Inspection Reports for Grace Lodge Assisted Living Facility
1000 DAY ST, RHINELANDER, WI, 54501
Back to Facility ProfileDeficiencies (last 1 years)
Deficiencies (over 1 years)
2 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
57% better than Wisconsin average
Wisconsin average: 4.6 deficiencies/yearDeficiencies per year
4
3
2
1
0
Census
Latest occupancy rate
29 residents
Based on a October 2024 inspection.
Census over time
Inspection Report
Follow-Up
Census: 29
Deficiencies: 0
Oct 10, 2024
Visit Reason
Surveyor conducted a verification visit to confirm correction of previously identified deficiencies at Grace Lodge Assisted Living Facility.
Findings
The deficiencies identified in the prior statement of deficiency (SOD G5OK11) were corrected. No new deficiencies were identified during this visit.
Report Facts
Revisit fee: 200
Inspection Report
Routine
Deficiencies: 0
Apr 4, 2024
Visit Reason
A standard survey was conducted on 2024-04-04 for Grace Lodge Assisted Living Facility to determine compliance with Wisconsin statutes and administrative codes governing residential care apartment complexes.
Findings
The Department issued a Statement of Deficiency (SOD #G5OK11) for violations of Wis. Stat. ch. 50 and Wis. Admin. Code ch. DHS 89. A forfeiture of $200 was imposed for these violations, with a reduced payment option of $130 if not appealed.
Report Facts
Forfeiture amount: 200
Reduced forfeiture amount: 130
Forfeiture payment timeframe: 10
Plan of Correction submission timeframe: 10
Compliance timeframe: 45
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kenneth Brotheridge | Assisted Living Director | Signed the notice and order letter |
| William R. Gardner | Assisted Living Regional Director | Contact person for questions about the letter |
Inspection Report
Routine
Census: 28
Deficiencies: 2
Apr 4, 2024
Visit Reason
A standard licensure survey was conducted at Grace Lodge Assisted Living Facility to assess compliance with regulatory requirements.
Findings
Two deficiencies were identified: one caregiver lacked required training in safety procedures including fire safety, first aid, and universal precautions; and the facility failed to have signed, jointly negotiated risk agreements by the date of occupancy for two tenants.
Deficiencies (2)
| Description |
|---|
| Caregiver B did not complete training in safety procedures including fire safety, first aid, and universal precautions. |
| The provider did not enter into a signed, jointly negotiated risk agreement by the date of occupancy for 2 of 2 tenants sampled. |
Report Facts
Deficiencies identified: 2
Census: 28
Caregivers sampled: 2
Tenants sampled: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Administrator A | Administrator | Verified caregiver start date and training status; confirmed tenant admission dates and lack of signed risk agreements |
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