Inspection Reports for Charter Senior Living of Verona
1125 N Edge Trail, Verona, WI 53593, United States, WI, 53593
Back to Facility ProfileDeficiencies (last 2 years)
Deficiencies (over 2 years)
5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
9% worse than Wisconsin average
Wisconsin average: 4.6 deficiencies/yearDeficiencies per year
4
3
2
1
0
Census
Latest occupancy rate
25 residents
Based on a June 2025 inspection.
This facility has shown a decline in demand based on occupancy rates.
Census over time
Inspection Report
Enforcement
Deficiencies: 0
Jun 30, 2025
Visit Reason
A standard survey was conducted on June 30, 2025, to determine if Charter Senior Living RCAC-Verona was in substantial compliance with Wisconsin statutes and administrative codes governing residential care apartment complexes.
Findings
The Department found violations of Wis. Stat. ch. 50 and Wis. Admin. Code ch. DHS 89, resulting in a Statement of Deficiency #RYYG11 and imposed a total forfeiture of $700.00 for specific violations. The operator is ordered to comply with all requirements within 45 days and submit a Plan of Correction.
Report Facts
Forfeiture amount: 700
Forfeiture amount: 300
Forfeiture amount: 200
Forfeiture amount: 200
Forfeiture payment due days: 10
Compliance timeframe: 45
Plan of Correction submission days: 10
Reduced forfeiture amount: 455
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kenneth Brotheridge | Assisted Living Director | Signed the enforcement notice |
| Hillary Holman | Assisted Living Regional Director | Contact person for questions about the letter |
Inspection Report
Routine
Census: 25
Deficiencies: 3
Jun 30, 2025
Visit Reason
Surveyor conducted a standard survey at Charter Senior Living RCAC Verona to assess compliance with regulatory requirements.
Findings
Three deficiencies were identified, including a repeat deficiency. Deficiencies involved lack of timely staff training in safety procedures, failure to obtain signed risk agreements for tenants by the date of occupancy, and failure to update risk agreements to reflect tenant condition changes.
Deficiencies (3)
| Description |
|---|
| One of three caregivers reviewed did not have training in safety procedures, including first aid and fire safety; fire safety training was received more than 5 months after hire. |
| One of three tenants reviewed did not have a signed, jointly negotiated risk agreement by the date of occupancy. |
| One of two tenants reviewed did not have an updated risk agreement reflecting diabetic non-compliance. |
Report Facts
Deficiencies identified: 3
Months delay in fire safety training: 5
Number of caregivers reviewed: 3
Number of tenants reviewed for risk agreements: 3
Number of tenants reviewed for updated risk agreements: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Executive Director A | Executive Director | Interviewed regarding staff training and risk agreement deficiencies |
| Health and Wellness Director B | Health and Wellness Director | Interviewed regarding tenant risk agreement deficiencies |
| Caregiver C | Caregiver | Named in deficiency for lack of timely safety training |
Inspection Report
Complaint Investigation
Census: 26
Deficiencies: 0
Aug 31, 2023
Visit Reason
Surveyor conducted 2 verification visits and a complaint investigation at Cedarhurst Senior Living, a RCAC in Verona.
Findings
No deficiencies were identified. Previous statements of deficiency dated 03/31/2023 and 03/02/2023 were corrected. The complaint was unsubstantiated.
Complaint Details
The complaint was unsubstantiated.
Report Facts
Revisit fee: 200
Inspection Report
Complaint Investigation
Census: 28
Deficiencies: 0
Jul 12, 2023
Visit Reason
Surveyor conducted a complaint investigation at Cedarhurst RCAC on 07/12/2023.
Findings
The complaint was substantiated with a prior Statement of Deficiencies dated 03/31/2023. No new deficiencies were identified during this investigation.
Complaint Details
Complaint was substantiated with SOD # SMY911 dated 03/31/2023.
Inspection Report
Complaint Investigation
Census: 64
Deficiencies: 0
May 9, 2023
Visit Reason
Surveyor conducted a complaint investigation at Cedarhurst Senior Living.
Findings
The complaint was unsubstantiated and no deficiencies were identified during the investigation.
Complaint Details
Complaint was unsubstantiated.
Inspection Report
Complaint Investigation
Deficiencies: 1
Mar 31, 2023
Visit Reason
A complaint investigation was conducted to determine if Cedarhurst Senior Living was in substantial compliance with Wisconsin statutes and administrative codes governing residential care apartment complexes.
Findings
The Department found violations of Wis. Stat. ch. 50 and Wis. Admin. Code ch. DHS 89, resulting in a Statement of Deficiency (SOD #SMY911) and imposed a forfeiture of $300.00 for the identified violations.
Complaint Details
The visit was a complaint investigation concluded on March 31, 2023, to assess compliance with applicable statutes and administrative codes. Violations were substantiated as indicated by the issuance of the Statement of Deficiency and imposed forfeiture.
