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
Census
Latest occupancy rate
53 residents
Based on a September 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Census over time
Inspection Report
Complaint Investigation
Census: 53
Deficiencies: 1
Sep 17, 2025
Visit Reason
Surveyor conducted 2 complaint investigations at Brookdale Kenosha, one complaint was substantiated and one was unsubstantiated.
Findings
One deficiency was identified related to the failure to update a resident's Individual Service Plan (ISP) to reflect a change in toileting needs and use of incontinent garments. The ISP incorrectly stated the resident was independent with toileting despite evidence of incontinence and need for assistance.
Complaint Details
Two complaints were investigated; one was substantiated and one was unsubstantiated.
Deficiencies (1)
| Description |
|---|
| Failure to ensure 1 of 1 resident's Individual Service Plan was reviewed and updated with a change in needs, specifically toileting assistance and use of incontinent garments. |
Report Facts
Complaints investigated: 2
Complaints substantiated: 1
Complaints unsubstantiated: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Executive Director | Interviewed regarding resident care and ISP update | |
| Wellness Director | Interviewed and confirmed resident's incontinence and lack of ISP update |
Notice
Deficiencies: 0
Sep 17, 2025
Visit Reason
Two complaint investigations were concluded to determine if Brookdale Kenosha was in substantial compliance with state statutes and administrative codes governing community-based residential facilities.
Findings
The Department issued a Statement of Deficiency (SOD #CZIO11) for violations found during the complaint investigations, requiring the licensee to comply with applicable regulations to protect resident health, safety, and welfare.
Complaint Details
Two complaint investigations were concluded on September 17, 2025, resulting in issuance of a Statement of Deficiency for violations of Wis. Stat. ch. 50 and Wis. Admin. Code ch. DHS 83.
Report Facts
Compliance timeframe: 45
Inspection fee: 200
Appeal timeframe: 10
Posting duration: 90
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: 55
Deficiencies: 0
Jul 24, 2025
Visit Reason
Verification visit conducted at Brookdale Kenosha to assess compliance and verify correction of previous 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
Complaint Investigation
Deficiencies: 0
Mar 7, 2025
Visit Reason
A standard survey and two complaint investigations were conducted to determine if Brookdale Kenosha was in substantial compliance with Wisconsin statutes and administrative codes governing community-based residential facilities.
Findings
The Department issued a Statement of Deficiency (SOD #539311) for violations of Wisconsin statutes and administrative codes. A forfeiture of $1,400 was imposed for these violations, with a reduced payment option of $910 if not appealed.
Complaint Details
The visit included two complaint investigations along with a standard survey to assess compliance with regulatory requirements.
Report Facts
Forfeiture amount: 1400
Reduced forfeiture amount: 910
Forfeiture payment deadline: 10
Compliance timeframe: 45
Forfeiture per day range: 10
Forfeiture per day range: 1000
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 and order letter |
Inspection Report
Routine
Census: 53
Deficiencies: 3
Mar 7, 2025
Visit Reason
Surveyor conducted a standard survey and two complaint investigations at Brookdale Kenosha.
Findings
Three deficiencies were identified related to employee communicable disease screening, department-approved training, and clothes dryer vent tubing. The two complaints investigated were unsubstantiated.
Complaint Details
Two complaints were investigated and found to be unsubstantiated.
Deficiencies (3)
| Description |
|---|
| Provider did not obtain documentation indicating all employees were screened for communicable diseases within 90 days before employment for 4 caregivers. |
| Provider did not ensure 3 of 4 employees obtained all department-approved training including fire safety, first aid and choking, and standard precautions within required timeframes. |
| Provider did not ensure 2 of 5 clothes dryers had vent tubing of rigid material with a fire rating exceeding the dryer temperature rating; flexible foil type vent tubing was used instead. |
Report Facts
Deficiencies identified: 3
Employees reviewed for communicable disease screening: 4
Clothes dryers inspected: 5
Clothes dryers with deficient vent tubing: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Lead Med Tech D | Lead Med Tech | Named in communicable disease screening and training deficiencies. |
| Lead Med Tech E | Lead Med Tech | Named in communicable disease screening and training deficiencies. |
| Lead Med Tech F | Lead Med Tech | Named in communicable disease screening and training deficiencies. |
| Med Tech G | Med Tech | Named in communicable disease screening deficiency. |
| Administrator A | Administrator | Interviewed regarding deficiencies and compliance. |
| Health Wellness Director B | Health Wellness Director | Interviewed regarding deficiencies and compliance. |
| Business Office Manager H | Business Office Manager | Interviewed regarding deficiencies and compliance. |
| Maintenance Manager C | Maintenance Manager | Interviewed regarding clothes dryer vent tubing deficiency. |
Inspection Report
Complaint Investigation
Census: 46
Deficiencies: 0
Feb 23, 2024
Visit Reason
Surveyor conducted a complaint investigation at Brookdale of Kenosha.
Findings
No deficiencies were identified and the complaint was unsubstantiated.
Complaint Details
Complaint was unsubstantiated.
Inspection Report
Complaint Investigation
Census: 45
Deficiencies: 0
May 24, 2023
Visit Reason
Surveyor completed a complaint investigation at Brookdale Kenosha.
Findings
No deficient practice was identified and the complaint was unsubstantiated.
Complaint Details
Complaint investigation was unsubstantiated with no deficient practice identified.
Inspection Report
Annual Inspection
Census: 34
Capacity: 60
Deficiencies: 2
Jan 26, 2023
Visit Reason
The inspection was conducted as an annual survey to assess compliance with safety and regulatory requirements, including emergency evacuation drills and delayed egress door signage.
Findings
The facility failed to conduct required semi-annual tornado, flooding, or other emergency evacuation drills for one of the two years reviewed, with only one drill completed in 2022. Additionally, signs indicating how to open delayed egress doors were missing on 3 of 7 such doors.
Deficiencies (2)
| Description |
|---|
| Failure to conduct tornado, flooding, or other emergency evacuation drills semi-annually, with only one drill conducted in 2022. |
| Missing signs adjacent to the locking device on 3 of 7 delayed egress doors indicating how the door may be opened. |
Report Facts
Residents present: 34
Licensed capacity: 60
Delayed egress doors missing signs: 3
Total delayed egress doors: 7
Other evacuation drills completed in 2022: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Maintenance Supervisor G | Maintenance Supervisor | Interviewed regarding missing evacuation drills |
| Executive Director F | Executive Director | Interviewed regarding missing delayed egress door signage |
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