THREE OAKS HEALTH SERVICES in MARSHFIELD, WI was fined $41,118 by CMS across 2 separate penalties following 20 deficiency citations identified during federal surveys.

THREE OAKS HEALTH SERVICES (MARSHFIELD, WI) — $41,118 in CMS Fines

Outcome: THREE OAKS HEALTH SERVICES in MARSHFIELD, WI was fined $41,118 by CMS across 2 separate penalties following 20 deficiency citations identified during federal surveys.

Deficiency areas cited:

• Provide appropriate treatment and care according to orders, resident’s preferences and goals.


• Ensure 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.


• Ensure that residents are fully informed and understand their health status, care and treatments.


• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.


• Implement 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.


• Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.


• Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.


• Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.