Inspection Reports for
Adult Day Services of Wisconsin LLC
206 E LINCOLN AVE, MILWAUKEE, WI, 53207-
Back to Facility Profile2 Reports
Inspection Report — Jun 1, 2023
Follow-Up
Date: Jun 1, 2023
Visit Reason
An announced onsite Verification survey was conducted on 6/1/2023 at Adult Day Services of Wisconsin as a follow up to the complaint survey WI00048107 conducted on 4/4/2023.
Complaint Details
Follow up to complaint survey WI00048107 conducted on 4/4/2023; facility found in compliance.
Findings
Adult Day Services of Wisconsin was found to be in compliance with the Wisconsin Administrative Code DHS 105.14 for Adult Day Care Centers.
Inspection Report — Apr 4, 2023
Complaint Investigation
Date: Apr 4, 2023
Visit Reason
An unannounced onsite complaint survey was conducted in response to Complaint WI00048107 at Adult Day Services of Wisconsin.
Complaint Details
Complaint WI00048107 was partially substantiated with citations issued.
Findings
The facility was found out of compliance with Wisconsin Administrative Code DHS 105.14 for Adult Day Care Centers with multiple deficiencies including failure to provide new employee orientation, incomplete participant documentation, missing enrollment agreements, lack of communicable disease screening, incomplete or missing service plans and reviews, failure to provide quarterly health monitoring notes, unsafe and unclean environment, and lack of annual fire inspection in 2022.
Deficiencies (10)
Failed to provide new employee orientation on the needs, diagnosis and goals of care for participants under her care.
Failed to document or ask if participants had Advance Directives or do not resuscitate orders in 6 of 6 participant folders reviewed.
Failed to include information about the name of the primary physician, address and phone number in 2 of 6 participant folders reviewed.
Failed to provide participants with an enrollment agreement including a statement of all participant rights and cost of services in multiple participant records.
Failed to ensure screening for communicable disease was obtained within 90 days before or 7 days after enrollment in 3 of 6 participant records reviewed.
Failed to complete a thorough service plan within 30 days of enrollment that included participant specific activities and individual participant interests in 2 of 6 participant records reviewed.
Failed to review and update/revise participants' service plans at least every 6 months in 6 of 6 participant records reviewed.
Failed to provide quarterly notes on how a participant is responding to their service plan in 6 of 6 participant records reviewed.
Failed to provide and maintain a safe, clean environment with multiple issues including ceiling tiles missing, sticky residue on tables, broken window panes, holes in walls, visible dust and grime on vents, dirty drinking fountain, live ants in bathrooms, missing paper towels in kitchen, clutter in utility room, and blocked fuse box access.
Failed to have an annual fire inspection performed in 2022.
Report Facts
Participant records reviewed: 6
Staff personnel file reviewed: 1
Ceiling tiles missing or not seated: 4
Broken/cracked window panes: 2
Circular holes in women's bathroom stalls: 5
Circular holes in men's bathroom stalls: 5
Open drain size: 2
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