Inspection Reports for Helen‘s House – Kimberly Blue

WI, 54136

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Deficiencies (last 1 years)

Deficiencies (over 1 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
2025

Census

Latest occupancy rate 4 residents

Based on a October 2025 inspection.

Census over time

0 3 6 9 Mar 2025 Oct 2025
Inspection Report Complaint Investigation Census: 4 Deficiencies: 0 Oct 22, 2025
Visit Reason
Surveyor conducted a complaint investigation at Helens House Kimberly.
Findings
The complaint was unsubstantiated, and no deficient practices were identified.
Complaint Details
Complaint was unsubstantiated with no deficient practices identified.
Inspection Report Enforcement Deficiencies: 0 Mar 5, 2025
Visit Reason
A standard survey was conducted on March 5, 2025, to determine if Helens House Kimberly was in substantial compliance with Wisconsin statutes and administrative codes governing adult family homes.
Findings
The Department issued a Statement of Deficiency (SOD #7QTX11) citing violations of Wis. Stat. ch. 50 and Wis. Admin. Code ch. DHS 88, resulting in a Notice of Violation and an Order to Comply with Requirements.
Report Facts
Compliance timeframe: 45
Employees Mentioned
NameTitleContext
Kenneth BrotheridgeAssisted Living DirectorSigned the Notice of Violation and Order to Comply
Vicky WittmanAssisted Living Regional DirectorContact person for questions about the letter
Inspection Report Routine Census: 4 Deficiencies: 3 Mar 5, 2025
Visit Reason
A standard survey was conducted at Helens House Kimberly on 03/04/2025 with information gathered through 03/05/2025 to assess compliance with regulatory requirements.
Findings
Three deficiencies were identified: fire extinguishers were not properly mounted and inspected annually; semi-annual fire drills were not completed or documented properly for 2022, 2023, and 2024; and hot water temperatures at resident and common bathroom sinks exceeded the safe limit of 115 degrees Fahrenheit, posing a risk to residents.
Deficiencies (3)
Description
Fire extinguishers were not mounted and inspected annually as required, with the basement extinguisher leaning against the wall and last inspected in November 2023.
Semi-annual fire drills were not completed or properly documented for 2022, 2023, and 2024, lacking evacuation times and resident participation records.
Hot water temperatures at two resident bathroom sinks and one common bathroom sink were above 115 degrees Fahrenheit, reaching up to 135.6 degrees, creating a safety hazard.
Report Facts
Deficiencies identified: 3 Census: 4 Water temperature: 133.6 Water temperature: 135.6 Water temperature: 134.4
Employees Mentioned
NameTitleContext
DIR - ADirectorInterviewed and verified fire extinguisher inspections and water temperatures

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