Inspection Reports for
At Home Again Columbus LLC
110 STUART ST, COLUMBUS, WI, 53925-
Back to Facility Profile4 Reports
Notice — Nov 17, 2025
State
Date: Nov 17, 2025
Visit Reason
An abbreviated survey and complaint investigation were conducted to determine if At Home Again Columbus LLC was in substantial compliance with Wisconsin statutes and administrative codes governing community-based residential facilities.
Findings
The Department found violations of Wis. Stat. ch. 50 and Wis. Admin. Code ch. DHS 83, resulting in a Statement of Deficiency and an order to comply with requirements to protect resident health, safety, and welfare.
Report Facts
Appeal timeframe: 10
Compliance timeframe: 45
Posting duration: 90
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kenneth Brotheridge | Assisted Living Director | Signed the notice letter. |
| Hillary Holman | Assisted Living Regional Director | Contact person for questions about the letter. |
Inspection Report — Nov 17, 2025
Complaint Investigation State
Date: Nov 17, 2025
Visit Reason
Surveyor conducted a complaint investigation and abbreviated survey at At Home Again Columbus LLC, a CBRF in Columbus. The complaint was unsubstantiated.
Complaint Details
The complaint was unsubstantiated.
Findings
Five deficiencies were identified including failure to complete caregiver background checks every 4 years, improper disposition of medications with expired insulin being administered, use of semi-rigid dryer vents instead of rigid material, failure to conduct semi-annual emergency evacuation drills, and water temperatures exceeding the allowed maximum of 115°F in resident bathrooms.
Deficiencies (5)
Provider did not ensure a background check was completed every 4 years for 1 caregiver who had worked for more than 4 years.
Provider did not ensure medications that had been changed, discontinued, or expired were removed from the medication cart and disposed of within 30 days; Resident 1 was receiving expired insulin.
Provider did not ensure 3 of 5 dryer vents were made of rigid material; semi-rigid vents were used instead.
Provider did not ensure other evacuation drills such as tornado or flooding were conducted at least semi-annually; only 1 drill was completed in 2024 and none in the first half of 2025.
Provider did not ensure water fixtures used by residents did not exceed 115°F; water temperature reached 137.1°F in Resident 2's bathroom.
Report Facts
Deficiencies identified: 5
Expired insulin pens: 20
Dryer vents non-compliant: 3
Evacuation drills completed: 1
Water temperature: 137.1
Water temperature: 127.2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Resident Assistant E | Caregiver | Named in deficiency for missing background check every 4 years. |
| President A | Provider Representative | Interviewed regarding background check, medication issues, dryer vents, evacuation drills, and water temperature concerns. |
| Resident Assistant D | Caregiver | Assisted surveyor during medication storage room tour and confirmed insulin order. |
| Float Medical Manager C | Medical Manager | Interviewed about expired insulin pens and confirmed follow-up actions. |
| Nurse Practitioner B | Nurse Practitioner | Interviewed about Resident 1's insulin order and confirmed expired insulin was being administered. |
Inspection Report — Jan 17, 2024
Complaint Investigation State
Date: Jan 17, 2024
Visit Reason
Surveyor conducted a complaint investigation at At Home Again Columbus LLC, a CBRF in Columbus.
Complaint Details
The complaint was unsubstantiated.
Findings
No deficiencies were identified. The complaint was unsubstantiated.
Inspection Report — Nov 29, 2023
Routine State
Date: Nov 29, 2023
Visit Reason
The Bureau of Assisted Living, Southern Regional Office, conducted a standard licensing survey at At Home Again Columbus LLC, a community-based residential facility (CBRF) located in Columbus, WI.
Findings
As a result of the survey, zero deficiencies were identified.
Report Facts
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