bed Count

Certified Beds
28
Avg Residents/Day
14.7
Ownership
Non profit - Corporation
Provider Type
Medicare
County
Rock
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall5/5
Health4/5
Staffing4/5
Quality5/5

Nurse Staffing Check

MetricThis FacilityWisconsin AvgDifference
RN Hours per Resident per Day3.540.98+2.55
Total Nurse Hours per Resident per Day7.874.25+3.62
CMS Staffing Rating4/53.7/5-
Nursing Staff TurnoverN/A46.7%-

Health Citation History

9 health citations on record

DateCategoryDescriptionSeverity
2025-01-30Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.J – Immediate Jeopardy
2025-01-30Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D – Moderate Harm Potential
2024-05-30Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F – Moderate Harm Potential
2024-05-30Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.D – Moderate Harm Potential
2024-03-12Quality of Life and Care DeficienciesTry different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.D – Moderate Harm Potential
2023-06-07Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F – Moderate Harm Potential
2023-06-07Infection Control DeficienciesProvide and implement an infection prevention and control program.F – Moderate Harm Potential
2023-06-07Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D – Moderate Harm Potential
2023-06-07Freedom from Abuse, Neglect, and Exploitation DeficienciesDevelop and implement policies and procedures to prevent abuse, neglect, and theft.D – Moderate Harm Potential

Fire Safety Citation History

10 fire safety citations on record

DateCategoryDescriptionSeverity
2025-07-17Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.D – Moderate Harm Potential
2024-05-30Smoke DeficienciesHave a complete alarm system manually initiated and initiated by fire sprinkler system connection.F – Moderate Harm Potential
2024-05-30Smoke DeficienciesEnsure smoke barriers are constructed to a 1 hour fire resistance rating.F – Moderate Harm Potential
2024-05-30Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.D – Moderate Harm Potential
2024-05-30Smoke DeficienciesProperly select, install, inspect, or maintain portable fire extinguishes.C – Minimal Harm Potential
2023-06-07Emergency Preparedness DeficienciesDevelop Emergency Preparedness policies and procedures.F – Moderate Harm Potential
2023-06-07Smoke DeficienciesProvide properly protected cooking facilities.F – Moderate Harm Potential
2023-06-07Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.F – Moderate Harm Potential
2023-06-07Egress DeficienciesProvide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.D – Moderate Harm Potential
2023-06-07Gas, Vacuum, and Electrical Systems DeficienciesMeet requirements for the installation and maintenance of electrical systems.D – Moderate Harm Potential

Total Penalties & Fines

$53,847
Total Fine Amount (CMS)
1
Number of Fines
1
Total Penalties
DateTypeFine AmountPayment Denial
2025-01-30Fine$53,847-

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