Inspection Reports for Brookdale Sussex
W240 N6351 Maple Avenue,Sussex, WI, WI
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Notice
Deficiencies: 0
Jul 8, 2025
Visit Reason
A standard survey was conducted on July 8, 2025, to determine if Brookdale Sussex was in substantial compliance with Wisconsin statutes and administrative codes governing community-based residential facilities.
Findings
The Department issued a Statement of Deficiency (SOD #KNMH11) for violations of Wis. Stat. ch. 50 and Wis. Admin. Code ch. DHS 83, requiring the licensee to comply with all regulatory requirements within 45 days.
Report Facts
Days to achieve compliance: 45
Appeal filing period: 10
Posting duration: 90
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Hillary Holman | Assisted Living Regional Director | Contact person for questions about the notice. |
| Kenneth Brotheridge | Assisted Living Director | Signed the notice letter. |
Inspection Report
Renewal
Census: 19
Deficiencies: 1
Jul 8, 2025
Visit Reason
The Bureau of Assisted Living conducted a standard licensing survey at Brookdale Sussex to assess compliance with regulatory requirements.
Findings
One citation of noncompliance was issued related to failure to assess the existence and/or use of a side rail on Resident 1's bed prior to its use. The facility did not document assessments regarding the side rail or fall mat despite Resident 1 being a fall risk.
Deficiencies (1)
| Description |
|---|
| Failure to ensure the existence and/or use of a side rail on Resident 1's bed had been assessed prior to use. |
Report Facts
Census: 19
Deficiencies cited: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse D | Licensed Practical Nurse | Interviewed regarding awareness of side rail use and assessment |
| Administrator A | Administrator | Participated in exit interview and discussed follow-up actions |
| Assistant Administrator B | Assistant Administrator | Provided Resident 1's record and participated in exit interview |
| Licensed Practical Nurse C | Licensed Practical Nurse | Participated in exit interview and was unaware of side rail use |
Inspection Report
Re-Inspection
Census: 17
Deficiencies: 0
Dec 9, 2024
Visit Reason
The Bureau of Assisted Living conducted a verification visit at Brookdale Sussex to verify compliance following a prior inspection.
Findings
No citations of noncompliance were issued during this verification visit.
Report Facts
Revisit fee: 200
Inspection Report
Complaint Investigation
Deficiencies: 1
Aug 12, 2024
Visit Reason
A complaint investigation was conducted to determine if Brookdale Sussex was in substantial compliance with Wisconsin statutes and administrative codes governing community-based residential facilities.
Findings
The Department issued a Statement of Deficiency (SOD #0GYY11) for violations of Wis. Stat. ch. 50 and Wis. Admin. Code ch. DHS 83, resulting in a Notice of Violation and an imposed forfeiture of $1000.
Complaint Details
The complaint investigation concluded that the facility was not in substantial compliance with applicable statutes and administrative codes, leading to enforcement action including a forfeiture.
Deficiencies (1)
| Description |
|---|
| Violation of Wis. Admin. Code 83.38(1)(a) as cited in SOD #0GYY11 |
Report Facts
Forfeiture amount: 1000
Reduced forfeiture amount: 650
Forfeiture payment deadline: 10
Compliance timeframe: 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
Complaint Investigation
Census: 15
Deficiencies: 1
Aug 12, 2024
Visit Reason
The Bureau of Assisted Living conducted a complaint investigation at Brookdale Sussex following a complaint alleging a resident was injured due to improper use of a mechanical lift by caregivers.
Findings
The provider failed to ensure Resident 1 was transferred safely using a Hoyer lift, resulting in the lift tipping over and Resident 1 sustaining significant injuries requiring hospitalization and surgery. One citation of noncompliance was issued and the complaint was substantiated.
Complaint Details
The complaint was substantiated. Resident 1 was injured on 12/03/2023 when two caregivers improperly used a Hoyer lift causing it to tip over. Resident 1 was hospitalized with significant thoracic vertebrae injury requiring surgery. Former Caregiver C was terminated and Caregiver D received final corrective action. Re-education on mechanical lifts was provided to staff.
Deficiencies (1)
| Description |
|---|
| Provider did not ensure Resident 1 was transferred in a manner to meet personal care needs; caregivers used a Hoyer lift incorrectly causing it to tip over and injure Resident 1. |
Report Facts
Census: 15
Date of incident: Dec 3, 2023
Date of surgery: Dec 8, 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Administrator A | Administrator | Provided information about the incident and facility operations |
| Former Caregiver C | Operator of Hoyer lift during incident; terminated after investigation | |
| Caregiver D | Spotter during lift incident; received final corrective action | |
| Health and Wellness Director B | Health and Wellness Director | Provided re-education and hands-on training on mechanical lifts after incident |
Inspection Report
Complaint Investigation
Census: 15
Deficiencies: 0
Jan 22, 2024
Visit Reason
The Bureau of Assisted Living conducted a complaint investigation at Brookdale Sussex.
Findings
No citations of noncompliance were issued and the complaint was unsubstantiated.
Complaint Details
Complaint was unsubstantiated.
Inspection Report
Renewal
Census: 19
Deficiencies: 0
Apr 24, 2023
Visit Reason
A standard licensing survey was conducted at Brookdale Sussex to assess compliance with assisted living regulations.
Findings
No citations were issued during the survey, indicating compliance with regulatory standards.
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