Deficiencies (last 2 years)
Deficiencies (over 2 years)
4 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
13% better than Wisconsin average
Wisconsin average: 4.6 deficiencies/yearDeficiencies per year
8
6
4
2
0
Census
Latest occupancy rate
20 residents
Based on a April 2024 inspection.
Census over time
Inspection Report
Follow-Up
Census: 20
Deficiencies: 0
Apr 23, 2024
Visit Reason
Surveyor conducted a verification visit to Frontida Assisted Living of Kimberly I to verify correction of previous deficiencies.
Findings
No deficiencies were identified during the visit; all previous deficiencies were corrected.
Report Facts
Revisit fee: 200
Inspection Report
Complaint Investigation
Deficiencies: 2
Oct 16, 2023
Visit Reason
A standard survey and complaint investigation were conducted to determine if Frontida Assisted Living of Kimberly I was in substantial compliance with Wisconsin statutes and administrative codes governing community-based residential facilities.
Findings
The Department issued a Statement of Deficiency (SOD #9GTY11) for violations of Wis. Stat. ch. 50 and Wis. Admin. Code ch. DHS 83, resulting in a forfeiture order totaling $400.00 for specific code violations.
Complaint Details
The visit included a complaint investigation as part of the standard survey to assess compliance with applicable statutes and codes.
Deficiencies (2)
| Description |
|---|
| Violation of DHS Code 83.19 |
| Violation of DHS Code 83.20(2)(a)-(d) |
Report Facts
Forfeiture amount: 400
Forfeiture amount: 200
Forfeiture amount: 200
Reduced forfeiture amount: 260
Compliance timeframe: 45
Payment timeframe: 10
Appeal timeframe: 10
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
Capacity: 22
Deficiencies: 6
Oct 16, 2023
Visit Reason
Surveyors conducted a complaint investigation and standard survey at Frontida Assisted Living of Kimberly I due to a complaint received alleging residents did not receive or review admission agreements.
Findings
Six deficiencies were identified including failure to ensure all employees received required orientation and department-approved training, failure to provide a new admission agreement to a resident transferring facilities, unclean and worn carpeting, unsecured toxic substances, and incomplete fire drill documentation.
Complaint Details
One complaint was substantiated regarding residents not receiving or reviewing admission agreements.
Deficiencies (6)
| Description |
|---|
| Provider did not ensure 1 of 2 employees (Caregiver B) received all required orientation training prior to performing job duties. |
| Caregiver B did not have training in standard precautions prior to assuming duties that exposed them to blood or body fluids. |
| Resident 4 was not given a new admission agreement in writing and explained orally when moving from one facility to another. |
| Residents' living environment was not clean and homelike; multiple stains and wear observed on hallway carpets. |
| Cleaning compounds, polishes, insecticides, and toxic substances were not stored in a secure area; multiple unsecured substances observed in laundry room, hallway, garage, and maintenance closet. |
| Fire drills were not conducted in 2 quarters of 2022 and 1 quarter of 2023 as required. |
Report Facts
Deficiencies identified: 6
Repeat deficiencies: 2
Licensed capacity: 22
Fire drills conducted: 2
Fire drills conducted: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Caregiver B | Named in findings for not receiving required orientation and department-approved training prior to performing job duties. | |
| Executive Director A | Executive Director | Interviewed regarding Caregiver B's training deficiencies, admission agreement issues, unsecured toxic substances, and fire drill documentation. |
Loading inspection reports...
