Starfile / Wisconsin

Pavilion at Glacier Valley

1900 American Eagle Drive, Slinger, WI 53086 · CCN 525461

Inspection history vs Wisconsin & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$0

Number of fines

0

Number of penalties

0

Payment denials

0

Chain

Chain

FUNDAMENTAL HEALTHCARE

Facilities in chain

69

Chain avg overall

2.40 / 5

Inspection citations (56)1 actual harm

1. DF0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.2025-10-08 · Health · corrected 2025-12-05

   Potential for more than minimal harm

2. DF0880Provide and implement an infection prevention and control program.2025-08-08 · Health · corrected 2025-08-29

   Potential for more than minimal harm

3. DF0558Reasonably accommodate the needs and preferences of each resident.2024-11-12 · Health · corrected 2024-12-06

   Potential for more than minimal harm

4. DF0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.2024-11-12 · Health · corrected 2024-12-06

   Potential for more than minimal harm

5. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-11-12 · Health · corrected 2024-12-06

   Potential for more than minimal harm

6. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-11-12 · Health · corrected 2024-12-06

   Potential for more than minimal harm

7. DF0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.2024-11-12 · Health · corrected 2024-12-06

   Potential for more than minimal harm

8. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-11-12 · Health · corrected 2024-12-06

   Potential for more than minimal harm

9. DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-11-12 · Health · corrected 2024-12-06

   Potential for more than minimal harm

10. EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2024-11-12 · Health · corrected 2024-12-06

    Potential for more than minimal harm

11. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-11-12 · Health · corrected 2024-12-06

    Potential for more than minimal harm

12. EF0761Ensure 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.2024-11-12 · Health · corrected 2024-12-06

    Potential for more than minimal harm

13. DF0800Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.2024-11-12 · Health · corrected 2024-12-06

    Potential for more than minimal harm

14. 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.2024-11-12 · Health · corrected 2024-12-06

    Potential for more than minimal harm

15. DF0880Provide and implement an infection prevention and control program.2024-11-12 · Health · corrected 2024-12-06

    Potential for more than minimal harm

16. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-07-10 · Health · corrected 2024-08-05

    Potential for more than minimal harm

17. DF0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.2024-07-10 · Health · corrected 2024-08-05

    Potential for more than minimal harm

18. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-07-10 · Health · corrected 2024-08-05

    Potential for more than minimal harm

19. DF0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.2024-07-10 · Health · corrected 2024-08-05

    Potential for more than minimal harm

20. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-07-10 · Health · corrected 2024-08-05

    Potential for more than minimal harm

21. DF0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.2024-01-16 · Health · corrected 2024-02-05

    Potential for more than minimal harm

22. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-01-16 · Health · corrected 2024-02-05

    Potential for more than minimal harm

23. DF0551Give the resident's representative the ability to exercise the resident's rights.2023-12-13 · Health · corrected 2024-01-05

    Potential for more than minimal harm

24. DF0610Respond appropriately to all alleged violations.2023-12-13 · Health · corrected 2024-01-08

    Potential for more than minimal harm

25. DF0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.2023-12-13 · Health · corrected 2024-01-08

    Potential for more than minimal harm

26. DF0641Ensure each resident receives an accurate assessment.2023-12-13 · Health · corrected 2024-01-08

    Potential for more than minimal harm

27. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2023-12-13 · Health · corrected 2024-01-08

    Potential for more than minimal harm

28. DF0712Ensure that the resident and his/her doctor meet face-to-face at all required visits.2023-12-13 · Health · corrected 2023-12-18

    Potential for more than minimal harm

29. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2023-12-13 · Health · corrected 2024-01-05

    Potential for more than minimal harm

30. DF0760Ensure that residents are free from significant medication errors.2023-12-13 · Health · corrected 2024-01-05

    Potential for more than minimal harm

31. EF0880Provide and implement an infection prevention and control program.2023-12-13 · Health · corrected 2024-01-08

    Potential for more than minimal harm

32. DF0553Allow resident to participate in the development and implementation of his or her person-centered plan of care.2023-10-04 · Health · corrected 2023-10-27

    Potential for more than minimal harm

33. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-10-04 · Health · corrected 2023-10-27

    Potential for more than minimal harm

34. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-10-04 · Health · corrected 2023-10-27

    Potential for more than minimal harm

35. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-10-04 · Health · corrected 2023-10-27

    Potential for more than minimal harm

36. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-10-04 · Health · corrected 2023-10-27

    Potential for more than minimal harm

37. DF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.2023-10-04 · Health · corrected 2023-10-27

    Potential for more than minimal harm

38. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2023-05-31 · Health · corrected 2023-06-26

    Potential for more than minimal harm

39. DF0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.2023-05-31 · Health · corrected 2023-06-26

    Potential for more than minimal harm

40. DF0610Respond appropriately to all alleged violations.2023-05-31 · Health · corrected 2023-06-26

    Potential for more than minimal harm

41. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-05-31 · Health · corrected 2023-06-26

    Potential for more than minimal harm

42. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-05-31 · Health · corrected 2023-06-26

    Potential for more than minimal harm

43. DF0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.2023-05-31 · Health · corrected 2023-06-26

    Potential for more than minimal harm

44. DF0759Ensure medication error rates are not 5 percent or greater.2023-05-31 · Health · corrected 2023-06-26

    Potential for more than minimal harm

45. DF0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.2023-05-31 · Health · corrected 2023-06-26

    Potential for more than minimal harm

46. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-05-31 · Health · corrected 2023-06-26

    Potential for more than minimal harm

47. DF0880Provide and implement an infection prevention and control program.2023-05-31 · Health · corrected 2023-06-26

    Potential for more than minimal harm

48. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2022-10-11 · Health · corrected 2022-11-04

    Potential for more than minimal harm

49. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2022-10-11 · Health · corrected 2022-11-04

    Potential for more than minimal harm

50. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2022-10-11 · Health · corrected 2022-11-04

    Potential for more than minimal harm

51. GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2022-10-11 · Health · corrected 2022-11-04

    Actual harm

52. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2022-10-11 · Health · corrected 2022-11-04

    Potential for more than minimal harm

53. DF0760Ensure that residents are free from significant medication errors.2022-10-11 · Health · corrected 2022-11-04

    Potential for more than minimal harm

54. EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2022-10-11 · Health · corrected 2022-11-04

    Potential for more than minimal harm

55. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-10-11 · Health · corrected 2022-11-04

    Potential for more than minimal harm

56. DF0880Provide and implement an infection prevention and control program.2022-10-11 · Health · corrected 2022-11-04

    Potential for more than minimal harm

Ownership

Other facilities in Slinger

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.