Inspection Reports for
Sienna Crest Memory Care – Fort Atkinson
1531 Commonwealth Drive, Fort Atkinson, WI 53538, Fort Atkinson, WI, 53538
Back to Facility ProfileDeficiencies (last 2 years)
Deficiencies (over 2 years)
2 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
57% better than Wisconsin average
Wisconsin average: 4.6 deficiencies/yearDeficiencies per year
4
3
2
1
0
Occupancy
Latest occupancy rate
100% occupied
Based on a October 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Occupancy rate over time
Inspection Report
Routine
Deficiencies: 1
Date: Nov 17, 2025
Visit Reason
A standard survey was conducted to determine if Sienna Crest Fort Atkinson was in substantial compliance with Wisconsin statutes and administrative codes governing community-based residential facilities.
Findings
The Department issued a Statement of Deficiency for violations related to medication administration and documentation. The licensee was ordered to comply with requirements immediately and implement corrective measures within 45 days.
Deficiencies (1)
Pursuant to Wis. Stat. § 50.03(5g)(b)6., the licensee failed to provide medication administration appropriate to residents' needs and ensure each resident received prescribed medications in the correct dosage and intervals.
Report Facts
Forfeiture amount: 2940
Reduced forfeiture amount: 1911
Compliance timeframe: 45
Notification timeframe: 7
Payment timeframe: 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
Follow-Up
Census: 20
Deficiencies: 0
Date: Oct 1, 2025
Visit Reason
The Bureau of Assisted Living, Southern Regional Office conducted a verification visit of statement of deficiency (SOD) NNWT12 at Sienna Crest Fort Atkinson.
Findings
No citations of noncompliance were issued during this verification visit.
Report Facts
Revisit fee: 200
Inspection Report
Enforcement
Deficiencies: 0
Date: Mar 24, 2025
Visit Reason
A verification visit was conducted to determine if Sienna Crest Fort Atkinson 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 $1100. The licensee was ordered to comply with requirements and provide documentation of compliance within specified timeframes.
Report Facts
Forfeiture amount: 1100
Reduced forfeiture amount: 715
Inspection fee: 200
Compliance timeframe: 45
Documentation timeframe: 7
Appeal timeframe: 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
Follow-Up
Census: 18
Deficiencies: 1
Date: Mar 24, 2025
Visit Reason
Verification visit of statement of deficiency (SOD) NNWT11 at Sienna Crest Fort Atkinson to assess correction of previously cited medication administration deficiencies.
Findings
The provider failed to ensure that six residents received all prescribed medications in the dosage and intervals prescribed by a practitioner. Specifically, polyethylene glycol and Refresh eye drops were not administered as ordered, and medication containers lacked documented initial opening dates. This was a repeat violation.
Deficiencies (1)
83.32(3)(h) Rights of Residents: Receive medication. The provider did not ensure Residents 1, 3, 4, 5, and 6 received all prescribed medications in the dosage and intervals prescribed. Polyethylene glycol and Refresh eye drops were not administered as ordered, and medication containers lacked documented initial opening dates.
Report Facts
Revisit fee: 200
Census: 18
Medication doses administered: 44
Medication doses administered: 45
Medication doses administered: 36
Medication doses administered: 36
Medication doses administered: 68
Medication doses not documented: 7
Employees mentioned
| Name | Title | Context |
|---|---|---|
| House Manager E | House Manager | Interviewed regarding medication administration and facility procedures; recently appointed after former House Manager C was terminated. |
| Caregiver F | Caregiver | Observed administering medications and interviewed about medication administration practices. |
| Pharmacy Staff G | Pharmacy Staff | Interviewed regarding medication deliveries and refill requests. |
| Licensee/Administrator A | Licensee/Administrator | Interviewed about training provided to staff and facility response to citation. |
| Director of Operations H | Director of Operations | Provided training to caregivers regarding medication administration and citation. |
Inspection Report
Renewal
Census: 17
Capacity: 20
Deficiencies: 2
Date: Nov 14, 2024
Visit Reason
The Bureau of Assisted Living conducted a standard licensing survey at Sienna Crest Fort Atkinson to assess compliance with licensing requirements.
Findings
Two citations were issued related to medication administration and environmental safety. The facility failed to ensure two residents received prescribed medications as ordered and did not safeguard residents from a tripping hazard at the front entrance.
Deficiencies (2)
83.32(3)(h) Rights of Residents: Receive medication. The provider did not ensure Resident 1 and Resident 2 received all prescribed polyethylene glycol medications in the dosage and intervals prescribed by a practitioner between February and November 2024.
83.32(3)(n) Rights of Residents: Safe environment. The facility's front entrance passageway had a concrete slab approximately 1.5 to 2 inches higher than the adjacent slab, posing a potential tripping hazard for residents and hindering safe movement with mobility devices.
Report Facts
Citations issued: 2
Medication doses not administered: 2
Facility licensed capacity: 20
Resident census: 17
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