Inspection Report Summary
The most recent inspection on October 8, 2025, included two complaint investigations and found no deficiencies, with complaints unsubstantiated. Earlier inspections showed mostly no deficiencies, though an April 2024 survey identified a deficiency related to failure to assess a resident’s changing needs after multiple falls and wounds, and that complaint was substantiated. Prior complaint investigations in 2023 and 2024 were unsubstantiated and did not result in deficiencies. No fines, immediate jeopardy findings, or enforcement actions were listed in the available reports. The facility’s inspection record shows improvement following the substantiated deficiency in early 2024, with subsequent inspections free of citations.
Deficiencies (last 3 years)
Deficiencies (over 3 years)
0.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
93% better than Wisconsin average
Wisconsin average: 4.6 deficiencies/yearDeficiencies per year
4
3
2
1
0
Census
Latest occupancy rate
49 residents
Based on a October 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Occupancy over time
Inspection Report
Complaint Investigation
Census: 49
Deficiencies: 0
Date: Oct 8, 2025
Visit Reason
Surveyor conducted two complaint investigations at Harbour Village.
Complaint Details
Complaints were unsubstantiated.
Findings
No deficiencies were identified. Complaints were unsubstantiated.
Inspection Report
Follow-Up
Census: 46
Deficiencies: 0
Date: Aug 14, 2024
Visit Reason
Surveyors conducted a verification visit at Harbour Village, a Community-Based Residential Facility (CBRF) in Greendale, WI.
Findings
No deficiencies were identified during the verification visit.
Report Facts
Revisit fee: 200
Inspection Report
Abbreviated Survey
Deficiencies: 0
Date: Apr 4, 2024
Visit Reason
An abbreviated survey and complaint investigation were conducted to determine if Harbour Village was in substantial compliance with Wisconsin statutes and administrative codes governing community-based residential facilities.
Complaint Details
The visit included a complaint investigation; however, the substantiation status is not stated.
Findings
The Department issued a Statement of Deficiency (SOD #LGQ911) for violations of Wis. Stat. ch. 50 and Wis. Admin. Code ch. DHS 83, requiring the licensee to comply with operational standards to protect resident health, safety, and welfare.
Report Facts
Compliance correction timeframe: 45
Inspection fee: 200
Appeal filing timeframe: 10
Posting duration: 90
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kenneth Brotheridge | Assisted Living Director | Signed the Notice and Order letter |
| MaryBeth Hoffman | Assisted Living Regional Director | Contact person for questions about the letter |
Inspection Report
Abbreviated Survey
Census: 43
Deficiencies: 1
Date: Apr 2, 2024
Visit Reason
On 04/02/2024, a surveyor conducted an abbreviated survey and complaint investigation at Harbour Village following a complaint.
Complaint Details
Complaint substantiated. The investigation focused on Resident 1 who had multiple falls, wounds on heels, and behavioral changes. The surveyor found no assessments completed after these incidents and noted that incident reports and interventions were not shared with the Department.
Findings
One deficiency was identified related to failure to assess a resident's needs, abilities, and physical and mental condition after changes in condition, including multiple falls and wound care. The complaint was substantiated.
Deficiencies (1)
Provider did not assess resident's needs, abilities, and physical and mental condition for 1 of 1 resident reviewed when there was a change in condition, including increased behaviors, wound care to heels, and multiple falls with interventions.
Report Facts
Resident census: 43
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Executive Director A | Executive Director | Interviewed regarding assessments and incident reports; stated new charting procedure would be implemented. |
| Director of Memory Care B | Director of Memory Care | Interviewed during survey. |
| LPN C | Licensed Practical Nurse | Interviewed; stated updating care plan with interventions for Resident 1's falls. |
| RN D | Registered Nurse | Interviewed; stated incident reports were confidential and not shared with the Department. |
Inspection Report
Complaint Investigation
Census: 36
Deficiencies: 0
Date: Nov 7, 2023
Visit Reason
Surveyor conducted a complaint investigation at Harbour Village, a Community-Based Residential Facility (CBRF) in Greendale, WI.
Complaint Details
Complaint unsubstantiated.
Findings
No deficiencies were identified during the complaint investigation. The complaint was unsubstantiated.
Inspection Report
Complaint Investigation
Census: 34
Deficiencies: 0
Date: Apr 20, 2023
Visit Reason
Surveyor completed a complaint survey at Harbour Village to investigate one complaint.
Complaint Details
One complaint was investigated and found to be unsubstantiated.
Findings
No deficiencies were identified during the complaint survey. One of one complaint was unsubstantiated.
Viewing
Loading inspection reports...
