Inspection Report Summary
The most recent inspection on June 25, 2025, identified deficiencies related to noncompliance with Wisconsin statutes and administrative codes, resulting in a $200 forfeiture. Earlier inspections showed a pattern of deficiencies involving employee training, documentation, and timely reporting to authorities, with some substantiated complaints and others unsubstantiated. Inspectors cited issues such as incomplete training for caregivers, missing documentation of required training, and delays in reporting alleged illegal activity to police. Enforcement actions included monetary penalties but no license suspensions or immediate jeopardy findings were listed in the available reports. The facility’s record shows ongoing challenges with staff training and compliance documentation, with no clear trend of improvement or worsening over time.
Deficiencies (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
Census
Latest occupancy rate
21 residents
Based on a June 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Occupancy over time
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Jun 25, 2025
Visit Reason
A complaint investigation was conducted on June 25, 2025, to determine if Angels Touch Assisted Living was in substantial compliance with Wisconsin statutes and administrative codes governing community-based residential facilities.
Complaint Details
The complaint investigation concluded that the facility was not in substantial compliance with applicable statutes and administrative codes, leading to the issuance of a Statement of Deficiency and enforcement action.
Findings
The Department issued a Statement of Deficiency (SOD #BB4611) for violations of Wis. Stat. ch. 50 and Wis. Admin. Code ch. DHS 83, resulting in a $200 forfeiture imposed on the licensee for noncompliance with regulatory requirements.
Deficiencies (1)
Violations of Wis. Stat. ch. 50 or Wis. Admin. Code ch. DHS 83 as identified in SOD #BB4611
Report Facts
Forfeiture amount: 200
Reduced forfeiture amount: 130
Days to achieve compliance: 45
Days to request extension: 10
Days to pay forfeiture: 10
Days to request hearing: 10
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kenneth Brotheridge | Assisted Living Director | Signed the Notice and Order letter |
| Vicky Wittman | Assisted Living Regional Director | Contact person for questions about the letter |
Inspection Report
Complaint Investigation
Census: 21
Deficiencies: 1
Date: Jun 20, 2025
Visit Reason
The surveyor conducted two complaint investigations at Angels Touch Assisted Living following complaints received. One complaint was substantiated, one was unsubstantiated, and one new deficiency was identified.
Complaint Details
Two complaint investigations were conducted; one complaint was substantiated and one was unsubstantiated.
Findings
The provider failed to ensure that one of two employees (Caregiver A) completed all required department-approved training, specifically Standard Precautions training, prior to assuming job responsibilities that exposed the employee to blood and body fluids.
Deficiencies (1)
Caregiver A did not receive training in Standard Precautions prior to assuming job duties involving exposure to blood, body fluids, or other moist body substances.
Report Facts
Census: 21
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Administrator B | Interviewed and confirmed training requirements and acknowledged Caregiver A did not complete required training |
Notice
Deficiencies: 0
Date: Feb 6, 2025
Visit Reason
A verification visit and standard survey was conducted on February 6, 2025, to determine if Angels Touch Assisted Living was in substantial compliance with Wisconsin statutes and administrative codes governing community-based residential facilities.
Findings
The Department issued a Statement of Deficiency (SOD # KJK012) for violations found during the survey. The licensee is ordered to comply with all requirements within 45 days and a $200 revisit fee is imposed for a follow-up inspection to verify correction of prior deficiencies.
Report Facts
Revisit inspection fee: 200
Timeframe for compliance: 45
Posting duration: 90
Revisit fee payment due: 10
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kenneth Brotheridge | Assisted Living Director | Signed the notice letter as Bureau of Assisted Living, Division of Quality Assurance. |
| Vicky Wittman | Assisted Living Regional Director | Contact person for questions about the letter. |
Inspection Report
Follow-Up
Census: 20
Deficiencies: 1
Date: Feb 6, 2025
Visit Reason
The surveyor conducted a verification visit and a standard survey to verify correction of previous deficiencies at Angels Touch Assisted Living II.
