Inspection Reports for
Heritage at Deer Creek
3585 S 147th St, New Berlin, WI 53151, United States, WI, 53151
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
1 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
78% better than Wisconsin average
Wisconsin average: 4.6 deficiencies/yearDeficiencies per year
4
3
2
1
0
Occupancy
Latest occupancy rate
74% occupied
Based on a January 2026 inspection.
This facility has shown a decline in demand based on occupancy rates.
Occupancy rate over time
Notice
Deficiencies: 0
Date: Jan 21, 2026
Visit Reason
A standard survey was conducted on 01/21/2026 to determine if Heritage at Deer Creek was in substantial compliance with Wisconsin Statutes and Administrative Code governing Residential Care Apartment Complexes.
Findings
The Department issued a Statement of Deficiency (SOD #V7BI11) citing violations of Wis. Stat. ch. 50 and Wis. Admin. Code ch. DHS 89. The operator is ordered to comply with all requirements and submit a Plan of Correction within 45 days.
Report Facts
Days to achieve compliance: 45
Days to submit Plan of Correction: 10
Appeal filing deadline: 10
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kenneth Brotheridge | Assisted Living Director | Signed the notice letter as Bureau of Assisted Living, Division of Quality Assurance. |
| Hillary Holman | Assisted Living Regional Director | Contact person for questions about the letter. |
Inspection Report
Routine
Census: 32
Deficiencies: 1
Date: Jan 21, 2026
Visit Reason
Surveyor conducted a standard survey at Heritage At Deer Creek on 01/21/2026.
Findings
One deficiency was identified related to the admission and retention of tenants. The provider did not ensure that the service agreements were signed by the health care power of attorneys for two tenants following activation of their POA-HC documents.
Deficiencies (1)
89.29(2)(b) 3. Admission & Retention of Tenants: The provider did not ensure the service agreement was signed by the health care power of attorneys for 2 of 2 tenants reviewed after activation of their POA-HC documents.
Report Facts
Census: 32
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Executive Director A | Executive Director | Interviewed regarding awareness of POA-HC agent signing requirements. |
| Regional Director B | Regional Director | Interviewed regarding awareness of POA-HC agent signing requirements. |
| Regional Nurse C | Regional Nurse | Participated in discussion about service agreement concerns. |
| Director of Nursing D | Director of Nursing | Participated in discussion about service agreement concerns. |
Inspection Report
Monitoring
Census: 33
Deficiencies: 0
Date: Jun 13, 2024
Visit Reason
Surveyor conducted a verification/monitoring visit at Heritage at Deer Creek, a RCAC in New Berlin.
Findings
No deficiencies were identified. A previous Statement of Deficiency dated 02/13/2024 was corrected.
Report Facts
Revisit fee: 200
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Feb 13, 2024
Visit Reason
A complaint investigation was conducted to determine if Heritage at Deer Creek was in substantial compliance with Wisconsin statutes and administrative codes governing residential care apartment complexes.
Complaint Details
The complaint investigation concluded that the facility was not in substantial compliance with applicable statutes and administrative codes, leading to issuance of a Statement of Deficiency and enforcement actions.
Findings
The Department found violations of Wis. Stat. ch. 50 and Wis. Admin. Code ch. DHS 89, resulting in a Statement of Deficiency #178111, issuance of special orders to comply with emergency preparedness requirements, and imposition of a $900 forfeiture.
Deficiencies (1)
Failure to comply with Wis. Admin. Code § DHS 89.23(2)(c) regarding tenant health and safety in emergencies
Report Facts
Forfeiture amount: 900
Reduced forfeiture amount: 585
Days to achieve compliance: 45
Days to submit Plan of Correction: 10
Days to pay forfeiture: 10
Days to request hearing: 10
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kenneth Brotheridge | Assisted Living Director | Signed the notice and order letter |
| Hillary Holman | Assisted Living Regional Director | Contact person for questions about the letter |
Inspection Report
Complaint Investigation
Census: 36
Deficiencies: 1
Date: Feb 13, 2024
Visit Reason
Surveyor conducted a complaint investigation from 02/06/2024 to 02/13/2024 at Heritage at Deer Creek following an allegation that the provider did not provide prompt care when a tenant called for help.
Complaint Details
The complaint was substantiated. Tenant 1 called for assistance around 6:45 a.m. on 01/17/2024 but staff did not respond until approximately 7:50 a.m. EMS was called at 7:54 a.m. Tenant 1 was found unresponsive and deceased. The delay was attributed to a dead phone used by staff to receive call alerts and lack of timely response by night shift staff.
Findings
One deficiency was identified and substantiated related to the provider's failure to ensure tenant health and safety in the event of an emergency. Tenant 1 called for assistance at approximately 6:45 a.m. on 01/17/2024 but did not receive a response for about one hour and was found deceased.
Deficiencies (1)
Provider did not ensure tenant health and safety was protected in the event of an emergency, including a sudden serious incident, as staff did not respond promptly to Tenant 1's call for help.
Report Facts
Census: 36
Time delay in response: 65
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing A | Director of Nursing | Interviewed regarding the delay in response to Tenant 1's call for assistance |
| Caregiver D | Caregiver | Reported working on 01/17/2024 and described issues with the call system phone being dead |
| Supervisor B | Supervisor | Responded to Tenant 1's room at approximately 7:50 a.m. after family member called for help |
Inspection Report
Renewal
Census: 37
Deficiencies: 0
Date: Nov 1, 2023
Visit Reason
The Bureau of Assisted Living, Southern Regional Office conducted a standard licensing visit at Heritage At Deer Creek on 11/01/2023.
Findings
No citations of noncompliance were issued during this standard licensing visit.
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