Inspection Reports for
Kindred Living of Kenosha I

5905 19th Ave, Kenosha, WI 53140, USA, WI, 53140

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Deficiencies (over last year)

Deficiencies (over last year) 3 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

35% better than Wisconsin average
Wisconsin average: 4.6 deficiencies/year

Deficiencies per year

4 3 2 1 0
2026

Inspection Report

Complaint Investigation
Census: 10 Deficiencies: 2 Date: Mar 10, 2026

Visit Reason
The surveyor completed two complaint investigations at Kindred Living of Kenosha II following complaints about caregiver verbal abuse and residents consuming alcohol in the facility.

Complaint Details
Two complaints were substantiated: one regarding caregiver verbal abuse of a resident and another regarding residents consuming alcohol in the facility.
Findings
Two deficiencies were identified and substantiated: failure to report caregiver verbal abuse to the Department within 7 days, and failure to implement individual service plans by not notifying physicians after residents' alcohol use incidents.

Deficiencies (2)
83.12(2)(a) Caregiver: Investigating abuse & neglect. The provider did not report to the Department within 7 days when verbal abuse involving a caregiver yelling and swearing at a resident occurred.
83.35(3)(c) Implement, follow the individual service plan. The provider did not ensure residents' individual service plans were implemented, as physicians were not notified after alcohol use incidents involving two residents.
Report Facts
Census: 10 Deficiencies identified: 2 Complaints substantiated: 2

Employees mentioned
NameTitleContext
Caregiver DNamed in verbal abuse finding; terminated for yelling and swearing at a resident
House Manager BHouse ManagerReported observing caregiver verbal abuse and interviewed during investigation
Administrator FAdministratorInterviewed and reported not submitting required self-report after abuse incident
Community Liaison CCommunity LiaisonInterviewed and confirmed incident and reporting requirements
Consultant EConsultantInterviewed during investigation
Consultant DConsultantInterviewed during investigation
Owner AOwnerInterviewed regarding awareness of alcohol use rumors and medical oversight

Inspection Report

Complaint Investigation
Deficiencies: 1 Date: Mar 10, 2026

Visit Reason
A two complaint investigation was conducted to determine if Kindred Living of Kenosha II was in substantial compliance with Wisconsin statutes and administrative codes governing community-based residential facilities.

Complaint Details
The investigation was complaint-driven, involving two complaints. The Department concluded the facility was not in substantial compliance and issued a Statement of Deficiency and enforcement actions.
Findings
The Department found violations of Wis. Stat. ch. 50 and Wis. Admin. Code ch. DHS 83, resulting in a Statement of Deficiency (SOD #YR1E11) and imposed corrective orders. A forfeiture of $600 was imposed for violations related to caregiver misconduct and failure to comply with regulatory requirements.

Deficiencies (1)
TAG N158, DHS Code 83.12(2)(a): The facility violated requirements related to caregiver misconduct and failed to ensure proper care and treatment of residents. The licensee must develop corrective measures and document a complete investigation report of the alleged caregiver misconduct.
Report Facts
Forfeiture amount: 600 Reduced forfeiture amount: 390 Days to comply: 45 Days to request extension: 10 Days to document investigation: 14 Days to develop written procedure: 45 Appeal filing days: 10

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

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