B
78/100

Wood Aven Health and Rehabilitation Inspection Report, Violations & Safety Grade (WAUSAU, Wisconsin)

1821 N 4TH AVE, WAUSAU, Wisconsin 54401

Phone: 7156759451

CMS Overall:3/5

Overview & Bed Count

Certified Beds
82
Avg Residents/Day
65.6
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
County
Marathon
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall3/5
Health3/5
Staffing4/5
Quality4/5

Nurse Staffing Check

MetricThis FacilityWisconsin AvgDifference
RN Hours per Resident per Day1.260.98+0.28
Total Nurse Hours per Resident per Day4.094.25-0.15
CMS Staffing Rating4/53.7/5-
Nursing Staff Turnover57.0%46.7%-

Health Citation History

18 health citations on record

DateCategoryDescriptionSeverity
2026-07-22Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2026-05-27Pharmacy Service DeficienciesEnsure each resident’s drug regimen must be free from unnecessary drugs.D – Moderate Harm Potential
2026-04-01Resident Rights DeficienciesProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.E – Moderate Harm Potential
2026-04-01Resident Rights DeficienciesAllow residents to self-administer drugs if determined clinically appropriate.D – Moderate Harm Potential
2026-04-01Resident 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
2026-04-01Freedom from Abuse, Neglect, and Exploitation DeficienciesDevelop and implement policies and procedures to prevent abuse, neglect, and theft.D – Moderate Harm Potential
2026-04-01Quality 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
2026-04-01Quality of Life and Care DeficienciesProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D – Moderate Harm Potential
2026-04-01Quality of Life and Care DeficienciesEnsure 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.D – Moderate Harm Potential
2026-04-01Pharmacy Service DeficienciesEnsure that residents are free from significant medication errors.D – Moderate Harm Potential
2026-04-01Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2025-12-23Pharmacy 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
2025-03-26Freedom from Abuse, Neglect, and Exploitation DeficienciesRespond appropriately to all alleged violations.D – Moderate Harm Potential
2025-01-08Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.G – Actual Harm
2025-01-08Nutrition 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
2025-01-08Pharmacy 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
2023-11-30Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.D – Moderate Harm Potential
2023-11-30Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential

Fire Safety Citation History

23 fire safety citations on record

DateCategoryDescriptionSeverity
2026-04-01Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.F – Moderate Harm Potential
2026-04-01Miscellaneous DeficienciesTo conduct inspection, testing and maintenance of fire doors by qualified individuals.F – Moderate Harm Potential
2026-04-01Smoke DeficienciesProperly select, install, inspect, or maintain portable fire extinguishes.E – Moderate Harm Potential
2025-01-08Emergency Preparedness DeficienciesAddress patient/client population and determine types of services needed.F – Moderate Harm Potential
2025-01-08Emergency Preparedness DeficienciesDevelop Emergency Preparedness policies and procedures.F – Moderate Harm Potential
2025-01-08Emergency Preparedness DeficienciesConduct testing and exercise requirements.F – Moderate Harm Potential
2025-01-08Smoke DeficienciesHave approved installation, maintenance and testing program for fire alarm systems.F – Moderate Harm Potential
2025-01-08Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.F – Moderate Harm Potential
2025-01-08Miscellaneous DeficienciesTo conduct inspection, testing and maintenance of fire doors by qualified individuals.F – Moderate Harm Potential
2025-01-08Gas, Vacuum, and Electrical Systems DeficienciesMeet requirements for the installation and maintenance of electrical systems.F – Moderate Harm Potential
2025-01-08Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.F – Moderate Harm Potential
2025-01-08Smoke 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
2025-01-08Smoke DeficienciesInstall corridor and hallway doors that block smoke.E – Moderate Harm Potential
2025-01-08Smoke DeficienciesEnsure smoke barriers are constructed to a 1 hour fire resistance rating.E – Moderate Harm Potential
2025-01-08Services DeficienciesEnsure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.E – Moderate Harm Potential
2025-01-08Services DeficienciesHave properly installed electrical wiring and gas equipment.D – Moderate Harm Potential
2023-11-30Services DeficienciesHave properly installed electrical wiring and gas equipment.E – Moderate Harm Potential
2023-11-30Miscellaneous DeficienciesHave simulated fire drills held at unexpected times.E – Moderate Harm Potential
2023-11-30Egress DeficienciesHave properly located and lighted "Exit" signs.D – Moderate Harm Potential
2023-11-30Smoke DeficienciesFollow proper procedures when the fire alarm was out of service for more than 4 hours.D – Moderate Harm Potential
2023-11-30Smoke DeficienciesProperly select, install, inspect, or maintain portable fire extinguishes.D – Moderate Harm Potential
2023-11-30Smoke DeficienciesEnsure smoke barriers are constructed to a 1 hour fire resistance rating.D – Moderate Harm Potential
2023-11-30Gas, Vacuum, and Electrical Systems DeficienciesEnsure proper usage of power strips and extension cords.D – Moderate Harm Potential

Total Penalties & Fines

$0
Total Fine Amount (CMS)
0
Number of Fines
0
Total Penalties

No penalty records found.

Need Help Finding Safe Care?

Our family advisors can help you find vetted, top-rated facilities in the WAUSAU area at no cost.

Advisor service is free for families. We may receive referral compensation.