Inspection Reports for Franklin Place

9201 W Drexel Ave, Franklin, WI 53132, United States, WI, 53132

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Deficiencies (last 2 years)

Deficiencies (over 2 years) 2 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

57% better than Wisconsin average
Wisconsin average: 4.6 deficiencies/year

Deficiencies per year

4 3 2 1 0
2024
2025

Census

Latest occupancy rate 43 residents

Based on a December 2025 inspection.

Census over time

20 30 40 50 60 Jul 2024 Nov 2024 Jan 2025 Apr 2025 May 2025 Dec 2025

Inspection Report

Complaint Investigation
Census: 43 Deficiencies: 0 Date: Dec 16, 2025

Visit Reason
Surveyor conducted a complaint investigation at Franklin Place Memory Care.

Complaint Details
One complaint was investigated and found to be unsubstantiated.
Findings
No deficiencies were identified and the complaint was unsubstantiated.

Inspection Report

Complaint Investigation
Census: 29 Deficiencies: 0 Date: May 22, 2025

Visit Reason
Surveyor completed a complaint investigation at Franklin Place Memory Care.

Complaint Details
One complaint was unsubstantiated.
Findings
No deficiencies were identified. One complaint was unsubstantiated.

Notice

Deficiencies: 0 Date: Apr 2, 2025

Visit Reason
Four complaint investigations were concluded to determine if Franklin Place Memory Care was in substantial compliance with Wisconsin statutes and administrative codes governing community-based residential facilities.

Complaint Details
Four complaint investigations were conducted and concluded on April 2, 2025, resulting in issuance of a Statement of Deficiency. Substantiation status is not explicitly stated.
Findings
The Department issued a Statement of Deficiency for violations of Wis. Stat. ch. 50 and Wis. Admin. Code ch. DHS 83, establishing grounds for regulatory action and requiring the licensee to comply with all requirements within 45 days.

Report Facts
Appeal timeframe: 10 Compliance timeframe: 45 Posting duration: 90

Employees mentioned
NameTitleContext
Mary Beth HoffmanAssisted Living Regional DirectorContact person for questions about the letter.
Kenneth BrotheridgeAssisted Living DirectorSigned the notice letter.

Inspection Report

Complaint Investigation
Census: 27 Deficiencies: 1 Date: Apr 2, 2025

Visit Reason
Surveyor conducted 4 complaint investigations at Franklin Place Memory Care, triggered by complaints received regarding resident care and safety.

Complaint Details
Four complaint investigations were conducted; one complaint was substantiated regarding failure to report a serious injury incident timely, and three complaints were unsubstantiated.
Findings
One deficient practice was identified related to failure to report an incident resulting in serious injury requiring emergency room treatment within the required timeframe. One complaint was substantiated and three complaints were unsubstantiated.

Deficiencies (1)
Provider did not ensure the Department was notified within 3 working days of an incident resulting in serious injury requiring emergency room treatment of a resident (Resident 2) who had a fall on 03/17/2025.
Report Facts
Number of complaints investigated: 4 Number of complaints substantiated: 1 Number of complaints unsubstantiated: 3

Employees mentioned
NameTitleContext
AdministratorInterviewed regarding Resident 2's fall
Clinical Services DirectorInterviewed and confirmed failure to file required report

Inspection Report

Complaint Investigation
Census: 29 Deficiencies: 0 Date: Jan 28, 2025

Visit Reason
Surveyor conducted a verification visit and complaint investigation based on one complaint.

Complaint Details
One complaint was investigated and found to be unsubstantiated.
Findings
No deficiency was identified and the complaint was unsubstantiated. A $200 revisit fee is being assessed under statutory provisions.

Report Facts
Revisit fee: 200

Inspection Report

Routine
Census: 32 Deficiencies: 2 Date: Nov 13, 2024

Visit Reason
The surveyor conducted a standard survey, verification visit, and three complaint investigations at Franklin Place Memory Care.

Complaint Details
Three complaints were investigated and found to be unsubstantiated.
Findings
Two deficiencies were identified related to clothes dryer vent tubing not being properly attached and a broken laundry room door that could not be secured. Three complaints were unsubstantiated.

