Inspection Reports for Dayton Care Center
521 59th Street, Kenosha, WI, 53140
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
6 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
30% worse than Wisconsin average
Wisconsin average: 4.6 deficiencies/yearDeficiencies per year
12
9
6
3
0
Census
Latest occupancy rate
70 residents
Based on a September 2025 inspection.
Census over time
Inspection Report
Complaint Investigation
Deficiencies: 0
Sep 2, 2025
Visit Reason
The inspection was conducted to determine if Dayton Care Center was in substantial compliance with Wisconsin Statutes and Administrative Code requirements following two verification visits and three complaint investigations.
Findings
The Department issued a Statement of Deficiency (SOD #JF3C12) for violations of Wisconsin Statutes and Administrative Code related to the operation of the Community Based Residential Facility. The licensee was ordered to comply with requirements immediately and maintain compliance within 45 days.
Complaint Details
The visit included three complaint investigations and two verification visits to assess compliance. The Department found violations warranting issuance of a Statement of Deficiency.
Report Facts
Inspection fee: 200
Compliance timeframe: 45
Appeal timeframe: 10
Revisit fee due 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: 70
Deficiencies: 3
Sep 2, 2025
Visit Reason
The inspection included 2 verification visits and 3 complaint investigations at Dayton Care Center. The visit aimed to verify correction of previous deficiencies and investigate new complaints.
Findings
Three new deficiencies were identified related to medication labeling, food safety, and environmental cleanliness. Three complaints were unsubstantiated. The facility failed to ensure prescription medications had labels permanently attached, food was stored properly with labels and dates, and the living environment was safe, clean, and comfortable.
Complaint Details
Three complaints were investigated and found to be unsubstantiated.
Deficiencies (3)
| Description |
|---|
| Prescription medications did not have labels permanently attached to the outside of the container for 1 of 1 resident (Resident 5). |
| Food was not stored to prevent food borne illness; food was not properly sealed, labeled, or dated, affecting all 70 residents. |
| The living environment was not safe, clean, comfortable, or homelike, with issues including peeling paint, strong urine odors, stains, mold-like spots, dust accumulation, and stained carpeting affecting all 70 residents. |
Report Facts
Revisit fee: 200
Census: 70
Number of verification visits: 2
Number of complaint investigations: 3
Number of deficiencies corrected: 11
Number of new deficiencies identified: 3
Number of complaints unsubstantiated: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse (LPN) D | Interviewed regarding medication storage for Resident 5 | |
| Licensed Practical Nurse (LPN) E | Interviewed regarding medication storage for Resident 5 | |
| Administrator A | Interviewed regarding food safety and environmental concerns | |
| Case Manager B | Interviewed regarding food safety |
Inspection Report
Complaint Investigation
Deficiencies: 1
Mar 24, 2025
Visit Reason
The inspection was conducted to conclude three complaint investigations for Dayton Care Center 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 #Q5Z511) for violations of Wis. Stat. ch. 50 and Wis. Admin. Code ch. DHS 83, including medication administration deficiencies. The licensee was ordered to comply immediately and provide staff training within 45 days. A forfeiture of $300 was imposed for the violations.
Complaint Details
Three complaint investigations were concluded on March 24, 2025, to determine compliance with relevant statutes and administrative codes. The violations were substantiated as indicated by the issuance of the Statement of Deficiency and enforcement actions.
Deficiencies (1)
| Description |
|---|
| Violation of Wis. Admin. Code § DHS 83.32(3)(h) related to medication administration and management |
Report Facts
Forfeiture amount: 300
Reduced forfeiture amount: 195
Compliance timeframe: 45
Payment timeframe: 10
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kenneth Brotheridge | Assisted Living Director | Signed the notice letter |
| MaryBeth Hoffman | Assisted Living Regional Director | Contact person for questions about the letter |
Inspection Report
Complaint Investigation
Census: 77
Deficiencies: 3
Mar 20, 2025
Visit Reason
Surveyor conducted three complaint investigations at Dayton Care Center, a Community-Based Residential Facility (CBRF) in Kenosha, WI, with information gathered through 03/24/2025.
Findings
Three deficiencies were identified, with two of three complaints substantiated. Deficiencies included failure to investigate an injury of unknown source, medication errors involving double dosing for two residents, and violation of residents' rights to a least restrictive environment regarding medication administration.
