Inspection Reports for Cornerstone of Oak Creek
155 W SUNNYVIEW DR, OAK CREEK, WI, 53154
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
2.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
50% better than Wisconsin average
Wisconsin average: 4.6 deficiencies/yearDeficiencies per year
4
3
2
1
0
Census
Latest occupancy rate
32 residents
Based on a August 2025 inspection.
This facility has shown a decline in demand based on occupancy rates.
Census over time
Inspection Report
Complaint Investigation
Census: 32
Deficiencies: 0
Date: Aug 20, 2025
Visit Reason
The surveyor completed a complaint investigation at Cornerstone of Oak Creek.
Complaint Details
The complaint was unsubstantiated.
Findings
No deficiencies were identified and the complaint was unsubstantiated.
Inspection Report
Enforcement
Deficiencies: 0
Date: Jul 29, 2025
Visit Reason
A standard survey, three verification visits, and two complaint investigations were conducted to determine if Cornerstone of Oak Creek was in substantial compliance with Wisconsin statutes and administrative codes governing residential care apartment complexes.
Complaint Details
Two complaint investigations were part of the visit process, but no substantiation status is explicitly stated in the document.
Findings
The Department found violations of Wis. Stat. ch. 50 and Wis. Admin. Code ch. DHS 89, resulting in a Statement of Deficiency (SOD #RFZJ12), a $500 forfeiture imposed, and an order to comply with requirements. A $200 inspection fee for a revisit to verify correction of prior deficiencies was also assessed.
Report Facts
Forfeiture amount: 500
Reduced forfeiture amount: 325
Inspection fee: 200
Days to comply: 45
Days to pay forfeiture: 10
Days to request extension: 10
Days to request appeal hearing: 10
Days to pay revisit fee: 10
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kenneth Brotheridge | Assisted Living Director | Signed the enforcement notice letter. |
| Mary Beth Hoffman | Assisted Living Regional Director | Contact person for questions about the letter. |
Inspection Report
Routine
Census: 35
Deficiencies: 2
Date: Jul 29, 2025
Visit Reason
The surveyor completed a standard survey, 3 verification visits, and 2 complaint investigations at Cornerstone of Oak Creek on 07/29/2025.
Complaint Details
Two complaint investigations were conducted during the visit; deficiencies related to risk agreements and admission with activated power of attorney were identified.
Findings
Two previously cited deficiencies were corrected, two new deficiencies were identified related to failure to complete signed, jointly negotiated risk agreements with tenants by the date of occupancy and admission of a tenant with an activated power of attorney for health care. The facility was unaware of the code requirements for risk agreements and could not provide documentation of de-activation of the power of attorney for Tenant 3.
Deficiencies (2)
Provider did not complete a signed, jointly negotiated risk agreement with each tenant by the date of occupancy for 2 of 2 tenants (Tenant 3 and Tenant 4).
Provider admitted 1 of 1 tenant (Tenant 3) with an activated power of attorney for health care, which is not allowed by code.
Report Facts
Revisit fee: 200
Number of verification visits: 3
Number of complaint investigations: 2
Number of deficiencies corrected: 4
Number of new deficiencies identified: 2
Number of tenants without risk agreements at occupancy: 2
Number of tenants admitted with activated power of attorney: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Executive Director A | Executive Director | Interviewed regarding risk agreements and power of attorney requirements |
| Assistant Executive Director D | Assistant Executive Director | Interviewed regarding risk agreements and power of attorney requirements |
Inspection Report
Complaint Investigation
Census: 32
Deficiencies: 0
Date: Feb 6, 2024
Visit Reason
Surveyor completed a two-complaint investigation at Cornerstone of Oak Creek.
Complaint Details
Two complaints were unsubstantiated.
Findings
Two complaints were unsubstantiated.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Jul 11, 2023
Visit Reason
Two complaint surveys were conducted on July 11, 2023, to determine if Cornerstone of Oak Creek was in substantial compliance with Wisconsin statutes and administrative codes governing residential care apartment complexes.
