Nursing homes › Wisconsin › Meadowbrook at Black River Falls
1311 Tyler St, Black River Falls, WI 54615 · 7152844396 · 45 certified beds
Per CMS filings, this facility is affiliated with Synergy Senior Care, a group operating 5 facilities in 1 states. Group record: average rating 2.0/5, 0 abuse citation icons, 0 facilities on the Special Focus list, $167,214 in federal fines. This facility rates below its group average (2.0/5).
Total nurse staffing: 4.14 (Wisconsin median: 4.06). RN hours: 0.98. Weekend total: 3.86. Nursing staff turnover: 66%.
All-time on record: 39 deficiency citations, including 2 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-01-14 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2026-02-14 |
| 2026-01-14 | Provide and implement an infection prevention and control program. | F | Health | corrected 2026-02-14 |
| 2026-01-14 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | E | Health | corrected 2026-02-14 |
| 2026-01-14 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | E | Health | corrected 2026-02-14 |
| 2026-01-14 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | Health | corrected 2026-02-14 |
| 2026-01-14 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Health | corrected 2026-02-14 |
| 2025-10-22 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | complaint | corrected 2025-12-11 |
| 2025-04-01 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | complaint | corrected 2025-04-23 |
| 2025-01-22 | Ensure that residents are free from significant medication errors. | G | complaint | corrected 2025-03-24 |
| 2025-01-22 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | complaint | corrected 2025-02-16 |
| 2025-01-22 | Ensure 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. | D | complaint | corrected 2025-02-16 |
| 2024-12-18 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | F | complaint | corrected 2024-12-23 |
| 2024-12-18 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | complaint | corrected 2024-12-23 |
| 2024-12-18 | Provide and implement an infection prevention and control program. | D | complaint | corrected 2024-12-23 |
| 2024-12-18 | Post nurse staffing information every day. | C | complaint | corrected 2024-12-23 |
| 2024-10-16 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | complaint | corrected 2024-08-27 |
| 2024-10-16 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2024-11-11 |
| 2024-10-16 | Honor 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. | D | Health | corrected 2024-11-11 |
| 2024-10-16 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Health | corrected 2024-11-11 |
| 2024-10-16 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | Health | corrected 2024-11-11 |
| 2024-10-16 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2024-11-11 |
| 2024-10-16 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Health | corrected 2024-11-11 |
| 2024-10-16 | Notify 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. | D | Health | corrected 2024-11-11 |
| 2024-10-16 | Assess the resident when there is a significant change in condition | D | complaint | corrected 2024-11-11 |
| 2024-10-16 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | corrected 2024-11-11 |
| 2024-10-16 | Provide enough food/fluids to maintain a resident's health. | D | Health | corrected 2024-11-11 |
| 2024-10-16 | 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. | D | Health | corrected 2024-11-11 |
| 2024-10-16 | Provide safe and appropriate respiratory care for a resident when needed. | D | Health | corrected 2024-11-11 |
| 2024-10-16 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Health | corrected 2024-11-11 |
| 2024-10-16 | Ensure 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. | D | Health | corrected 2024-11-11 |
| 2024-10-16 | Provide and implement an infection prevention and control program. | D | Health | corrected 2024-11-11 |
| 2024-07-10 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | J | complaint | corrected 2024-09-11 |
| 2024-07-10 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | complaint | corrected 2024-09-11 |
| 2024-04-04 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | complaint | corrected 2024-05-03 |
| 2023-10-18 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2023-11-10 |
| 2023-10-18 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2023-11-10 |
| 2023-10-18 | Ensure 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. | D | Health | corrected 2023-11-10 |
| 2023-10-18 | Provide and implement an infection prevention and control program. | D | Health | corrected 2023-11-10 |
| 2023-10-18 | Dispose of garbage and refuse properly. | C | Health | corrected 2023-11-10 |
| Date | Type | Amount |
|---|---|---|
| 2025-01-22 | Fine | $56,898 |
| 2025-01-22 | Payment Denial | 32 days payment denial |
| 2024-10-16 | Fine | $17,250 |
| 2024-07-10 | Fine | $34,190 |
| 2024-07-10 | Payment Denial | 36 days payment denial |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| VANDER VELDEN, BARBARA | Corporate Director | Individual | NOT APPLICABLE | since 12/01/2019 |
| LINDEMANN, MITUL | Corporate Officer | Individual | NOT APPLICABLE | since 12/01/2019 |
| SYNERGY SENIOR CARE LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 12/01/2019 |
| FILLA, LAURIANN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 12/16/2024 |
| LINDEMANN, MITUL | Operational/Managerial Control | Individual | NOT APPLICABLE | since 12/01/2019 |
| MAHAN, MICHAEL | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/23/1997 |
| PUKSHANSKY, ROSTISLAV | Operational/Managerial Control | Individual | NOT APPLICABLE | since 12/01/2019 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 525488. Corrections: data@carerecords.org.