Deficiencies per Year
4
3
2
1
0
Unclassified
Census Over Time
Inspection Report
Enforcement
Deficiencies: 0
Nov 13, 2024
Visit Reason
A standard survey and verification visit were conducted on November 13, 2024, to determine if Fairway Knoll was in substantial compliance with Wisconsin statutes and administrative codes governing community-based residential facilities. A subsequent verification visit was conducted to determine if prior violations were corrected.
Findings
The Department issued a Statement of Deficiency (SOD #2W0F12) for violations of Wis. Stat. ch. 50 and Wis. Admin. Code ch. DHS 83. The licensee was ordered to comply with requirements immediately and achieve substantial compliance within 45 days. An inspection fee of $200 was assessed for the verification visit confirming correction of prior violations.
Report Facts
Inspection fee: 200
Days to achieve compliance: 45
Appeal filing period: 10
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kenneth Brotheridge | Assisted Living Director | Signed the enforcement notice letter |
| Vicky Wittman | Assisted Living Regional Director | Contact person for questions about the letter |
Inspection Report
Routine
Census: 20
Deficiencies: 1
Nov 11, 2024
Visit Reason
A standard survey and verification visit was conducted at Fairway Knoll to assess compliance with regulatory requirements and verify correction of previous deficiencies.
Findings
The survey found that previous deficiencies had been corrected, but identified one new deficiency related to the failure to ensure quarterly reassessment of scheduled psychotropic medications for one resident.
Deficiencies (1)
| Description |
|---|
| The provider did not ensure 1 of 2 residents were reassessed by a pharmacist, practitioner, or registered nurse at least quarterly for the desired response and possible side effects of scheduled psychotropic medications. |
Report Facts
Revisit fee: 200
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Administrator A | Acknowledged RN responsibility for quarterly psychotropic medication reviews and confirmed findings during exit conference |
Inspection Report
Complaint Investigation
Deficiencies: 1
Feb 2, 2024
Visit Reason
A complaint investigation was conducted on February 2, 2024, to determine if Fairway Knoll was in substantial compliance with Wisconsin statutes and administrative codes governing community-based residential facilities.
Findings
The Department found violations of Wis. Stat. ch. 50 and Wis. Admin. Code ch. DHS 83, resulting in a Statement of Deficiency #2W0F11 and an imposed forfeiture of $700.00 for noncompliance with regulatory requirements.
Complaint Details
The complaint investigation was concluded on February 2, 2024, and violations were substantiated as indicated by the issuance of the Statement of Deficiency and imposed forfeiture.
Deficiencies (1)
| Description |
|---|
| Violation of Wis. Admin. Code 83.35(3)(d) |
Report Facts
Forfeiture amount: 700
Reduced forfeiture amount: 455
Days to achieve compliance: 45
Days to request extension: 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: 21
Deficiencies: 0
Sep 19, 2023
Visit Reason
Surveyor conducted a complaint investigation at Fairway Knoll, a CBRF in Germantown.
Findings
No deficiencies were identified. The complaint was unsubstantiated.
Complaint Details
The complaint was unsubstantiated.
Report
File
2W0F11SODS.PDF_17410.pdf
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