Deficiencies (last 4 years)
Deficiencies (over 4 years)
1.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
72% better than Wisconsin average
Wisconsin average: 4.6 deficiencies/yearDeficiencies per year
4
3
2
1
0
Occupancy
Latest occupancy rate
81% occupied
Based on a February 2026 inspection.
This facility has shown a decline in demand based on occupancy rates.
Occupancy rate over time
Inspection Report
Complaint Investigation
Census: 71
Deficiencies: 0
Date: Feb 5, 2026
Visit Reason
Surveyor completed a verification visit and two complaint investigations at Azura Memory Care of Fox Point.
Complaint Details
Two complaints were investigated and found to be unsubstantiated.
Findings
One deficiency was corrected, no deficiencies were identified, and two complaints were unsubstantiated.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Feb 14, 2025
Visit Reason
The visit was conducted to investigate a complaint to determine if Azura Memory Care of Fox Point 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, resulting in issuance of a Statement of Deficiency and enforcement actions including a forfeiture.
Findings
The Department issued a Statement of Deficiency (SOD #L5QR11) for violations of Wis. Stat. ch. 50 and Wis. Admin. Code ch. DHS 83. The licensee was ordered to comply with requirements immediately and to develop written procedures and staff training related to health monitoring and resident care.
Report Facts
Forfeiture amount: 700
Reduced forfeiture amount: 455
Forfeiture payment deadline: 10
Compliance timeframe: 45
Forfeiture range per violation per day: 10
Forfeiture range per violation per day: 1000
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: 69
Deficiencies: 1
Date: Feb 14, 2025
Visit Reason
The surveyor completed a complaint investigation triggered by a complaint alleging delayed medical attention for a resident.
Complaint Details
The complaint alleged concerns regarding a same day request for medical attention being delayed until the next day. The complaint was substantiated.
Findings
One complaint was substantiated involving inadequate and inappropriate care for Resident 1, who had a prolonged cough and worsening condition. The facility failed to follow up on a STAT chest x-ray order within 24 hours, and Resident 1 passed away before receiving the pneumonia diagnosis.
Deficiencies (1)
50.09(1)(L) Care: The provider did not ensure Resident 1 received adequate and appropriate care within the facility's capacity. Resident 1 had a prolonged cough, weakness requiring a wheelchair, facial drooping, and a puffy eye. The STAT chest x-ray was delayed beyond 24 hours and results arrived after Resident 1's death.
Report Facts
Census: 69
Employees mentioned
| Name | Title | Context |
|---|---|---|
| RN A | Registered Nurse | Named in findings related to communication with POA and handling of STAT chest x-ray order. |
| Caregiver C | Caregiver | Reported observations of Resident 1's decline and feeding assistance. |
| Caregiver D | Caregiver | Reported observations of Resident 1's condition and family interactions. |
| ED E | Executive Director | Interviewed regarding staff awareness of change in condition protocol. |
| President F | President | Interviewed regarding staff awareness and facility response. |
Inspection Report
Re-Inspection
Census: 73
Deficiencies: 0
Date: Sep 10, 2024
Visit Reason
Surveyors completed a verification visit and two self-report investigations at Azura Memory Care Fox Point.
Findings
Statement of Deficiency XIEX13 was corrected, and no new deficiencies were identified during the visit.
Report Facts
Revisit fee: 200
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Apr 12, 2024
Visit Reason
The inspection was conducted as a standard survey, verification visit, and complaint investigation to determine if Azura Memory Care of Fox Point was in substantial compliance with Wisconsin statutes and administrative codes governing community-based residential facilities.
Complaint Details
The visit included a complaint investigation as part of the standard survey and verification visit. The report does not specify the substantiation status of the complaint.
Findings
The Department issued a Statement of Deficiency (SOD #XIEX12) for violations of Wis. Stat. ch. 50 and Wis. Admin. Code ch. DHS 83. The licensee was ordered to comply with requirements to protect resident health, safety, and welfare, with a revisit inspection fee imposed to verify correction of violations.
Report Facts
Inspection fee: 200
Employees mentioned
| Name | Title | Context |
|---|---|---|
| MaryBeth Hoffman | Assisted Living Regional Director | Contact person for questions about the letter. |
| Kenneth Brotheridge | Assisted Living Director | Signed the notice letter. |
Inspection Report
Routine
Census: 80
Deficiencies: 2
Date: Apr 12, 2024
Visit Reason
The surveyor conducted a standard survey, verification visit, and complaint investigation at Azura Memory Care of Fox Point.
Complaint Details
The complaint investigation was unsubstantiated.
Findings
Two new deficient practices were identified related to improper disposal of expired medications and unsecured storage of toxic substances. The complaint was unsubstantiated and the previous deficient practice was corrected.
Deficiencies (2)
N 406 83.37(1)(g) Disposition of medications. The provider did not establish an effective procedure for proper destruction and disposal of expired medications. Expired medications were stored with non-expired medications on all medication carts.
