Inspection Reports for All Saints Assisted Living and Memory Care
8210 HIGHVIEW DRIVE, WI, 53719-
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
0.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
93% better than Wisconsin average
Wisconsin average: 4.6 deficiencies/yearDeficiencies per year
4
3
2
1
0
Census
Latest occupancy rate
37 residents
Based on a October 2025 inspection.
This facility has shown a decline in demand based on occupancy rates.
Census over time
Notice
Deficiencies: 0
Oct 7, 2025
Visit Reason
The document serves as a statutory notice of violation and order issued to All Saints Assisted Living and Memory Care following an inspection conducted on October 7, 2025, to determine compliance with Wisconsin statutes and administrative codes governing community-based residential facilities.
Findings
The Department of Health Services found violations of Wis. Stat. ch. 50 and Wis. Admin. Code ch. DHS 83 at the facility, resulting in a Statement of Deficiency and an imposed forfeiture of $600. The licensee is ordered to comply with all requirements within 45 days and is subject to further inspections and enforcement actions.
Report Facts
Forfeiture amount: 600
Reduced forfeiture amount: 390
Compliance timeframe: 45
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
Routine
Census: 37
Deficiencies: 1
Oct 7, 2025
Visit Reason
Surveyor conducted a standard survey at All Saints Assisted Living and Memory Care, a CBRF in Madison on 10/07/2025.
Findings
One deficiency was identified related to the provider not ensuring a safety assessment was completed for Resident 1 and Resident 2 for the use of bed rails. The facility acknowledged the lack of bed rail assessments and planned to complete them.
Deficiencies (1)
| Description |
|---|
| Provider did not ensure a safety assessment was completed for Resident 1 and Resident 2 for the use of bed rails. |
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| LPN A | Licensed Practical Nurse | Interviewed regarding the ISP's documented use of bed rails for Resident 1 and Resident 2 and stated the facility does not complete bed rail assessments like a skilled nursing facility. |
| RN B | Registered Nurse | Acknowledged that the facility had not completed bed rail assessments for Resident 1 and Resident 2 and stated that s/he would review the records and complete the assessments. |
Inspection Report
Complaint Investigation
Census: 30
Deficiencies: 0
Apr 23, 2024
Visit Reason
Surveyor conducted 2 complaint investigations at All Saints Assisted Living and Memory Care.
Findings
No deficiencies were identified. Two of 2 complaints were unsubstantiated.
Complaint Details
Two complaints were investigated and both were unsubstantiated.
Inspection Report
Routine
Census: 39
Deficiencies: 0
Aug 30, 2023
Visit Reason
The Bureau of Assisted Living, Southern Regional Office conducted a standard licensing survey at All Saints Assisted Living and Memory Care, a CBRF located in Madison, WI.
Findings
As a result of the survey, 0 violations of Chapter DHS 83 were issued.
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