Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around January 2027
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Care & Rehab - Ladysmith 1 during CMS and state inspections, most recent first.
A resident with multiple chronic conditions and on hospice care was found without oxygen, resulting in low O2 saturation. The incident was not reported to the State Survey Agency within the required 24-hour period because staff initially did not consider it neglect. The delay in reporting was due to the acting administrator's inexperience and misjudgment of the situation.
A resident with multiple complex medical conditions received an anticoagulant medication after a physician had ordered it discontinued, due to a nurse following the resident's wishes rather than the physician's order. The facility did not report this medication error and alleged staff misconduct to the State Survey Agency within the required 24-hour period, citing administrative difficulties as the reason for the delay.
The facility's kitchen handwashing sink failed to maintain the required minimum water temperature, with the water reaching only 73°F after two minutes, below the required 100°F. This issue has persisted for several months since the sink replacement, as confirmed by the Culinary Staff Aide and Manager, who continued using the sink despite the deficiency.
The facility inaccurately reported staffing data to CMS, affecting all 31 residents. Errors in the PBJ system led to reports of no licensed nursing coverage on six days. Mistakes included unreported night shift hours, incorrect manual entries, and data entered into the wrong facility's system.
A CNA in an LTC facility failed to follow proper hand hygiene protocols while providing morning care to a resident. The CNA did not remove gloves, perform hand hygiene, or don clean gloves when transitioning from dirty to clean tasks, such as handling soiled briefs and personal care. The facility's hand hygiene policy was not adhered to, leading to a deficiency in infection prevention and control practices.
Failure to Timely Report Allegation of Neglect
Penalty
Summary
The facility failed to report an allegation of neglect to the State Survey Agency within the required 24-hour timeframe. On 09/23/25, a resident with chronic obstructive pulmonary disease, chronic respiratory failure with hypoxia, pulmonary fibrosis, Alzheimer's disease, and on hospice care, was found without oxygen and diaphoretic, with an oxygen saturation of 71% on room air. Oxygen was reapplied, and the resident's saturation improved. The incident was initially not considered neglect by facility staff, and therefore was not reported as required by facility policy and federal regulations. Further review and discussion with the regional director led to the decision to report the incident in good faith, but this did not occur until 09/30/25, several days after the event. The delay was attributed to the acting administrator being new and not recognizing the situation as neglect at the time. The facility's policy requires all alleged violations involving abuse, neglect, exploitation, mistreatment, misappropriation of resident property, or injuries of unknown source to be reported to the State Survey Agency within 24 hours.
Failure to Timely Report Alleged Staff Misconduct to State Agency
Penalty
Summary
The facility failed to report an alleged violation involving mistreatment/misconduct within 24 hours to the State Survey Agency, as required by facility policy and federal regulations. Specifically, a registered nurse did not transcribe a physician's order to discontinue an anticoagulant medication and subsequently administered the medication without a valid physician order. The incident occurred on 07/17/25 and was discovered the following day, but the facility did not submit the initial report to the State Survey Agency until 07/24/25, well beyond the required 24-hour timeframe. The facility's policy mandates that all alleged violations involving abuse, neglect, exploitation, mistreatment, misappropriation of resident property, or injuries of unknown source be reported immediately to the Administrator and Director of Nursing, and to the State Survey Agency within 24 hours. The resident involved was admitted with multiple significant diagnoses, including congestive heart failure, chronic blood clots, anemia, ovarian and rectal cancer, and gastrointestinal bleeding. The resident was cognitively intact and required some assistance with mobility and toileting. The incident report indicated that the nurse administered the medication based on the resident's insistence, despite a physician's order to discontinue it, resulting in a medication error. The delay in reporting was attributed by the Nursing Home Administrator to concurrent issues and difficulty accessing the reporting system.
Inadequate Handwashing Sink Temperature in Kitchen
Penalty
Summary
The facility failed to maintain the handwashing sink in the kitchen at the required minimum water temperature, which is a deficiency in their food service operations. The water temperature at the handwashing sink was observed to be 73 degrees Fahrenheit after running for two minutes, which is below the required minimum of 100 degrees Fahrenheit as per the facility's policy and the FDA Food Code requirement of at least 85 degrees Fahrenheit. This issue has been ongoing for several months, as indicated by the Culinary Staff Aide and the Culinary Manager, who confirmed that the staff continued to use the sink for handwashing despite the inadequate water temperature. The deficiency was identified during a surveyor's visit to the kitchen, where the surveyor personally observed and measured the water temperature. The Culinary Staff Aide reported that the water temperature has been inconsistent since the sink was replaced earlier in the year, and due to time constraints, she could not wait for the water to warm up before washing her hands. The Culinary Manager acknowledged that the lukewarm water temperature was a known issue since the sink replacement, yet the staff continued to use it for handwashing, potentially affecting all residents in the facility.
Inaccurate Staffing Data Reporting to CMS
Penalty
Summary
The facility failed to ensure accurate reporting of mandatory staffing information to the Centers for Medicare and Medicaid Services (CMS) based on payroll data. This deficiency potentially affected all 31 residents residing in the facility. The facility's Payroll Based Journal (PBJ) system inaccurately reported that there was no licensed nursing coverage on six specific days within the fiscal quarter from April 1 to June 30, 2024. The infraction dates were identified as April 14, April 21, May 25, June 8, June 9, and June 23. Upon investigation, it was revealed that the errors were due to data entry mistakes. Specific issues included hours from the night shift not being reported, hours being manually entered on incorrect dates, and hours being entered into the wrong facility's PBJ system. For instance, 6.85 hours from the night shift of April 13 did not appear on the April 14 report, and 8 hours on June 8 and June 9 were mistakenly entered into another facility's system. Additionally, 7.25 hours worked by agency staff on the night shift were not carried over to the June 23 report.
Failure to Adhere to Hand Hygiene Protocols
Penalty
Summary
The facility staff failed to conduct proper hand hygiene while providing care to a resident, identified as R7, during a survey observation. Certified Nursing Assistant (CNA) C was observed assisting R7 with morning care, which included toileting, changing soiled briefs, and personal hygiene tasks. Despite the facility's hand hygiene policy, which mandates hand hygiene before and after resident contact, before putting on gloves, and after removing gloves, CNA C did not adhere to these guidelines. CNA C did not remove gloves, perform hand hygiene, or don clean gloves when transitioning from dirty tasks, such as handling soiled briefs, to clean tasks, such as applying lotion and dressing the resident. The surveyor noted multiple instances where CNA C failed to perform hand hygiene, including after handling soiled items and before assisting with personal care tasks like washing the resident's face and brushing dentures. CNA C acknowledged the oversight when questioned by the surveyor, recognizing the importance of hand hygiene for infection control. The Director of Nursing (DON) also confirmed the expectation for staff to follow proper hand hygiene practices to prevent infection transmission. The deficiency was identified as a failure to adhere to the facility's infection prevention and control program, specifically regarding hand hygiene practices.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Ladysmith
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Care & Rehab - Ladysmith 2 | 0 mi | — | 0 | 0 |
| Cornell Health Services | 21.2 mi | — | 0 | 0 |
| Meadowbrook At Chetek | 29.8 mi | — | 5 | 0 |
| Heritage Lakeside | 31.4 mi | — | 15 | 1 |
| Dove Healthcare - Rice Lake | 32.6 mi | — | 1 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.