The nursing home failed to reasonably accommodate each resident’s needs and preferences. Cited February 2024 — isolated incident, potential for harm.
View the original federal record
F-Tag 558 — 42 CFR §483.10 — S/S: D
Nursing home report
Harbor Haven Health & Rehabilitation
Fond du Lac, WI · Medicare-certified · 85 beds
In good standing
Government-run
5 of 5 overall
Harbor Haven Health & Rehabilitation has an overall 5 out of 5 stars, with 5-star health inspection and staffing ratings, a 4-star quality rating, no fines in the last 24 months, and reported nurse staffing above the federal benchmark (4.39 vs 4.1 hours per resident per day). Recent inspection citations included accommodating resident needs and preferences and providing safe, appropriate pain management.
Facility ratings
Health inspections
Staffing
4.389 hrs/resident/day
Quality measures
Last inspection: April 23, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.389.
Staffing detail
- Registered nurses
- 1.13
- Licensed practical nurses
- 0.32
- Nurse aides
- 2.94
- Weekend nursing
- 4.06
Hours per resident per day.
Total staff turnover: 35%
Registered nurse turnover: 11%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
26.6%Improving
Residents with a fall causing major injury
3%Worsening
Residents with pressure ulcers (bedsores)
4.4%Worsening
Residents with a urinary tract infection
1.7%Improving
Residents who lost too much weight
2.5%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
16.5%Improving
Residents whose ability to walk got worse
11.3%Worsening
Show all measures
Long-stay residents on antianxiety or sleep medication
13.7%Worsening
Short-stay residents newly given an antipsychotic
0.5%Worsening
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
19.8%Worsening
Residents with depressive symptoms
4.1%Improving
Long-stay residents given the seasonal flu vaccine
89.1%Steady
Long-stay residents given the pneumonia vaccine
100%Steady
Short-stay residents given the seasonal flu vaccine
96.9%Steady
Short-stay residents given the pneumonia vaccine
99.1%Worsening
What the inspectors found
The home failed to provide safe, appropriate pain management for a resident who needed it. Cited February 2024 — isolated incident, potential for harm.
View the original federal record
F-Tag 697 — 42 CFR §483.25(k) — S/S: D
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- Government - County
- Occupancy
- 73.5 residents on an average day (86% of 85 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 32 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.