N 499 83.45(3) Toxic substances. Cleaning compounds and toxic substances were not securely stored in 2 of 4 resident-accessible areas, including kitchenettes with broken or unengaged locking mechanisms.
Report Facts
Revisit fee: 200
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Administrator A | Interviewed regarding expired medication disposal and responsibility for auditing medication carts | |
| Registered Nurse B | Registered Nurse | Interviewed regarding expired medication disposal and responsibility for auditing medication carts |
| Maintenance Director C | Maintenance Director | Interviewed regarding secure storage of cleaning compounds and toxic substances |
Notice
Deficiencies: 0
Date: Sep 27, 2023
Visit Reason
The document serves as a Notice of Violation and Order to Comply following a self-report and two complaint reviews conducted to assess the facility's compliance with applicable Wisconsin statutes and administrative codes.
Complaint Details
The visit was triggered by a self-report and two complaint reviews. Specific substantiation status is not stated.
Findings
The Department found violations of Wis. Stat. ch. 50 and Wis. Admin. Code ch. DHS 83, resulting in the issuance of a Statement of Deficiency. The licensee is ordered to achieve and maintain substantial compliance within 45 days and is subject to further inspections and enforcement actions.
Report Facts
Compliance timeframe: 45
Inspection fee: 200
Appeal timeframe: 10
Posting duration: 90
Employees mentioned
| Name | Title | Context |
|---|---|---|
| MaryBeth Hoffman | Assisted Living Regional Director | Contact person for questions about the notice. |
| Kenneth Brotheridge | Assisted Living Director | Signed the notice letter. |
Inspection Report
Complaint Investigation
Census: 70
Deficiencies: 1
Date: Sep 27, 2023
Visit Reason
Surveyor completed 2 complaints and 1 self-report review at Azura Memory Care of Fox Point. Two of the complaints were substantiated and one self-report review resulted in no findings.
Complaint Details
Two of two complaints were substantiated. One of one self-report review resulted in no findings.
Findings
One deficiency was identified related to food safety. The provider did not ensure food was stored to prevent food borne illness, with multiple opened food items across all refrigerators and freezers lacking proper sealing, labeling, or dating.
Deficiencies (1)
83.41(3)(b) Food safety. The provider did not ensure open food products were securely sealed, properly labeled, or dated in all four refrigerators and freezers throughout the community based residential facility.
Report Facts
Census: 70
Employees mentioned
| Name | Title | Context |
|---|---|---|
| C | Executive Chef | Interviewed regarding food storage responsibilities and procedures |
| A | Regional Director of Operations and Quality Assurance | Interviewed regarding dietary staff responsibilities for refrigerator and freezer inspections |
| B | Regional Director of Clinical Services | Interviewed and acknowledged need for additional training on food storage |
Notice
Deficiencies: 0
Date: Jun 30, 2023
Visit Reason
The document serves as a notice of violation and order to comply following three self-report reviews and two complaint surveys conducted to determine compliance with Wisconsin statutes and administrative codes for community-based residential facilities.
Complaint Details
Two complaint surveys were part of the review process that led to the notice of violation.
Findings
The Department found violations of Wis. Stat. ch. 50 and Wis. Admin. Code ch. DHS 83 at Azura Memory Care of Fox Point, resulting in issuance of a Statement of Deficiency and an order to achieve and maintain substantial compliance within 45 days.
Report Facts
Days to achieve compliance: 45
Number of self-report reviews: 3
Number of complaint surveys: 2
Posting duration: 90
Appeal filing deadline: 10
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kenneth Brotheridge | Assisted Living Director | Signed the notice letter as Bureau of Assisted Living Director. |
| Mary Beth Hoffman | Assisted Living Regional Director | Contact person for questions about the letter. |
Inspection Report
Complaint Investigation
Census: 76
Deficiencies: 1
Date: Jun 30, 2023
Visit Reason
The surveyor completed 3 self-report reviews and 2 complaint surveys at Azura Memory Care of Fox Point. The visit was triggered by complaints alleging a resident did not receive prescribed medications.
Complaint Details
One of two complaints was substantiated regarding medication administration. The substantiated complaint involved Resident 1 not receiving prescribed medications as documented.
Findings
One deficiency was identified related to inaccurate documentation of medication refusals for one resident. One complaint was substantiated and one was unsubstantiated.
Deficiencies (1)
83.42(1) Resident record maintained. The provider did not accurately document when Resident 1 refused medication on 35 occasions. Medication administration records lacked reasons for omissions.
Report Facts
Medication refusals not documented: 35
Census: 76
Employees mentioned
| Name | Title | Context |
|---|---|---|
| President A | President | Reported Resident 1 had a history of refusing medication and stated staff were reeducated on documentation. |
Viewing
Loading inspection reports...
