Inspection Reports for
Heritage Lake Country

2975 VILLAGE SQUARE DR, HARTLAND, WI, 53029

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Deficiencies (last 2 years)

Deficiencies (over 2 years) 0.5 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

89% better than Wisconsin average
Wisconsin average: 4.6 deficiencies/year

Deficiencies per year

4 3 2 1 0
2023
2025

Census

Latest occupancy rate 65 residents

Based on a November 2025 inspection.

This facility has shown a steady increase in demand based on occupancy rates.

Occupancy over time

52 56 60 64 68 72 Jun 2025 Nov 2025

Inspection Report

Complaint Investigation
Census: 65 Deficiencies: 0 Date: Nov 5, 2025

Visit Reason
Surveyors conducted a self-report investigation and complaint investigation at Heritage Lake Country on 11/05/2025.

Complaint Details
The complaint was unsubstantiated.
Findings
No deficiencies were identified during the investigation. The complaint was unsubstantiated.

Inspection Report

Renewal
Census: 60 Deficiencies: 0 Date: Jun 12, 2025

Visit Reason
The Bureau of Assisted Living, Southern Regional Office conducted a licensing survey at Heritage Lake Country on 06/12/2025.

Findings
No citations of noncompliance were issued during the licensing survey.

Inspection Report

Complaint Investigation
Deficiencies: 0 Date: Jul 18, 2023

Visit Reason
A complaint investigation was conducted on July 18, 2023, to determine if Heritage Lake Country was in substantial compliance with Wisconsin statutes and administrative codes governing community-based residential facilities.

Complaint Details
The visit was a complaint investigation concluded on July 18, 2023, to assess compliance with relevant statutes and administrative codes. The Department issued a Statement of Deficiency based on findings.
Findings
The Department issued a Statement of Deficiency (SOD #O1Z011) for violations of Wis. Stat. ch. 50 and Wis. Admin. Code ch. DHS 83, establishing grounds for regulatory action and requiring the licensee to comply with all requirements within 45 days.

Report Facts
Days to achieve compliance: 45 Appeal filing period: 10 Posting duration: 90

Employees mentioned
NameTitleContext
Kenneth BrotheridgeAssisted Living DirectorSigned the notice letter as the Bureau of Assisted Living Director.
Hillary HolmanAssisted Living Regional DirectorContact person for questions about the letter.

Inspection Report

Complaint Investigation
Deficiencies: 1 Date: Jul 18, 2023

Visit Reason
The Bureau of Assisted Living, Southern Regional Office conducted a complaint investigation at Heritage Lake Country, a CBRF located in Hartland, WI, based on a complaint received regarding possible caregiver misappropriation of Resident 1's medication.

Complaint Details
The complaint was substantiated. Caregiver B was found in possession of a syringe of morphine labeled with Resident 1's name. The facility was informed by police on 04/23/2023, but no investigation was conducted by the provider. Caregiver B remained employed and passed medications as part of duties.
Findings
The investigation found that the provider did not conduct an investigation into the possible misappropriation of morphine by Caregiver B, who was arrested with a syringe of morphine labeled with Resident 1's name. The complaint was substantiated with one violation of Chapter DHS 83 issued.

Deficiencies (1)
Provider did not conduct an investigation of possible caregiver misappropriation of Resident 1's medication despite evidence of morphine possession by Caregiver B.
Report Facts
Date complaint received: Apr 27, 2023 Date police incident: Apr 23, 2023 Date Resident 1 passed away: Apr 20, 2023 Date survey completed: Jul 18, 2023

Employees mentioned
NameTitleContext
Administrator AAdministratorInterviewed and confirmed no investigation was conducted; confirmed Caregiver B still employed
Assistant DInterviewed and stated awareness of morphine possession but no investigation conducted
Caregiver BCaregiverArrested with syringe of morphine labeled with Resident 1's name; still employed and passes medications
Detective CDocumented that facility was contacted about syringe possession

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