Tivoli at Divine Savior Healthcare

Health Inspections

Health Inspections
1
Health Deficiencies
This Nursing Home: 4
WI State Average: 6
U.S. Average: 6
WI Deficiencies Range: 1–25
Complaints & Incidents: 2
Updated April 12, 2014.

This rating indicates how well this home has complied with standards for food preparation and other health-related activities in state inspections conducted approximately every 15 months. Results from inspections after the latest date shown below may be available at Nursing Home Compare.

April 03, 2013 Health Inspection

Nursing Home Failed To: Possible or Actual Harm Residents Affected Date Fixed
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
Some
Few
4/26/2013
Store, cook, and serve food in a safe and clean way.
Low
Many
4/26/2013
Ensure services provided by the nursing facility meet professional standards of quality.
Low
Few
4/26/2013
Keep each resident free from physical restraints, unless needed for medical treatment.
Low
Few
4/26/2013

February 15, 2012 Health Inspection

Nursing Home Failed To: Possible or Actual Harm Residents Affected Date Fixed
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
Low
Few
3/15/2012
Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature.
Low
Few
3/15/2012
Review or revise the resident's care plan after any major change in physical or mental health.
Low
Few
3/15/2012
Ensure residents maintain acceptable nutritional status.
Low
Few
3/15/2012

January 06, 2011 Health Inspection

Nursing Home Failed To: Possible or Actual Harm Residents Affected Date Fixed
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
Some
Few
2/10/2011
Ensure residents maintain acceptable nutritional status.
Some
Few
2/10/2011
Store, cook, and serve food in a safe and clean way.
Low
Many
2/10/2011
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
Low
Some
2/10/2011
Have enough nurses to care for every resident in a way that maximizes the resident's well being.
Low
Some
2/10/2011
Have a program that investigates, controls and keeps infection from spreading.
Low
Some
2/10/2011
Provide activities to meet the interests and needs of each resident.
Low
Some
2/10/2011
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Low
Few
2/10/2011
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.
Low
Few
2/10/2011
Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion.
Low
Few
2/10/2011
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Low
Few
2/10/2011
Keep accurate, complete and organized clinical records on each resident that meet professional standards.
Low
Few
2/10/2011
Keep each resident free from physical restraints, unless needed for medical treatment.
Low
Few
2/10/2011
Provide care by qualified persons according to each resident's written plan of care.
Low
Few
2/10/2011
Reasonably accommodate the needs and preferences of each resident.
Low
Few
2/10/2011
Post nurse staffing information/data on a daily basis.
Very Low
Many
2/10/2011
Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed.
Very Low
Many
2/10/2011
Give residents a notice of rights, rules, services and charges.
Very Low
Many
2/1/2011

April 03, 2013 Complaints & Incidents

Nursing Home Failed To: Possible or Actual Harm Residents Affected Date Fixed
Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion.
Some
Few
4/26/2013
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
Some
Few
4/26/2013

December 10, 2012 Complaints & Incidents

Nursing Home Failed To: Possible or Actual Harm Residents Affected Date Fixed
Give each resident enough fluids to keep them healthy and prevent dehydration.
Some
Few
1/24/2013

February 15, 2012 Complaints & Incidents

Nursing Home Failed To: Possible or Actual Harm Residents Affected Date Fixed
Store, cook, and serve food in a safe and clean way.
Low
Many
3/15/2012
Keep accurate, complete and organized clinical records on each resident that meet professional standards.
Low
Few
3/15/2012
Have a program that investigates, controls and keeps infection from spreading.
Low
Few
3/15/2012
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
Low
Some
3/15/2012
Give each resident enough fluids to keep them healthy and prevent dehydration.
Low
Few
3/15/2012
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.
Low
Few
3/15/2012
Ensure each resident receives an accurate assessment by a qualified health professional.
Low
Some
3/15/2012

June 14, 2011 Complaints & Incidents

Nursing Home Failed To: Possible or Actual Harm Residents Affected Date Fixed
Provide care by qualified persons according to each resident's written plan of care.
Low
Few
7/14/2011
Keep accurate, complete and organized clinical records on each resident that meet professional standards.
Low
Few
7/14/2011
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Low
Few
7/14/2011
Give each resident enough fluids to keep them healthy and prevent dehydration.
Low
Few
7/14/2011
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.
Low
Few
7/14/2011
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.
Low
Few
7/14/2011
Ensure residents maintain acceptable nutritional status.
Low
Few
7/14/2011
Conduct initial and periodic assessments of each resident's functional capacity.
Low
Few
7/14/2011

Note: Because of differences in calculation, all data may not match those shown on Nursing Home Compare, a website run by the federal Centers for Medicare & Medicaid Services. CMS has approved the U.S. News methodology.

Last updated April 12, 2014.


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