Inspection Reports for
Larson House

550 River Rd, Columbus, WI 53925, United States, WI

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Deficiencies (last 2 years)

Deficiencies (over 2 years) 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

8 6 4 2 0
2024
2025

Occupancy

Latest occupancy rate 83% occupied

Based on a December 2025 inspection.

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

Occupancy rate over time

30% 60% 90% 120% 150% 180% Jun 2024 Oct 2024 Jan 2025 Aug 2025 Dec 2025

Inspection Report

Complaint Investigation
Census: 33 Deficiencies: 0 Date: Dec 16, 2025

Visit Reason
Surveyor conducted a complaint investigation at Larson House, a CBRF in Columbus.

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

Inspection Report

Complaint Investigation
Census: 23 Deficiencies: 0 Date: Aug 28, 2025

Visit Reason
Surveyor conducted a complaint investigation at Larson House South, a CBRF in Columbus.

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

Inspection Report

Census: 23 Deficiencies: 0 Date: Jan 14, 2025

Visit Reason
On 01/14/2025, the Bureau of Assisted Living, Southern Regional Office, conducted a verification visit at Larson House South, a community-based residential facility (CBRF) located in Columbus, WI.

Findings
As a result of the survey, 0 deficiencies were identified. Under statutory provisions of Wis. Stat. Chapter 50, a $200 revisit fee is being assessed.

Report Facts
Revisit fee: 200

Inspection Report

Monitoring
Census: 36 Deficiencies: 0 Date: Jan 14, 2025

Visit Reason
The Bureau of Assisted Living, Southern Regional Office, conducted a verification visit at Larson House, a community-based residential facility (CBRF) located in Columbus, WI.

Findings
As a result of the survey, no deficiencies were identified. All previous deficiencies from the Statement of Deficiency dated 10/02/2024 were corrected.

Report Facts
Revisit fee: 200

Notice

Deficiencies: 0 Date: Oct 2, 2024

Visit Reason
A probationary licensure survey was conducted to determine if Larson House 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 imposed forfeiture of $600.00. The licensee is ordered to correct all violations and achieve substantial compliance prior to the expiration of the probationary license.

Report Facts
Forfeiture amount: 600 Reduced forfeiture amount: 390 Compliance timeframe: 45 Probationary license expiration date: The probationary license expires on 2025-03-26 (date given but not numeric).

Employees mentioned
NameTitleContext
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

Enforcement
Deficiencies: 0 Date: Oct 2, 2024

Visit Reason
A standard survey was conducted on October 2, 2024, to determine if Larson House South 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 (SOD #GU1N11) and issuance of a Notice of Violation, Order to Comply, Special Orders, and a forfeiture of $800.00.

Report Facts
Forfeiture amount: 800 Reduced forfeiture amount: 520 Forfeiture payment timeframe: 10 Compliance timeframe: 45

Employees mentioned
NameTitleContext
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

Original Licensing
Census: 24 Deficiencies: 2 Date: Oct 1, 2024

Visit Reason
Surveyors conducted a probationary licensing survey at Larson House South to assess compliance with regulatory requirements.

Findings
Two deficiencies were identified: the individual service plans for two residents were not updated to reflect changes in their needs, and the living environment was found to be unclean and not homelike, with issues such as water damage, damaged drywall, dust buildup, and rust spots in microwaves.

Deficiencies (2)
Individual service plans were not updated for 2 residents when there was a change in their needs and abilities, including mobility and fall interventions.
The living environment was not clean and homelike, with water damage to the sunroom ceiling, damaged drywall in a resident's room, dust buildup on bathroom fan and hood fans, and rust-like spots inside microwaves.
Report Facts
Number of deficiencies identified: 2 Number of falls for Resident 2 since last ISP review: 6

Employees mentioned
NameTitleContext
Administrator A Interviewed regarding Resident 2's fall risk status and environmental concerns.
Regional Nurse B Interviewed regarding Resident 2's fall risk status and environmental concerns.
Caregiver C Interviewed about Resident 1 and Resident 2's mobility and fall risk.

Inspection Report

Original Licensing
Census: 36 Deficiencies: 4 Date: Oct 1, 2024

Visit Reason
The Bureau of Assisted Living conducted a probationary licensing survey at Larson House, a community-based residential facility (CBRF) in Columbus, WI, to assess compliance with licensing requirements.

Findings
Four deficiencies were identified related to individual service plan updates, behavioral monitoring, insulin refusal documentation, and environmental cleanliness. The provider failed to ensure service plans were updated with changes in resident needs and maintain a clean living environment.

Deficiencies (4)
83.35(3)(d) Service plans updated annually or on changes. The provider did not ensure that individual service plans of 3 residents were updated with changes in their needs, abilities, and condition.
83.43(1) Environment safe, clean, and comfortable. The provider did not ensure that aspects of the living environment were clean, including dust on fans, food debris in ovens, stained carpets, and black stains near apartment exit doors.
83.44(1)(c) Clothes dryers enclosed and vented. The provider did not ensure that 1 of 4 clothing dryers requiring rigid vent tubing had flexible tubing installed, which is not compliant.
83.59(2)(b) Solid core wood doors or equivalent. The provider did not ensure that 2 of 3 resident rooms with enclosed furnace rooms had doors that fully closed, lacking positive latches and automatic closing devices.
Report Facts
Deficiencies identified: 4 Census: 36 Cigarettes allotted: 6 Behavior monitoring frequency: 3 Insulin units: 22 Medication refusal counts: 6 Bowel movement monitoring shifts: 6 Clothing dryers: 4 Clothing dryers noncompliant: 1 Resident rooms with furnace: 3 Resident rooms with non-closing doors: 2

Employees mentioned
NameTitleContext
Administrator A Administrator Reported awareness of Resident 3's behaviors and Resident 4's insulin refusals; discussed environmental concerns and corrective actions
Regional Manager B Regional Manager Acknowledged concerns about Resident 3's behaviors and environmental issues; involved in discussions of corrective actions
House Manager C House Manager Discussed laundry and furnace area concerns with surveyor and maintenance staff
Maintenance Staff D Maintenance Staff Reported on dryer vent tubing and furnace door issues; involved in corrective action discussions

Inspection Report

Monitoring
Census: 53 Deficiencies: 0 Date: Jun 25, 2024

Visit Reason
Surveyor conducted a monitoring visit at Larson House, a CBRF located in Columbus, WI.

Findings
No violations of Chapter DHS 83 were issued during the monitoring visit.

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