Inspection Reports for
Brookdale Lacrosse Al
3141 EAST AVE SOUTH, LACROSSE, WI, 54601
Back to Facility ProfileDeficiencies (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/yearDeficiencies per year
4
3
2
1
0
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.
Occupancy over time
Inspection Report
Complaint Investigation
Census: 23
Deficiencies: 0
Date: Aug 14, 2025
Visit Reason
Surveyor conducted a complaint investigation at Brookdale La Crosse AL.
Complaint Details
The complaint was unsubstantiated.
Findings
The complaint was unsubstantiated and no deficiencies were identified.
Inspection Report
Follow-Up
Census: 24
Deficiencies: 0
Date: 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
Date: 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.
Complaint Details
The visit was complaint-related as it included a complaint investigation; however, the substantiation status is not stated.
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.
Report Facts
Compliance timeframe: 45
Inspection fee: 200
Appeal timeframe: 10
Posting duration: 90
Employees mentioned
| Name | Title | Context |
|---|---|---|
| William R. Gardner | 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: 21
Capacity: 36
Deficiencies: 1
Date: 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.
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.
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.
Deficiencies (1)
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
| Name | Title | Context |
|---|---|---|
| Administrator A | Administrator | Interviewed regarding hospitalization after medication error |
| Health and Wellness Director B | Health and Wellness Director | Interviewed regarding investigation and symptoms after medication error |
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: 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.
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.
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.
Report Facts
Days to achieve compliance: 45
Appeal filing deadline: 10
Employees mentioned
| Name | Title | Context |
|---|---|---|
| William R. Gardner | Assisted Living Regional Director | Contact person for questions about the letter. |
| Kenneth Brotheridge | Assisted Living Director | Signed the notice letter. |
Inspection Report
Complaint Investigation
Census: 21
Capacity: 36
Deficiencies: 2
Date: 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.
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.
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.
Deficiencies (2)
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
| Name | Title | Context |
|---|---|---|
| Administrator A | Interviewed regarding refund delays and cleanliness issues |
Inspection Report
Complaint Investigation
Census: 21
Deficiencies: 0
Date: Mar 30, 2023
Visit Reason
Surveyor conducted a complaint investigation at Brookdale La Crosse AL on 03/30/2023.
Complaint Details
The complaint was unsubstantiated.
Findings
The complaint was unsubstantiated and no new deficiencies were identified during the investigation.
Inspection Report
Complaint Investigation
Census: 22
Deficiencies: 0
Date: Feb 24, 2023
Visit Reason
Surveyor conducted a complaint investigation at Brookdale La Crosse AL on 02/24/2023.
Complaint Details
Complaint was investigated and found not substantiated.
Findings
The complaint was not substantiated and no deficiencies were identified during the investigation.
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