Inspection Reports for
Lincoln Village
1330 W LINCOLN AVE, PORT WASHINGTON, WI, 53074
Back to Facility Profile5 Reports
Inspection Report — Oct 21, 2024
Complaint Investigation State
Date: Oct 21, 2024
Visit Reason
Surveyor conducted 2 complaint investigations at Lincoln Village, a CBRF located in Port Washington, WI.
Complaint Details
Two complaints were investigated and both were found to be unsubstantiated.
Findings
As a result of the investigations, 0 violations of Chapter DHS 83 were issued. Both complaints were unsubstantiated.
Report Facts
Number of complaints investigated: 2
Violations issued: 0
Inspection Report — Apr 4, 2024
Routine State
Date: Apr 4, 2024
Visit Reason
A standard survey and verification visit was conducted at Lincoln Village CBRF on 04/04/2024.
Findings
No deficiencies were identified during the survey, and previous deficiencies were corrected. A $200 revisit fee is being assessed under statutory provisions.
Report Facts
Revisit fee: 200
Inspection Report — May 18, 2023
Complaint Investigation State
Date: May 18, 2023
Visit Reason
A complaint investigation was conducted on May 18, 2023, to determine if Lincoln Village was in substantial compliance with Wisconsin statutes and administrative codes governing community-based residential facilities.
Complaint Details
Complaint investigation concluded on May 18, 2023, to assess compliance with Wis. Stat. ch. 50 and Wis. Admin. Code ch. DHS 83. Violations were substantiated as indicated by issuance of SOD #LOPF11.
Findings
The Department found violations of Wis. Stat. ch. 50 and Wis. Admin. Code ch. DHS 83, resulting in a Statement of Deficiency (SOD #LOPF11) and imposed a total forfeiture of $1,300.00 for specific violations.
Deficiencies (2)
Violation of DHS Code 83.35(3)(d)
Violation of DHS Code 83.31(4)(a)
Report Facts
Forfeiture amount: 1300
Forfeiture amount: 800
Forfeiture amount: 500
Reduced forfeiture amount: 845
Days to achieve compliance: 45
Days to request extension: 10
Days to pay forfeiture: 10
Inspection fee: 200
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kenneth Brotheridge | Assisted Living Director | Signed the Notice and Order letter |
| Vicky Wittman | Assisted Living Regional Director | Contact person for questions about the letter |
Inspection Report — May 15, 2023
Complaint Investigation State
Date: May 15, 2023
Visit Reason
The surveyor conducted a complaint investigation triggered by a complaint alleging that involuntary discharge requirements were not being followed at Lincoln Village.
Complaint Details
The complaint investigation was substantiated. The complaint alleged that involuntary discharge requirements were not followed. The provider failed to provide the required 30-day written notice and did not ensure a suitable living arrangement was available before discharge.
Findings
The investigation found that the provider did not ensure Resident 1 or their power of attorney received a 30-day written advance notice before initiating an involuntary discharge, including appeal rights and assistance for relocation. The complaint was substantiated with two deficiencies identified.
Deficiencies (1)
The provider did not ensure the resident and/or power of attorney were provided a 30-day written advance notice before initiating an involuntary discharge of Resident 1, including appeal rights, contact information, and assistance for relocation.
Report Facts
Deficiencies identified: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| A | Executive Director | Interviewed regarding Resident 1's discharge and facility actions. |
| K | Family Member | Interviewed regarding Resident 1's discharge and communication with the facility. |
| J | Power of Attorney | Signed Resident Bill of Rights and involved in discharge process. |
| N | Registered Nurse | Mentioned in communication with Family Member K regarding Resident 1's discharge. |
Inspection Report — Apr 26, 2023
Plan of Correction State
Date: Apr 26, 2023
Visit Reason
Surveyors conducted 4 self-report reviews at Lincoln Village, a Community-Based Residential Facility (CBRF) in Port Washington, WI.
Findings
No deficiencies were identified during the survey.
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