Inspection Reports for
Eagle Ridge Senior Living
101 RIDGE RD, OSCEOLA, WI, 54020
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
4.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
7% better than Wisconsin average
Wisconsin average: 4.6 deficiencies/yearDeficiencies per year
8
6
4
2
0
Census
Latest occupancy rate
80% occupied
Based on a August 2025 inspection.
This facility has shown a decline in demand based on occupancy rates.
Occupancy over time
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Sep 9, 2025
Visit Reason
A complaint investigation and verification visit was conducted on 2025-09-09 to determine if Eagle Ridge Senior Living was in substantial compliance with Wisconsin statutes and administrative codes governing community-based residential facilities.
Complaint Details
The visit was complaint-related, conducted to verify compliance with applicable statutes and codes. The report does not explicitly state substantiation status.
Findings
The Department found violations of Wis. Stat. ch. 50 and Wis. Admin. Code ch. DHS 83, resulting in a Statement of Deficiency #AB5813. Corrective measures and training are ordered to address behavior management deficiencies. A forfeiture of $1,100 was imposed for the violations, with a reduced payment option of $715 if not appealed. Additionally, a $200 inspection fee was assessed for a verification visit on 2025-09-09.
Deficiencies (1)
Violations of Wis. Stat. ch. 50 or Wis. Admin. Code ch. DHS 83 as identified in Statement of Deficiency #AB5813
Report Facts
Forfeiture amount: 1100
Reduced forfeiture amount: 715
Forfeiture amount: 300
Forfeiture amount: 800
Inspection fee: 200
Compliance timeframe: 45
Appeal timeframe: 10
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kenneth Brotheridge | Assisted Living Director | Signed the notice letter |
Inspection Report
Complaint Investigation
Census: 28
Capacity: 35
Deficiencies: 3
Date: Aug 27, 2025
Visit Reason
Surveyors conducted a verification visit and complaint investigation triggered by two complaints regarding medications and exterior area hazards at Eagle Ridge Senior Living.
Complaint Details
Two of six complaints were substantiated. Complaints involved medication management and exterior area hazards.
Findings
Two of six complaints were substantiated with three new violations identified, including failure to properly dispose of medications within 30 days, inadequate behavior management services for a resident with aggressive behaviors, and failure to maintain exterior yard and sidewalk areas free of hazards.
Deficiencies (3)
Failure to ensure medications were destroyed within 30 days of change or discharge for three residents.
Failure to provide adequate behavior management services for Resident 4, including failure to administer scheduled and PRN medications as prescribed, and allowing a caregiver whose presence increased behaviors to continue care.
Failure to maintain yard and sidewalk areas in good repair and free of hazards, including uneven concrete slabs causing a trip hazard on the back patio.
Report Facts
Complaints received: 6
Complaints substantiated: 2
Revisit fee: 200
Census: 28
Total licensed capacity: 35
Medications not administered: 6
Medications not administered: 20
Medications not administered: 6
PRN Haloperidol administrations: 4
Medication syringes needing destruction: 321
Date last medication destruction: 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Health Service Lead B | Health Service Lead | Interviewed regarding medication destruction delays and medication management issues. |
| Hospice Nurse C | Hospice Nurse | Interviewed regarding Resident 4's medication administration and behavior management. |
| Assistant Director E | Assistant Director | Interviewed regarding staff education and medication administration issues. |
| Caregiver G | Caregiver | Named in behavior management deficiency; presence increased Resident 4's behaviors. |
| Maintenance A | Maintenance Staff | Interviewed regarding exterior yard and sidewalk hazards. |
Notice
Deficiencies: 0
Date: Apr 9, 2025
Visit Reason
A complaint investigation and verification visit was conducted to determine if Eagle Ridge Senior Living was in substantial compliance with Wisconsin statutes and administrative codes governing community-based residential facilities.
Complaint Details
The visit was complaint-related, conducted to verify compliance with applicable statutes and codes. Specific substantiation status is not stated.
Findings
The Department found violations of Wis. Stat. ch. 50 and Wis. Admin. Code ch. DHS 83, resulting in a Statement of Deficiency #AB5812 and an imposed forfeiture of $500. A verification visit confirmed correction of prior violations, but an inspection fee of $200 is assessed.
Report Facts
Forfeiture amount: 500
Reduced forfeiture amount: 325
Inspection fee: 200
Compliance timeframe: 45
Payment timeframe: 10
Employees mentioned
| Name | Title | Context |
|---|---|---|
| William R. Gardner | 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: 30
Capacity: 35
Deficiencies: 1
Date: Apr 7, 2025
Visit Reason
The surveyor conducted a verification visit and complaint investigation triggered by two complaints about resident care at Eagle Ridge Senior Living.
Complaint Details
One of two complaints was substantiated. The complaint involved delayed removal of surgical staples for Resident 1, who had multiple falls and hospitalizations. The staples were removed approximately 6 weeks after discharge instructions indicated removal at the first post-op appointment.
