Inspection Reports for Country View
10507 S Chicago Rd, Oak Creek, WI 53154, United States, WI, 53154
Back to Facility ProfileInspection Report Summary
The most recent inspection on October 3, 2025, identified deficiencies and resulted in a $2,000 forfeiture (reduced to $1,300 if not appealed) along with corrective actions related to resident care and staff training. Earlier inspections showed a pattern of issues including failure to assess residents after falls and pain, lack of resident involvement in service plans, staff sleeping on duty, unsafe and unclean environment, unsecured toxic substances, and maintenance deficiencies. Two complaints were substantiated during the latest survey, including one involving caregivers sleeping on duty and not responding to a resident’s emergency call, which required police intervention. Prior reports also noted fines and corrective orders but no license suspensions or revocations were listed in the available reports. The inspection history indicates ongoing challenges with resident care and staff oversight, with repeated citations for similar issues over time.
Deficiencies (last 2 years)
Deficiencies (over 2 years)
7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
52% worse than Wisconsin average
Wisconsin average: 4.6 deficiencies/yearDeficiencies per year
12
9
6
3
0
Census
Latest occupancy rate
100% occupied
Based on a October 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Occupancy over time
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: 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.
Complaint Details
Two complaint investigations were part of the visit on October 3, 2025, but substantiation status is not explicitly stated.
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.
Deficiencies (1)
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
Census: 50
Capacity: 50
Deficiencies: 9
Date: Oct 3, 2025
Visit Reason
Surveyor conducted a standard survey, two complaint investigations, and a verification visit related to a prior Statement of Deficiency at Country View, a Community-Based Residential Facility (CBRF) in Oak Creek, WI.
Complaint Details
Two complaints were substantiated. One complaint involved caregivers sleeping on duty and failing to respond to a resident's emergency call pendant, requiring police intervention. The other complaint details are not separately specified but are included in the deficiencies.
Findings
Nine deficiencies were identified including a repeat deficiency. Two complaints were substantiated. Deficiencies included failure to assess residents after falls, lack of resident/legal representative involvement in service plans, missing annual satisfaction surveys, staff sleeping on duty and failing to respond to resident calls, unsafe and unclean environment, unsecured toxic substances, lack of heating system maintenance, and a non-self-closing laundry room door.
Deficiencies (9)
Licensee did not ensure compliance with all laws governing the CBRF, including failure to implement all special orders from prior SOD.
Failure to assess 2 residents after falls; repeat deficiency.
Residents or their legal representatives were not involved in developing or signing individual service plans for 3 residents.
Residents and/or legal representatives were not provided opportunity to complete annual satisfaction evaluations for 3 residents.
Qualified resident care staff were not awake and on duty during 3rd shift; two caregivers found sleeping and failed to respond to resident calls, requiring police intervention.
Facility environment was not maintained in a safe, clean, comfortable, and homelike condition; walls, doors, vents, shower chairs, and flooring showed damage or dirt.
Cleaning compounds and toxic substances were stored unsecured in laundry room and salon, accessible to residents.
Heating system maintenance documentation was not provided; gas furnaces had not been inspected in over 3 years.
Laundry room door on resident bedroom floor was not self-closing as required.
Report Facts
Deficiencies identified: 9
Revisit fee: 200
Resident falls not assessed: 2
Residents missing signed ISPs: 3
Residents missing satisfaction surveys: 3
Caregivers sleeping on duty: 2
Furnaces: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Administrator A | Administrator | Confirmed receipt of prior SOD, lack of staff training, responsibility for assessments, and acknowledged caregivers sleeping on duty. |
| Caregiver D | Caregiver | Found sleeping during 3rd shift, failed to respond to resident call pendant, provided false statements during investigation, and was terminated. |
| Caregiver E | Caregiver | Found sleeping during 3rd shift, failed to respond to resident call pendant, provided false statements during investigation, and was terminated. |
| House Manager C | House Manager | Accompanied surveyor during facility tour and confirmed environmental and toxic substance issues. |
| Regional Manager B | Regional Manager | Reported furnace inspections were completed after surveyor's request and installation of self-closing laundry room door. |
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: 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.
Complaint Details
Two complaint investigations were concluded to assess compliance; violations were substantiated as indicated by the issuance of the Statement of Deficiency #8VWY11.
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.
Deficiencies (1)
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
Date: Apr 21, 2025
Visit Reason
The surveyor completed two complaint investigations at Country View following complaints received regarding resident pain and care.
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.
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.
Deficiencies (1)
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
Date: 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
Date: 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)
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 |
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