Not rated by CMS — ratings are suppressed for new or low-volume facilities.
Past the typical resurvey interval — a standard survey could occur at any time
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 Dove Healthcare - Regional Vent Center during CMS and state inspections, most recent first.
A resident dependent on a ventilator was not connected to the stationary liquid oxygen tank as required, leading to their death. The facility failed to perform scheduled ventilator spot checks and did not document oxygen levels, resulting in a deficiency. Similar failures were noted for two other residents, indicating a systemic issue with adherence to respiratory care policies.
The facility failed to maintain proper sanitation and food handling practices by not having a separate handwashing sink, affecting 11 residents. Staff used a single sink for handwashing, food preparation, and dishwashing, contrary to FDA guidelines. Interviews revealed a lack of education on the need for separate handwashing facilities, and key personnel were unaware of this requirement.
The facility failed to maintain proper infection control practices, as CNAs did not perform appropriate hand hygiene and glove changes during resident care, leading to potential contamination. Additionally, two residents were observed with Foley catheter drainage bags resting on the floor, contrary to facility policy, increasing the risk of infection.
Failure to Provide Adequate Respiratory Care
Penalty
Summary
The facility failed to provide adequate respiratory care for three residents who required oxygen with ventilator support. Resident 1, who was ventilator-dependent, was not connected to the stationary liquid oxygen tank when put to bed, but instead remained on a portable oxygen tank that depleted overnight. The respiratory therapist did not perform the scheduled ventilator spot checks at 2:00 AM, and Resident 1 was found with low oxygen saturation and no pulse at 6:00 AM, leading to their death. Interviews with staff revealed that the portable oxygen tank was not checked for its oxygen level, and the stationary liquid oxygen tank was not brought into the resident's room as required by facility policy. The staff, including the respiratory therapist and certified nursing assistants, failed to follow the established procedures for ensuring the resident's oxygen supply was maintained. Additionally, there was a lack of documentation for the required spot checks, which were not completed as per the facility's policy. The deficiency was further evidenced by similar failures in the care of two other residents, who also did not have documented respiratory spot checks on multiple occasions. The facility's policies on oxygen administration and ventilator checks were not adhered to, resulting in a reasonable likelihood of serious harm and death for Resident 1. The facility's investigation into the incident was inadequate, with no proper documentation or staff education following the event.
Removal Plan
- RTs educated on expectation of completing oxygen checks and documentation/refusals of the 2am spot checks.
- CNAs educated on expectation of putting residents on stationary liquid tank when transferring to bed.
- Clinical staff educated on ensuring proper oxygen source prior to start of their next shift.
- Clinical staff educated on facility policy on oxygen administration prior to start of their next shift.
- Clinical staff educated on facility procedure for oxygen source switching prior to start of their next shift.
- Clinical staff educated on completing oxygen checks and completion of documentation/refusals as designated in the TAR.
- Clinical staff educated on oxygen safety check signs placed in resident rooms prior to start of next shift.
- Facility reviewed policy and procedure of oxygen administration and updated to include the use of stationary liquid tanks when oxygen dependent residents are in bed.
- Facility created a procedure for Oxygen Source Switching.
- Facility updated Liquid Oxygen Portable Fill policy to reference source switching procedure.
- Clinical Managers will conduct audits on oxygen checks.
- Clinical Managers will conduct audits on appropriate oxygen source connection.
- Results of the audits will be reviewed at QAPI meetings for further recommendations.
Improper Sanitation and Food Handling Practices
Penalty
Summary
The facility failed to ensure proper sanitation and food handling practices, which could prevent the outbreak of foodborne illness. Specifically, the facility did not have a separate handwashing sink apart from those used for food preparation. This deficiency affected 11 residents. Observations revealed that staff members were washing their hands in a single sink used for multiple purposes, including food preparation and dishwashing. This practice was contrary to the FDA Code, which mandates that food employees clean their hands in a designated handwashing sink or approved automatic handwashing facility, not in a sink used for food preparation or warewashing. During interviews, staff members admitted to using the same sink for handwashing, food rinsing, and dishwashing, and they had not received education on the importance of separate handwashing facilities. The surveyor noted that water from handwashing could splash onto the countertop, and staff had to walk a short distance to obtain paper towels, potentially dripping water along the way. Additionally, the Robot Coup used for pureeing food was located close to the sink, further complicating the situation. The Dietary Manager, Nursing Home Administrator, and Director of Nursing were unaware of the requirement for separate handwashing sinks.
Infection Control Deficiencies in Hand Hygiene and Catheter Management
Penalty
Summary
The facility failed to maintain an effective infection prevention and control program, as evidenced by improper hand hygiene and glove use by Certified Nursing Assistants (CNAs) during personal care for a resident. CNA D was observed touching various surfaces and objects, such as a light switch, sink faucet, and dirty laundry bin, with gloved hands before proceeding to wash the resident's face and underarms without changing gloves or performing hand hygiene. Similarly, CNA C did not change gloves or sanitize hands after gloves were contaminated with bowel movement during peri care, and continued to provide care with the same contaminated gloves. Additionally, the facility did not adhere to its policy on urinary catheter management, as observed with two residents who had Foley catheter drainage bags resting on the floor. This practice contradicts the facility's policy, which states that catheter bags should not touch the floor to prevent catheter-associated urinary tract infections. The Director of Nursing acknowledged that the staff are expected to ensure the drainage bags are hung below the bladder but not touching the floor.
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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 Chippewa Falls
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Wi Veterans Home At Chippewa Falls | 1.5 mi | — | 0 | 0 |
| Chippewa Manor Nursing And Rehabilitation | 2.9 mi | — | 6 | 0 |
| Oakwood Health Services | 10.9 mi | — | 14 | 0 |
| Grace Lutheran Communities - River Pines | 10.9 mi | — | 0 | 0 |
| Dove Healthcare - West Eau Claire | 11.6 mi | — | 0 | 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.