Inspection Reports for Caring Hands Assisted Living

2514 WISCONSIN AVE, WI, 53061

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Deficiencies (last 3 years)

Deficiencies (over 3 years) 5.3 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

15% worse than Wisconsin average
Wisconsin average: 4.6 deficiencies/year

Deficiencies per year

8 6 4 2 0
2023
2024
2025

Census

Latest occupancy rate 43 residents

Based on a August 2025 inspection.

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

Census over time

9 18 27 36 45 54 Feb 2023 May 2024 Aug 2024 Apr 2025 Aug 2025
Inspection Report Follow-Up Census: 43 Deficiencies: 0 Aug 11, 2025
Visit Reason
Surveyor conducted a verification visit to assess correction of previous deficiencies at Caring Hands Assisted Living.
Findings
All previous citations were corrected and no new deficiencies were issued during this survey.
Report Facts
Revisit fee: 200
Inspection Report Enforcement Deficiencies: 4 Apr 23, 2025
Visit Reason
A standard survey and verification visit was conducted on April 23, 2025, to determine if Caring Hands Assisted Living 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 (SOD #2QKW12) and imposed a total forfeiture of $1,040.00. The licensee is ordered to comply with requirements immediately and maintain substantial compliance within 45 days.
Deficiencies (4)
Description
Violation of DHS Code 83.19
Violation of DHS Code 83.25
Violation of DHS Code 83.32(3)(h)
Violation of DHS Code 83.47(2)(e)
Report Facts
Forfeiture amount: 1040 Forfeiture amount: 400 Forfeiture amount: 200 Forfeiture amount: 240 Forfeiture amount: 200 Reduced forfeiture amount: 676 Inspection fee: 200 Compliance timeframe: 45 Payment timeframe: 10
Employees Mentioned
NameTitleContext
Kenneth BrotheridgeAssisted Living DirectorSigned the Notice and Order letter
Vicky WittmanAssisted Living Regional DirectorContact person for questions about the letter
Inspection Report Routine Census: 41 Deficiencies: 5 Apr 21, 2025
Visit Reason
Surveyor conducted a verification visit and a standard survey at Caring Hands Assisted Living to assess compliance with regulatory requirements and verify correction of previous deficiencies.
Findings
Five deficiencies were issued, including two repeat deficiencies. Deficiencies included lack of required orientation training for employees, insufficient continuing education hours, medication administration errors, failure to conduct required evacuation drills, and incomplete out-of-state background checks.
Deficiencies (5)
Description
Two employees did not receive required orientation training including abuse prevention, emergency procedures, and recognizing resident condition changes.
One employee did not receive at least 15 hours of continuing education per calendar year including standard precautions and abuse prevention.
Resident 1 did not receive prescribed Vancomycin HCl 125 mg medication on multiple dates without a documented discontinuation order.
Other evacuation drills such as tornado or flooding drills were not conducted at least semi-annually.
Out-of-state background check was not completed at time of hire for one employee who had lived in multiple states within the last three years.
Report Facts
Deficiencies issued: 5 Repeat deficiencies: 2 Revisit fee: 200 Continuing education hours: 3.5 Medication doses missed: 13
Employees Mentioned
NameTitleContext
Caregiver CDid not receive required orientation training, insufficient continuing education hours, and lacked out-of-state background check
Caregiver DDid not receive required orientation training
Licensee AInterviewed regarding orientation training and continuing education; communicated with surveyor
Administrator BProvided documentation and email responses regarding orientation training, continuing education, medication administration, and background checks
Notice Deficiencies: 0 Aug 12, 2024
Visit Reason
A complaint investigation was conducted on August 12, 2024, to determine if Caring Hands Assisted Living 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 #2QKW11 and a forfeiture of $500 imposed on the licensee.
Complaint Details
Complaint investigation concluded on August 12, 2024, resulting in findings of noncompliance and issuance of Statement of Deficiency #2QKW11.
Report Facts
Forfeiture amount: 500 Reduced forfeiture amount: 325 Days to achieve compliance: 45 Days to request extension: 10 Days to pay forfeiture: 10 Days to request hearing: 10 Forfeiture range per violation: 10 Forfeiture range per violation: 1000 Inspection fee: 200
Employees Mentioned
NameTitleContext
Kenneth BrotheridgeAssisted Living DirectorSigned the Notice and Order letter.
Vicky WittmanAssisted Living Regional DirectorContact person for questions about the letter.
Inspection Report Complaint Investigation Census: 42 Capacity: 44 Deficiencies: 4 Aug 12, 2024
Visit Reason
Surveyors conducted a complaint investigation at Caring Hands Assisted Living due to allegations that residents were admitted above licensed capacity and concerns about medication administration and resident funds management.
Findings
The complaint was substantiated with four deficiencies identified, including exceeding licensed bed capacity before approval, failure to administer medication as prescribed to a resident, improper management of resident personal funds exceeding $200, and incomplete documentation of medication administration.
Complaint Details
The complaint was substantiated. Allegations included residents admitted above licensed capacity, residents not receiving medications as prescribed, resident funds being kept in excess of $200 improperly, and medication administration not documented appropriately.
Deficiencies (4)
Description
