Inspection Reports for Hamilton House Senior Living Inc

W76 N629 WAUWATOSA RD, CEDARBURG, WI, 53012

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Deficiencies (last 2 years)

Deficiencies (over 2 years) 3 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

35% better than Wisconsin average
Wisconsin average: 4.6 deficiencies/year

Deficiencies per year

4 3 2 1 0
2024
2025

Census

Latest occupancy rate 27 residents

Based on a August 2025 inspection.

Census over time

21 24 27 30 33 Apr 2024 Jul 2024 May 2025 Aug 2025
Inspection Report Complaint Investigation Deficiencies: 0 Sep 2, 2025
Visit Reason
A verification visit and complaint investigation were conducted on September 2, 2025, to determine if Hamilton House Senior Living Inc. was in substantial compliance with Wisconsin statutes and administrative codes governing community-based residential facilities.
Findings
The Department issued a Statement of Deficiency (SOD #0JJ312) for violations of Wis. Stat. ch. 50 and Wis. Admin. Code ch. DHS 83, resulting in a $250 forfeiture and an imposed order to comply with requirements to protect resident health, safety, and welfare. A $200 inspection fee for a revisit was also assessed.
Complaint Details
The visit was complaint-related and included a verification visit to determine compliance with applicable statutes and administrative codes. Specific substantiation status is not stated.
Report Facts
Forfeiture amount: 250 Reduced forfeiture amount: 162.5 Revisit inspection fee: 200 Compliance timeframe: 45 Payment timeframe: 10
Employees Mentioned
NameTitleContext
Kenneth BrotheridgeAssisted Living DirectorSigned the Notice and Order letter
Vicky WittmanAssisted Living Regional DirectorContact person for questions about the letter
Inspection Report Complaint Investigation Census: 27 Deficiencies: 1 Aug 28, 2025
Visit Reason
The inspection was conducted as a verification visit and complaint investigation triggered by a complaint received on 2025-07-19 alleging concerns with residents receiving medication at Hamilton House Senior Living Inc.
Findings
The survey found that two previous deficiencies were corrected, but one complaint was substantiated resulting in a new deficiency related to a resident not receiving all prescribed medications in the dosage and intervals ordered by a practitioner. Specifically, Resident 2 missed multiple scheduled doses of Morphine Sulfate between 2025-05-26 and 2025-05-28 due to staff confusion about medication administration.
Complaint Details
One complaint was substantiated regarding concerns with residents receiving medication, specifically Resident 2 missing scheduled doses of Morphine Sulfate as ordered.
Deficiencies (1)
Description
Provider did not ensure Resident 2 received all prescribed medications in the dosage and intervals prescribed by a practitioner, resulting in missed scheduled doses of Morphine Sulfate.
Report Facts
Revisit fee: 200 Census: 27 Missed doses: 10
Employees Mentioned
NameTitleContext
A.Executive DirectorInterviewed and acknowledged findings regarding Resident 2's missed doses of morphine
J.Hospice NurseInterviewed and confirmed order for scheduled Morphine every 3 hours and staff confusion about medication administration
Inspection Report Complaint Investigation Census: 27 Capacity: 28 Deficiencies: 2 May 2, 2025
Visit Reason
Surveyor conducted a complaint investigation triggered by a complaint alleging concerns with a resident elopement at Hamilton House Senior Living Inc.
Findings
Two deficiencies were identified: the provider failed to safeguard residents from environmental hazards as Resident 1 eloped and staff could not hear the alarm, and the provider did not update Resident 1's individual service plan to reflect changes in elopement risk and paranoia behavior.
Complaint Details
The complaint alleging concerns with a resident elopement was substantiated.
Deficiencies (2)
Description
Provider did not ensure residents were safeguarded from environmental hazards; Resident 1 eloped and staff could not hear the provider's alarm.
Provider did not ensure Resident 1's individual service plan was updated to include elopement risk and paranoia behavior.
Report Facts
Residents present during inspection: 27 Licensed capacity: 28 Number of deficiencies identified: 2 Resident 1 elopement date: Mar 9, 2025 Resident 1 admission date: Jul 19, 2024 Individual service plan date: Apr 23, 2025
Employees Mentioned
NameTitleContext
Executive Director AExecutive DirectorInterviewed regarding Resident 1's elopement and alarm system issues
Caregiver BCaregiverMentioned in police report as staff who found Resident 1 after elopement
Caregiver CCertified Nursing Assistant (CNA)Reported staff could not hear alarm when Resident 1 eloped
Memory Care Coordinator FMemory Care CoordinatorInterviewed about Resident 1's elopement and alarm system
Caregiver GCaregiverReported not hearing alarm during Resident 1's elopement
Caregiver HCaregiverReported on Resident 1's behaviors and ISP updates
Caregiver ICaregiverReported on Resident 1's exit seeking and paranoia behaviors
Inspection Report Complaint Investigation Deficiencies: 0 May 2, 2025
Visit Reason
A complaint investigation was conducted on May 2, 2025, for Hamilton House Senior Living Inc. to determine if the facility was in substantial compliance with Wisconsin statutes and administrative codes governing community-based residential facilities.
