Inspection Reports for Brookdale Middleton Century Ave
6916 Century Avenue,Middleton, WI, WI
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Inspection Report
Follow-Up
Census: 16
Deficiencies: 0
Dec 2, 2025
Visit Reason
Verification visit conducted to confirm correction of previously identified deficiencies.
Findings
No deficiencies were identified during the verification visit. The previously cited Statement of Deficiency dated 07/14/2025 was corrected.
Report Facts
Revisit fee: 200
Inspection Report
Routine
Deficiencies: 2
Jul 14, 2025
Visit Reason
A standard survey was conducted on July 14, 2025, by the Division of Quality Assurance, Bureau of Assisted Living, to determine if Brookdale Middleton Century Ave was in substantial compliance with Wisconsin statutes and administrative codes governing community-based residential facilities.
Findings
The Department issued a Statement of Deficiency (SOD #VUUA11) for violations of Wis. Stat. ch. 50 and Wis. Admin. Code ch. DHS 83. A total forfeiture of $400 was imposed for these violations, with specific fines of $250 and $150 for two cited code violations.
Deficiencies (2)
| Description |
|---|
| Violation of Wis. Admin. Code 83.37(1)(h) |
| Violation of Wis. Admin. Code 83.38(1)(g) |
Report Facts
Forfeiture amount: 400
Forfeiture amount: 250
Forfeiture amount: 150
Forfeiture payment deadline days: 10
Reduced forfeiture amount: 260
Compliance timeframe days: 45
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kenneth Brotheridge | Assisted Living Director | Signed the Notice and Order letter |
| Hillary Holman | Assisted Living Regional Director | Contact person for questions about the letter |
Inspection Report
Routine
Census: 17
Deficiencies: 4
Jul 14, 2025
Visit Reason
A standard survey was conducted at Brookdale Middleton Century Ave, a Community-Based Residential Facility (CBRF), to assess compliance with regulatory requirements.
Findings
Four deficiencies were identified, including two repeat deficiencies related to medication administration errors, lack of quarterly psychotropic medication reviews, inadequate health monitoring documentation, and improper laundry storage practices.
Deficiencies (4)
| Description |
|---|
| Resident 2 received Clotrimazole powder for 3 days after the medication had been discontinued. |
| Scheduled psychotropic medications for Residents 1 and 2 were not reviewed quarterly by a pharmacist, practitioner, or registered nurse as required. |
| Changes in Resident 2's skin condition were not documented in the resident's record during treatment. |
| No separate storage areas or containers for clean and soiled laundry; same laundry basket used without sanitation between uses. |
Report Facts
Deficiencies identified: 4
Repeat deficiencies: 2
Census: 17
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| LPN B | Licensed Practical Nurse | Interviewed regarding medication administration and psychotropic medication reviews; involved in updating medication administration records |
| Caregiver D | Caregiver | Interviewed regarding Resident 2's skin care and medication application |
| Caregiver C | Caregiver | Interviewed regarding laundry practices and observed laundry room conditions |
| Executive Director A | Executive Director | Interviewed regarding facility policies on verbal orders and laundry procedures |
Inspection Report
Re-Inspection
Census: 15
Deficiencies: 0
Jul 24, 2023
Visit Reason
Verification visit conducted to confirm correction of previously identified deficiencies.
Findings
No deficiencies were identified during this verification visit. The previously cited Statement of Deficiency dated 02/24/2023 was corrected.
Report Facts
Revisit fee: 200
Notice
Deficiencies: 0
Feb 21, 2023
Visit Reason
A standard survey and complaint investigation was conducted to determine if Brookdale Middleton Century Ave was in substantial compliance with Wisconsin statutes and administrative codes governing community-based residential facilities.
Findings
Violations of Wis. Stat. ch. 50 and Wis. Admin. Code ch. DHS 83 were identified, resulting in a Statement of Deficiency (SOD #RPY412), a forfeiture of $600 imposed, and a revisit fee of $200 assessed to verify correction of violations.
Complaint Details
The visit was a combined standard survey and complaint investigation concluded on February 21, 2023. Specific substantiation status is not stated.
Report Facts
Forfeiture amount: 600
Reduced forfeiture amount: 390
Revisit fee: 200
Days to pay forfeiture: 10
Days to request hearing: 10
Days to pay revisit fee: 10
Days to achieve compliance: 45
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Patty Henneman | Licensee contact for Brookdale Middleton Century Ave. | |
| Kathleen D. Lyons | Interim Assisted Living Director | Signed the notice and order letter. |
| Hillary Holman | Assisted Living Regional Director | Contact person for questions regarding the notice. |
Inspection Report
Routine
Census: 17
Deficiencies: 8
Feb 21, 2023
Visit Reason
The surveyor conducted a verification visit and standard survey at Brookdale Middleton Century Ave, a Community-Based Residential Facility (CBRF), to assess compliance with regulatory requirements.
Findings
Eight deficiencies were identified related to employee communicable disease screening, training, resident health screenings, assessments following falls, service plan development, resident satisfaction evaluations, psychotropic medication reassessments, and medication audit documentation.
Deficiencies (8)
| Description |
|---|
| Caregiver F was not screened for clinically apparent communicable disease, including tuberculosis, within 90 days before employment. |
| Caregiver E did not complete required training in fire safety, first aid and choking, and standard precautions within 90 days after starting employment. |
| Resident 3 was not screened for clinically apparent communicable disease, including tuberculosis, within 90 days before or 7 days after admission. |
| Resident 2's needs, abilities, and physical condition were not assessed following falls on 01/20/2023 and 01/23/2023. |
| Resident 3's individual service plan was not developed with the resident's legal representative and did not include a signature acknowledging involvement and agreement. |
| Residents 2 and 5, along with their legal representatives, were not provided the opportunity to complete a resident satisfaction survey in 2022. |
| Residents 2 and 5 did not have quarterly reassessments for their scheduled psychotropic medications as required. |
| The provider did not maintain a proof-of-use record for schedule II drugs that included daily audits signed and dated. |
Report Facts
Deficiencies identified: 8
Revisit fee: 200
Census: 17
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Caregiver F | Caregiver | Named in deficiency for lack of communicable disease screening. |
| Caregiver E | Caregiver | Named in deficiency for lack of required training in fire safety, first aid and choking, and standard precautions. |
| Caregiver D | Caregiver | Mentioned in relation to medication cart audit observation. |
| Administrator C | Administrator | Interviewed and involved in follow-up regarding multiple deficiencies. |
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