Inspection Reports for Brenwood Park Assisted Living
9535 W LOOMIS RD, WI, 53132
Back to Facility ProfileDeficiencies (last 2 years)
Deficiencies (over 2 years)
4.5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
2% better than Wisconsin average
Wisconsin average: 4.6 deficiencies/yearDeficiencies per year
4
3
2
1
0
Census
Latest occupancy rate
47 residents
Based on a October 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Census over time
Inspection Report
Complaint Investigation
Deficiencies: 1
Oct 30, 2025
Visit Reason
A verification visit and complaint investigation were conducted on October 30, 2025, to determine if Brenwood Park was in substantial compliance with Wisconsin statutes and administrative codes governing community-based residential facilities.
Findings
The Department issued a Statement of Deficiency (SOD #0ZUR12) for violations of Wis. Stat. ch. 50 and Wis. Admin. Code ch. DHS 83, resulting in a $200 forfeiture and an order to comply with requirements to protect resident health, safety, and welfare.
Complaint Details
The visit was complaint-related and included a verification visit to determine substantial compliance. The Department found violations substantiated as detailed in SOD #0ZUR12.
Deficiencies (1)
| Description |
|---|
| Violation of Wis. Admin. Code 83.35(3)(c) as identified in SOD #0ZUR12 |
Report Facts
Forfeiture amount: 200
Reduced forfeiture amount: 130
Revisit 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
Complaint Investigation
Census: 47
Deficiencies: 3
Oct 30, 2025
Visit Reason
The inspection was a verification visit and complaint investigation at Brenwood Park Assisted Living.
Findings
Three deficiencies were identified, including failure to involve the resident or legal representative in service plan development, failure to implement the individual service plan for a resident with a history of falls, and failure to maintain proper food safety temperatures. One complaint was substantiated.
Complaint Details
One complaint was substantiated during the investigation.
Deficiencies (3)
| Description |
|---|
| Failure to ensure the resident and/or legal representative were involved in developing and signing the individual service plan for 1 of 5 residents reviewed. |
| Failure to implement the individual service plan as written for 1 resident, including call light placement out of reach, contributing to fall risk. |
| Failure to ensure hot food was served at an adequate temperature; mashed potatoes were observed at 49°F without a heat source. |
Report Facts
Revisit fee: 200
Deficiencies identified: 3
Residents affected: 47
Temperature reading: 49
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| MRN P | Marketing Nurse | Interviewed regarding involvement of Health Care Power of Attorney in service plan reviews. |
| Executive Director O | Informed of concerns regarding service plan and food temperature deficiencies; conducted temperature testing. | |
| Clinical Director Q | Informed of concerns regarding service plan deficiencies. | |
| Cook N | Interviewed regarding food temperature testing and food preparation practices. | |
| MRN M | Marketing Nurse | Interviewed regarding call light placement and service plan implementation. |
Inspection Report
Complaint Investigation
Census: 46
Deficiencies: 0
Jun 27, 2025
Visit Reason
The visit was conducted to conclude two complaint investigations at Brenwood Park Assisted Living.
Findings
No deficiencies were identified during the complaint investigations, and both complaints were found to be unsubstantiated.
Complaint Details
Two complaints were investigated and both were unsubstantiated.
Inspection Report
Complaint Investigation
Deficiencies: 1
Apr 30, 2025
Visit Reason
A complaint survey was conducted on April 30, 2025, at Brenwood Park Assisted Living to determine if the facility was in substantial compliance with Wisconsin statutes and administrative codes governing community-based residential facilities.
Findings
The Department issued a Statement of Deficiency (SOD #0ZUR11) for violations related to health monitoring and other regulatory requirements. The licensee was ordered to comply immediately and implement corrective measures within 45 days, including staff training. A forfeiture of $600 was imposed for the violations.
Complaint Details
The visit was complaint-related, conducted to determine substantial compliance with Wis. Stat. ch. 50 and Wis. Admin. Code ch. DHS 83. The Department issued a Statement of Deficiency and imposed enforcement actions including a forfeiture.
Deficiencies (1)
| Description |
|---|
| Health monitoring deficiency identified in Statement of Deficiency 0ZUR11 |
Report Facts
Forfeiture amount: 600
Reduced forfeiture amount: 390
Days to achieve compliance: 45
Days to request extension: 10
Days to pay forfeiture: 10
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kenneth Brotheridge | Assisted Living Director | Signed the notice letter |
| MaryBeth Hoffman | Assisted Living Regional Director | Contact person for questions about the letter |
Inspection Report
Complaint Investigation
Census: 41
Deficiencies: 4
Apr 30, 2025
Visit Reason
The survey was conducted as a complaint investigation at Brenwood Park Assisted Living, triggered by allegations of resident neglect and other concerns.
Findings
Four deficiencies were identified, including failure to inform a resident of care and treatment options, failure to reassess a resident after a fall with fracture, failure to implement an individual service plan for a resident with a history of falls, and failure to monitor and report significant weight loss for a resident.
Complaint Details
One complaint was substantiated and one complaint was unsubstantiated. The substantiated complaint involved failure to inform Resident 2 of care options and failure to monitor health and follow-up care.
Deficiencies (4)
| Description |
|---|
| Provider did not inform Resident 2 of care and treatment options upon move-in, resulting in missed physician appointment. |
| Provider did not reassess Resident 2 following an unwitnessed fall resulting in a closed fracture of the left humerus. |
| Provider did not ensure Resident 1's Individual Service Plan was implemented; call light was found out of reach despite fall risk. |
| Provider did not monitor Resident 2's significant weight loss or notify physician, despite documented weight loss and hospitalization. |
Report Facts
Deficiencies identified: 4
Resident census: 41
Weight loss percentage: 11.9
Hospitalization dates: Resident 2 hospitalized from 01/18/2025 to 01/20/2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Clinical Director I | Clinical Director | Interviewed regarding physician appointment facilitation and weight loss monitoring |
| Operations Director A | Operations Director | Interviewed regarding Resident 2's fall and care needs |
| Caregiver E | Caregiver | Interviewed regarding Resident 2's need for assistance with splint/sling |
| Managed Care Organization Care Manager H | Care Manager | Interviewed regarding provider responsibilities and hospitalization notification |
| Caregiver K | Caregiver | Observed call light issue for Resident 1 |
| Wellness Coordinator D | Wellness Coordinator | Interviewed regarding weight loss monitoring and staff changes |
| Former Clinical Director C | Former Clinical Director | Noted for failure to reassess Resident 2 after fall and fracture |
| Former Executive Director G | Former Executive Director | Mentioned in relation to staff changes impacting care |
Inspection Report
Complaint Investigation
Census: 44
Deficiencies: 0
Sep 27, 2024
Visit Reason
Surveyor conducted a complaint investigation at Brenwood Park Assisted Living.
Findings
No deficiencies were identified and the complaint was unsubstantiated.
Complaint Details
Complaint was unsubstantiated.
Inspection Report
Abbreviated Survey
Census: 43
Deficiencies: 0
Mar 26, 2024
Visit Reason
Surveyor conducted an abbreviated survey and complaint investigation at Brenwood Park Assisted Living in Franklin, WI.
Findings
No deficiencies were identified and the complaint was unsubstantiated.
Complaint Details
Complaint unsubstantiated.
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