Inspection Reports for
Autumn Oaks

229 E Washington St, Slinger, WI 53086, United States, WI, 53086

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Deficiencies (last 3 years)

Deficiencies (over 3 years) 0.7 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

85% better than Wisconsin average
Wisconsin average: 4.6 deficiencies/year

Deficiencies per year

4 3 2 1 0
2023
2024
2025

Occupancy

Latest occupancy rate 71% occupied

Based on a October 2025 inspection.

This facility has shown a steady increase in demand based on occupancy rates.

Occupancy rate over time

0% 30% 60% 90% 120% Apr 2023 Nov 2023 Jun 2024 Jan 2025 Aug 2025 Oct 2025

Inspection Report

Complaint Investigation
Deficiencies: 0 Date: Oct 1, 2025

Visit Reason
A complaint investigation was conducted to determine if Autumn Oaks was in substantial compliance with Wisconsin statutes and administrative codes governing community-based residential facilities.

Complaint Details
The complaint investigation was concluded on October 1, 2025, and violations were found resulting in enforcement action and a forfeiture.
Findings
The Department issued a Statement of Deficiency for violations of Wis. Stat. ch. 50 and Wis. Admin. Code ch. DHS 83. A forfeiture of $500 was imposed for these violations.

Report Facts
Forfeiture amount: 500 Reduced forfeiture amount: 325 Forfeiture inspection fee: 200 Forfeiture minimum per day: 10 Forfeiture maximum per day: 1000 Compliance timeframe: 45 Appeal timeframe: 10

Employees mentioned
NameTitleContext
Kenneth BrotheridgeAssisted Living DirectorSigned the Notice and Order letter.
Vicky WittmanAssisted Living Regional DirectorContact person for questions about the letter.

Inspection Report

Complaint Investigation
Census: 25 Deficiencies: 1 Date: Oct 1, 2025

Visit Reason
Surveyor conducted a complaint investigation at Autumn Oaks Community-Based Residential Facility due to concerns about resident assessments following changes in condition.

Complaint Details
Complaint substantiated. The investigation focused on Resident 1 who exhibited increased exit-seeking behaviors and incidents including aggression and elopement attempts. The facility failed to reassess the resident after these changes and incidents.
Findings
One deficiency was identified related to failure to assess a resident's needs and condition after a change, specifically after the resident's discharge from a mental health institute. The complaint was substantiated.

Deficiencies (1)
83.35(1)(a) Pre-admission and ongoing assessments. The provider did not assess Resident 1's needs, abilities, and physical and mental condition after a change in condition following discharge from a mental health institute. No assessment was completed after the resident's increased exit-seeking behaviors and incidents.
Report Facts
Census: 25

Inspection Report

Complaint Investigation
Census: 25 Deficiencies: 0 Date: Aug 19, 2025

Visit Reason
Surveyor conducted a complaint investigation at Autumn Oaks, a Community-Based Residential Facility (CBRF) in Slinger, WI.

Complaint Details
Complaint unsubstantiated.
Findings
No deficiencies were identified. The complaint was unsubstantiated.

Inspection Report

Complaint Investigation
Census: 27 Deficiencies: 0 Date: Jan 14, 2025

Visit Reason
Surveyor conducted a complaint investigation at Autumn Oaks based on a complaint received.

Complaint Details
Complaint investigation was conducted and found to be unsubstantiated with no deficiencies identified.
Findings
No deficiencies were identified and the complaint was unsubstantiated.

Inspection Report

Complaint Investigation
Census: 35 Deficiencies: 0 Date: Jun 28, 2024

Visit Reason
Surveyor conducted a complaint investigation and probationary survey at Autumn Oaks.

Complaint Details
The complaint was unsubstantiated.
Findings
No deficiencies were identified. The complaint was unsubstantiated.

Inspection Report

Follow-Up
Census: 3 Deficiencies: 0 Date: Nov 7, 2023

Visit Reason
Surveyor conducted a verification visit to Autumn Oaks to confirm correction of a previously cited deficiency from 04/25/2023.

Findings
The previously cited deficiency was corrected and no other deficiencies were identified during the visit.

Report Facts
Revisit fee: 200

Inspection Report

Enforcement
Deficiencies: 0 Date: Apr 25, 2023

Visit Reason
A verification visit was conducted on April 25, 2023, to determine if Autumn Oaks was in substantial compliance with Wisconsin statutes and administrative codes governing adult family homes, resulting in a Statement of Deficiency and enforcement action.

Findings
The Department found violations of Wis. Stat. ch. 50 and Wis. Admin. Code ch. DHS 88, leading to a Notice of Violation, an Order to Comply with Requirements, Special Orders including corrective measures to protect residents' safety, and imposition of a $200 revisit fee for follow-up inspection.

Report Facts
Inspection fee: 200 Compliance timeframe: 45 Extension request timeframe: 10

Employees mentioned
NameTitleContext
William R. GardnerAssisted Living Regional DirectorContact person for questions about the letter
Kathleen D. LyonsInterim Assisted Living DirectorSigned the enforcement notice

Inspection Report

Follow-Up
Census: 3 Deficiencies: 1 Date: Apr 18, 2023

Visit Reason
The visit was a verification follow-up conducted to assess compliance with annual well water testing requirements, specifically to verify if the facility had conducted the required annual well water sample testing and submitted results.

Findings
One repeat deficiency was identified related to failure to ensure annual well water testing was conducted and documented. The provider was unable to produce recent well water test results, and the most recent available report was dated over two years prior.

Deficiencies (1)
Provider did not ensure water samples were taken from the well and tested at the state laboratory or approved laboratory at least annually.
Report Facts
Revisit fee: 200

Employees mentioned
NameTitleContext
Licensee AInterviewed multiple times regarding well water test results and compliance

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