Deficiencies (last 3 years)
Deficiencies (over 3 years)
2 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
57% better than Wisconsin average
Wisconsin average: 4.6 deficiencies/yearDeficiencies per year
4
3
2
1
0
Occupancy
Latest occupancy rate
75% occupied
Based on a April 2026 inspection.
This facility has shown a decline in demand based on occupancy rates.
Occupancy rate over time
Inspection Report
Complaint Investigation
Census: 27
Deficiencies: 0
Date: Apr 13, 2026
Visit Reason
The surveyor conducted a complaint investigation and reviewed a self-report at Bella Vista.
Complaint Details
The complaint investigation was unsubstantiated with no deficiencies identified.
Findings
The complaint was unsubstantiated, no findings were identified with the self-report, and no deficiencies were found.
Inspection Report
Routine
Census: 4
Deficiencies: 3
Date: Nov 12, 2025
Visit Reason
A standard licensure survey was conducted at Bella Vista to assess compliance with health and safety regulations.
Findings
Three violations were identified including failure to ensure staff health screenings for communicable diseases were completed within 90 days prior to employment, the home was not clean and well-maintained with evidence of animal odors and feces, and incomplete background information and criminal history records for new employees prior to working unsupervised with residents.
Deficiencies (3)
The licensee did not ensure 2 of 2 service providers had been screened for illnesses detrimental to residents, including tuberculosis, within 90 days before the start of providing service.
The provider did not ensure the home was clean and well-maintained, with odors of dogs and cats, animal feces in a basement room accessible to residents, and scattered cat litter.
The licensee did not ensure criminal history records, background information forms, and integrated background information system letters were complete and timely for new employees prior to working unsupervised with residents.
Report Facts
Violations identified: 3
Residents present: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Caregiver B | Named in findings related to incomplete health screening and background checks | |
| Caregiver C | Named in findings related to incomplete health screening and background checks | |
| Licensee A | Interviewed regarding staff hiring dates, health screenings, and home conditions |
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Oct 20, 2025
Visit Reason
A standard survey and complaint investigation was conducted to determine if Pine Meadows 3 was in substantial compliance with Wisconsin statutes and administrative codes governing community-based residential facilities.
Complaint Details
The visit was triggered by a complaint investigation combined with a standard survey. The substantiation status is not explicitly stated.
Findings
The Department issued a Statement of Deficiency (SOD #OBDO11) for violations of Wis. Stat. ch. 50 and Wis. Admin. Code ch. DHS 83, resulting in a Notice of Violation, Order to Comply, Special Orders regarding staffing and training, and a forfeiture of $650.
Deficiencies (1)
Violations of Wis. Stat. ch. 50 and Wis. Admin. Code ch. DHS 83 as identified in SOD #OBDO11
Report Facts
Forfeiture amount: 650
Reduced forfeiture amount: 422.5
Forfeiture amount: 400
Forfeiture amount: 250
Compliance timeframe: 45
Payment timeframe: 10
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kelly Haugen | Assisted Living Regional Director | Contact person for questions about the letter |
| Kenneth Brotheridge | Assisted Living Director | Signed the Notice and Order letter |
Inspection Report
Complaint Investigation
Census: 30
Deficiencies: 0
Date: Jul 22, 2025
Visit Reason
Surveyor conducted a facility visit to investigate one complaint at Bella Vista.
Complaint Details
One complaint was investigated and found to be unsubstantiated with no deficiencies identified.
Findings
The complaint was unsubstantiated and no deficiencies were identified during the visit.
Inspection Report
Complaint Investigation
Census: 29
Deficiencies: 0
Date: Mar 31, 2025
Visit Reason
Surveyor conducted an onsite visit to complete a standard survey and investigate one complaint.
Complaint Details
The complaint was investigated and found to be unsubstantiated.
Findings
The complaint was unsubstantiated and no deficiencies were identified during the inspection.
Inspection Report
Follow-Up
Census: 29
Deficiencies: 0
Date: Oct 31, 2023
Visit Reason
Surveyor conducted a verification visit to confirm correction of previous deficiencies at Bella Vista in Oshkosh.
Findings
All previous citations were corrected and no new deficiencies were issued during this visit.
Report Facts
Revisit fee: 200
Inspection Report
Complaint Investigation
Census: 27
Deficiencies: 1
Date: Jun 13, 2023
Visit Reason
Surveyors conducted 4 complaint investigations and a standard survey at Bella Vista. Two of the four complaints were substantiated and one deficiency was identified.
Complaint Details
The visit was complaint-related with 4 complaints investigated. Two complaints were substantiated related to skin integrity concerns and pressure injuries.
Findings
Two residents developed pressure injuries due to inadequate care and lack of proper skin integrity assessments and interventions. The facility failed to develop or implement plans of care to prevent new pressure injuries and promote healing of existing wounds. Both residents were admitted to hospice; one passed away at the facility, and the other was moved to a skilled nursing facility.
Deficiencies (1)
50.09(1)(L) Care: The provider did not ensure 2 of 2 residents reviewed received adequate and appropriate care within the capacity of the facility. Resident 1 developed multiple pressure injuries without a proper prevention or healing plan. Resident 2 developed an infected stage 2 pressure injury without an adequate care plan.
Report Facts
Number of complaints investigated: 4
Number of complaints substantiated: 2
Resident 1 pressure wound measurements: 6
Resident 2 pressure wound measurements: 7
Resident 2 pressure wound measurements: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Former Caregiver C | Provided testimony about inadequate wound care and repositioning for Residents 1 and 2. | |
| Hospice RN D | Registered Nurse | Provided wound care and reported concerns about inadequate repositioning and wound management for Resident 1. |
| Resident Care Coordinator B | Interviewed regarding Resident 1 and Resident 2's care and wound status. | |
| Wellness Director A | Acknowledged lack of formal skin assessments and planned staff education on pressure injury risk and intervention. | |
| Regional Director of Wellness E | Acknowledged concerns and communication issues between hospice and facility staff. | |
| RN A | Registered Nurse | Interviewed regarding skin assessment and care plans. |
Notice
Deficiencies: 1
Date: Jun 13, 2023
Visit Reason
A standard survey and complaint investigation were conducted to determine if Bella Vista was in substantial compliance with Wisconsin statutes and administrative codes governing community-based residential facilities.
Complaint Details
The visit included a complaint investigation to determine compliance with applicable statutes and codes.
Findings
The Department found violations of Wis. Stat. ch. 50 and Wis. Admin. Code ch. DHS 83 related to the administration and operation of the facility. A forfeiture of $1,000 was imposed for failure to comply with care standards, specifically related to skin integrity and pressure injury prevention.
Deficiencies (1)
Violation of Wis. Stat. § 50.09(1)(L): The licensee failed to ensure each resident received adequate and appropriate care, including assessment and prevention of pressure injuries, timely medical assessments, and accurate medical records.
Report Facts
Forfeiture amount: 1000
Reduced forfeiture amount: 650
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. |
Viewing
Loading inspection reports...
