Inspection Reports for Dickson Hollow
W156N4881 Pilgrim Rd, Menomonee Falls, WI 53051, United States, WI, 53051
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
1 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
78% better than Wisconsin average
Wisconsin average: 4.6 deficiencies/yearDeficiencies per year
4
3
2
1
0
Census
Latest occupancy rate
100% occupied
Based on a September 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Census over time
Inspection Report
Routine
Deficiencies: 0
Sep 2, 2025
Visit Reason
A standard survey was conducted on September 2, 2025, to determine if Dickson Hollow was in substantial compliance with Wisconsin statutes and administrative codes governing community-based residential facilities.
Findings
The Department issued a Statement of Deficiency (SOD #HDFW11) for violations of Wis. Stat. ch. 50 and Wis. Admin. Code ch. DHS 83, establishing grounds for regulatory action and requiring the licensee to comply with all requirements within 45 days.
Report Facts
Days to achieve compliance: 45
Appeal filing period: 10
Posting duration: 90
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kenneth Brotheridge | Assisted Living Director | Signed the notice letter. |
| Hillary Holman | Assisted Living Regional Director | Contact person for questions about the letter. |
Inspection Report
Original Licensing
Census: 20
Capacity: 20
Deficiencies: 2
Sep 2, 2025
Visit Reason
The Bureau of Assisted Living conducted an abbreviated licensing survey of Dickson Hollow, a community based residential facility, to assess compliance with licensing requirements.
Findings
Two citations of noncompliance were issued related to fire and other evacuation drills. The facility failed to conduct quarterly fire drills and at least one drill simulating sleeping hours in 2024, and did not conduct semi-annual other evacuation drills as required.
Deficiencies (2)
| Description |
|---|
| Failure to conduct fire evacuation drills at least quarterly and at least one drill simulating sleeping hours in 2024. |
| Failure to conduct other evacuation drills (tornado, flooding, or other emergency) at least semi-annually during 2024. |
Report Facts
Census: 20
Total Capacity: 20
Fire drills conducted: 2
Other evacuation drills conducted: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Administrator A | Administrator | Interviewed regarding fire and evacuation drill documentation and compliance |
Inspection Report
Monitoring
Census: 19
Deficiencies: 0
Jan 16, 2024
Visit Reason
The Bureau of Assisted Living, Southern Regional Office, conducted a verification visit at Dickson Hollow, a community-based residential facility (CBRF) located in Waukesha, WI.
Findings
As a result of the survey, no deficiencies were identified. A previous deficiency dated 07/18/2023 was corrected. A $200 revisit fee is being assessed under statutory provisions.
Report Facts
Revisit fee: 200
Inspection Report
Abbreviated Survey
Deficiencies: 0
Jul 18, 2023
Visit Reason
An abbreviated survey was conducted on July 18, 2023, to determine if Dickson Hollow was in substantial compliance with Wisconsin statutes and administrative codes governing community-based residential facilities (CBRF).
Findings
The Department found violations of Wis. Stat. ch. 50 and Wis. Admin. Code ch. DHS 83, resulting in a Statement of Deficiency #V58F11 and an imposed forfeiture of $200.00 for noncompliance with regulatory requirements.
Report Facts
Forfeiture amount: 200
Reduced forfeiture amount: 130
Forfeiture payment timeframe: 10
Compliance timeframe: 45
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kenneth Brotheridge | Assisted Living Director | Signed the Notice and Order letter |
| Hillary Holman | Assisted Living Regional Director | Contact person for questions about the letter |
Inspection Report
Abbreviated Survey
Census: 19
Deficiencies: 1
Jul 18, 2023
Visit Reason
Surveyor conducted an abbreviated survey at Dickson Hollow on 07/18/2023 to assess compliance with continuing education requirements for staff.
Findings
One deficiency was identified related to continuing education. Caregiver B did not have evidence of completing the required 15 hours of continuing education in all mandated topics for 2022, completing only 8.5 hours.
Deficiencies (1)
| Description |
|---|
| Caregiver B did not have evidence of receiving 15 hours of continuing education in all required topics for 2022, including standard precautions, prevention and reporting of abuse, and fire safety and emergency procedures. |
Report Facts
Continuing education hours completed: 8.5
Census: 19
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Caregiver B | Caregiver | Named in continuing education deficiency |
| Administrator A | Administrator | Interviewed regarding continuing education compliance |
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