Findings
The provider did not ensure Resident 1 received prompt and adequate treatment when surgical staples were left in place for approximately 6 weeks, past the time indicated on hospital discharge instructions. One of two complaints was substantiated, and four prior violations were corrected with one new violation identified.
Deficiencies (1)
Provider did not ensure Resident 1 received prompt and adequate treatment when surgical staples were left in place for approximately 6 weeks.
Report Facts
Revisit fee: 200
Complaints received: 2
Violations corrected: 4
New violations identified: 1
Staples removed: 17
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Administrator A | Administrator | Interviewed regarding Resident 1's falls, treatment, and post-op care. |
| Health Services Lead C | Health Services Lead | Interviewed regarding discharge paperwork review and staple removal concerns. |
| Registered Nurse D | Registered Nurse | Assessed Resident 1's hip and staples; advised family to take Resident 1 to ER for staple removal. |
Notice
Deficiencies: 0
Date: Nov 13, 2024
Visit Reason
A standard survey and complaint investigation was conducted to determine if Eagle Ridge Senior Living was in substantial compliance with Wisconsin statutes and administrative codes governing community-based residential facilities.
Complaint Details
The visit included a complaint investigation as part of the standard survey to assess compliance with applicable statutes and administrative codes.
Findings
The Department found violations of Wis. Stat. ch. 50 and Wis. Admin. Code ch. DHS 83, resulting in a Statement of Deficiency (SOD #AB5811) and an imposed forfeiture of $150 for noncompliance with regulatory requirements.
Report Facts
Forfeiture amount: 150
Reduced forfeiture amount: 97.5
Compliance timeframe: 45
Forfeiture payment timeframe: 10
Appeal filing timeframe: 10
Inspection fee: 200
Employees mentioned
| Name | Title | Context |
|---|---|---|
| William R. Gardner | 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: 30
Capacity: 35
Deficiencies: 3
Date: Nov 12, 2024
Visit Reason
The surveyor conducted a standard survey and complaint investigation at Eagle Ridge Senior Living to assess compliance with regulations related to employee and resident communicable disease screening and infection control practices.
Complaint Details
The complaint was unsubstantiated.
Findings
Four violations were identified, including a repeat deficiency related to employee communicable disease screening. The provider failed to ensure all staff and residents were screened for communicable diseases including tuberculosis within required timeframes. Additionally, staff did not follow infection control protocols during medication administration.
Deficiencies (3)
Provider did not ensure 1 of 3 staff sampled were screened for communicable disease, including tuberculosis, upon hire (repeat violation).
Provider did not ensure 4 of 4 residents sampled were screened for communicable disease, including tuberculosis, within 90 days before or 7 days after admission.
Provider did not ensure staff followed an infection control program based on current standards of practice to prevent development and transmission of communicable disease and infection.
Report Facts
Violations identified: 4
Staff files reviewed: 3
Residents sampled: 4
Licensed capacity: 35
Current census: 30
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Caregiver D | Named in deficiency for lack of communicable disease screening upon hire. | |
| Administrator B | Interviewed regarding missing documentation and infection control issues. | |
| Registered Nurse C | Registered Nurse | Mentioned in relation to communicable disease screening and medication training. |
| Caregiver A | Observed administering medications improperly, violating infection control protocols. | |
| Health Care Coordinator E | Health Care Coordinator | Signed communicable disease screens that did not indicate residents were free from communicable disease; no longer employed. |
Inspection Report
Complaint Investigation
Census: 26
Deficiencies: 0
Date: May 28, 2024
Visit Reason
Surveyor conducted a complaint investigation at Eagle Ridge Senior Living to address a complaint received.
Complaint Details
The complaint was unsubstantiated.
Findings
No violations were identified during the investigation. The complaint was determined to be unsubstantiated.
Inspection Report
Complaint Investigation
Census: 30
Deficiencies: 0
Date: Sep 21, 2023
Visit Reason
The surveyor conducted a verification visit and complaint investigation for Statement of Deficiency (SOD) 62CG13 and SOD X2VK12 at Eagle Ridge Senior Living.
Complaint Details
The complaint was unsubstantiated.
Findings
Three citations were corrected, no new violations were identified, and the complaint was unsubstantiated. A $200 revisit fee is being assessed under statutory provisions.
Report Facts
Revisit fee: 200
Notice
Deficiencies: 0
Date: Jun 7, 2023
Visit Reason
A complaint investigation and verification visit were conducted on June 7, 2023, to determine if Eagle Ridge Senior Living was in substantial compliance with Wisconsin statutes and administrative codes governing community-based residential facilities.
Complaint Details
The visit was complaint-related, conducted to verify compliance with applicable statutes and codes. The Department issued a Statement of Deficiency #62CG12 based on findings from the complaint investigation.
