Deficiencies (last 3 years)
Deficiencies (over 3 years)
2 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
57% better than Wisconsin average
Wisconsin average: 4.6 deficiencies/yearDeficiencies per year
4
3
2
1
0
Occupancy
Latest occupancy rate
86% occupied
Based on a January 2026 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Occupancy rate over time
Notice
Deficiencies: 0
Date: Jan 27, 2026
Visit Reason
A verification visit and complaint investigation were conducted to determine if Cottonwood Manor Assisted Living was in substantial compliance with Wisconsin statutes and administrative codes governing community-based residential facilities.
Complaint Details
The visit was complaint-related and included a verification visit to determine compliance. Specific substantiation status is not stated.
Findings
The Department found violations of Wis. Stat. ch. 50 and Wis. Admin. Code ch. DHS 83, resulting in a Statement of Deficiency #FZS612 and imposed corrective orders. A total forfeiture of $1,250 was imposed for specific violations.
Report Facts
Forfeiture amount: 1250
Reduced forfeiture amount: 812.5
Inspection revisit fee: 200
Compliance timeframe: 45
Forfeiture payment due days: 10
Appeal request timeframe: 10
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kenneth Brotheridge | 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: 30
Deficiencies: 2
Date: Jan 26, 2026
Visit Reason
Surveyor conducted a verification visit and complaint investigation at Cottonwood Manor Assisted Living following a complaint alleging concerns with resident care and cleanliness.
Complaint Details
One complaint was substantiated involving Resident 10's care and the facility's cleanliness. The complaint included concerns about Resident 10's unmet needs related to visual impairment and behavior management, and the presence of odors and unclean conditions in resident rooms.
Findings
The investigation substantiated one complaint involving Resident 10 whose individual service plan (ISP) was not updated to reflect visual impairment needs or effective interventions for behaviors and refusals of care. Additionally, the facility environment was found to be unsafe and unclean, with strong urine odors and unclean resident rooms.
Deficiencies (2)
83.35(3)(d) Service plans updated annually or on changes: Resident 10's ISP did not include information about visual impairment needs or effective interventions to manage behaviors or refusals of care.
83.43(1) Environment safe, clean, and comfortable: The facility did not ensure a safe, clean, and homelike environment, evidenced by strong urine odors and unclean resident rooms.
Report Facts
Revisit fee: 200
Census: 30
Documented refusals of housekeeping: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Executive Director B | Executive Director | Reported on Resident 10's discharge notice, ISP updates, and facility environment concerns |
| Wellness Director F | Wellness Director | Provided Resident 10's records and discussed ISP and behavior management |
| Caregiver J | Caregiver | Reported on Resident 10's behaviors and refusals |
| Dietary Aide E | Dietary Aide | Observed meal service to Resident 10 and discussed food temperature issues |
| Wellness Coordinator K | Wellness Coordinator | Reported on Resident 10's behaviors, medication refusals, and housekeeping refusals |
| Family D | Family Member | Reported concerns about medication cart in hallway and food service |
| Guardian L | Legal Guardian | Provided information on Resident 10's vision impairment, behaviors, and discharge notice |
Inspection Report
Routine
Deficiencies: 0
Date: Sep 12, 2025
Visit Reason
A standard survey was conducted on September 12, 2025, for Cottonwood Manor Assisted Living to determine if the facility was in substantial compliance with Wisconsin statutes and administrative codes governing community-based residential facilities.
Findings
The Department issued a Statement of Deficiency (SOD # FZS611) for violations of Wis. Stat. ch. 50 and Wis. Admin. Code ch. DHS 83, establishing grounds for enforcement action and requiring the licensee to comply with all applicable requirements to protect resident health, safety, and welfare.