Complaint Details
Two of three complaints were substantiated. Complaints involved failure to investigate an injury of unknown source, medication administration errors, and restriction of residents' rights related to medication delivery.
Deficiencies (3)
| Description |
|---|
| Provider did not investigate an injury of unknown source for Resident 1 who was found with facial injuries and sent to the emergency room. |
| Provider did not ensure two residents (Resident 2 and Resident 3) received all prescribed medications in the correct dosage and intervals; both received double doses of PM medications. |
| Provider did not ensure residents' right to the least restrictive environment by requiring all residents to come to the medication room window to receive medications, denying Resident 4 medication delivery to their room when not feeling well. |
Report Facts
Complaints investigated: 3
Complaints substantiated: 2
Census: 77
Medication double dosing incidents: 2
Inspection Report
Enforcement
Deficiencies: 0
Dec 12, 2024
Visit Reason
A standard survey and complaint investigation was conducted on December 12, 2024, to determine if Dayton Care Center was in substantial compliance with Wisconsin statutes and administrative codes governing community-based residential facilities.
Findings
The Department issued a Statement of Deficiency (SOD #JF3C11) for violations of Wis. Stat. ch. 50 and Wis. Admin. Code ch. DHS 83, resulting in a total forfeiture of $1,850 imposed on the licensee for multiple violations.
Complaint Details
The visit included a complaint investigation as part of the standard survey concluded on December 12, 2024.
Report Facts
Forfeiture amount: 1850
Forfeiture amount: 600
Forfeiture amount: 200
Forfeiture amount: 600
Forfeiture amount: 450
Reduced forfeiture amount: 1202.5
Compliance timeframe: 45
Payment timeframe: 10
Appeal 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: 74
Capacity: 90
Deficiencies: 11
Dec 11, 2024
Visit Reason
Surveyors conducted a standard survey and complaint investigation at Dayton Care Center, a Community-Based Residential Facility (CBRF) in Kenosha, WI.
Findings
Eleven deficiencies were identified including lack of required employee orientation and training, missing evacuation assessments for residents, failure to conduct required fire drills and inspections, and failure to ensure proper delegation and quarterly review of psychotropic medications.
Complaint Details
Complaint was unsubstantiated.
Deficiencies (11)
| Description |
|---|
| Provider did not provide orientation training to 3 caregivers including job responsibilities and abuse prevention. |
| Caregiver D did not receive Department-approved training courses including standard precautions before assuming job duties. |
| Caregiver F did not obtain required training in resident rights, challenging behaviors, and client groups within 90 days of employment. |
| Provider did not complete initial evacuation evaluations for 4 residents within 3 days of admission. |
| Provider did not conduct annual evacuation evaluation for Resident 2 for calendar year 2023. |
| Provider did not ensure quarterly reassessment of psychotropic medications for 2 residents in 2024. |
| Injectable medications were administered by unlicensed caregivers without proper nurse delegation documentation. |
| Fire evacuation drills were not conducted quarterly and no drill simulated usual sleep hours in 2023. |
| Other emergency evacuation drills (tornado, flooding) were not conducted semi-annually in 2023. |
| Annual fire inspection by local fire authority or certified inspector was not completed for 2023. |
| Annual fire detection system inspection was not completed for 2023. |
Report Facts
Deficiencies identified: 11
Residents reviewed for evacuation evaluation: 4
Residents receiving insulin injections: 6
Fire drills completed in 2023: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Business Office Manager A | Business Office Manager | Confirmed lack of orientation and training for caregivers; discussed medication administration and fire drills. |
| Administrator B | Administrator | Confirmed training deficiencies and fire drill issues; responsible for facility administration. |
| Licensed Practical Nurse Manager H | LPN Manager | Interviewed regarding lack of scheduled psychotropic medication reviews. |
| RN Consultant G | RN Consultant | Confirmed caregivers administered insulin without proper delegation; plans to implement training. |
Inspection Report
Complaint Investigation
Census: 75
Deficiencies: 0
Jan 25, 2024
Visit Reason
Surveyor conducted two complaint investigations at Dayton Care Center.
Findings
No deficiencies identified. Two of two complaints were unsubstantiated.
Complaint Details
Two complaints investigated; both were unsubstantiated.
Inspection Report
Routine
Census: 79
Deficiencies: 0
Jan 24, 2023
Visit Reason
Surveyors completed a standard survey at Dayton Care Center on 01/24/2023.
Findings
No deficiencies were identified during the survey.
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