Inspection Reports for Charter Senior Living of Mequon
10803 N Port Washington Rd, Mequon, WI 53092, United States, WI, 53092
Back to Facility ProfileDeficiencies (last 1 years)
Deficiencies (over 1 years)
1 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
78% better than Wisconsin average
Wisconsin average: 4.6 deficiencies/yearDeficiencies per year
4
3
2
1
0
Census
Latest occupancy rate
0 residents
Based on a September 2023 inspection.
This facility has shown a decline in demand based on occupancy rates.
Census over time
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Sep 7, 2023
Visit Reason
Surveyor conducted a complaint investigation at Cedarhurst of Mequon, a Residential Care Apartment Complex (RCAC) in Mequon, WI.
Complaint Details
Complaint unsubstantiated.
Findings
No deficiencies were identified during the complaint investigation. The complaint was unsubstantiated.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Feb 22, 2023
Visit Reason
A complaint investigation was conducted to determine if Cedarhurst of Mequon was in substantial compliance with Wisconsin Statutes chapter 50 and Wisconsin Administrative Code chapter DHS 89, which govern the administration and operation of a residential care apartment complex (RCAC).
Complaint Details
The visit was complaint-related, concluding on February 22, 2023, to assess substantial compliance with Wis. Stat. ch. 50 and Wis. Admin. Code ch. DHS 89. Specific substantiation status is not stated.
Findings
The Department issued a Statement of Deficiency (SOD #VWLC11) for violations of the applicable statutes and administrative codes, establishing grounds for regulatory action and ordering the operator to comply with requirements to protect tenant health, safety, and welfare.
Report Facts
Days to achieve compliance: 45
Days to submit Plan of Correction: 10
Days to file appeal: 10
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kathleen D. Lyons | Interim Assisted Living Director | Signed the notice letter. |
| Vicky Wittman | Assisted Living Regional Director | Contact person for questions about the letter. |
Inspection Report
Complaint Investigation
Census: 15
Deficiencies: 1
Date: Feb 14, 2023
Visit Reason
Surveyor conducted two complaint investigations at Cedarhurst of Mequon following receipt of complaints regarding tenants' medications. One of the two complaints was substantiated.
Complaint Details
Two complaints were investigated; one complaint was substantiated regarding medication administration. The complaint was received on 2023-02-07. The Executive Director confirmed staff did not mark the MAR to indicate medication was given and attempts to contact staff were unsuccessful.
Findings
The provider failed to provide medication administration and management according to standards of practice for one tenant. Specifically, the Medication Administration Record (MAR) for Tenant 1 lacked documentation for four days where staff did not indicate if the medication was given or refused.
Deficiencies (1)
Provider did not provide medication administration and management according to standards of practice for Tenant 1; MAR contained 4 days without documentation of medication administration or refusal.
Report Facts
Census: 15
Days with missing medication documentation: 4
Medication frequency: 4
Medication duration: 7
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Executive Director A | Executive Director | Interviewed and verified staff did not mark the MAR to indicate medication was given to Tenant 1 |
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