Inspection Reports for
Oak Park Place Burlington

WI, 53105

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Deficiencies (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/year

Deficiencies per year

4 3 2 1 0
2023
2024
2025

Occupancy

Latest occupancy rate 83% occupied

Based on a November 2025 inspection.

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

Occupancy rate over time

20% 40% 60% 80% 100% May 2023 Aug 2023 Mar 2024 Jun 2024 Jul 2025 Nov 2025

Inspection Report

Complaint Investigation
Deficiencies: 1 Date: Nov 6, 2025

Visit Reason
The visit was conducted to investigate three complaints regarding Oak Park Place of Burlington to determine if the facility was in substantial compliance with Wisconsin statutes and administrative codes governing community-based residential facilities.

Complaint Details
The investigation was complaint-driven, involving three complaints. The Department found violations substantiating the complaints and issued a Statement of Deficiency.
Findings
The Department issued a Statement of Deficiency for violations related to resident privacy and use of electronic monitoring equipment in living areas. The licensee was ordered to comply with requirements to protect residents' physical and emotional privacy and to discontinue electronic monitoring in specified areas within 45 days.

Deficiencies (1)
Pursuant to Wis. Stat. § 50.03(5g)(b)6., the licensee failed to protect and promote residents' rights to physical and emotional privacy by using electronic monitoring that transmits or records images or sounds in living areas and hallways leading to resident rooms.
Report Facts
Inspection fee: 200 Compliance timeframe: 45 Appeal timeframe: 10

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

Inspection Report

Complaint Investigation
Census: 86 Deficiencies: 1 Date: Nov 6, 2025

Visit Reason
Surveyors conducted three complaint investigations at Oak Park Place of Burlington following a complaint alleging the presence of cameras in the facility.

Complaint Details
One complaint alleging cameras in the facility was substantiated. Two other complaints were unsubstantiated.
Findings
One deficiency was identified related to resident privacy due to the presence of recording devices in the facility's lobby and common area. One complaint was substantiated and two were unsubstantiated.

Deficiencies (1)
50.09(1)(f) Privacy: The provider did not ensure resident confidentiality was maintained. Surveyor observed recording devices in the facility's lobby and common area, affecting all 86 residents.
Report Facts
Census: 86

Employees mentioned
NameTitleContext
Director of HousingInterviewed by surveyor regarding security camera footage and resident privacy

Inspection Report

Complaint Investigation
Census: 45 Deficiencies: 0 Date: Jul 25, 2025

Visit Reason
Surveyor conducted a verification visit and one complaint investigation at Oak Park Place of Burlington.

Complaint Details
One complaint was unsubstantiated.
Findings
No deficient practice was identified. One complaint was unsubstantiated.

Report Facts
Revisit fee: 200

Inspection Report

Complaint Investigation
Deficiencies: 0 Date: Jun 25, 2024

Visit Reason
A complaint investigation was conducted on June 25, 2024, to determine if Oak Park Place of Burlington was in substantial compliance with Wisconsin statutes and administrative codes governing community-based residential facilities.

Complaint Details
One complaint investigation was concluded on June 25, 2024, resulting in issuance of a Statement of Deficiency for violations found.
Findings
The Department issued a Statement of Deficiency (SOD #6VJ311) 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 applicable requirements within 45 days.

Report Facts
Inspection fee: 200 Compliance timeframe: 45 Appeal timeframe: 10 Posting duration: 90

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

Inspection Report

Complaint Investigation
Census: 87 Deficiencies: 1 Date: Jun 25, 2024

Visit Reason
The surveyor conducted a complaint investigation at Oak Park Place of Burlington based on a complaint received.

Complaint Details
The complaint was substantiated regarding medication administration errors for Resident 1.
Findings
One deficient practice was identified and substantiated involving a resident not receiving their prescribed medication dose as ordered by the practitioner.

Deficiencies (1)
Resident 1 did not receive their evening dose of fosinopril sodium 10 mg tablet on 06/24/2024, prescribed twice daily by their practitioner to reduce blood pressure.

Employees mentioned
NameTitleContext
Medication Technician BMedication TechnicianInterviewed and confirmed staff training on medication administration and observation.
Director of Nursing ADirector of NursingInterviewed and confirmed the medication error and staff training procedures.

Inspection Report

Complaint Investigation
Census: 84 Deficiencies: 0 Date: Mar 1, 2024

Visit Reason
Surveyor conducted 2 complaint investigations at Oak Park Place of Burlington.

Complaint Details
Two complaints were investigated and both were found to be unsubstantiated.
Findings
No deficient practice was identified. Two of 2 complaints were unsubstantiated.

Inspection Report

Complaint Investigation
Census: 88 Deficiencies: 0 Date: Aug 3, 2023

Visit Reason
Surveyor conducted a complaint investigation at Oak Park of Burlington.

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

Inspection Report

Abbreviated Survey
Census: 77 Deficiencies: 0 Date: May 8, 2023

Visit Reason
The surveyor conducted an abbreviated survey and one complaint investigation at Oak Park Place of Burlington.

Complaint Details
One complaint was investigated and determined to be unsubstantiated.
Findings
No deficiencies were identified during the survey. One complaint was investigated and found to be unsubstantiated.

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