Inspection Reports for
Dimensions Living Pewaukee East

The visit was complaint-related, conducted to verify compliance with applicable statutes and codes. The Department found violations and issued a Statement of Deficiency. The complaint was substantiated as violations were confirmed.

The Department issued a Statement of Deficiency (SOD #4NVT14) for violations of Wis. Stat. ch. 50 and Wis. Admin. Code ch. DHS 83. A total forfeiture of $2,120 was imposed for multiple violations, with a reduced forfeiture option of $1,378 if not appealed. The licensee was ordered to comply immediately and provide corrective training within 45 days. A $200 inspection fee was also assessed for a verification visit conducted on May 28, 2025.

Two complaints were substantiated. One complaint involved a resident-to-resident assault on 03/28/2025 with law enforcement involvement not reported timely. Another complaint involved concerns about medication administration, call light response, housekeeping, and activity programming.

Seven deficiencies were identified including failure to report law enforcement involvement timely, medication administration issues, inadequate implementation of individual service plans, failure to provide adequate housekeeping, lack of leisure activities, and improper delegation of medication administration.

The investigation was complaint-driven to assess compliance with statutory and administrative requirements for the operation of a community-based residential facility.

The Department found violations of Wis. Stat. ch. 50 and Wis. Admin. Code ch. DHS 83, resulting in a Notice of Violation, an Order to Comply with Requirements, Special Orders for staffing and procedural improvements, and an imposed forfeiture of $800.00.

The complaint investigation was initiated after three substantiated complaints were received, including a complaint on 01/01/2025 regarding resident care and a complaint on 01/22/2025 regarding staffing and supervision concerns. The investigation confirmed failures in resident notification, staff training, and supervision.

Three violations of Chapter DHS 83 were identified, including failure to immediately notify a resident's physician of an incident or change in condition, inadequate employee orientation training, and staff sleeping on duty during the third shift. The facility was found to have poor documentation and inadequate supervision, resulting in safety risks to residents.

The complaint was substantiated. It involved concerns following a resident fall on 11/05/2024. A $200 revisit fee was assessed under Wis. Stat. Ch. 50.

Two deficiencies were identified, including a repeat violation. The complaint was substantiated. The provider failed to ensure prompt and adequate treatment for Resident 21 after a fall resulting in a right humerus fracture, with delayed pain medication and late hospice notification. Additionally, the provider did not implement and follow individual service plans for three residents, failing to monitor meal consumption as required.

The visit was complaint-related, conducted to verify compliance with applicable statutes and codes. The Department found violations and issued enforcement actions including a forfeiture.

The Department issued a Statement of Deficiency (SOD #4NVT13) for violations of Wis. Stat. ch. 50 and Wis. Admin. Code ch. DHS 83, resulting in a Notice of Violation and an imposed forfeiture totaling $1900. The licensee was ordered to comply immediately and implement corrective measures, including staff training within 45 days.

The complaint was substantiated. It involved concerns following a resident fall on 11/05/2024. Resident 21 had an activated healthcare power of attorney and was on hospice services. Hospice was not notified until 7:03 AM after the fall at approximately 12:10 AM. Pain medications were delayed until 8:55 AM despite resident verbalizing pain at 6:00 AM. The provider acknowledged failures in timely notification and pain management. A $200 revisit fee was assessed under Wis. Stat. Ch. 50.

Two deficiencies were identified, including a repeat violation. The complaint was substantiated. The provider failed to ensure prompt and adequate treatment for Resident 21 after a fall resulting in a right humerus fracture, including delayed pain medication and delayed hospice notification. Additionally, the provider failed to implement and follow individual service plans for three residents regarding monitoring of food consumption, with 42 occurrences of missed monitoring documented.

Two complaints were investigated and both were found to be unsubstantiated.

Two deficiencies were identified, both repeat violations from a prior survey dated 02/22/2024. Both complaints were unsubstantiated. Deficiencies included failure to implement and follow individual service plans for monitoring food consumption for three residents, and failure to maintain a safe, clean, and comfortable environment with multiple observations of unclean conditions in resident rooms and bathrooms.

The visit was complaint-related, concluding a complaint investigation to assess compliance with statutory and administrative requirements for community-based residential facilities.

The Department issued a Statement of Deficiency (SOD #4NVT11) for violations of Wis. Stat. ch. 50 and Wis. Admin. Code ch. DHS 83, resulting in a Notice of Violation and an imposed forfeiture totaling $1900.00. The licensee was ordered to comply immediately with requirements including developing comprehensive individual service plans and assessments for residents.