Inspection Reports for
Sienna Meadows Memory Care – Oregon
989 Park Street, Oregon, WI 53575, Oregon, WI, 53575
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
1.7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
63% better than Wisconsin average
Wisconsin average: 4.6 deficiencies/yearDeficiencies per year
4
3
2
1
0
Occupancy
Latest occupancy rate
75% occupied
Based on a August 2025 inspection.
This facility has shown a decline in demand based on occupancy rates.
Occupancy rate over time
Inspection Report
Complaint Investigation
Census: 15
Deficiencies: 0
Date: Aug 5, 2025
Visit Reason
Surveyor conducted a complaint investigation at Sienna Crest Oregon, a CBRF in Oregon.
Complaint Details
The complaint was unsubstantiated.
Findings
No deficiencies were identified. The complaint was unsubstantiated.
Inspection Report
Follow-Up
Deficiencies: 0
Date: Jun 10, 2025
Visit Reason
The visit was conducted to verify if the violations contained in Statement of Deficiency (SOD) #0FXG11 were corrected.
Findings
The verification visit found no violations of Wisconsin Administrative Code ch. DHS 83 at the facility.
Report Facts
Inspection fee: 200
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Hillary Holman | Assisted Living Regional Director | Signed the notice regarding the revisit fee and verification visit. |
Inspection Report
Complaint Investigation
Census: 18
Deficiencies: 1
Date: Jun 10, 2025
Visit Reason
The surveyor conducted a complaint investigation, standard survey, and verification visit at Sienna Meadows of Oregon.
Complaint Details
The complaint was unsubstantiated. A $200 revisit fee is being assessed under Wis. Stat. Ch. 50.
Findings
One deficiency was identified related to the individual service plan (ISP) not being updated for Resident 2 when there was a change in resident needs and abilities. The complaint was unsubstantiated and the deficiency was a repeat violation.
Deficiencies (1)
83.35(3)(d) Service plans updated annually or on changes. Resident 2's individual service plan was not updated to include the use of a Hoyer lift despite changes in resident needs. This is a repeat violation from a prior survey dated 08/12/2024.
Report Facts
Revisit fee: 200
Inspection Report
Enforcement
Deficiencies: 0
Date: Aug 12, 2024
Visit Reason
A complaint investigation was concluded on August 12, 2024, to determine if Sienna Meadows of Oregon was in substantial compliance with Wisconsin statutes and administrative codes governing community-based residential facilities.
Complaint Details
The visit was complaint-related and concluded on August 12, 2024. The Department issued a Statement of Deficiency and imposed enforcement actions based on substantiated violations.
Findings
The Department found violations of Wis. Stat. ch. 50 and Wis. Admin. Code ch. DHS 83, resulting in a Statement of Deficiency (SOD #0FXG11) and imposed enforcement actions including a forfeiture of $2000. The licensee is ordered to comply with requirements to protect resident health, safety, and rights within 45 days.
Report Facts
Forfeiture amount: 2000
Reduced forfeiture amount: 1300
Forfeiture component: 1400
Forfeiture component: 600
Compliance timeframe: 45
Payment timeframe: 10
Inspection Report
Complaint Investigation
Census: 19
Capacity: 20
Deficiencies: 3
Date: Aug 12, 2024
Visit Reason
Surveyors conducted two complaint investigations triggered by concerns about a resident elopement and individual service plan updates at Sienna Meadows of Oregon.
Complaint Details
Two complaints were investigated; one complaint was substantiated regarding Resident 1's elopement and failure to report, and one complaint was unsubstantiated.
Findings
Three deficiencies were identified including failure to report a resident's unknown whereabouts within 3 working days, failure to update the individual service plan to reflect changes in resident needs, and failure to provide supervision appropriate to the resident's needs resulting in an elopement.
Deficiencies (3)
83.12(4)(a) Reporting when resident's whereabouts unknown: The provider did not send a written report to the Department within 3 working days after Resident 1 eloped from the facility on 06/19/2024.
83.35(3)(d) Service plans updated annually or on changes: Resident 1's individual service plan was not updated to identify him/her as a fall risk despite multiple documented falls.
83.38(1)(b) Supervision: The provider failed to provide supervision appropriate to Resident 1's needs, resulting in Resident 1 wandering unsupervised for approximately 45 minutes on 06/19/2024.
Report Facts
Deficiencies identified: 3
Resident census: 19
Total licensed capacity: 20
Duration of unsupervised wandering: 45
Inspection Report
Re-Inspection
Census: 19
Deficiencies: 0
Date: Mar 12, 2024
Visit Reason
The visit was a verification survey to confirm correction of a previously identified deficiency from a statement of deficiency dated 07/25/2023.
Findings
No deficiencies were identified during this verification visit. The previously cited deficiency was substantially corrected.
Report Facts
Revisit fee: 200
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Jul 25, 2023
Visit Reason
A standard survey and complaint investigation was conducted to determine if Sienna Meadows of Oregon was in substantial compliance with Wisconsin statutes and administrative codes governing community-based residential facilities.
Complaint Details
The visit was triggered by a complaint investigation combined with a standard survey. Specific substantiation status is not stated.
Findings
The Department issued a Statement of Deficiency for violations of Wis. Stat. ch. 50 and Wis. Admin. Code ch. DHS 83, establishing grounds for enforcement action against the facility.
Report Facts
Inspection fee: 200
Compliance timeframe: 45
Appeal timeframe: 10
Posting duration: 90
Inspection Report
Complaint Investigation
Census: 19
Deficiencies: 1
Date: Jul 25, 2023
Visit Reason
Surveyor conducted a complaint investigation and standard survey at Sienna Meadows of Oregon.
Complaint Details
The complaint was unsubstantiated.
Findings
One deficiency was identified related to employee training. The complaint was unsubstantiated.
Deficiencies (1)
83.20(2)(a)-(d) Department-approved training courses. Three employees did not complete required training within 90 days of employment, including First Aid, Choking, and Fire Safety training.
Report Facts
Census: 19
Employees out of compliance: 3
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