Inspection Reports for Brookdale Brookfield Capitol Dr

15100 West Capitol Drive,Brookfield, WI, WI

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Inspection Report Enforcement Deficiencies: 1 May 5, 2025
Visit Reason
A standard survey was conducted on May 5, 2025, to determine if Brookdale Brookfield Capitol Drive was in substantial compliance with Wisconsin statutes and administrative codes governing community-based residential facilities.
Findings
The Department found violations of Wis. Stat. ch. 50 and Wis. Admin. Code ch. DHS 83, resulting in a Statement of Deficiency (SOD #MFBQ11) and imposed a forfeiture of $1965.00 for medication management deficiencies and other regulatory noncompliance.
Deficiencies (1)
Description
Failure to ensure each resident’s right to receive all prescribed medications in the dosage and at intervals prescribed by the practitioner.
Report Facts
Forfeiture amount: 1965 Reduced forfeiture amount: 1277.25 Compliance timeframe: 45 Payment timeframe: 10
Employees Mentioned
NameTitleContext
Kenneth BrotheridgeAssisted Living DirectorSigned the enforcement notice letter
Hillary HolmanAssisted Living Regional DirectorContact person for questions about the letter
Inspection Report Renewal Census: 20 Deficiencies: 2 May 1, 2025
Visit Reason
A standard licensing survey was conducted at Brookdale Brookfield Capitol Drive to assess compliance with state regulations for assisted living facilities.
Findings
Two citations of noncompliance were issued: failure to ensure communicable disease screening documentation for two caregivers, and failure to administer prescribed medications to five residents as ordered by practitioners.
Deficiencies (2)
Description
Failure to ensure two caregivers were screened by a qualified healthcare professional for communicable diseases including tuberculosis within 90 days before employment.
Failure to ensure five residents received all prescribed medications in the correct dosage and intervals as ordered by practitioners.
Report Facts
Number of citations: 2 Resident count: 5 Caregiver count: 2 Medication doses not administered: 1 Medication doses administered: 72 Medication doses administered: 101 Medication doses administered: 17 Medication doses administered: 15 Medication doses administered: 129 Medication doses administered: 152 Medication doses administered: 416 Medication doses not administered: 8
Employees Mentioned
NameTitleContext
Administrator AProvided information about screening delays and staff training following noncompliance.
Health and Wellness Director BLicensed Practical NurseInterviewed regarding residents' medication administration and conducted staff training after findings.
Pharmacy Staff DProvided information about medication deliveries and pharmacy audits.
Caregiver ECaregiverLacked proper communicable disease screening documentation.
Caregiver FCaregiverLacked proper communicable disease screening documentation.
Inspection Report Complaint Investigation Census: 14 Deficiencies: 0 Mar 1, 2023
Visit Reason
Verification visit and complaint investigation conducted at Brookdale Brookfield Capitol Drive.
Findings
No deficiencies were identified during the visit. The previous Statement of Deficiency dated 09/14/2022 was corrected. The complaint was unsubstantiated.
Complaint Details
Complaint was investigated and found to be unsubstantiated.
Report Facts
Revisit fee: 200

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