Findings
One deficient practice was identified related to incomplete documentation of required employee training for Caregiver D, specifically missing documentation for training in abuse, individual needs and services, emergency and evacuation, and change in condition training.
Deficiencies (1)
The provider did not ensure Caregiver D had documentation within his/her employee file to verify all orientation training requirements were met, including training in abuse, individual needs and services, emergency and evacuation, and change in condition training.
Report Facts
Revisit fee: 200
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Oct 1, 2024
Visit Reason
A complaint investigation was conducted on October 1, 2024, to determine if Angels Touch Assisted Living was in substantial compliance with Wisconsin statutes and administrative codes governing community-based residential facilities.
Complaint Details
The complaint investigation concluded that the facility was not in substantial compliance, resulting in the issuance of a Statement of Deficiency (SOD #KJK011).
Findings
The Department issued a Statement of Deficiency (SOD #KJK011) 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 to protect resident health, safety, and welfare.
Report Facts
Compliance timeframe: 45
Inspection fee: 200
Appeal timeframe: 10
Posting duration: 90
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kenneth Brotheridge | Assisted Living Director | Signed the Notice and Order letter |
| Vicky Wittman | Assisted Living Regional Director | Contact person for questions about the letter |
Inspection Report
Complaint Investigation
Census: 19
Deficiencies: 1
Date: Sep 17, 2024
Visit Reason
Surveyor conducted 3 complaint investigations at Angels Touch Assisted Living related to allegations against Resident 1 involving illegal activities on the provider's internet service.
Complaint Details
Three complaints were investigated and found unsubstantiated. The provider delayed reporting alleged illegal activity by Resident 1 to police, only notifying them after the surveyor's visit on 09/17/2024.
Findings
All 3 complaints were unsubstantiated; however, one deficient practice was identified where the provider did not immediately alert authorities about alleged illegal activity by Resident 1, delaying police notification until after the surveyor's visit.
Deficiencies (1)
Provider did not ensure compliance with laws by failing to immediately report allegations of illegal activity by Resident 1 to authorities.
Report Facts
Number of complaints investigated: 3
Number of police officers: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Administrator A | Interviewed regarding delayed police notification and investigation of allegations | |
| Manager B | Interviewed regarding awareness of allegations and failure to report immediately |
Inspection Report
Complaint Investigation
Census: 17
Deficiencies: 0
Date: Aug 31, 2023
Visit Reason
Surveyor conducted 2 complaint investigations at Angels Touch Assisted Living.
Complaint Details
Complaints were unsubstantiated.
Findings
No deficiencies were identified. Complaints were unsubstantiated.
Notice
Deficiencies: 0
Date: Feb 20, 2023
Visit Reason
A standard survey and verification visit was conducted on February 20, 2023, to determine if Angels Touch Assisted Living was in substantial compliance with Wisconsin statutes and administrative codes governing community-based residential facilities.
Findings
The Department issued a Statement of Deficiency (SOD #9C2412) for violations found during the survey. The licensee is ordered to comply with all requirements within 45 days. A verification visit was later conducted to determine if prior violations were corrected, resulting in a $200 inspection fee.
Report Facts
Inspection fee: 200
Appeal filing period: 10
Compliance timeframe: 45
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kathleen D. Lyons | Interim Assisted Living Director | Signed the notice letter |
| Vicky Wittman | Assisted Living Regional Director | Contact person for questions about the letter |
Inspection Report
Re-Inspection
Census: 19
Deficiencies: 1
Date: Feb 16, 2023
Visit Reason
A verification visit and standard survey was conducted to assess compliance and verify correction of previous deficiencies at Angels Touch Assisted Living.
Findings
One deficiency was issued related to the failure to ensure that administration of injectable medications by unlicensed caregivers was properly delegated by a Registered Nurse as required by the Nurse Practice Act. The facility did not have documentation showing delegation for Caregiver A to administer injectable medications.
Deficiencies (1)
Failure to ensure administration of injectable medications by unlicensed caregivers was delegated by a Registered Nurse pursuant to the Nurse Practice Act for 1 of 2 caregivers reviewed.
Report Facts
Revisit fee: 200
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