FREDERIC NURSING AND REHAB COMMUNITY

205 UNITED WAY
FREDERIC, WI, 54837
7153274297
CCN: 525665
4
Overall
4
Health
4
Staffing
4
Quality
ChainATRIUM CENTERS
Special FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
Ownership
NameRole%
ORION OPERATING SERVICES LLC5% OR GREATER DIRECT OWNERSHIP INTEREST100%
FINNEY, DONALD5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
ATRIUM CENTERS, INC.5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
BAILEY, ESSEL5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
FINNEY, DONALDCORPORATE DIRECTORNOT APPLICABLE
BAILEY, ESSELCORPORATE DIRECTORNOT APPLICABLE
FERKANY, JAMESCORPORATE OFFICERNOT APPLICABLE
ALBRIGHT ROSS, SUSANOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
ATRIUM CENTERS MANAGEMENT LLCOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
LOCKHART, DENNISOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
LINEHAN, PATRICIAW-2 MANAGING EMPLOYEENOT APPLICABLE
Health Deficiencies (18)
2025-07-01 · Health
D
F883 · Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
D
F755 · Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
C
F628 · Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
D
F558 · Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
2025-04-07 · Health
D
F755 · Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
2025-02-18 · Health
D
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
E
F623 · Resident Rights Deficiencies
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
2024-01-23 · Health
E
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
F
F851 · Administration Deficiencies
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
F
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
F761 · Pharmacy Service Deficiencies
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.
D
F686 · Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
E
F583 · Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
2022-12-08 · Health
E
F839 · Administration Deficiencies
Employ staff that are licensed, certified, or registered in accordance with state laws.
D
F758 · Pharmacy Service Deficiencies
Implement 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
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
D
F582 · Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day
3.23
3.68
RN Hrs/Resident/Day
0.76
0.54
LPN Hrs/Resident/Day
0.32
0.81
CNA Hrs/Resident/Day
2.14
2.33
PT Hrs/Resident/Day
0.02
0.12
Data as of 2026-03-01