Inspection Reports for Brookdale Middleton Stonefield
6701 Stonefield Road,Middleton, WI, WI
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Inspection Report
Complaint Investigation
Census: 32
Deficiencies: 0
Feb 11, 2025
Visit Reason
A complaint investigation was conducted by the bureau of assisted living southern regional office at Brookdale Middleton Stonefield, a CBRF located in Middleton, WI.
Findings
As a result of the survey, zero violations of DHS Chapter 83 were issued. The complaint was found to be unsubstantiated.
Complaint Details
Complaint was unsubstantiated.
Report Facts
Violations issued: 0
Inspection Report
Follow-Up
Census: 30
Deficiencies: 0
Jan 3, 2024
Visit Reason
Surveyor conducted a verification visit at Brookdale Middleton Stonefield to verify correction of previous deficiencies.
Findings
No deficiencies were identified during the verification visit. Four of four violations from a prior Statement of Deficiency dated 08/14/2023 were corrected. A $200 revisitation fee is being assessed under statutory provisions.
Report Facts
Revisitation fee: 200
Violations corrected: 4
Inspection Report
Enforcement
Deficiencies: 0
Aug 14, 2023
Visit Reason
A standard survey, self-report investigation, and complaint investigation were conducted to determine if Brookdale Middleton Stonefield 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 and imposition of a forfeiture totaling $2,400. The licensee was ordered to comply with requirements to protect resident health, safety, and rights, including developing corrective measures and staff training.
Complaint Details
The visit included a complaint investigation as part of the overall inspection process; however, no specific substantiation status is provided in the report.
Report Facts
Forfeiture amount: 2400
Reduced forfeiture amount: 1560
Forfeiture breakdown: 300
Forfeiture breakdown: 1100
Forfeiture breakdown: 1000
Compliance timeframe: 45
Payment timeframe: 10
Appeal timeframe: 10
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
Complaint Investigation
Census: 31
Capacity: 32
Deficiencies: 4
Aug 8, 2023
Visit Reason
The survey was conducted on 08/08/2023 as a standard survey including 2 complaint investigations and a self-report review.
Findings
Four deficiencies were identified, including one repeat violation. One complaint was substantiated and one was unsubstantiated. Findings included failure to ensure residents received medications as ordered and failure to update individual service plans based on changes in residents' needs.
Complaint Details
Two complaints were investigated; one was substantiated and one was unsubstantiated. The substantiated complaint involved medication administration errors and failure to update service plans.
Deficiencies (4)
| Description |
|---|
| Failure to ensure residents received all prescribed medications as ordered by a practitioner. |
| Failure to update individual service plans annually or when changes occurred in residents' needs, abilities, or physical or mental condition. |
| Failure to properly monitor and document blood sugar levels and notify physicians of abnormal readings. |
| Failure to maintain clean and good repair of every interior floor, wall, and ceiling, with dark spots observed on carpets and floors. |
Report Facts
Number of deficiencies identified: 4
Licensed capacity: 32
Census: 31
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Executive Director A | Executive Director | Interviewed regarding medication administration and service plan updates |
| Med Tech C | Medication Technician | Interviewed and observed administering medications |
| Health and Wellness Coordinator B | Health and Wellness Coordinator | Returned medication carts and verified medication quantities |
| Health and Wellness Director B | Health and Wellness Director | Interviewed regarding medication administration and documentation |
| Pharmacy Support D | Pharmacy Support | Interviewed regarding medication dispensing and pharmacy orders |
| Hospital Physician F | Hospital Physician | Interviewed regarding resident hospitalization and blood sugar monitoring |
| Hospital Physician E | Hospital Physician | Interviewed regarding hospital discharge summary and blood sugar monitoring |
| Caregiver H | Caregiver | Interviewed regarding resident behavior and use of assistive devices |
| Housekeeper I | Housekeeper | Interviewed regarding carpet cleaning and maintenance |
Inspection Report
Complaint Investigation
Census: 31
Deficiencies: 0
Jan 31, 2023
Visit Reason
Surveyors conducted a complaint investigation at Brookdale Middleton Stonefield.
Findings
No deficiencies were identified and the complaint was unsubstantiated.
Complaint Details
Complaint was unsubstantiated.
Report Facts
Census: 31
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