Pavilion at Glacier Valley
Pavilion at Glacier Valley, in Slinger, Wisconsin, holds 106 certified beds and has been certified for Medicare and Medicaid since 1989-11-01, averaging 74.1 residents a day.
Has Pavilion at Glacier Valley been cited for violations?
CMS lists 46 health-inspection deficiencies for Pavilion at Glacier Valley, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is F; the most recent health inspection was 2026-06-11.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-06-11 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D |
| 2026-06-11 | F0732 | Post nurse staffing information every day. | C |
| 2026-02-17 | F0803, F0812 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F |
| 2026-02-17 | F0580, F0656, F0684, F0806, F0880 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. / Provide and implement an infection prevention and control program. | D |
| 2025-10-08 | F0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D |
| 2025-08-08 | F0880 | Provide and implement an infection prevention and control program. | D |
| 2024-11-12 | F0801 | 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 |
| 2024-11-12 | F0677, F0725, F0761 | Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / 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. | E |
| 2024-11-12 | F0558, F0585, F0686, F0688, F0690, F0695, F0755, F0800, F0880 | Reasonably accommodate the needs and preferences of each resident. / Honor 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. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Provide 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. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide safe and appropriate respiratory care for a resident when needed. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. / Provide and implement an infection prevention and control program. | D |
| 2024-07-10 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E |
| 2024-07-10 | F0580, F0585, F0609, F0688 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Honor 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. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Provide 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. | D |
| 2024-01-16 | F0688, F0755 | Provide 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. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D |
| 2023-12-13 | F0880 | Provide and implement an infection prevention and control program. | E |
| 2023-12-13 | F0551, F0610, F0640, F0641, F0690, F0712, F0757, F0760 | Give the resident's representative the ability to exercise the resident's rights. / Respond appropriately to all alleged violations. / Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. / Ensure each resident receives an accurate assessment. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Ensure that the resident and his/her doctor meet face-to-face at all required visits. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / Ensure that residents are free from significant medication errors. | D |
| 2023-10-04 | F0553, F0656, F0684, F0689, F0755, F0758 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / 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. | D |
How is Pavilion at Glacier Valley staffed relative to the WI average?
| Measure | This facility | WI average |
|---|---|---|
| Total nurse staffing hours per resident per day | 3.49166 | 4.21234 |
| Total nursing staff turnover (%) | 49.3 | 46.9 |
| Average number of residents per day | 74.1 | 54.8 |
Who owns Pavilion at Glacier Valley, and what chain is it in?
Pavilion at Glacier Valley is registered with CMS as For profit - Limited Liability company, operates under the legal business name THI OF WISCONSIN AT HARTFORD, LLC and belongs to the FUNDAMENTAL HEALTHCARE chain.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | THI OF WISCONSIN, LLC | since 08/30/2003 |
| W-2 MANAGING EMPLOYEE | GORDON, DAWN | since 06/26/2017 |
| CORPORATE OFFICER | GORDON, DAWN | since 06/26/2017 |
Were you or a family member harmed at Pavilion at Glacier Valley?