Deficiencies (1)
| Description |
|---|
| Violations described in SOD #SMY911 related to Wis. Stat. ch. 50 and Wis. Admin. Code ch. DHS 89 |
Report Facts
Forfeiture amount: 300
Reduced forfeiture amount: 195
Forfeiture payment timeframe: 10
Compliance timeframe: 45
Plan of Correction submission timeframe: 10
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kathy D. Lyons | Interim Assisted Living Director | Signed the notice letter |
| Hillary Holman | Assisted Living Regional Director | Contact person for questions about the letter |
Inspection Report
Complaint Investigation
Census: 36
Deficiencies: 1
Mar 31, 2023
Visit Reason
Surveyor conducted a complaint investigation at Cedarhurst Senior Living, a residential care apartment complex (RCAC) in Verona, based on a complaint regarding medication administration.
Findings
One deficiency was identified related to medication administration. Tenant 1 did not receive prescribed Lamotrigine medication for several days due to a pharmacy supply issue and communication errors. The complaint was substantiated and the deficiency is a repeat from prior years.
Complaint Details
The complaint was substantiated. Tenant 1 reported missing doses of Lamotrigine. Pharmacy ran out of medication and communication errors delayed delivery from 03/04/2023 to 03/06/2023.
Deficiencies (1)
| Description |
|---|
| Provider did not ensure Tenant 1 received all medications prescribed by his/her physician, specifically Lamotrigine was not administered for several days. |
Report Facts
Census: 36
Missed medication doses: 6
Medication dosage: 150
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Nurse B | Interviewed by surveyor regarding medication administration and pharmacy communication |
Inspection Report
Complaint Investigation
Deficiencies: 2
Mar 2, 2023
Visit Reason
A complaint investigation and verification visit were conducted to determine if Cedarhurst Senior Living was in substantial compliance with Wisconsin statutes and administrative codes governing residential care apartment complexes.
Findings
The Department found violations of Wis. Stat. ch. 50 and Wis. Admin. Code ch. DHS 89, resulting in a Statement of Deficiency #MX5O12, imposition of a $300 forfeiture, and orders to comply with requirements including corrective measures for health monitoring and medication management.
Complaint Details
The visit was complaint-related and included a verification visit to determine if prior violations were corrected. The complaint investigation resulted in findings of noncompliance and enforcement actions.
Deficiencies (2)
| Description |
|---|
| Violation related to Wis. Admin. Code § DHS 89.23(2)(a)2.c concerning medication administration responsibilities. |
| Violation related to Wis. Admin. Code § DHS 89.23(4)(a)2. |
Report Facts
Forfeiture amount: 300
Reduced forfeiture amount: 195
Forfeiture per violation: 150
Compliance timeframe: 45
Plan of Correction submission timeframe: 10
Inspection fee: 200
Revisit fee: 200
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kathy D. Lyons | Interim Assisted Living Director | Signed the enforcement notice letter. |
| Hillary Holman | Assisted Living Regional Director | Contact person for questions about the letter. |
Inspection Report
Complaint Investigation
Census: 36
Deficiencies: 3
Feb 27, 2023
Visit Reason
Surveyor conducted 2 complaint investigations and 2 verification visits at Cedarhurst Senior Living, a residential care apartment complex (RCAC) in Verona, Wisconsin.
Findings
Three deficiencies were identified, including repeat deficiencies related to insufficient nursing services, inaccurate medication administration documentation, and lack of a mutually agreed-upon written service agreement with a tenant. The complaints were not substantiated.
Complaint Details
The complaints were investigated and found not substantiated. A $200 revisit fee was assessed under Wis. Stat. Ch. 50.
Deficiencies (3)
| Description |
|---|
| Provider did not ensure Tenant 4's pulse was monitored as ordered, missing pulse documentation on multiple dates. |
| Provider did not ensure staff documented medication administration accurately for Tenant 4; Carvedilol administration was not documented for 9 of 53 occurrences when medication was due. |
| Provider did not ensure the RCAC and Tenant 1 entered into a mutually agreed-upon written service agreement. |
Report Facts
Deficiencies identified: 3
Repeat deficiencies: 2
Medication administration occurrences: 53
Medication administration not documented: 9
Census: 36
Revisit fee: 200
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Administrator D | Reviewed concerns with Surveyor regarding missing pulse and medication documentation; unable to locate Tenant 1's service agreement. | |
| Director of Nursing F | Director of Nursing | Acknowledged missing pulse and medication documentation for Tenant 4 and discussed concerns with Surveyor. |
| Regional Director E | Regional Director | Informed Surveyor about the lack of a completed service agreement with Tenant 1 and ongoing work with legal team. |
Loading inspection reports...
