Not rated by CMS — ratings are suppressed for new or low-volume facilities.
A standard survey is most likely before 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 Park Manor Ltd during CMS and state inspections, most recent first.
The facility inaccurately coded MDS assessments for four residents, failing to reflect completed PASARR level II screenings and the use of antipsychotic medication. Despite medical records indicating the completion of PASARR level II and the prescription of Aripiprazole, these were not accurately represented in the MDS, as confirmed by the MDS Coordinator and DON.
The facility failed to develop comprehensive respiratory care plans for two residents with significant respiratory conditions. One resident had diagnoses including pneumonitis and acute respiratory failure, while the other had RSV and acute bronchiolitis. Despite having specific doctor's orders for respiratory treatments, neither resident had a comprehensive care plan addressing their respiratory needs, as confirmed by the DON during the survey.
The facility did not update care plans for two residents to reflect current care needs and interventions. One resident managed their catheter independently, contrary to the care plan, and experienced falls without updated interventions. Another resident had undocumented fall prevention measures. Staff confirmed the inaccuracies in the care plans.
A facility failed to implement enhanced barrier precautions for a resident on contact precautions. An RN entered the resident's room and performed wound care without wearing a gown, despite signage indicating the need for gown and gloves. The resident had a history of surgical amputation and required precautions to prevent infection. The RN acknowledged the oversight and corrected the action.
Inaccurate MDS Coding for PASARR and Medication Use
Penalty
Summary
The facility failed to accurately code Minimum Data Set (MDS) 3.0 assessments for four residents, leading to discrepancies in the representation of their clinical status. Specifically, the MDS assessments for these residents incorrectly indicated that no Preadmission Screening and Resident Review (PASARR) level II was completed, despite evidence in the medical records showing otherwise. This error was identified for residents with various mental health diagnoses, including dementia, schizoaffective disorder, anxiety, and depression. The inaccuracies were acknowledged by the MDS Coordinator and the Director of Nursing during the survey. Additionally, there was an error in coding the use of high-risk drug classes for one resident. The resident was prescribed Aripiprazole, an antipsychotic, but this was not accurately reflected in the MDS assessments. The physician's orders confirmed the use of the antipsychotic, yet the MDS failed to identify it. The Director of Nursing confirmed that the expectation was for such medication use to be accurately coded in the MDS.
Lack of Comprehensive Respiratory Care Plans for Two Residents
Penalty
Summary
The facility failed to develop comprehensive person-centered care plans for two residents, R46 and R60, specifically regarding their respiratory care needs. R46 was admitted with diagnoses including pneumonitis, sepsis, acute bronchitis, and acute respiratory failure with hypoxia. Despite having doctor's orders for medications such as budesonide and albuterol nebulizers, and mucus relief tablets, there was no specific care plan addressing R46's respiratory care. The Director of Nursing (DON) was unable to provide a comprehensive care plan for R46's respiratory needs when requested by the surveyor. Similarly, R60, who was admitted with diagnoses of Respiratory Syncytial Virus (RSV), acute bronchiolitis due to RSV, acute respiratory failure with hypoxia, and dependence on supplemental oxygen, also lacked a comprehensive respiratory care plan. R60 had doctor's orders for albuterol nebulizer, guaifenesin, and oxygen therapy, yet no specific care plan was in place. The DON confirmed the absence of a comprehensive respiratory care plan for R60 during the surveyor's inquiry.
Failure to Update Care Plans for Residents
Penalty
Summary
The facility failed to ensure that care plans were reviewed and revised to reflect changes in care for two residents. Resident R45, who was admitted with a diagnosis of urinary retention and an indwelling urinary catheter, was managing the catheter independently, contrary to the care plan which stated that staff were responsible for catheter management. Additionally, R45 experienced falls, and although interventions such as wearing gripper socks and frequent checks of the catheter bag were documented, these were not updated in the care plan. Interviews with the resident, a CNA, and the DON confirmed that the care plan did not accurately reflect the resident's current care needs and interventions. Resident R6, admitted with unspecified dementia and reduced mobility, had a care plan for fall risk that included ensuring clear pathways and accessible personal items. However, observed interventions such as alarms on the bed and wheelchair, and a reminder sign on the walker, were not documented in the care plan. An LPN and the DON confirmed the absence of these interventions in the care plan, indicating a failure to update the care plan to reflect the resident's current fall prevention strategies.
Failure to Implement Enhanced Barrier Precautions
Penalty
Summary
The facility failed to implement enhanced barrier precautions consistent with current infection control standards for a resident who was on such precautions. The deficiency was observed when a Registered Nurse (RN) entered the resident's room without donning a gown, despite the room having signage indicating the need for gown and gloves due to contact precautions. The RN proceeded to perform wound care on the resident's lower leg/stump without wearing a gown, although gloves were used. This action was contrary to the facility's policy and the standards of practice outlined by the CDC and APIC, which require the use of both gown and gloves during high-contact resident care activities to prevent the spread of multi-drug-resistant organisms (MDROs). The resident in question had a medical history that included an orthopedic aftercare following a surgical amputation, with an acquired absence of the right leg below the knee. The resident's medical record indicated the need for enhanced barrier precautions due to direct contact transmission risks. The Director of Nursing confirmed that the resident had chronic, non-healing areas on the incision line, which were not infected but required precautions to prevent infection. The RN acknowledged the oversight and corrected the action by donning a gown after being reminded of the requirement.
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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 Park Falls
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Careview Health And Rehab Of Minocqua | 33.3 mi | — | 61 | 1 |
| Villa Maria Health And Rehab Ctr | 37.4 mi | — | 2 | 0 |
| Sky View Nursing Center | 37.7 mi | — | 0 | 0 |
| Westgate Nursing & Rehabilitation Community | 38.9 mi | — | 5 | 0 |
| Water's Edge | 39.3 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.