Inspection Reports for
Brookdale Lacrosse AL

The investigation was complaint-driven and concluded on March 16, 2026. The Department found violations and issued a Statement of Deficiency #KV5Q11.

The Department issued a Statement of Deficiency for violations related to medication administration and other regulatory requirements. A total forfeiture of $4200 was imposed for these violations, with corrective measures ordered to ensure proper care and treatment of residents.

The investigation was triggered by complaints alleging medication errors, lack of staff training, failure to notify POAHC of resident falls and ER visits, and inadequate resident care.

Five deficiencies were identified including failure to provide orientation training to agency staff, medication administration errors resulting in missed doses for multiple residents, inaccurate medication documentation, incomplete resident records, and inadequate care coordination for a hospice resident.

The complaint was unsubstantiated.

The complaint was unsubstantiated and no deficiencies were identified.

The previously identified deficiency was corrected and no new deficiencies were identified during this visit. A $200 revisit fee is being assessed under statutory provisions.

The visit was complaint-related as it included a complaint investigation; however, the substantiation status is not stated.

The Department issued a Statement of Deficiency (SOD #HZDD11) for violations of Wis. Stat. ch. 50 and Wis. Admin. Code ch. DHS 83, establishing grounds for enforcement action and requiring the licensee to comply with all requirements to protect resident health, safety, and welfare.

The complaint was substantiated. Resident 1 was administered another resident's medication in error, resulting in an emergency room visit for observation due to possible side effects. The incident was investigated but not documented. Hospital progress and discharge notes confirmed the medication error and subsequent symptoms.

The provider did not ensure Resident 1's right to receive all medications as prescribed when Resident 1 was given Resident 2's morning medications, resulting in Resident 1 being drowsy and requiring emergency room observation for approximately 3 hours. The complaint was substantiated with one deficiency identified.

The complaint was concluded on February 14, 2024, resulting in findings of noncompliance and issuance of a Statement of Deficiency. Specific substantiation status is not stated.

The Department issued a Statement of Deficiency (SOD #2PFF11) for violations of Wis. Stat. ch. 50 and Wis. Admin. Code ch. DHS 83, establishing grounds for regulatory action and requiring the licensee to comply with all requirements within 45 days.

Two complaints were substantiated: one regarding untimely refund of deposits to Resident 1, and another regarding lack of cleanliness in Resident 2's bathroom and living area.

Two deficiencies were identified and substantiated: the provider did not return all refunds due to a resident within 30 days of discharge, and the provider failed to maintain a safe, clean, comfortable, and homelike environment, specifically evidenced by an unclean toilet in a resident's bathroom.

The complaint was unsubstantiated.

The complaint was unsubstantiated and no new deficiencies were identified during the investigation.

Complaint was investigated and found not substantiated.

The complaint was not substantiated and no deficiencies were identified during the investigation.