Inspection Reports for Archwood Senior Living
25025 75TH STREET, SALEM, WI, 53168
Back to Facility ProfileDeficiencies (last 2 years)
Deficiencies (over 2 years)
3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
35% better than Wisconsin average
Wisconsin average: 4.6 deficiencies/yearDeficiencies per year
4
3
2
1
0
Census
Latest occupancy rate
27 residents
Based on a June 2025 inspection.
Census over time
Inspection Report
Follow-Up
Census: 27
Deficiencies: 0
Date: Jun 24, 2025
Visit Reason
The surveyor conducted a verification visit at Archwood Senior Living to verify compliance and assess any deficiencies.
Findings
No deficiencies were identified during the verification visit. A $200 revisit fee is being assessed under statutory provisions.
Report Facts
Revisit fee: 200
Inspection Report
Enforcement
Deficiencies: 1
Date: Mar 11, 2025
Visit Reason
A verification visit was conducted on March 11, 2025, to determine if Archwood Senior Living was in substantial compliance with Wisconsin statutes and administrative codes governing community-based residential facilities (CBRF). The visit was to assess compliance and resulted in issuance of a Statement of Deficiency (SOD) #YT5Y12.
Findings
The Department found violations of Wis. Stat. ch. 50 and Wis. Admin. Code ch. DHS 83 at Archwood Senior Living, leading to a Notice of Violation and an imposed forfeiture of $800. The licensee was ordered to comply immediately and maintain substantial compliance within 45 days. A $200 inspection fee for a revisit was also imposed.
Deficiencies (1)
Violations of Wis. Stat. ch. 50 or Wis. Admin. Code ch. DHS 83 as identified in SOD #YT5Y12
Report Facts
Forfeiture amount: 800
Reduced forfeiture amount: 520
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 |
| MaryBeth Hoffman | Assisted Living Regional Director | Contact person for questions about the letter |
Inspection Report
Re-Inspection
Census: 32
Deficiencies: 1
Date: Mar 11, 2025
Visit Reason
The surveyor conducted a verification visit to Archwood Senior Living to assess compliance with previously identified deficiencies, specifically related to employee training requirements.
Findings
One repeat deficiency was identified regarding the failure to ensure that 2 of 4 employees reviewed completed Department-approved training in First Aid and Choking within 90 days of employment. Caregiver F and Caregiver G lacked evidence of this training or exemption.
Deficiencies (1)
Failure to ensure 2 of 4 employees received Department-approved training in First Aid and Choking within 90 days after starting employment.
Report Facts
Revisit fee: 200
Census: 32
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Jun 5, 2024
Visit Reason
A standard survey and complaint investigation were conducted on June 5, 2024, to determine if Archwood Senior Living was in substantial compliance with Wisconsin statutes and administrative codes governing community-based residential facilities.
Complaint Details
The visit was complaint-related and included a standard survey. The Department found violations substantiated by the issuance of the Statement of Deficiency #YT5Y11.
Findings
The Department issued a Statement of Deficiency (SOD #YT5Y11) for violations of Wis. Stat. ch. 50 and Wis. Admin. Code ch. DHS 83, resulting in a Notice of Violation and an imposed forfeiture totaling $1,550.00.
Report Facts
Forfeiture amount: 1550
Forfeiture amount: 400
Forfeiture amount: 600
Forfeiture amount: 150
Forfeiture amount: 400
Reduced forfeiture amount: 1007.5
Compliance timeframe: 45
Payment timeframe: 10
Appeal filing timeframe: 10
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kenneth Brotheridge | Assisted Living Director | Signed the Notice and Order letter |
| MaryBeth Hoffman | Assisted Living Regional Director | Contact person for questions about the letter |
Inspection Report
Complaint Investigation
Census: 28
Deficiencies: 4
Date: Jun 5, 2024
Visit Reason
Surveyors conducted a standard survey and complaint investigation at Archwood Senior Living, a Community-Based Residential Facility (CBRF) in Salem, WI.
Complaint Details
Complaint was investigated and found to be unsubstantiated.
Findings
Four deficiencies were identified related to employee orientation, department-approved training courses, continuing education, and medication administration delegation. The complaint was unsubstantiated.
Deficiencies (4)
Provider did not ensure 2 of 3 caregivers reviewed had orientation training including job responsibilities, prevention and reporting of resident abuse, neglect and misappropriation of resident property, emergency and disaster plan and evacuation procedures, CBRF policies and procedures, and recognizing and responding to resident changes of condition.
Provider did not ensure 2 of 3 employees reviewed received Department approved training courses within 90 days after starting employment, specifically lacking training in Fire Safety and First Aid and Choking.
Provider did not ensure 1 of 1 caregiver reviewed received 15 hours per calendar year of continuing education including required topics such as medications, fire safety, and emergency procedures including first aid.
Provider did not administer injectable medications by a registered nurse or licensed practical nurse within the scope of the license and medication administration was not delegated to non-licensed employees pursuant to s.N6.03(3) for 2 of 2 employees reviewed.
Report Facts
Deficiencies identified: 4
Census: 28
Employees reviewed: 3
Employees reviewed for medication delegation: 2
Residents receiving insulin: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Executive Director A | Executive Director | Interviewed regarding orientation training and nurse delegation; confirmed lack of documentation for orientation and delegation. |
| Director of Nursing E | Director of Nursing | Interviewed about nurse delegation; stated working since February 2024 and involved in delegating medication passers. |
| Caregiver B | Caregiver | Reviewed for orientation training, department-approved training, and medication delegation; lacked required documentation. |
| Caregiver C | Caregiver | Reviewed for orientation training, department-approved training, continuing education, and medication delegation; lacked required documentation. |
| Caregiver D | Caregiver | Reviewed for department-approved training; lacked required training in Fire Safety. |
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