Findings
The Department issued a Statement of Deficiency (SOD #0JJ311) for violations of Wis. Stat. ch. 50 and Wis. Admin. Code ch. DHS 83, resulting in a Notice of Violation and an imposed forfeiture totaling $1,000.00 for specific code violations.
Complaint Details
The complaint investigation concluded that the facility was not in substantial compliance with applicable statutes and administrative codes, leading to the issuance of SOD #0JJ311 and enforcement actions including forfeiture.
Report Facts
Forfeiture amount: 1000 Forfeiture amount: 500 Forfeiture amount: 500 Reduced forfeiture amount: 650 Compliance timeframe: 45 Payment timeframe: 10
Employees Mentioned
NameTitleContext
Kenneth BrotheridgeAssisted Living DirectorSigned the Notice and Order letter
Vicky WittmanAssisted Living Regional DirectorContact person for questions about the letter
Notice Deficiencies: 0 Jul 15, 2024
Visit Reason
A complaint investigation and verification visit were conducted on July 15, 2024, to determine if Hamilton House Senior Living Inc. was in substantial compliance with Wisconsin statutes and administrative codes governing community-based residential facilities.
Findings
Violations of Wis. Stat. ch. 50 and Wis. Admin. Code ch. DHS 83 were found, resulting in a Notice of Violation and an imposed Order to Comply with requirements to achieve substantial compliance within 45 days.
Complaint Details
The visit was complaint-related and included verification of compliance. Specific substantiation status is not stated.
Report Facts
Inspection fee: 200 Appeal period: 10 Compliance timeframe: 45 Posting duration: 90
Employees Mentioned
NameTitleContext
Kenneth BrotheridgeAssisted Living DirectorSigned the notice letter as the Bureau of Assisted Living Director.
Vicky WittmanAssisted Living Regional DirectorContact person for questions about the letter.
Inspection Report Complaint Investigation Census: 27 Deficiencies: 1 Jul 15, 2024
Visit Reason
Surveyors conducted one complaint investigation and a verification visit at Hamilton House Senior Living Inc, CBRF, to investigate a complaint and verify compliance.
Findings
The complaint was unsubstantiated, but 1 of 2 deficiencies was identified as a repeat violation related to improper disposal of expired medications. Two resident medications were found expired but not administered.
Complaint Details
One complaint was investigated and found unsubstantiated. The deficiency related to medication disposal was a repeat violation from a prior survey dated 04/17/2024.
Deficiencies (1)
Description
The provider did not ensure 2 of 8 resident medications were disposed of after the expiration date.
Report Facts
Revisit fee: 200 Resident medications expired: 2 Resident medications reviewed: 8 Census: 27
Employees Mentioned
NameTitleContext
ED AExecutive DirectorInterviewed regarding medication storage and acknowledged expired medications
Inspection Report Complaint Investigation Deficiencies: 0 Apr 17, 2024
Visit Reason
A standard survey and complaint investigation were conducted to determine if Hamilton House Senior Living Inc. was in substantial compliance with Wisconsin statutes and administrative codes governing community-based residential facilities.
Findings
The Department issued a Statement of Deficiency (SOD # UYSY11) for violations of Wisconsin Statutes and Administrative Code chapters related to the operation of the facility, establishing grounds for regulatory action and an order to comply with requirements.
Complaint Details
The visit was complaint-related and included a standard survey. The Department concluded the investigation and issued a Statement of Deficiency for violations found.
Report Facts
Inspection fee: 200 Compliance timeframe: 45 Appeal timeframe: 10 Posting duration: 90
Employees Mentioned
NameTitleContext
Kenneth BrotheridgeAssisted Living DirectorSigned the Notice and Order letter
Vicky WittmanAssisted Living Regional DirectorContact person for questions about the letter
Inspection Report Complaint Investigation Census: 26 Deficiencies: 2 Apr 17, 2024
Visit Reason
Surveyor conducted a complaint investigation and standard survey at Hamilton House Senior Living Inc. The complaint was unsubstantiated.
Findings
Two deficiencies were identified related to medication management: failure to dispose of expired medications after 30 days and failure to store controlled substances in a separately locked area within the locked medication area.
Complaint Details
The complaint was unsubstantiated.
Deficiencies (2)
Description
Provider did not ensure 6 of 6 resident medications were disposed of after 30 days of the expiration date.
Provider did not ensure Resident 3's Morphine was stored in a separately locked area within the locked medications area for storage of scheduled II drugs.
Report Facts
Number of expired medications observed: 6 Number of Morphine tablets observed: 15
Employees Mentioned
NameTitleContext
Nurse BInterviewed regarding medication storage and acknowledged medication checks were not completed; acknowledged Morphine storage issue
Executive Director AInterviewed regarding medication checks
Memory Care Director CResponsible for weekly medication cabinet checks; to be re-educated

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