Report Facts
Inspection fee: 200
Compliance timeframe: 45
Appeal timeframe: 10
Posting duration: 90
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kenneth Brotheridge | Assisted Living Director | Signed the Notice and Order letter |
| Vicky Wittman | Assisted Living Regional Director | Contact person for questions about the letter |
Inspection Report
Routine
Census: 29
Capacity: 35
Deficiencies: 3
Date: Sep 9, 2025
Visit Reason
Surveyor conducted a standard survey at Cottonwood Manor Assisted Living to assess compliance with regulatory requirements and identify any deficiencies.
Findings
Three deficiencies were identified: failure to assess a resident for choking risk related to loose-fitting dentures and diet refusal; improper disposal of expired medications; and failure to maintain a safe, clean, comfortable, and homelike living environment with multiple cleanliness and maintenance issues observed throughout the facility.
Deficiencies (3)
Provider did not ensure Resident 5 was assessed for all risks including choking related to loose-fitting dentures and refusal of soft diet.
Provider did not ensure 4 of 4 resident medications reviewed were disposed of after 30 days past expiration date.
Provider did not ensure a living environment that was safe, clean, comfortable, and homelike; multiple issues including mold, odors, stains, dust, and maintenance problems were observed.
Report Facts
Deficiencies identified: 3
Resident census: 29
Total licensed capacity: 35
Expired medications observed: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| ED B | Executive Director | Interviewed regarding Resident 5's assessment and medication disposal issues; acknowledged deficiencies and cleaning concerns. |
| Nurse C | Nurse | Interviewed about Resident 5's condition and refusal of soft diet. |
| OM A | Office Manager | Accompanied surveyor during tour and medication cart observations. |
Inspection Report
Re-Inspection
Census: 27
Deficiencies: 0
Date: Sep 20, 2023
Visit Reason
A verification visit and review of a self-report was conducted at Cottonwood Manor Assisted Living to assess correction of a previous deficiency.
Findings
The previous deficiency was corrected and there were no deficiencies found with the self-report during this survey.
Report Facts
Re-visit fee: 200
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Apr 27, 2023
Visit Reason
A complaint investigation and self-report review were conducted to determine if Cottonwood Manor Assisted Living was in substantial compliance with Wisconsin statutes and administrative codes governing community-based residential facilities.
Complaint Details
The visit was complaint-related, involving a complaint investigation and self-report review to assess compliance with regulatory requirements. The Department issued a Statement of Deficiency based on findings.
Findings
The Department issued a Statement of Deficiency (SOD #6WDT11) for violations of Wis. Stat. ch. 50 and Wis. Admin. Code ch. DHS 83, establishing grounds for enforcement action and requiring the licensee to comply with all applicable requirements within 45 days.
Report Facts
Compliance timeframe: 45
Inspection fee: 200
Appeal timeframe: 10
Posting duration: 90
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kenneth Brotheridge | Assisted Living Director | Signed the Notice and Order letter |
| Vicky Wittman | Assisted Living Regional Director | Contact person for questions about the letter |
Inspection Report
Complaint Investigation
Census: 26
Deficiencies: 1
Date: Apr 27, 2023
Visit Reason
An investigation of 3 complaints and 2 self-reports was conducted at Cottonwood Manor Assisted Living to determine compliance with health monitoring regulations.
Complaint Details
The complaint investigation involved 3 complaints and 2 self-reports. Two complaints were unsubstantiated, one was substantiated with one deficiency identified. No deficiencies were found with the self-reports.
Findings
The investigation substantiated 1 complaint with one deficiency identified related to failure to monitor a resident's health following a medication error. Two complaints were unsubstantiated and no deficiencies were found related to the self-reports.
Deficiencies (1)
The provider did not monitor the health of 1 resident following a medication error where the wrong insulin was administered and physician-ordered blood sugar checks were not completed.
Report Facts
Complaints investigated: 3
Self-reports investigated: 2
Residents involved in deficiency: 1
Insulin units administered incorrectly: 36
Blood sugar checks ordered: 12
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Wellness Director | Confirmed no evidence of hourly blood sugar checks after medication error |
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