Inspection Reports for Emerald Ridge of Neenah
130 BYRD AVE, NEENAH, WI, 54956
Back to Facility ProfileDeficiencies (last 2 years)
Deficiencies (over 2 years)
5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
9% worse than Wisconsin average
Wisconsin average: 4.6 deficiencies/yearDeficiencies per year
4
3
2
1
0
Census
Latest occupancy rate
38 residents
Based on a June 2025 inspection.
This facility has shown a decline in demand based on occupancy rates.
Census over time
Inspection Report
Complaint Investigation
Deficiencies: 1
Jun 16, 2025
Visit Reason
A complaint investigation and verification visit were conducted on June 16, 2025, at Emerald Ridge of Neenah to determine if the facility was in substantial compliance with Wisconsin statutes and administrative codes governing residential care apartment complexes.
Findings
The Department found violations of Wis. Stat. ch. 50 and Wis. Admin. Code ch. DHS 89, resulting in a Statement of Deficiency (SOD) #VODN13. The operator was ordered to comply with requirements, develop corrective measures for medication administration, provide staff training, and pay a forfeiture of $580. A $200 inspection fee was also assessed for a verification visit.
Complaint Details
The visit was complaint-related, conducted to verify compliance with applicable statutes and codes. The complaint investigation resulted in issuance of SOD #VODN13.
Deficiencies (1)
| Description |
|---|
| Violations of Wis. Stat. ch. 50 or Wis. Admin. Code ch. DHS 89 as detailed in SOD #VODN13 |
Report Facts
Forfeiture amount: 580
Reduced forfeiture amount: 377
Forfeiture component: 400
Forfeiture component: 180
Inspection fee: 200
Compliance timeframe: 45
Plan of Correction submission timeframe: 10
Forfeiture payment timeframe: 10
Appeal filing timeframe: 10
Revisit fee: 200
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kenneth Brotheridge | Assisted Living Director | Signed the notice and order letter |
| Vicky Wittman | Assisted Living Regional Director | Contact person for questions about the letter |
Inspection Report
Complaint Investigation
Census: 38
Deficiencies: 2
Jun 16, 2025
Visit Reason
The surveyor conducted one verification visit and one complaint investigation at Emerald Ridge of Neenah to assess compliance with nursing services and medication administration requirements.
Findings
Two deficiencies were identified as repeat violations related to insufficient nursing services and improper medication administration. Staff failed to check Tenant 5's blood pressure one hour after administering amlodipine as ordered, and staff continued to administer the incorrect dosage of amlodipine after a physician order change.
Complaint Details
The complaint was unsubstantiated.
Deficiencies (2)
| Description |
|---|
| Staff did not check Tenant 5's blood pressure one hour after administration of amlodipine as physician ordered. |
| Staff continued to administer Tenant 5's amlodipine 10 MG after physician changed the order to 5 MG. |
Report Facts
Revisit fee: 200
Census: 38
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Caregiver E | Interviewed regarding blood pressure monitoring and documentation | |
| Caregiver F | Mentioned by Tenant 5 as not returning to check blood pressure | |
| Administrator A | Administrator | Interviewed regarding blood pressure monitoring and medication administration concerns |
| Resident Care Coordinator F | Resident Care Coordinator | Interviewed and involved in medication administration and monitoring discussions |
Inspection Report
Complaint Investigation
Deficiencies: 1
Sep 30, 2024
Visit Reason
A complaint investigation and verification visit were conducted to determine if Emerald Ridge of Neenah was in substantial compliance with Wisconsin statutes and administrative codes governing residential care apartment complexes.
Findings
The Department found violations of Wis. Stat. ch. 50 and Wis. Admin. Code ch. DHS 89, resulting in a Statement of Deficiency (SOD #VODN12), imposition of a forfeiture totaling $1,050, and orders to comply with requirements including corrective measures for medication administration and management.
Complaint Details
The visit was complaint-related, conducted to verify substantial compliance with applicable statutes and administrative codes. The Department issued a Statement of Deficiency and imposed enforcement actions.
Deficiencies (1)
| Description |
|---|
| Violations of Wis. Stat. ch. 50 or Wis. Admin. Code ch. DHS 89 as identified in Statement of Deficiency #VODN12 |
Report Facts
Forfeiture amount: 1050
Reduced forfeiture amount: 682.5
Forfeiture component: 500
Forfeiture component: 550
Compliance timeframe: 45
Plan of Correction submission timeframe: 10
Inspection fee: 200
Revisit fee: 200
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kenneth Brotheridge | Assisted Living Director | Signed the notice letter |
| Vicky Wittman | Assisted Living Regional Director | Contact person for questions about the letter |
Inspection Report
Complaint Investigation
Census: 40
Deficiencies: 2
Sep 30, 2024
Visit Reason
Surveyor conducted a complaint investigation and verification visit at Emerald Ridge of Neenah, a residential care apartment complex (RCAC), to investigate concerns related to tenant health monitoring and medication administration.
