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DOVE HEALTHCARE - ST CROIX FALLS Inspection Report, Violations & Safety Grade (ST CROIX FALLS, Wisconsin)

750 E LOUISIANA ST, ST CROIX FALLS, Wisconsin 54024

Phone: 7154839815

CMS Overall:1/5

Overview & Bed Count

Certified Beds
50
Avg Residents/Day
41.1
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
County
Polk
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall1/5
Health2/5
Staffing1/5
Quality3/5

Nurse Staffing Check

MetricThis FacilityWisconsin AvgDifference
RN Hours per Resident per Day0.000.98-0.98
Total Nurse Hours per Resident per Day0.004.25-4.25
CMS Staffing Rating1/53.7/5-
Nursing Staff Turnover56.8%46.7%-

Health Citation History

50 health citations on record

DateCategoryDescriptionSeverity
2025-09-18Nutrition 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
2025-09-18Infection Control DeficienciesProvide and implement an infection prevention and control program.F – Moderate Harm Potential
2025-09-18Resident Rights DeficienciesEnsure that residents are fully informed and understand their health status, care and treatments.D – Moderate Harm Potential
2025-09-18Resident Rights DeficienciesHonor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.D – Moderate Harm Potential
2025-09-18Resident Rights DeficienciesHonor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.D – Moderate Harm Potential
2025-09-18Freedom 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
2025-09-18Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D – Moderate Harm Potential
2025-09-18Infection Control DeficienciesImplement a program that monitors antibiotic use.D – Moderate Harm Potential
2025-08-13Freedom from Abuse, Neglect, and Exploitation DeficienciesRespond appropriately to all alleged violations.D – Moderate Harm Potential
2025-02-19Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.G – Actual Harm
2025-02-19Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.D – Moderate Harm Potential
2025-02-19Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2025-01-22Resident Rights DeficienciesImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D – Moderate Harm Potential
2025-01-22Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.D – Moderate Harm Potential
2025-01-02Quality of Life and Care DeficienciesProvide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.J – Immediate Jeopardy
2024-07-17Nutrition 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
2024-07-17Infection Control DeficienciesProvide and implement an infection prevention and control program.F – Moderate Harm Potential
2024-07-17Infection Control DeficienciesDesignate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.F – Moderate Harm Potential
2024-07-17Infection Control DeficienciesDevelop and implement policies and procedures for flu and pneumonia vaccinations.E – Moderate Harm Potential
2024-07-17Infection Control DeficienciesEducate 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.E – Moderate Harm Potential
2024-07-17Resident Rights DeficienciesImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D – Moderate Harm Potential
2024-07-17Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D – Moderate Harm Potential
2024-07-17Quality of Life and Care DeficienciesProvide for the safe, appropriate administration of IV fluids for a resident when needed.D – Moderate Harm Potential
2024-07-17Resident Rights DeficienciesProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.B – Minimal Harm Potential
2024-05-15Nutrition 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
2024-05-15Administration DeficienciesEmploy staff that are licensed, certified, or registered in accordance with state laws.F – Moderate Harm Potential
2024-05-15Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E – Moderate Harm Potential
2024-05-15Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.D – Moderate Harm Potential
2024-05-15Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D – Moderate Harm Potential
2024-02-26Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.E – Moderate Harm Potential
2024-02-26Freedom from Abuse, Neglect, and Exploitation DeficienciesRespond appropriately to all alleged violations.E – Moderate Harm Potential
2024-02-26Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E – Moderate Harm Potential
2024-02-26Nutrition and Dietary DeficienciesEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.E – Moderate Harm Potential
2024-02-26Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.D – Moderate Harm Potential
2024-02-26Quality of Life and Care DeficienciesProvide safe, appropriate pain management for a resident who requires such services.D – Moderate Harm Potential
2023-11-06Administration DeficienciesEmploy staff that are licensed, certified, or registered in accordance with state laws.F – Moderate Harm Potential
2023-11-06Resident Assessment and Care Planning DeficienciesProvide care by qualified persons according to each resident's written plan of care.D – Moderate Harm Potential
2023-07-12Nutrition 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
2023-07-12Infection Control DeficienciesProvide and implement an infection prevention and control program.E – Moderate Harm Potential
2023-07-12Freedom from Abuse, Neglect, and Exploitation DeficienciesDevelop and implement policies and procedures to prevent abuse, neglect, and theft.D – Moderate Harm Potential
2023-07-12Resident Assessment and Care Planning DeficienciesPASARR screening for Mental disorders or Intellectual DisabilitiesD – Moderate Harm Potential
2023-07-12Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D – Moderate Harm Potential
2023-07-12Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D – Moderate Harm Potential
2023-07-12Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.D – Moderate Harm Potential
2023-07-12Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D – Moderate Harm Potential
2023-07-12Nursing and Physician Services DeficienciesVerify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.D – Moderate Harm Potential
2023-07-12Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D – Moderate Harm Potential
2023-07-12Pharmacy Service DeficienciesImplement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.D – Moderate Harm Potential
2023-07-12Pharmacy Service DeficienciesEnsure medication error rates are not 5 percent or greater.D – Moderate Harm Potential
2023-07-12Resident Rights DeficienciesGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.C – Minimal Harm Potential

Fire Safety Citation History

13 fire safety citations on record

DateCategoryDescriptionSeverity
2025-09-18Construction DeficienciesMeet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction.F – Moderate Harm Potential
2025-09-18Smoke DeficienciesInstall a fire alarm system that can be heard throughout the facility.F – Moderate Harm Potential
2025-09-18Smoke DeficienciesInstall an approved automatic sprinkler system.F – Moderate Harm Potential
2025-09-18Egress DeficienciesProvide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.E – Moderate Harm Potential
2025-09-18Smoke DeficienciesEnsure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.E – Moderate Harm Potential
2025-09-18Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.C – Minimal Harm Potential
2024-07-17Construction DeficienciesMeet requirements for sections of health care facilities separated by fire resistive construction.F – Moderate Harm Potential
2024-07-17Smoke DeficienciesEnsure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.F – Moderate Harm Potential
2024-07-17Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.D – Moderate Harm Potential
2024-07-17Miscellaneous DeficienciesHave restrictions on the use of highly flammable decorations.D – Moderate Harm Potential
2024-07-17Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.C – Minimal Harm Potential
2023-07-12Smoke DeficienciesInstall corridor and hallway doors that block smoke.E – Moderate Harm Potential
2023-07-12Smoke DeficienciesEnsure smoke barriers are constructed to a 1 hour fire resistance rating.D – Moderate Harm Potential

Total Penalties & Fines

$46,564
Total Fine Amount (CMS)
2
Number of Fines
3
Total Penalties
DateTypeFine AmountPayment Denial
2025-01-22Fine$28,915-
2025-01-22Payment Denial-7 days starting 2025-03-14
2025-01-02Fine$17,649-

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