MEADOWBROOK AT BLACK RIVER FALLS
1311 TYLER ST, BLACK RIVER FALLS, WI 54615 · CCN 525488
Ratings
- Overall
- ★★☆☆☆ 2
- Health inspection
- ★★☆☆☆ 2
- Quality measures
- ★★☆☆☆ 2
- Staffing
- ★★☆☆☆ 2
Facility
- Ownership type
- For profit - Corporation
- Certified beds
- 45
- Avg residents/day
- 33.7
- Phone
- 7152844396
Inspection history vs Wisconsin & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Wisconsin avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2026-01-14 | 8 | 9.8 | 9.5 | -1.8 better |
| 2 | 2024-10-16 | 26 | 9.2 | 9.8 | +16.8 worse |
| 3 | 2023-10-18 | 5 | 8.3 | 9.3 | -3.3 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 1 |
| Quality of life and care | 2 |
| Resident assessment and care planning | 1 |
| Resident rights | 1 |
| Nutrition and dietary | 1 |
| Pharmacy service | 1 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.90 | 68.2% |
| RN staffing (reported) | 1.12 | 76.9% |
| Total nurse staffing (adjusted) | 3.34 | — |
Fines & penalties
- Total fines
- $138,975
- Number of fines
- 3
- Number of penalties
- 5
- Payment denials
- 2
Chain
- Chain
- SYNERGY SENIOR CARE
- Facilities in chain
- 5
- Chain avg overall
- 2.40 / 5
Inspection citations (39)2 immediate jeopardy1 actual harm
- EF0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.2026-01-14 · Health · corrected 2026-02-14
Potential for more than minimal harm
- EF0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.2026-01-14 · Health · corrected 2026-02-14
Potential for more than minimal harm
- DF0645PASARR screening for Mental disorders or Intellectual Disabilities2026-01-14 · Health · corrected 2026-02-14
Potential for more than minimal harm
- EF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2026-01-14 · Health · corrected 2026-02-14
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2026-01-14 · Health · corrected 2026-02-14
Potential for more than minimal harm
- FF0880Provide and implement an infection prevention and control program.2026-01-14 · Health · corrected 2026-02-14
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-10-22 · Health · corrected 2025-12-11
Potential for more than minimal harm
- DF0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.2025-04-01 · Health · corrected 2025-04-23
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-01-22 · Health · corrected 2025-02-16
Potential for more than minimal harm
- GF0760Ensure that residents are free from significant medication errors.2025-01-22 · Health · corrected 2025-03-24
Actual harm
- DF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.2025-01-22 · Health · corrected 2025-02-16
Potential for more than minimal harm
- CF0732Post nurse staffing information every day.2024-12-18 · Health · corrected 2024-12-23
Potential for minimal harm
- FF0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.2024-12-18 · Health · corrected 2024-12-23
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-12-18 · Health · corrected 2024-12-23
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2024-12-18 · Health · corrected 2024-12-23
Potential for more than minimal harm
- DF0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.2024-10-16 · Health · corrected 2024-11-11
Potential for more than minimal harm
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-10-16 · Health · corrected 2024-11-11
Potential for more than minimal harm
- DF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.2024-10-16 · Health · corrected 2024-11-11
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-10-16 · Health · corrected 2024-11-11
Potential for more than minimal harm
- DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2024-10-16 · Health · corrected 2024-11-11
Potential for more than minimal harm
- DF0625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.2024-10-16 · Health · corrected 2024-11-11
Potential for more than minimal harm
- DF0637Assess the resident when there is a significant change in condition2024-10-16 · Health · corrected 2024-11-11
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-10-16 · Health · corrected 2024-11-11
Potential for more than minimal harm
- JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-10-16 · Health · corrected 2024-08-27
Immediate jeopardy
- DF0692Provide enough food/fluids to maintain a resident's health.2024-10-16 · Health · corrected 2024-11-11
Potential for more than minimal harm
- DF0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.2024-10-16 · Health · corrected 2024-11-11
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-10-16 · Health · corrected 2024-11-11
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-10-16 · Health · corrected 2024-11-11
Potential for more than minimal harm
- DF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.2024-10-16 · Health · corrected 2024-11-11
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-10-16 · Health · corrected 2024-11-11
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2024-10-16 · Health · corrected 2024-11-11
Potential for more than minimal harm
- JF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-07-10 · Health · corrected 2024-09-11
Immediate jeopardy
- DF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2024-07-10 · Health · corrected 2024-09-11
Potential for more than minimal harm
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-04-04 · Health · corrected 2024-05-03
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-10-18 · Health · corrected 2023-11-10
Potential for more than minimal harm
- DF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.2023-10-18 · Health · corrected 2023-11-10
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-10-18 · Health · corrected 2023-11-10
Potential for more than minimal harm
- CF0814Dispose of garbage and refuse properly.2023-10-18 · Health · corrected 2023-11-10
Potential for minimal harm
- DF0880Provide and implement an infection prevention and control program.2023-10-18 · Health · corrected 2023-11-10
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| MASLOVSKY, BORIS | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | 2019-12-01 |
| PUKSHANSKY, ROSTISLAV | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | 2019-12-01 |
| SYNERGY SENIOR CARE LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-12-01 |
| FILLA, LAURIANN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-12-16 |
| LINDEMANN, MITUL | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-12-01 |
| MAHAN, MICHAEL | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 1997-01-23 |
| PUKSHANSKY, ROSTISLAV | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-12-01 |
| VANDER VELDEN, BARBARA | Individual | CORPORATE DIRECTOR | — | 2019-12-01 |
| LINDEMANN, MITUL | Individual | CORPORATE OFFICER | — | 2019-12-01 |
Other facilities in BLACK RIVER FALLS
| Name | Overall | Beds |
|---|---|---|
| PINE VIEW CARE CENTER | ★★★★★ | 95 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.