Complaint Details
The visit was complaint-related, involving two complaint surveys concluded on July 11, 2023. Specific substantiation status is not stated.
Findings
The Department issued a Statement of Deficiency (SOD #RFZJ11) 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 ten days.
Report Facts
Compliance timeframe: 45
Plan of Correction submission timeframe: 10
Inspection fee: 200
Extension request timeframe: 10
Appeal filing timeframe: 10
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kenneth Brotheridge | Assisted Living Director | Signed the notice letter regarding the violation and order |
| Mary Beth Hoffman | Assisted Living Regional Director | Contact person for questions about the letter |
Inspection Report
Complaint Investigation
Census: 35
Deficiencies: 2
Date: Jul 11, 2023
Visit Reason
Surveyor completed 2 complaint surveys at Cornerstone of Oak Creek, one complaint was substantiated and one was unsubstantiated.
Complaint Details
Two complaints were investigated; one was substantiated and one was unsubstantiated. Tenant 1's complaint involved refusal of housekeeping and lack of a risk agreement. Tenant 2's complaint involved safety and intimidation concerns with no written grievance response provided.
Findings
Two deficiencies were identified: the provider did not enter into a risk agreement for a tenant refusing housekeeping, and the provider did not respond in writing to a grievance filed by another tenant regarding safety and intimidation concerns.
Deficiencies (2)
Provider did not enter into a risk agreement for Tenant 1's risk of refusing housekeeping.
Provider did not ensure a grievance filed by Tenant 2 was responded to in writing with a summary of the grievance, findings, conclusions, and actions taken.
Report Facts
Refusals of housekeeping: 21
Number of complaints: 2
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: May 15, 2023
Visit Reason
A complaint investigation and standard survey were conducted on May 15, 2023, to determine if Cornerstone of Oak Creek was in substantial compliance with Wisconsin statutes and administrative codes governing residential care apartment complexes.
Complaint Details
The visit was complaint-related, resulting in issuance of a Statement of Deficiency. Specific substantiation status is not stated.
Findings
The Department issued a Statement of Deficiency (SOD #9VS211) for violations of Wis. Stat. ch. 50 and Wis. Admin. Code ch. DHS 89, indicating noncompliance with regulatory requirements for the facility's operation.
Report Facts
Inspection fee: 200
Days to achieve compliance: 45
Days to submit plan of correction: 10
Days to request appeal: 10
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kenneth Brotheridge | Assisted Living Director | Signed the notice and order letter |
| Mary Beth Hoffman | Assisted Living Regional Director | Contact person for questions about the letter |
Inspection Report
Complaint Investigation
Census: 36
Deficiencies: 3
Date: May 15, 2023
Visit Reason
Surveyor completed a complaint and standard survey at Cornerstone Of Oak Creek. The visit was triggered by a complaint and standard inspection.
Complaint Details
One of 1 complaint was unsubstantiated.
Findings
Three deficiencies were identified including lack of a working stove in one tenant's apartment, improper food storage and labeling in the kitchen, and incomplete comprehensive assessment for a tenant's wheelchair needs.
Deficiencies (3)
Provider did not ensure 1 of 4 tenants had a working stove in his/her apartment; stove was not working for approximately 1 month.
Provider did not store food under sanitary conditions; food items in refrigerator and freezer were not properly sealed or dated to avoid contamination.
Provider did not ensure each tenant's physical and functional limitations were identified in the comprehensive assessment; Tenant 1's need for a wheelchair was not addressed.
Report Facts
Deficiencies identified: 3
Tenants reviewed: 4
Census: 36
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Executive Director A | Executive Director | Interviewed regarding stove repair and comprehensive assessment |
| Assistant Executive Director B | Assistant Executive Director | Interviewed regarding stove repair and comprehensive assessment |
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