Provider had more residents than the maximum bed capacity on its license before the licensed capacity was amended from 24 to 44 beds.
Provider did not ensure Resident 9 received medication in the dosage and at intervals prescribed by a practitioner.
Provider maintained Resident 7's personal funds which exceeded $200 without depositing in an interest-bearing account.
Provider did not ensure medication administration performed by staff was documented in Resident 6 and Resident 8's medication administration records.
Report Facts
Census: 42 Total licensed capacity: 44 Residents admitted above licensed capacity: 29 Resident 7's personal funds: 2164.13 Days medication not documented: 21 Days medication not documented: 5
Employees Mentioned
NameTitleContext
Administrator AInterviewed regarding resident admissions, medication administration issues, and management of resident funds
Inspection Report Complaint Investigation Deficiencies: 0 May 7, 2024
Visit Reason
A complaint investigation was conducted on May 7, 2024, to determine if Caring Hands Assisted Living was in substantial compliance with Wisconsin Statutes and Administrative Code requirements for community-based residential facilities.
Findings
The Department issued a Statement of Deficiency (SOD #MYKD11) 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 standards to protect resident health, safety, and welfare.
Complaint Details
Complaint investigation concluded on May 7, 2024, resulting in issuance of Statement of Deficiency #MYKD11 for violations of regulatory requirements.
Report Facts
Appeal filing timeframe: 10 Compliance timeframe: 45 Posting duration: 90
Employees Mentioned
NameTitleContext
Kenneth BrotheridgeAssisted Living DirectorSigned the notice letter as Bureau of Assisted Living, Division of Quality Assurance.
Vicky WittmanAssisted Living Regional DirectorContact person for questions about the letter.
Inspection Report Complaint Investigation Census: 40 Deficiencies: 1 May 7, 2024
Visit Reason
Surveyor conducted a complaint investigation at Caring Hands Assisted Living regarding allegations of mold in the kitchen.
Findings
One deficiency was identified related to food safety; the provider's walk-in refrigerator had mold on the shelves, and food items were not stored in a sanitary manner.
Complaint Details
The complaint was substantiated. The investigation found mold in the kitchen's walk-in refrigerator and unsanitary food storage conditions.
Deficiencies (1)
Description
Food safety violation due to mold on the shelves of the walk-in refrigerator and improper food storage.
Report Facts
Census: 40
Employees Mentioned
NameTitleContext
Administrator AAdministratorInterviewed regarding food safety concerns and acknowledged mold issues in the walk-in refrigerator.
Cook BCookInterviewed about mold on the refrigerator shelves and responsible for addressing the issue.
Inspection Report Renewal Capacity: 44 Deficiencies: 0 Mar 25, 2024
Visit Reason
Surveyor conducted an onsite visit to increase capacity from 24 to 44 residents.
Findings
The facility's capacity was increased effective 04/09/2024 to serve up to 44 residents in client groups including advanced age and irreversible dementia/Alzheimer's.
Report Facts
Capacity increase: 20
Inspection Report Complaint Investigation Deficiencies: 0 Feb 13, 2023
Visit Reason
A complaint investigation, self-report review, and standard survey were conducted to determine if Caring Hands Assisted Living was in substantial compliance with Wisconsin statutes and administrative codes governing community-based residential facilities.
Findings
The Department issued a Statement of Deficiency (SOD #WGPQ11) for violations of Wisconsin Statutes and Administrative Code chapters related to the operation of the facility, establishing grounds for regulatory action and an order to comply with requirements within 45 days.
Complaint Details
The visit was complaint-related, involving a complaint investigation, self-report review, and standard survey. Specific substantiation status is not stated.
Report Facts
Days to achieve compliance: 45 Appeal filing deadline: 10 Posting duration: 90
Employees Mentioned
NameTitleContext
Kathleen D. LyonsInterim Assisted Living DirectorSigned the notice letter.
Vicky WittmanAssisted Living Regional DirectorContact person for questions about the letter.
Inspection Report Complaint Investigation Census: 20 Deficiencies: 2 Feb 13, 2023
Visit Reason
On 02/13/2023, a surveyor investigated one complaint, reviewed one self-report, and conducted a standard survey at Caring Hands Assisted Living. The complaint was unsubstantiated, but two new deficiencies were identified as a result of the survey and self-report review.
Findings
Two deficiencies were found: the provider did not ensure a 30-day written advance notice prior to an involuntary discharge of a resident, and the provider did not conduct other evacuation drills at least semi-annually as required.
Complaint Details
The complaint investigated was unsubstantiated. The visit included review of a self-report regarding Resident 1's inappropriate sexual behavior and discharge without 30 day notice.
Deficiencies (2)
Description
Provider did not ensure a 30 day written advance notice to a resident prior to initiating an involuntary discharge.
Provider did not ensure other evacuation drills were conducted at least semi-annually.
Report Facts
Census: 20 Number of complaints investigated: 1 Number of self-reports reviewed: 1
Employees Mentioned
NameTitleContext
Administrator AInterviewed regarding the self-report and discharge of Resident 1
Caregiver BAdvised by Administrator A to contact Resident 1's power of attorney
Licensee DInterviewed regarding evacuation drills

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