WI VETERANS HOME AT CHIPPEWA FALLS
2175 E PARK AVE
CHIPPEWA FALLS, WI, 54729
7157206775
CCN: 525708
5
Overall4
Health5
Staffing5
QualitySpecial FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
OIG Federal Exclusion Matches (1)
This facility's name matches one or more entities on the OIG List of Excluded Individuals/Entities (LEIE). Excluded parties are prohibited from participation in Medicare and Medicaid programs.
CENT WISCONSIN OPTICAL SERV
1128a1
Excluded 1984-02-07
Ownership
| Name | Role | % |
|---|---|---|
| STATE OF WISCONSIN | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% |
| HEALTH DIMENSIONS CONSULTING INC | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| STATE OF WISCONSIN | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| BRISCOE, DAVID | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| BRISCOE, PATRICIA | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| PARKER, JAMES | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| PLENDL, KATIE | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| ROGOTZKE, AMBER | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| SAUTER, LAUREN | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| SERVATIUS, TAMMY | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| SHVETZOFF HENNESSEY, ERIN | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| SHVETZOFF, SERGEI | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| SHVETZOFF, TAMI | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
Health Deficiencies (12)
2025-06-12 · Health
D
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
D
F759 · Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
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
F688 · Quality of Life and Care Deficiencies
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
D
F684 · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
2024-04-11 · Health
D
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
D
F690 · Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
D
F686 · Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
2024-02-14 · Health
D
F686 · Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
2023-04-05 · Health
E
F726 · Nursing and Physician Services Deficiencies
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.
D
F686 · Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
2023-03-01 · Health
D
F684 · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day3.68
3.93
RN Hrs/Resident/Day0.54
1.32
LPN Hrs/Resident/Day0.81
0.24
CNA Hrs/Resident/Day2.33
2.37
PT Hrs/Resident/Day0.12
0.01
Data as of 2026-03-01