Inspection Reports for Heritage at Deer Creek
3585 S 147th St, New Berlin, WI 53151, United States, WI, 53151
Back to Facility ProfileDeficiencies (last 2 years)
Deficiencies (over 2 years)
1 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
78% better than Wisconsin average
Wisconsin average: 4.6 deficiencies/year
Deficiencies per year
4
3
2
1
0
Census
Latest occupancy rate
33 residents
Based on a June 2024 inspection.
This facility has shown a decline in demand based on occupancy rates.
Census over time
Inspection Report
Monitoring
Census: 33
Deficiencies: 0
Jun 13, 2024
Visit Reason
Surveyor conducted a verification/monitoring visit at Heritage at Deer Creek, a RCAC in New Berlin.
Findings
No deficiencies were identified. A previous Statement of Deficiency dated 02/13/2024 was corrected.
Report Facts
Revisit fee: 200
Inspection Report
Complaint Investigation
Deficiencies: 1
Feb 13, 2024
Visit Reason
A complaint investigation was conducted to determine if Heritage at Deer Creek was in substantial compliance with Wisconsin statutes and administrative codes governing residential care apartment complexes.
Findings
The Department found violations of Wis. Stat. ch. 50 and Wis. Admin. Code ch. DHS 89, resulting in a Statement of Deficiency #178111, issuance of special orders to comply with emergency preparedness requirements, and imposition of a $900 forfeiture.
Complaint Details
The complaint investigation concluded that the facility was not in substantial compliance with applicable statutes and administrative codes, leading to issuance of a Statement of Deficiency and enforcement actions.
Deficiencies (1)
| Description |
|---|
| Failure to comply with Wis. Admin. Code § DHS 89.23(2)(c) regarding tenant health and safety in emergencies |
Report Facts
Forfeiture amount: 900
Reduced forfeiture amount: 585
Days to achieve compliance: 45
Days to submit Plan of Correction: 10
Days to pay forfeiture: 10
Days to request hearing: 10
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kenneth Brotheridge | Assisted Living Director | Signed the notice and order letter |
| Hillary Holman | Assisted Living Regional Director | Contact person for questions about the letter |
Inspection Report
Complaint Investigation
Census: 36
Deficiencies: 1
Feb 13, 2024
Visit Reason
Surveyor conducted a complaint investigation from 02/06/2024 to 02/13/2024 at Heritage at Deer Creek following an allegation that the provider did not provide prompt care when a tenant called for help.
Findings
One deficiency was identified and substantiated related to the provider's failure to ensure tenant health and safety in the event of an emergency. Tenant 1 called for assistance at approximately 6:45 a.m. on 01/17/2024 but did not receive a response for about one hour and was found deceased.
Complaint Details
The complaint was substantiated. Tenant 1 called for assistance around 6:45 a.m. on 01/17/2024 but staff did not respond until approximately 7:50 a.m. EMS was called at 7:54 a.m. Tenant 1 was found unresponsive and deceased. The delay was attributed to a dead phone used by staff to receive call alerts and lack of timely response by night shift staff.
Deficiencies (1)
| Description |
|---|
| Provider did not ensure tenant health and safety was protected in the event of an emergency, including a sudden serious incident, as staff did not respond promptly to Tenant 1's call for help. |
Report Facts
Census: 36
Time delay in response: 65
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing A | Director of Nursing | Interviewed regarding the delay in response to Tenant 1's call for assistance |
| Caregiver D | Caregiver | Reported working on 01/17/2024 and described issues with the call system phone being dead |
| Supervisor B | Supervisor | Responded to Tenant 1's room at approximately 7:50 a.m. after family member called for help |
Inspection Report
Renewal
Census: 37
Deficiencies: 0
Nov 1, 2023
Visit Reason
The Bureau of Assisted Living, Southern Regional Office conducted a standard licensing visit at Heritage At Deer Creek on 11/01/2023.
Findings
No citations of noncompliance were issued during this standard licensing visit.
Loading inspection reports...
