Inspection Reports for
Golden Years Assisted Living Residence

270 RIDGE RD, WALWORTH, WI, 53184-

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Deficiencies (last 2 years)

Deficiencies (over 2 years) 2.5 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

46% better than Wisconsin average
Wisconsin average: 4.6 deficiencies/year

Deficiencies per year

8 6 4 2 0
2023
2025

Census

Latest occupancy rate 34 residents

Based on a December 2025 inspection.

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

Occupancy over time

16 24 32 40 48 56 May 2023 Oct 2023 Aug 2025 Dec 2025

Inspection Report

Follow-Up
Census: 34 Deficiencies: 0 Date: Dec 11, 2025

Visit Reason
Surveyor conducted a verification visit to Golden Years Assisted Living Facility to verify correction of previously cited deficiencies.

Findings
No deficiencies were identified during this verification visit. Five of five deficiencies from the prior Statement of Deficiency dated 08/19/2025 were substantially corrected.

Report Facts
Revisit fee: 200 Deficiencies corrected: 5

Notice

Deficiencies: 0 Date: Aug 19, 2025

Visit Reason
An abbreviated survey was conducted on 08/19/2025 to determine if Golden Years Assisted Living Residence 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 #PJLS11 and imposition of a $400 forfeiture for noncompliance.

Report Facts
Forfeiture amount: 400 Reduced forfeiture amount: 260 Forfeiture payment timeframe: 10 Compliance timeframe: 45 Inspection fee: 200

Employees mentioned
NameTitleContext
Kenneth BrotheridgeAssisted Living DirectorSigned the Notice and Order letter.
Hillary HolmanAssisted Living Regional DirectorContact person for questions about the letter.

Inspection Report

Abbreviated Survey
Census: 35 Capacity: 44 Deficiencies: 5 Date: Aug 13, 2025

Visit Reason
On 08/13/2025, a surveyor conducted an abbreviated survey at Golden Years Assisted Living Facility to assess compliance with regulatory standards.

Findings
Five deficiencies were identified, including one repeat violation related to failure to ensure employee screening for communicable diseases, failure to post grievance procedures, absence of exit and emergency exit diagrams, and deficiencies in conducting required fire and other emergency evacuation drills.

Deficiencies (5)
Employees screened for communicable disease; provider did not ensure documentation was obtained from a physician or licensed nurse indicating all employees had been screened for tuberculosis within 90 days before employment.
Post resident rights, grievance procedure; provider did not ensure grievance procedure was posted in a prominent public place available to residents, employees, and guests.
Exit diagram; provider did not ensure exit diagram was posted in a conspicuous place where it could be seen by residents.
Fire drills; provider did not ensure at least one fire evacuation drill was held annually simulating conditions during usual sleeping hours, including a simulated night fire drill in 2024.
Other evacuation drills; provider did not ensure tornado, flooding, or other emergency or disaster evacuation drills were conducted at least semi-annually in 2023 and 2024.
Report Facts
Deficiencies identified: 5 Repeat violations: 2 Days late TB test: 481 Facility licensed capacity: 44 Current census: 35

Employees mentioned
NameTitleContext
Administrator AAdministratorInterviewed regarding missing TB test documentation, grievance procedure posting, emergency exit diagram posting, fire drill documentation, and other evacuation drill concerns.
Assisted Living Manager BAssisted Living ManagerInterviewed regarding missing TB test documentation, grievance procedure posting, emergency exit diagram posting, fire drill documentation, and other evacuation drill concerns.
Resident Assistant CEmployee whose record was reviewed showing delayed TB test documentation.

Inspection Report

Monitoring
Census: 32 Deficiencies: 0 Date: Oct 11, 2023

Visit Reason
Surveyor conducted a monitoring visit at Golden Years Assisted Living Residence on 10/11/2023.

Findings
No deficiencies were identified during the monitoring visit.

Inspection Report

Complaint Investigation
Census: 25 Deficiencies: 0 Date: May 4, 2023

Visit Reason
Surveyor conducted a complaint investigation at Golden Years Assisted Living Residence.

Complaint Details
Complaint was unsubstantiated.
Findings
No deficiencies were identified during the complaint investigation. The complaint was unsubstantiated.

Report Facts
Census: 25

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