Inspection Reports for Brookdale Lacrosse Al

3141 EAST AVE SOUTH, WI, 54601

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Deficiencies (last 3 years)

Deficiencies (over 3 years) 1 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

78% better than Wisconsin average
Wisconsin average: 4.6 deficiencies/year

Deficiencies per year

4 3 2 1 0
2023
2024
2025

Census

Latest occupancy rate 23 residents

Based on a August 2025 inspection.

This facility has shown a steady increase in demand based on occupancy rates.

Census over time

14 21 28 35 42 Feb 2023 Mar 2023 Feb 2024 Aug 2024 Feb 2025 Aug 2025
Inspection Report Complaint Investigation Census: 23 Deficiencies: 0 Aug 14, 2025
Visit Reason
Surveyor conducted a complaint investigation at Brookdale La Crosse AL.
Findings
The complaint was unsubstantiated and no deficiencies were identified.
Complaint Details
The complaint was unsubstantiated.
Inspection Report Follow-Up Census: 24 Deficiencies: 0 Feb 11, 2025
Visit Reason
The surveyor conducted a verification visit to confirm correction of a previously identified deficiency from the Statement of Deficiency dated 08/09/2024.
Findings
The previously identified deficiency was corrected and no new deficiencies were identified during this visit. A $200 revisit fee is being assessed under statutory provisions.
Report Facts
Revisit fee: 200
Inspection Report Complaint Investigation Deficiencies: 0 Aug 9, 2024
Visit Reason
A standard survey and complaint investigation were conducted to determine if Brookdale LaCrosse AL was in substantial compliance with Wisconsin statutes and administrative codes governing community-based residential facilities.
Findings
The Department issued a Statement of Deficiency (SOD #HZDD11) for violations of Wis. Stat. ch. 50 and Wis. Admin. Code ch. DHS 83, establishing grounds for enforcement action and requiring the licensee to comply with all requirements to protect resident health, safety, and welfare.
Complaint Details
The visit was complaint-related as it included a complaint investigation; however, the substantiation status is not stated.
Report Facts
Compliance timeframe: 45 Inspection fee: 200 Appeal timeframe: 10 Posting duration: 90
Employees Mentioned
NameTitleContext
William R. GardnerAssisted Living Regional DirectorContact person for questions about the letter
Kenneth BrotheridgeAssisted Living DirectorSigned the Notice and Order letter
Inspection Report Complaint Investigation Census: 21 Capacity: 36 Deficiencies: 1 Aug 9, 2024
Visit Reason
The inspection was conducted as an anonymous complaint investigation and a standard survey at Brookdale La Crosse AL following a complaint received on 2024-07-14 regarding medication errors that resulted in a resident being sent to a hospital.
Findings
The provider did not ensure Resident 1's right to receive all medications as prescribed when Resident 1 was given Resident 2's morning medications, resulting in Resident 1 being drowsy and requiring emergency room observation for approximately 3 hours. The complaint was substantiated with one deficiency identified.
Complaint Details
The complaint was substantiated. Resident 1 was administered another resident's medication in error, resulting in an emergency room visit for observation due to possible side effects. The incident was investigated but not documented. Hospital progress and discharge notes confirmed the medication error and subsequent symptoms.
Deficiencies (1)
Description
The provider did not ensure Resident 1's right to receive all medications as prescribed when Resident 1 was given Resident 2's AM medications.
Report Facts
Census: 21 Total licensed capacity: 36 Duration of emergency room observation: 3
Employees Mentioned
NameTitleContext
Administrator AAdministratorInterviewed regarding hospitalization after medication error
Health and Wellness Director BHealth and Wellness DirectorInterviewed regarding investigation and symptoms after medication error
Inspection Report Complaint Investigation Deficiencies: 0 Feb 14, 2024
Visit Reason
A complaint investigation was conducted on February 14, 2024, to determine if Brookdale Lacrosse AL was in substantial compliance with Wisconsin statutes and administrative codes governing community-based residential facilities.
Findings
The Department issued a Statement of Deficiency (SOD #2PFF11) for violations of Wis. Stat. ch. 50 and Wis. Admin. Code ch. DHS 83, establishing grounds for regulatory action and requiring the licensee to comply with all requirements within 45 days.
Complaint Details
The complaint was concluded on February 14, 2024, resulting in findings of noncompliance and issuance of a Statement of Deficiency. Specific substantiation status is not stated.
Report Facts
Days to achieve compliance: 45 Appeal filing deadline: 10
Employees Mentioned
NameTitleContext
William R. GardnerAssisted Living Regional DirectorContact person for questions about the letter.
Kenneth BrotheridgeAssisted Living DirectorSigned the notice letter.
Inspection Report Complaint Investigation Census: 21 Capacity: 36 Deficiencies: 2 Feb 14, 2024
Visit Reason
The inspection was conducted as a complaint investigation following two complaints received by the Department on 01/30/2024 regarding untimely refund of resident deposits and lack of cleanliness in resident bathrooms and living areas.
Findings
Two deficiencies were identified and substantiated: the provider did not return all refunds due to a resident within 30 days of discharge, and the provider failed to maintain a safe, clean, comfortable, and homelike environment, specifically evidenced by an unclean toilet in a resident's bathroom.
Complaint Details
Two complaints were substantiated: one regarding untimely refund of deposits to Resident 1, and another regarding lack of cleanliness in Resident 2's bathroom and living area.
Deficiencies (2)
Description
Provider did not return all refunds due to Resident 1 within 30 days of discharge, with a community fee refunded late on 01/11/2024.
Provider did not ensure the bathroom area for Resident 2 was clean; feces were observed stuck on the back of the toilet bowl during the inspection.
Report Facts
Census: 21 Total licensed capacity: 36
Employees Mentioned
NameTitleContext
Administrator AInterviewed regarding refund delays and cleanliness issues
Inspection Report Complaint Investigation Census: 21 Deficiencies: 0 Mar 30, 2023
Visit Reason
Surveyor conducted a complaint investigation at Brookdale La Crosse AL on 03/30/2023.
Findings
The complaint was unsubstantiated and no new deficiencies were identified during the investigation.
Complaint Details
The complaint was unsubstantiated.
Inspection Report Complaint Investigation Census: 22 Deficiencies: 0 Feb 24, 2023
Visit Reason
Surveyor conducted a complaint investigation at Brookdale La Crosse AL on 02/24/2023.
Findings
The complaint was not substantiated and no deficiencies were identified during the investigation.
Complaint Details
Complaint was investigated and found not substantiated.

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