Inspection Reports for Fieldcrest Manor

WI, 54220

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Inspection Report Summary

The most recent inspection on August 7, 2025, found deficiencies requiring the facility to comply within 45 days. Earlier inspections showed similar issues, including missing employee screening for communicable diseases and failure to conduct required emergency evacuation drills in 2023 and 2024. No fines, immediate jeopardy findings, or license actions were listed in the available reports. A complaint investigation in June 2023 was unsubstantiated with no deficiencies issued. The pattern suggests recurring compliance issues related to employee health screening and emergency preparedness.

Deficiencies (last 2 years)

Deficiencies (over 2 years) 1 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

78% better than Wisconsin average
Wisconsin average: 4.6 deficiencies/year

Deficiencies per year

4 3 2 1 0
2023
2025

Census

Latest occupancy rate 95% occupied

Based on a August 2025 inspection.

This facility has shown a steady increase in demand based on occupancy rates.

Occupancy over time

12 15 18 21 24 27 Jun 2023 Aug 2025

Notice

Deficiencies: 0 Date: Aug 7, 2025

Visit Reason
An abbreviated survey was conducted on August 7, 2025, to determine if Fieldcrest Manor was in substantial compliance with Wisconsin Statutes chapter 50 and Administrative Code chapter DHS 83 for community-based residential facilities.

Findings
The Department issued a Statement of Deficiency (SOD #BR6711) for violations found during the abbreviated survey, 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 deadline: 10 Posting duration: 90

Employees mentioned
NameTitleContext
Kenneth BrotheridgeAssisted Living DirectorSigned the notice letter as Bureau of Assisted Living, Division of Quality Assurance.
Vicky WittmanAssisted Living Regional DirectorContact person for questions about the letter.

Inspection Report

Abbreviated Survey
Census: 19 Capacity: 20 Deficiencies: 2 Date: Aug 6, 2025

Visit Reason
Surveyor conducted an abbreviated survey from 08/06/2025 through 08/07/2025 to assess compliance with regulatory requirements.

Findings
Two deficiencies were issued related to employee screening for communicable diseases and failure to conduct required semi-annual emergency evacuation drills for tornado, flooding, or other disasters in 2023 and 2024.

Deficiencies (2)
Employees were not screened for clinically apparent communicable diseases including tuberculosis as required; documentation was missing for two caregivers.
The provider did not conduct tornado, flood, or other emergency disaster evacuation drills at least semi-annually for 2023 and 2024.
Report Facts
Deficiencies issued: 2 Census: 19 Total licensed capacity: 20 Tornado drills conducted: 1

Employees mentioned
NameTitleContext
Director AInterviewed regarding employee screening and emergency drills; stated only TB screening was done and was unaware of communicable disease screening requirement.
Caregiver BEmployee record lacked documentation of communicable disease screening; hired 12/03/2024.
Caregiver CEmployee record lacked documentation of communicable disease screening; hired 09/24/2024.

Inspection Report

Complaint Investigation
Census: 18 Deficiencies: 0 Date: Jun 13, 2023

Visit Reason
Surveyor conducted a complaint investigation at Fieldcrest Manor in Manitowoc on 06/13/2023.

Complaint Details
One of 1 complaint was unsubstantiated.
Findings
One of one complaint was unsubstantiated and no deficiencies were issued as a result of the survey.

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