Inspection Reports for Germantown Home
W164N10502 Timberline Ct, Germantown, WI 53022, United States, WI, 53022
Back to Facility ProfileDeficiencies per Year
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Unclassified
Inspection Report
Abbreviated Survey
Deficiencies: 0
Jun 20, 2023
Visit Reason
An abbreviated survey was conducted on June 20, 2023, to determine if Germantown Home was in substantial compliance with Wisconsin Statutes chapter 50 and Administrative Code chapter DHS 83, which govern the operation of community-based residential facilities.
Findings
The Department issued a Statement of Deficiency (SOD #0X8011) 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
Days to achieve compliance: 45
Appeal filing period: 10
Posting duration: 90
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kenneth Brotheridge | Assisted Living Director | Signed the notice letter as the Bureau of Assisted Living, Division of Quality Assurance representative. |
| Vicky Wittman | Assisted Living Regional Director | Contact person for questions about the letter. |
Inspection Report
Abbreviated Survey
Census: 7
Deficiencies: 2
Jun 20, 2023
Visit Reason
Surveyor conducted an abbreviated survey at Germantown Home, a Community-Based Residential Facility (CBRF) in Germantown, WI, to assess compliance with department-approved training and background check requirements.
Findings
Two deficiencies were identified: Caregiver B did not complete required first aid and choking training within 90 days of employment, and the provider did not make a good faith effort to obtain out-of-state background checks for Caregiver B who had resided in Indiana and California within the previous 3 years.
Deficiencies (2)
| Description |
|---|
| Caregiver B did not have training in first aid and choking within 90 days after starting employment. |
| Provider did not have evidence of making a good faith effort to obtain out-of-state background check information for Caregiver B. |
Report Facts
Census: 7
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Caregiver B | Named in deficiencies related to training and background check | |
| Company Manager A | Interviewed regarding training and background check deficiencies |
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