Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

Beaver Dam Health Care Center

Beaver Dam, WI · 90 certified beds · Last Life Safety survey May 19, 2026

CMS Certification Number 525338 · first certified September 1983

Ownership

Operated by BEDROCK HEALTHCARE · For profit - Individual

  • Ownership changed October 1, 2019 (change of ownership)from DYCORA TRANSITIONAL HEALTH BEAVER DAM LLC
30
Citations on file
CMS's current file
3
Life Safety surveys
CMS's current file
9
Tags cited more than once
Across separate surveys
15
Inspection & testing records
Of the citations on file

Position within WI

30 citations — more than 86% of the 323 certified nursing homes in WI. Compared within WI rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Improvingfewer citations at the latest survey than at its earlier surveys in CMS's current file.

The latest survey found 8 citations; the earlier surveys on file averaged 11. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens June 2027 — about 7 months from now. This facility’s last Life Safety survey was May 2026. Facilities in WI are typically surveyed 13–15 months after the last one (median 14), measured over 519 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to about three years in Virginia. How the window is measured

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Which alerts

6 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities cited for sprinkler inspection and testing in CMS’s current file are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

2 of the 30 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

11 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 30 Life Safety citations above. The Physical Environment Index

  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0880 Provide and implement an infection prevention and control program.
  • F-0925 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
  • F-0584 Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
  • F-0908 Keep all essential equipment working safely.

How that compares

Citations in CMS's current file

Compared with the median facility in WI, and nationally. Surveyors differ markedly between states, so the WI figure is the meaningful one.

This facility30WI median17National median11
Citations in CMS's current file, compared
MeasureCitations
This facility30
Median facility in WI17
Median facility nationally11

Survey history

Citations at each Life Safety survey
112024-03112025-0282026-05
Citations at each Life Safety survey
Survey dateCitations
March 7, 202411
February 26, 202511
May 19, 20268

Most-cited tags

Most-cited tags at this facility
K-03213K-03453K-03533K-09182K-09142K-09202K-03632K-05212
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.32026-05-19
K-0345Have approved installation, maintenance and testing program for fire alarm systems.32026-05-19
K-0353Inspect, test, and maintain automatic sprinkler systems.32026-05-19
K-0918Have generator or other power source capable of supplying service within 10 seconds.22025-02-26
K-0914Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.22026-05-19
K-0920Ensure proper usage of power strips and extension cords.22026-05-19
K-0363Install corridor and hallway doors that block smoke.22026-05-19
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.22025-02-26

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 12
  • Gas, Vacuum, and Electrical Systems Deficiencies 9
  • Egress Deficiencies 3
  • Services Deficiencies 2
  • Other 4
Citations by CMS category
CategoryCitations
Smoke Deficiencies12
Gas, Vacuum, and Electrical Systems Deficiencies9
Egress Deficiencies3
Services Deficiencies2
Miscellaneous Deficiencies2
Emergency Preparedness Deficiencies2

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

May 19, 2026 — 8 citations

Citations issued on May 19, 2026
TagWhat the surveyor checksStatus
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (July 15, 2026)
K-0223Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.Deficient, Provider has date of correction (July 15, 2026)
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (July 15, 2026)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has plan of correction (September 17, 2026)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (July 15, 2026)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (July 15, 2026)
K-0914Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.Deficient, Provider has date of correction (July 15, 2026)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (July 15, 2026)

February 26, 2025 — 11 citations

Citations issued on February 26, 2025
TagWhat the surveyor checksStatus
K-0222Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.Deficient, Provider has date of correction (March 26, 2025)
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (March 26, 2025)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (March 26, 2025)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (March 26, 2025)
K-0362Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.Deficient, Provider has date of correction (March 26, 2025)
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Deficient, Provider has date of correction (March 26, 2025)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (March 26, 2025)
K-0911Meet requirements for the installation and maintenance of electrical systems.Deficient, Provider has date of correction (March 26, 2025)
K-0912Have power receptacles that are properly grounded.Deficient, Provider has date of correction (March 26, 2025)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (March 26, 2025)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (March 26, 2025)

March 7, 2024 — 11 citations

Citations issued on March 7, 2024
TagWhat the surveyor checksStatus
E-0013Develop Emergency Preparedness policies and procedures.Deficient, Provider has date of correction (April 3, 2024)
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (April 3, 2024)
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (April 3, 2024)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (April 3, 2024)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (April 3, 2024)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (April 3, 2024)
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Deficient, Provider has date of correction (April 3, 2024)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (April 3, 2024)
K-0914Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.Deficient, Provider has date of correction (April 3, 2024)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (April 3, 2024)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (April 3, 2024)

Reflects the CMS posting of October 1, 2026. Surveys conducted in the last few months may not appear yet.