Inspection Reports for Country View
10507 S Chicago Rd, Oak Creek, WI 53154, United States, WI, 53154
Back to Facility ProfileDeficiencies per Year
4
3
2
1
0
Unclassified
Census Over Time
Census
Capacity
Inspection Report
Complaint Investigation
Deficiencies: 1
Oct 3, 2025
Visit Reason
On October 3, 2025, a standard survey, two complaint investigations, and a verification visit were conducted at Country View to determine compliance with Wisconsin statutes and administrative codes governing community-based residential facilities.
Findings
The Department issued a Statement of Deficiency (SOD #8VXY12) citing violations of Wis. Stat. ch. 50 and Wis. Admin. Code ch. DHS 83, imposed a total forfeiture of $2,000 (reduced to $1,300 if not appealed), and ordered corrective actions including resident care improvements and staff training. A $200 inspection fee was also assessed for a verification visit.
Complaint Details
Two complaint investigations were part of the visit on October 3, 2025, but substantiation status is not explicitly stated.
Deficiencies (1)
| Description |
|---|
| Violations of Wis. Stat. ch. 50 or Wis. Admin. Code ch. DHS 83 as detailed in Statement of Deficiency #8VXY12 |
Report Facts
Forfeiture amount: 2000
Reduced forfeiture amount: 1300
Forfeiture component: 500
Forfeiture component: 1500
Inspection fee: 200
Compliance timeframe: 45
Notification timeframe: 7
Extension request timeframe: 10
Forfeiture payment timeframe: 10
Revisit fee timeframe: 10
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kenneth Brotheridge | Assisted Living Director | Signed the Notice and Order letter |
| MaryBeth Hoffman | Assisted Living Regional Director | Contact person for questions about the letter |
Inspection Report
Complaint Investigation
Deficiencies: 1
Apr 21, 2025
Visit Reason
Two complaint investigations were conducted on April 21, 2025, to determine if Country View was in substantial compliance with Wisconsin statutes and administrative codes governing community-based residential facilities.
Findings
The Department found violations of Wis. Stat. ch. 50 and Wis. Admin. Code ch. DHS 83, resulting in a Statement of Deficiency #8VWY11, imposition of corrective orders, and a forfeiture of $600 for the identified deficiencies.
Complaint Details
Two complaint investigations were concluded to assess compliance; violations were substantiated as indicated by the issuance of the Statement of Deficiency #8VWY11.
Deficiencies (1)
| Description |
|---|
| Health monitoring deficiency identified in Statement of Deficiency 8VWY11 |
Report Facts
Forfeiture amount: 600
Reduced forfeiture amount: 390
Compliance timeframe: 45
Payment timeframe: 10
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| MaryBeth Hoffman | Assisted Living Regional Director | Contact person for questions about the letter |
| Kenneth Brotheridge | Assisted Living Director | Signed the notice and order letter |
Inspection Report
Complaint Investigation
Census: 46
Deficiencies: 1
Apr 21, 2025
Visit Reason
The surveyor completed two complaint investigations at Country View following complaints received regarding resident pain and care.
Findings
One deficiency was identified related to failure to assess a resident for pain management after a change in condition involving a fracture. One complaint was substantiated and one was unsubstantiated.
Complaint Details
Two complaints were investigated; one was substantiated and one was unsubstantiated. The substantiated complaint involved inadequate assessment of Resident 1's pain after a fracture.
Deficiencies (1)
| Description |
|---|
| The provider did not ensure Resident 1 was assessed for pain management after fracturing her/his tibia. |
Report Facts
Dates hydrocodone administered: 5
Dates acetaminophen administered: 8
Notice
Deficiencies: 0
Feb 9, 2024
Visit Reason
A standard survey was conducted on February 9, 2024, to determine if Country View was in substantial compliance with Wisconsin statutes and administrative codes governing community-based residential facilities.
Findings
The Department issued a Statement of Deficiency for violations found during the survey, requiring the licensee to comply with all applicable requirements within 45 days to protect resident health, safety, and welfare.
Report Facts
Days to achieve compliance: 45
Appeal filing period: 10
Posting duration: 90
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Mary Beth Hoffman | Assisted Living Regional Director | Contact person for questions about the letter. |
| Kenneth Brotheridge | Assisted Living Director | Signed the notice letter. |
Inspection Report
Routine
Census: 41
Capacity: 50
Deficiencies: 2
Feb 9, 2024
Visit Reason
A standard survey was conducted at Country View to assess compliance with regulatory requirements.
Findings
Two deficient practices were identified: failure to ensure all employees were screened for tuberculosis within 90 days before employment, and failure to keep medication storage areas locked with keys available only to authorized personnel.
Deficiencies (2)
| Description |
|---|
| Employees were not screened for tuberculosis within 90 days before the start of employment for 2 of 2 caregivers reviewed. |
| Medication storage areas were not locked; the medication closet door latch did not engage and the door did not stay closed, and the medication room door was open with medications accessible. |
Report Facts
Number of deficient practices identified: 2
Number of insulin pens stored: 54
Number of bottles of MiraLAX and biotene: 35
Number of boxes of medications for next fill cycle: 7
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Administrator A | Administrator | Interviewed regarding employee health screening and medication storage deficiencies |
| Caregiver B | Employee whose TB skin test was obtained 139 days after start of employment | |
| Caregiver C | Employee whose TB skin test was obtained 14 days after start of employment | |
| Caregiver D | Interviewed regarding medication boxes and management responsibility |
Report
File
8VXY12SODS.PDF_19630.pdf
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