Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around December 2026
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 Neighbors - East Neighborhood (the) during CMS and state inspections, most recent first.
A resident with severe cognitive impairment alleged sexual abuse, but staff failed to perform a full body and peri area skin assessment as required by facility policy. Only the resident's arm was checked after the allegation, and interviews confirmed that a comprehensive assessment was not completed.
The facility's Infection Control Program was found lacking, with incomplete surveillance and infection control logs, inadequate tracking of symptomatic residents and staff, and failure to implement Enhanced Barrier Precautions (EBP) for residents with specific conditions. Staff did not consistently sanitize equipment or perform proper hand hygiene, contributing to the deficiency.
Two residents with dementia were not treated with dignity during meal assistance. A CNA stood over a resident with Alzheimer's and used a spoon and clothing protector to clean the resident's mouth instead of a napkin. Another CNA stood over a resident with Lewy Body dementia while assisting with a meal. These actions compromised the residents' dignity and respect.
A facility failed to accurately code the MDS assessment for a resident with schizophrenia, dementia, and anxiety. Although a PASARR level 2 screen was completed, the MDS assessments incorrectly indicated it was not. The social worker responsible acknowledged the error during an interview.
A resident with chronic obstructive pulmonary disease and atherosclerotic heart disease was not provided with respiratory care consistent with professional standards. The resident's oxygen tubing, which was supposed to be changed every 5 days per physician's orders, had not been changed for over three weeks. The tubing on the portable oxygen tank was also not dated, and a nurse confirmed the oversight.
Failure to Complete Full Body Assessment After Sexual Abuse Allegation
Penalty
Summary
The facility failed to thoroughly investigate an allegation of sexual abuse for one resident with severe cognitive impairment. The resident, who had diagnoses including dementia with anxiety, generalized anxiety disorder, and chronic kidney disease, reported being sexually assaulted by a man. The facility's policy required an immediate full body skin assessment to be completed and documented by the nursing supervisor in such cases. However, after the allegation was made, only the resident's arm was assessed by the DON and nurse practitioner, as the resident mentioned arm pain. No full body or peri area skin assessment was performed or documented, despite the policy and the nature of the allegation. Interviews with staff confirmed that a comprehensive skin assessment was not completed. The LPN stated that no full body assessment was done, and the DON acknowledged that, in hindsight, a full assessment should have been performed. The facility did notify law enforcement and the resident's POA, and the resident was interviewed by the social worker, but the investigation lacked the required thorough physical assessment to check for signs of trauma or injury related to the alleged abuse.
Inadequate Infection Control Program and Practices
Penalty
Summary
The facility failed to establish an effective Infection Control Program, which is crucial for investigating, controlling, and preventing infections among residents and staff. The program lacked a comprehensive system for recording incidents and implementing corrective actions in a timely manner. The facility did not utilize a data collection tool for early detection of symptomatic residents and staff, which is essential for identifying, tracking, and monitoring possible communicable diseases and outbreaks. During a COVID outbreak, the facility's line lists were incomplete, failing to document critical information such as the start date, type of symptoms, and resolved dates. Additionally, the facility did not conduct adequate surveillance monitoring for residents and staff prior to the outbreak. The facility's infection control logs from September 2023 to August 2024 were not fully completed, missing essential details like room numbers, resolved dates, symptoms, diagnostic results, and the type of cautionary measures implemented. The infection preventionist acknowledged the lack of daily surveillance documentation and indicated that changes in residents' conditions were only reported during morning meetings. Staff illnesses were not adequately tracked, and there was no systematic approach to monitor staff for potential outbreaks. The infection preventionist admitted that more detailed surveillance was necessary to effectively identify, prevent, and control the spread of infections. Specific instances of non-compliance with infection control practices were observed. Staff failed to sanitize equipment, such as a Hoyer lift, after resident use, and did not perform proper hand hygiene during dressing changes. Enhanced Barrier Precautions (EBP) were not implemented for residents with conditions requiring such measures, including those with indwelling catheters and a history of MRSA. The facility's policy on EBP had not been updated to reflect recent CMS guidelines, resulting in a lack of appropriate precautions for residents with chronic conditions that necessitate additional protective measures.
Failure to Maintain Resident Dignity During Meal Assistance
Penalty
Summary
The facility failed to ensure that residents were treated with dignity and respect, which compromised their quality of life. Specifically, two residents with dementia, who were unable to advocate for themselves, were observed being assisted with meals in a manner that lacked dignity. One resident, diagnosed with Alzheimer's and dementia, required a mechanically altered diet and was dependent on others for meal assistance. A Certified Nursing Assistant (CNA) was observed standing over this resident and using a spoon and the resident's clothing protector to clean food from around the resident's mouth instead of using a napkin. This behavior was observed multiple times during a lunch observation. Another resident, diagnosed with Lewy Body dementia and memory deficit following a cerebral infarction, required setup or cleanup assistance while eating. A different CNA was observed standing over this resident while assisting with the meal. These actions were deemed to make a reasonable person feel inferior or vulnerable, thus failing to honor the residents' rights to dignity and respect.
MDS Coding Error for PASARR Level 2 Screen
Penalty
Summary
The facility failed to accurately code the Minimum Data Set (MDS) assessment for a resident reviewed for Preadmission Screening and Resident Review (PASARR) screen. The resident, who was admitted with diagnoses including schizophrenia, dementia, and anxiety, had a PASARR level 2 screen completed on 05/06/24. However, the resident's admission MDS assessment dated 05/14/24 and significant change MDS assessment dated 07/26/24 incorrectly indicated that no PASARR level 2 screen had been completed. During an interview, the social worker responsible for completing the MDS Section A1500 acknowledged the error, stating it was a mistake on their part, despite the PASARR level 2 screen being present in the records.
Failure to Change Oxygen Tubing as Ordered
Penalty
Summary
The facility failed to provide respiratory care consistent with professional standards of practice for a resident requiring continuous oxygen. The resident, who has chronic obstructive pulmonary disease and atherosclerotic heart disease, was observed with oxygen tubing that had not been changed as per the physician's order, which specified a change every 5 days. On observation, the oxygen tubing connected to the concentrator was dated 9/1, indicating it had not been changed for over three weeks. Additionally, the portable oxygen tank's tubing was not dated, and the registered nurse confirmed the tubing had not been changed according to the physician's orders.
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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 Menomonie
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Neighbors - West Neighborhood (the) | 0 mi | — | 4 | 0 |
| Neighbors - Central Neighborhood (the) | 0.1 mi | — | 0 | 0 |
| American Lutheran Home-menomonie | 1.7 mi | — | 0 | 0 |
| Glenhaven | 17.9 mi | — | 16 | 0 |
| Dove Healthcare - West Eau Claire | 18.1 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.