Findings
Two deficiencies were identified, including a repeat deficiency. The provider failed to ensure proper health monitoring and medication administration for 2 of 3 tenants reviewed, including failure to recheck blood sugar and contact physicians as required, failure to document insulin administration for multiple occurrences, and failure to administer medication as prescribed. The complaint was unsubstantiated.
Complaint Details
Complaint investigation was conducted; two deficiencies were identified, one being a repeat deficiency. The complaint was unsubstantiated. A $200 revisit fee was assessed under Wis. Stat. Ch. 50.
Deficiencies (2)
| Description |
|---|
| Provider did not ensure 2 of 3 tenants reviewed received proper health monitoring and medication administration services, including failure to recheck blood sugar and contact physician when blood sugar was outside parameters and failure to document insulin administration for 54 occurrences. |
| Provider did not ensure 1 of 3 tenants reviewed received medication (Metoprolol) as prescribed, administering it despite systolic blood pressure being below parameters and failing to administer PRN medication as ordered. |
Report Facts
Revisit fee: 200
Census: 40
Occurrences of undocumented insulin administration: 54
Blood sugar readings outside parameters without recheck or physician contact: 4
Dates medication administered despite low systolic blood pressure: 11
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Resident Care Coordinator D | Named in findings regarding denial of auditing resident records for medication administration and diabetic management, and inability to locate documentation for insulin administration. |
Inspection Report
Complaint Investigation
Deficiencies: 1
May 1, 2024
Visit Reason
A complaint investigation and standard survey were conducted on May 1, 2024, to determine if Emerald Ridge of Neenah was in substantial compliance with Wisconsin statutes and administrative codes governing residential care apartment complexes.
Findings
Violations of Wis. Stat. ch. 50 and Wis. Admin. Code ch. DHS 89 were identified, resulting in a Statement of Deficiency (SOD #VODN11), a notice of violation, and an imposed forfeiture of $200. The operator is ordered to comply with requirements and submit a plan of correction within specified timeframes.
Complaint Details
The visit was complaint-related, conducted to investigate allegations and assess compliance. The report does not explicitly state substantiation status.
Deficiencies (1)
| Description |
|---|
| Violation of DHS Code 89.28(6) as described in SOD #VODN11 |
Report Facts
Forfeiture amount: 200
Reduced forfeiture amount: 130
Days to achieve compliance: 45
Days to submit plan of correction: 10
Days to pay forfeiture: 10
Inspection fee: 200
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kenneth Brotheridge | Assisted Living Director | Signed the notice and order letter |
| Vicky Wittman | Assisted Living Regional Director | Contact person for questions about the letter |
Inspection Report
Complaint Investigation
Census: 43
Deficiencies: 3
May 1, 2024
Visit Reason
From 04/24/2024 to 05/01/2024, surveyor conducted 3 complaint investigations and a standard survey at Emerald Ridge of Neenah, a residential care apartment complex (RCAC). One of three complaints was substantiated.
Findings
Three deficiencies were identified: 1) The provider failed to conduct a required criminal background check with the Wisconsin DOJ for one caregiver at the time of hire. 2) The provider did not update a risk agreement for a tenant with behavior involving smearing feces that posed risk to the tenant and others. 3) The provider mismanaged tenant medications by administering Spironolactone to a tenant after it was discontinued.
Complaint Details
Three complaint investigations were conducted; one complaint was substantiated involving medication mismanagement where Tenant 2 received Spironolactone after discontinuation.
Deficiencies (3)
| Description |
|---|
| Failure to conduct a criminal record check with the Wisconsin DOJ for one caregiver at time of hire. |
| Failure to update risk agreement for a tenant with behavior of digging and smearing feces affecting risk. |
| Tenant received medication (Spironolactone) after it was discontinued. |
Report Facts
Number of complaints investigated: 3
Number of deficiencies identified: 3
Census: 43
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Administrator A | Interviewed regarding background check and risk agreement deficiencies. | |
| Resident Care Coordinator D | Interviewed and confirmed medication error involving Tenant 2. | |
| RN B | Registered Nurse | Interviewed regarding Tenant 1's behavior and risk concerns. |
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