Inspection Reports for Charter Senior Living of Madison
5601 Burke Rd, Madison, WI 53718, United States, WI, 53718
Back to Facility ProfileDeficiencies per Year
4
3
2
1
0
Unclassified
Census Over Time
Inspection Report
Follow-Up
Census: 51
Deficiencies: 0
Dec 2, 2025
Visit Reason
Verification visit conducted to assess correction of a prior deficiency from a statement of deficiency dated 08/20/2025.
Findings
Zero deficiencies of Chapter DHS 89 were identified. One of one prior violation was substantially corrected. A $200 revisit fee is being assessed under statutory provisions.
Report Facts
Revisit fee: 200
Inspection Report
Enforcement
Deficiencies: 1
Aug 20, 2025
Visit Reason
A verification visit was conducted on August 20, 2025, to determine if Charter Senior Living-Madison was in substantial compliance with Wisconsin statutes and administrative codes governing residential care apartment complexes (RCAC). This visit resulted in a Statement of Deficiency and enforcement actions.
Findings
The Department found violations of Wis. Stat. ch. 50 and Wis. Admin. Code ch. DHS 89 related to medication management and other operational requirements. A forfeiture of $400 was imposed, with a reduced payment option of $260 if not appealed. The operator is ordered to comply with corrective measures and submit a Plan of Correction within specified timeframes.
Deficiencies (1)
| Description |
|---|
| Violation related to medication management services as identified in Statement of Deficiency B33913. |
Report Facts
Forfeiture amount: 400
Reduced forfeiture amount: 260
Forfeiture payment timeframe: 10
Plan of Correction submission timeframe: 10
Compliance timeframe: 45
Training timeframe: 45
Inspection fee amount: 200
Inspection fee payment timeframe: 10
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kenneth Brotheridge | Assisted Living Director | Signed the enforcement notice and order. |
| Hillary Holman | Assisted Living Regional Director | Contact person for questions about the letter. |
Inspection Report
Follow-Up
Census: 45
Deficiencies: 2
Aug 20, 2025
Visit Reason
The surveyor conducted a verification visit to Charter Senior Living-Madison to assess compliance with Chapter DHS 89, focusing on medication management and nursing services.
Findings
The facility was found to have one repeat deficiency related to insufficient nursing services, specifically medication management. Two tenants did not receive proper medication administration: Tenant 1 did not receive the correct sliding scale insulin doses, and Tenant 3 missed scheduled topical pain medication on multiple occasions.
Deficiencies (2)
| Description |
|---|
| Failure to ensure Tenant 1 received the correct dose of sliding scale insulin as ordered. |
| Failure to administer scheduled topical pain medication (Biofreeze Gel) to Tenant 3 on 15 occasions due to medication not being available. |
Report Facts
Revisit fee: 200
Missed medication administrations: 15
As needed acetaminophen doses: 13
Number of tenants reviewed: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| F | Health and Wellness Director | Interviewed regarding medication administration issues and pharmacy orders. |
| A | Executive Director | Interviewed regarding medication administration issues and pharmacy orders. |
| D | Caregiver | Interviewed about medication cart and medication administration. |
| E | Caregiver | Interviewed about medication cart and medication administration. |
Inspection Report
Complaint Investigation
Deficiencies: 1
Apr 9, 2025
Visit Reason
A verification visit and complaint investigation were conducted on April 9, 2025, at Charter Senior Living-Madison to determine if the facility was in substantial compliance with Wisconsin statutes and administrative codes governing residential care apartment complexes.
Findings
The Department issued Statement of Deficiency #B33912 for violations of Wis. Stat. ch. 50 and Wis. Admin. Code ch. DHS 89, including deficiencies related to medication management services. A forfeiture of $400 was imposed, with a reduced payment option of $260 if not appealed. The operator is ordered to comply with requirements and submit a Plan of Correction within specified timeframes.
Complaint Details
The visit was complaint-related and included a verification visit to determine compliance with applicable statutes and administrative codes. The complaint investigation concluded that violations existed, leading to the issuance of Statement of Deficiency #B33912.
Deficiencies (1)
| Description |
|---|
| Violation related to medication management services as identified in Statement of Deficiency B33912 under Wis. Admin. Code § DHS 89.23(2)(a)2.c. |
Report Facts
Forfeiture amount: 400
Reduced forfeiture amount: 260
Days to achieve compliance: 45
Days to submit Plan of Correction: 10
Inspection fee: 200
Revisit fee: 200
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
Abbreviated Survey
Deficiencies: 0
Aug 13, 2024
Visit Reason
An abbreviated survey was conducted on August 13, 2024, to determine if Charter Senior Living-Madison was in substantial compliance with Wisconsin Statutes chapter 50 and Administrative Code chapter DHS 89, which govern the operation of a residential care apartment complex (RCAC).
Findings
The Department issued a Statement of Deficiency (SOD) #B33911 for violations of Wis. Stat. ch. 50 and Wis. Admin. Code ch. DHS 89, indicating noncompliance with regulatory requirements. The operator was ordered to comply immediately and submit a Plan of Correction within 10 days.
Report Facts
Compliance timeframe: 45
Plan of Correction submission timeframe: 10
Inspection fee: 200
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kenneth Brotheridge | Assisted Living Director | Signed the notice letter |
| Hillary Holman | Assisted Living Regional Director | Contact person for questions about the letter |
Inspection Report
Abbreviated Survey
Census: 37
Deficiencies: 2
Aug 13, 2024
Visit Reason
Surveyors conducted an abbreviated survey at Charter Senior Living-Madison to assess compliance with regulatory requirements.
Findings
Two deficiencies were identified: incomplete medication management and administration for Tenant 1, and unsafe and unsanitary food storage conditions in the facility kitchen.
Deficiencies (2)
| Description |
|---|
| Incomplete medication management and administration for Tenant 1, including unavailable medications for Levothyroxine and Methenamine on multiple dates and failure to administer scheduled bedtime medications and blood sugar checks. |
| Food items in the freezer and cooler were improperly stored, including frost and ice buildup, uncovered food trays, items stored on the floor, and a broken freezer door seal. |
Report Facts
Census: 37
Medication unavailability dates: 5
Medication unavailability dates: 2
Uncovered bacon pieces: 36
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| B | Director of Nursing | Interviewed regarding medication management deficiencies and medication cart observations |
| C | Environmental Services Director | Interviewed about kitchen conditions and freezer repair |
| A | Executive Director | Interviewed during exit conference regarding medication and kitchen deficiencies |
Inspection Report
Complaint Investigation
Census: 56
Deficiencies: 0
Apr 28, 2023
Visit Reason
Surveyor conducted a complaint investigation at Cedarhurst of Madison on 04/28/2023.
Findings
No deficiencies were identified during the complaint investigation. The complaint was unsubstantiated.
Complaint Details
Complaint unsubstantiated.
Report Facts
Census: 56
Report
File
B33912SODS.PDF_17777.pdf
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