Marquardt Memorial Manor

1020 Hill St
Watertown, WI 53098
Dodge County
Phone: 920-261-0400
Provider Number: 525543
Last Inspection: 11/13/2014

About the Nursing Home About the Staff

Number of Beds
Number of
Beds
140
Number of Residents
Number of
Residents
110
Number of Beds Available
Beds Available
30
Percent Occupancy
Percent Occupancy
79%
Accepts Insurance
Insurance Accepted
Medicare & Medicaid
Types of Councils
Types of Councils
Resident
Type of Ownership
Type of Ownership
Non profit - Church related
Within a Hospital?
Within Hospital?
NO

State Inspection Deficiencies About State Inspection Deficiencies

Findings in these inspections do not present a complete picture of the quality of care provided. Information in this database should be interpreted carefully and used in conjunction with other sources, as well as a visit to the nursing home. We suggest you use our Nursing Home Checklist to help evaluate the nursing homes you plan to visit.


Deficiency Ratings what is a deficiency rating?
By Region


  • Facility
  • County
  • WI
  • USA
  • 12
  • 12
  • 23
  • 20
Lower Numbers are Better

Deficiency Ratings what is a deficiency rating?
By Year


  • 2014
  • 2013
  • 2012
  • 12
  • 38
  • 41
Lower Numbers are Better

Details by Inspection Date

 

11/13/2014 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Allow residents the right to participate in the planning or revision of care and treatment. Isolated : Minimal 3 12/26/2014
Failed To: Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. Pattern : Minimal 4 12/26/2014
Failed To: Store, cook, and serve food in a safe and clean way. Isolated : Immediate 5 12/26/2014
 

9/12/2013 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Keep residents' personal and medical records private and confidential. Isolated : Minimal 3 10/11/2013
Failed To: 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. Isolated : Minimal 3 10/11/2013
Failed To: Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. Pattern : Minimal 4 10/11/2013
Failed To: Conduct initial and periodic assessments of each resident's functional capacity. Isolated : Minimal 3 10/11/2013
Failed To: Provide care by qualified persons according to each resident's written plan of care. Pattern : Minimal 4 10/11/2013
Failed To: Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Pattern : Minimal 4 10/11/2013
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Actual 4 10/11/2013
Failed To: Have enough nurses to care for every resident in a way that maximizes the resident's well being. Pattern : Minimal 4 10/11/2013
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 10/11/2013
Failed To: Have a program that investigates, controls and keeps infection from spreading. Pattern : Minimal 4 10/11/2013
 

6/28/2012 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. Pattern : Minimal 4 7/31/2012
Failed To: Provide care by qualified persons according to each resident's written plan of care. Isolated : Minimal 3 7/31/2012
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 7/31/2012
Failed To: Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Isolated : Minimal 3 7/31/2012
Failed To: Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. Isolated : Minimal 3 7/31/2012
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Pattern : Immediate 6 7/31/2012
Failed To: Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. Isolated : Minimal 3 7/31/2012
Failed To: Hire sufficient dietary support personnel. Isolated : Minimal 3 7/31/2012
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 7/31/2012
Failed To: Have a program that investigates, controls and keeps infection from spreading. Widespread : Minimal 5 7/31/2012
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated : Minimal 3 7/31/2012


 

Complaint Investigation Deficiencies

These deficiencies resulted from complaints investigated by the state inspectors and substantiated.

 

11/24/2015 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure that residents are safe from serious medication errors. Isolated : Actual 4 12/29/2015
Failed To: Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. Isolated : Minimal 3 12/29/2015
 

3/9/2015 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Actual 4 4/7/2015
 

9/23/2014 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 10/23/2014
Failed To: Make sure that paid feeding assistants 1) completed training; 2) work under the supervision of a RN or LPN; and 3) feed only residents who have no complicated feeding problems. Isolated : Minimal 3 10/23/2014
 

7/31/2014 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Try to resolve each resident's complaints quickly. Isolated : Minimal 3 8/30/2014

 

About The Staff About the Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg WI State Avg
Number of Residents 110 67.40 68.95
Registered Nurses 0.77 0.88 0.99
Licensed Practical / Vocational Nurses 0.00 0.42 0.54
Certified Nursing Assistants 2.82 2.30 2.53
Total Staff Hours 3.59 3.59 4.07

About the Residents About the Staff

(Lower Numbers Are Better)

Percent of Residents... This Facility% County Avg% WI State Avg%
High Risk Long Stay Residents With Pressure Ulcers 5 3 4
Long Stay Residents Experiencing One or More Falls with Major Injury 5 3 3
Long Stay Residents Who Have Depressive Symptoms 2 3 5
Long Stay Residents Who Lose Too Much Weight 12 8 7
Long Stay Residents Who Received an Antipsychotic Medication 9 15 13
Long Stay Residents Who Self Report Moderate to Severe Pain 2 7 9
Long Stay Residents Who Were NOT Assessed and Appropriately Given the Pneumococcal Vaccine 1 1 2
Long Stay Residents Who Were NOT Assessed and Appropriately Given the Seasonal Influenza Vaccine 1 3 2
Long Stay Residents Who Were Physically Restrained 0 0 0
Long Stay Residents Whose Need for Help with ADLs has Increased 15 12 14
Long Stay Residents with a Catheter Inserted and Left in Their Bladder 2 4 3
Long Stay Residents With a Urinary Tract Infection 3 3 4
Low Risk Long Stay Residents Who Lose Control of Their Bowel or Bladder 48 43 45
Short Stay Residents Who Newly Received an Antipsychotic Medication 0 1 1
Short Stay Residents Who Self Report Moderate to Severe Pain 14 18 20
Short Stay Residents Who Were NOT Assessed and Appropriately Given the Pneumococcal Vaccine 6 11 10
Short Stay Residents Who Were NOT Assessed and Appropriately Given the Seasonal Influenza Vaccine 6 10 11
Short Stay Residents With Pressure Ulcers That Are New or Worsened 1 0 1