Deficiencies (2)
Two of four clothes dryers had vent tubing that was not rigid, clean, maintained, and detached from the back of the dryer, venting inside the facility laundry room.
One laundry room door was broken, causing it to hang crooked and unable to be closed or locked securely.
Report Facts
Revisit fee: 200 Number of deficiencies identified: 2 Number of complaints investigated: 3 Census: 32

Employees mentioned
NameTitleContext
Administrator BAdministratorInterviewed regarding dryer vent tubing and broken door; confirmed unawareness of dryer vent issue and commitment to repair.
Clinical Services Director CClinical Services DirectorInterviewed regarding broken laundry room door; aware of damage caused by staff and stated door had been broken less than a week.

Inspection Report

Deficiencies: 0 Date: Nov 13, 2024

Visit Reason
A standard survey, verification visit, and three complaint investigations were conducted to determine if Franklin Place Memory Care was in substantial compliance with Wisconsin statutes and administrative codes governing community-based residential facilities.

Complaint Details
Three complaint investigations were conducted as part of the visit; however, no substantiation status or specific complaint details are provided in the document.
Findings
The Department issued a Statement of Deficiency (SOD #MZX512) for violations of Wisconsin statutes and administrative codes. A verification visit was also conducted to determine if prior violations in SOD #MZX511 were corrected, resulting in an imposed $200 inspection fee.

Report Facts
Inspection fee: 200 Compliance timeframe: 45 Appeal timeframe: 10

Employees mentioned
NameTitleContext
MaryBeth HoffmanAssisted Living Regional DirectorContact person for questions about the letter.
Kenneth BrotheridgeAssisted Living DirectorSigned the notice letter.

Inspection Report

Complaint Investigation
Deficiencies: 0 Date: Jul 23, 2024

Visit Reason
A one complaint investigation was conducted on July 23, 2024, to determine if Franklin Place Memory Care was in substantial compliance with Wisconsin statutes and administrative codes governing community-based residential facilities.

Complaint Details
The investigation was complaint-driven and concluded on July 23, 2024. The Department found violations sufficient to issue a Statement of Deficiency and order corrective actions.
Findings
The Department issued a Statement of Deficiency (SOD #MZX511) for violations of Wis. Stat. ch. 50 and Wis. Admin. Code ch. DHS 83, establishing grounds for enforcement action and requiring the licensee to comply with operational standards to protect resident health, safety, and welfare.

Report Facts
Inspection fee: 200 Compliance timeframe: 45 Extension request timeframe: 10 Posting duration: 90 Appeal filing timeframe: 10

Employees mentioned
NameTitleContext
MaryBeth HoffmanAssisted Living Regional DirectorContact person for questions about the notice and order.
Kenneth BrotheridgeAssisted Living DirectorSigned the notice and order letter.

Inspection Report

Complaint Investigation
Census: 38 Capacity: 54 Deficiencies: 1 Date: Jul 23, 2024

Visit Reason
Surveyor conducted a complaint investigation at Franklin Place Memory Care based on one complaint received. The investigation aimed to determine compliance with licensing requirements for a Class C ambulatory Community Based Residential Facility (CBRF).

Complaint Details
One complaint was investigated and found to be unsubstantiated. The investigation identified one deficiency related to resident ambulatory status compliance.
Findings
The facility was found to be non-compliant with the Class C ambulatory license requirements as 13 of 38 residents were non-ambulatory, including 4 residents who relied on wheelchairs. The facility was licensed for ambulatory residents only but was serving non-ambulatory residents since the change of ownership on 06/01/2024.

Deficiencies (1)
The provider did not ensure the class C ambulatory Community Based Residential Facility served only ambulatory residents; 13 of 38 residents were non-ambulatory.
Report Facts
Residents non-ambulatory: 13 Residents using wheelchairs: 4 Licensed capacity: 54 Current census: 38

Employees mentioned
NameTitleContext
Administrator BAdministratorInterviewed and confirmed the facility was licensed for ambulatory residents and acknowledged the need to amend the license due to non-ambulatory residents present

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