PINE VALLEY COMMUNITY VILLAGE

CCN 525365 · COUNTY OF RICHLAND · For profit - Corporation · 80 certified beds · Richland · WI


PINE VALLEY COMMUNITY VILLAGE is a 80-bed nursing home in RICHLAND CENTER, Wisconsin. CMS has certified it for Medicare and Medicaid since 1984-08-01. It averages 66.9 residents a day.

What harm was found in the violations cited at PINE VALLEY COMMUNITY VILLAGE?

CMS lists 21 health-inspection deficiencies for PINE VALLEY COMMUNITY VILLAGE since 2023-01-25, 20 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is J; the most recent health inspection was 2026-01-14.

Survey dateTagDeficiencySeverity
2026-01-14F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D
2025-07-22F0678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.J
2025-07-22F0730, F0941, F0944, F0945, F0946Observe each nurse aide's job performance and give regular training. / Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. / Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. / Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. / Provide training in compliance and ethics.F
2025-06-30F0760Ensure that residents are free from significant medication errors.G
2025-05-22F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2025-05-22F0554, F0607, F0759, F0761, F0880Allow residents to self-administer drugs if determined clinically appropriate. / Develop and implement policies and procedures to prevent abuse, neglect, and theft. / Ensure medication error rates are not 5 percent or greater. / 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. / Provide and implement an infection prevention and control program.D
2025-03-31F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.J
2025-03-31F0610, F0729, F0730Respond appropriately to all alleged violations. / Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. / Observe each nurse aide's job performance and give regular training.D
2024-04-03F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2024-04-03F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D
2023-01-25F0880Provide and implement an infection prevention and control program.F

Why was PINE VALLEY COMMUNITY VILLAGE fined 2 times?

DateTypeAmount
2025-07-22Fine$22,925
2025-03-31Fine$74,386

How is PINE VALLEY COMMUNITY VILLAGE staffed?

MeasureThis facilityWI average
Total nurse staffing hours per resident per day4.595824.21234
Total nursing staff turnover (%)45.046.9
Average number of residents per day66.954.8

Who owns PINE VALLEY COMMUNITY VILLAGE?

PINE VALLEY COMMUNITY VILLAGE is registered with CMS as For profit - Corporation, operates under the legal business name COUNTY OF RICHLAND.

RoleOwnerAssociation date
5% OR GREATER DIRECT OWNERSHIP INTERESTCOUNTY OF RICHLANDsince 03/09/1978
MANAGING CONTROL - GOVERNING BODYCARROW, STEPHEN, COUEY, MARC, ENGEL, LARRY, FLEMING, JULIA, HENDRICKS, ALAYNE, KRAMER, SANDRA, MCKEE, RICHARD, MILLER, MARY, SCHOONOVER, RANDY, SEVERSON, KERRY, THOMPSON, TIFFANY, TURK, DAVID, WILLIAMSON, STEVEsince 04/16/2024
CORPORATE DIRECTORPAULUS, BRITTANYsince 03/05/2025
OPERATIONAL/MANAGERIAL CONTROLCOUNTY OF RICHLAND, PAULUS, BRITTANY, SIDHU, SARFRAZsince 01/01/2022
ADP OF THE SNFCOUNTY OF RICHLAND, PAULUS, BRITTANY, SIDHU, SARFRAZsince 01/01/2022

Were you or a family member harmed at PINE VALLEY COMMUNITY VILLAGE?