Findings
The Department found violations of Wis. Stat. ch. 50 and Wis. Admin. Code ch. DHS 83, resulting in a Statement of Deficiency #62CG12 and imposed a total forfeiture of $1600 for specific violations. A $200 inspection fee for a revisit was also assessed.
Report Facts
Forfeiture amount: 1600
Reduced forfeiture amount: 1040
Forfeiture amount: 800
Forfeiture amount: 800
Inspection fee: 200
Compliance timeframe: 45
Payment timeframe: 10
Revisit fee payment timeframe: 10
Employees mentioned
| Name | Title | Context |
|---|---|---|
| William R. Gardner | 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: 33
Capacity: 35
Deficiencies: 3
Date: Jun 1, 2023
Visit Reason
The inspection was a verification visit and complaint investigation conducted at Eagle Ridge Senior Living to assess compliance with department-approved training requirements and adequacy of resident treatment.
Complaint Details
The complaint was substantiated. The investigation found that one employee lacked required training and that Resident 1 did not receive prompt and adequate treatment for a gastrointestinal bleed, resulting in hospitalization and eventual discharge.
Findings
Two violations were identified, including a repeat deficiency related to employee training. One employee lacked required fire safety and first aid/choking training. Additionally, the provider failed to ensure prompt and adequate treatment for a resident with a gastrointestinal bleed, resulting in delayed medical intervention.
Deficiencies (3)
Resident Assistant B did not have training in fire safety within 90 days after starting employment.
Resident Assistant B did not have training in first aid and choking within 90 days after starting employment.
Provider did not ensure Resident 1 received prompt and adequate treatment when found with blood in stool or urine and a distended stomach.
Report Facts
Revisit fee: 200
Census: 33
Total licensed capacity: 35
Number of violations identified: 2
Hemoglobin value: 4.2
Hemoglobin value: 4.5
Units of blood received: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Resident Assistant B | Resident Assistant | Named in deficiency for lacking required fire safety and first aid/choking training |
| Administrator A | Administrator | Interviewed regarding training records and resident treatment |
| Resident Assistant F | Resident Assistant | Observed Resident 1's condition and reported concerns |
| Guardian G | Guardian | Provided information on Resident 1's condition and treatment |
| Health Care Coordinator H | Health Care Coordinator | Interviewed about Resident 1's condition and treatment |
| Resident Assistant I | Resident Assistant | Observed and reported blood on Resident 1's bed sheets and clothing |
| Administrative Assistant E | Administrative Assistant | Interviewed about Resident 1's GI bleed observation |
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Feb 8, 2023
Visit Reason
A complaint investigation was conducted to determine if Eagle Ridge Senior Living was in substantial compliance with Wisconsin statutes and administrative codes governing community-based residential facilities.
Complaint Details
The visit was complaint-related, concluding on February 08, 2023, with issuance of a Statement of Deficiency and Notice of Violation.
Findings
The Department issued a Statement of Deficiency (SOD #X2VK11) for violations of Wisconsin Statutes and Administrative Code provisions related to the administration and operation of the facility, resulting in a Notice of Violation and an imposed forfeiture.
Deficiencies (1)
Violations of Wis. Stat. ch. 50 or Wis. Admin. Code ch. DHS 83 as identified in SOD #X2VK11
Report Facts
Forfeiture amount: 200
Reduced forfeiture amount: 130
Forfeiture payment timeframe: 10
Compliance timeframe: 45
Employees mentioned
| Name | Title | Context |
|---|---|---|
| William R. Gardner | Assisted Living Regional Director | Contact person for questions about the letter |
| Kathleen D. Lyons | Interim Assisted Living Director | Signed the Notice and Order letter |
Inspection Report
Complaint Investigation
Census: 33
Capacity: 35
Deficiencies: 1
Date: Feb 8, 2023
Visit Reason
Surveyor conducted a complaint survey at Eagle Ridge Senior Living due to a complaint regarding the facility's refusal to allow a resident to return after hospital transport.
Complaint Details
The complaint was substantiated. Resident 1 was transported to the hospital due to aggressive behaviors and was medically cleared for discharge but was not allowed to return to the facility due to staff concerns about risk and lack of nurse availability. The resident stayed in the emergency room for 11 hours before being returned by the power of attorney. The facility was unable to find alternative placement and planned to file a 30-day eviction notice.
Findings
The provider did not allow Resident 1 to return to the facility after being transported by law enforcement to the hospital for aggressive behaviors, resulting in the resident remaining in the hospital emergency room for approximately 11 hours despite being medically cleared for discharge. The complaint was substantiated.
Deficiencies (1)
Provider did not allow Resident 1 to return to the facility after hospital transport, resulting in a more restrictive environment for approximately 11 hours despite medical clearance for discharge.
Report Facts
Census: 33
Total licensed capacity: 35
Hours resident stayed in ER: 11
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Administrator A | Administrator | Interviewed by surveyor regarding the incident and facility's actions |
| Health Care Coordinator B | Health Care Coordinator | Assisted Administrator A in seeking alternative placement for Resident 1 |
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