Deficiencies (last 2 years)
Deficiencies (over 2 years)
4 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
13% better than Wisconsin average
Wisconsin average: 4.6 deficiencies/yearDeficiencies per year
8
6
4
2
0
Census
Latest occupancy rate
19 residents
Based on a July 2025 inspection.
This facility has shown a decline in demand based on occupancy rates.
Census over time
Inspection Report
Follow-Up
Census: 19
Deficiencies: 0
Jul 22, 2025
Visit Reason
Surveyor conducted a verification visit to assess correction of previous deficiencies at Anitas Gardens of Grafton.
Findings
Previous deficiencies were corrected and no new deficiencies were identified during the verification visit.
Report Facts
Revisit fee: 200
Inspection Report
Complaint Investigation
Deficiencies: 1
Mar 4, 2025
Visit Reason
A complaint investigation and verification visit was conducted to determine if Anitas Gardens of Grafton was in substantial compliance with Wisconsin statutes and administrative codes governing community-based residential facilities.
Findings
The Department issued a Statement of Deficiency (SOD # K2JZ12) for violations of Wis. Stat. ch. 50 and Wis. Admin. Code ch. DHS 83, requiring the licensee to develop and implement corrective measures to ensure adequate personal care services and provide staff training on corrective actions.
Complaint Details
The visit was complaint-related, conducted to verify compliance following a complaint. The Department concluded the facility was not in substantial compliance and issued a Statement of Deficiency.
Deficiencies (1)
| Description |
|---|
| Violations of Wis. Stat. ch. 50 or Wis. Admin. Code ch. DHS 83 related to operation and administration of the community-based residential facility. |
Report Facts
Inspection fee: 200
Compliance timeframe: 45
Appeal timeframe: 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: 20
Deficiencies: 1
Feb 21, 2025
Visit Reason
Surveyor conducted a verification visit and two complaint investigations at Anitas Gardens of Grafton following a complaint alleging staff do not respond to the pager system.
Findings
The provider did not ensure adequate and appropriate care was provided within the capacity of the facility, as staff failed to respond timely to resident call pendants, with multiple documented delays exceeding 20 minutes. Administrator acknowledged lack of monitoring and planned re-education of staff.
Complaint Details
One of two complaints was substantiated regarding staff not responding to the pager system, resulting in one new deficiency.
Deficiencies (1)
| Description |
|---|
| Failure to ensure adequate and appropriate care related to staff response to resident call pendants. |
Report Facts
Revisit fee: 200
Number of call events for Resident 1 in past 30 days: 305
Call events exceeding 20 minutes: 44
Call events exceeding 20 minutes: 232
Call events exceeding 20 minutes: 622
Call events exceeding 20 minutes: 282
Call events exceeding 20 minutes: 104
Call events exceeding 20 minutes: 112
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Administrator A | Provided records and call logs, acknowledged lack of monitoring and planned staff re-education | |
| Caregiver B | Demonstrated pendant clearing procedure but did not use magnet as required |
Inspection Report
Abbreviated Survey
Deficiencies: 0
Sep 11, 2024
Visit Reason
An abbreviated survey and complaint investigation were conducted to determine if Anitas Gardens of Grafton was in substantial compliance with Wisconsin statutes and administrative codes governing community-based residential facilities.
Findings
The Department issued a Statement of Deficiency (SOD #K2JZ11) for violations of Wis. Stat. ch. 50 and Wis. Admin. Code ch. DHS 83, resulting in a notice of violation, order to comply, and an imposed forfeiture totaling $550.00.
Complaint Details
The visit included a complaint investigation as part of the abbreviated survey; however, the substantiation status is not explicitly stated.
Report Facts
Forfeiture amount: 550
Forfeiture amount: 150
Forfeiture amount: 400
Reduced forfeiture amount: 357.5
Compliance timeframe: 45
Payment timeframe: 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
Abbreviated Survey
Census: 21
Deficiencies: 6
Sep 11, 2024
Visit Reason
On 09/11/2024, a surveyor conducted an abbreviated licensure survey and a complaint investigation at Anita's Gardens of Grafton following a concern received on 07/05/2024 alleging residents were not receiving medications as prescribed.
Findings
Five deficiencies were identified including failure to administer medications as prescribed, lack of written practitioner orders for some medications, improper documentation of medication administration, unsecured storage of toxic substances, and missing sensitivity testing for the smoke and heat detection system.
Complaint Details
Complaint was unsubstantiated after investigation.
Deficiencies (6)
| Description |
|---|
| Provider did not administer medications for 1 of 1 resident in the intervals prescribed by a practitioner; Resident 2's ferrous sulfate and acetaminophen were not administered as prescribed. |
| Provider did not ensure a written practitioner's order was in 1 of 1 resident record for prescription medication administered to the resident. |
| Medications in Resident 1's room did not have pharmacy labels and lacked physician orders for self-administration. |
| Provider did not ensure proper documentation of medication administration; MAR documented administration of medications when they were not available. |
| Cleaning compounds and toxic substances were not stored in a secure area accessible to residents. |
| Provider did not ensure smoke and heat detection system had sensitivity testing performed at intervals in accordance with NFPA 72 requirements. |
Report Facts
Deficiencies identified: 5
Resident census: 21
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Administrator A | Interviewed regarding medication ordering process, staff re-education, and storage of cleaning compounds. | |
| Licensed Practical Nurse B | Interviewed regarding medication administration and self-administration policies. |
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