Deficiencies per Year
4
3
2
1
0
Unclassified
Census Over Time
Inspection Report
Follow-Up
Census: 65
Deficiencies: 0
Oct 31, 2025
Visit Reason
Surveyor conducted one verification visit at Heritage House of Portage to verify correction of previously identified deficiencies.
Findings
No deficiencies were identified during this verification visit. Three of three deficiencies from a prior Statement of Deficiency dated 06/20/2025 were substantially corrected.
Report Facts
Revisit fee: 200
Inspection Report
Routine
Deficiencies: 0
Jun 20, 2025
Visit Reason
A standard survey was conducted on 06/20/2025 for Heritage House of Portage to determine if the facility was in substantial compliance with Wisconsin Statutes and Administrative Code requirements for Residential Care Apartment Complexes (RCAC).
Findings
The Department issued a Statement of Deficiency (SOD #PQ7811) citing violations of Wis. Stat. ch. 50 and Wis. Admin. Code ch. DHS 89, requiring the operator to comply with standards to protect tenant health, safety, and welfare. The operator must submit a Plan of Correction within 10 days and achieve compliance within 45 days.
Report Facts
Compliance timeframe: 45
Plan of Correction submission timeframe: 10
Inspection fee: 200
Appeal submission timeframe: 10
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kenneth Brotheridge | Assisted Living Director | Signed the notice letter |
| Hillary Holman | Assisted Living Regional Director | Contact person for questions about the letter |
Inspection Report
Routine
Census: 64
Deficiencies: 3
Jun 19, 2025
Visit Reason
Surveyor conducted a standard survey at Heritage House of Portage on 06/19/2025 to assess compliance with tenant rights, medication management, safe environment, and background check requirements.
Findings
Three deficiencies were identified including failure to ensure tenant rights related to medication administration, failure to maintain a safe environment due to dust-covered sprinkler heads and equipment issues, and failure to complete required background checks for staff.
Deficiencies (3)
| Description |
|---|
| Tenant rights related to medications were not met; staff administered incorrect dosages of sliding scale insulin to one tenant. |
| Safe environment not ensured; dust-covered sprinkler heads, dusty kitchen fans, cracked refrigerator door seal, and lint screens partially rusted with tears. |
| Incomplete background checks; one staff member's full background check was not completed at time of hire. |
Report Facts
Deficiencies identified: 3
Census: 64
Medication administration errors: 1
Sprinkler heads dust covered: 4
Dryers lint screens partially rusted: 4
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Administrator A | Administrator | Named in discussion of insulin administration concerns and background check issues |
| Assistant Administrator B | Assistant Administrator | Named in discussion of insulin administration concerns and safe environment tour |
| Regional Wellness Director D | Regional Wellness Director | Named in discussion of insulin administration concerns and background check issues |
| Regional Vice President of Operations D | Regional Vice President of Operations | Named in discussion of insulin administration concerns and background check issues |
| Maintenance E | Maintenance | Interviewed regarding cleaning and maintenance of sprinklers and dryers |
| Caregiver F | Caregiver | Named in background check deficiency; incomplete background check at time of hire |
Inspection Report
Complaint Investigation
Census: 64
Deficiencies: 1
Jan 4, 2024
Visit Reason
Surveyor conducted 3 complaint investigations at Heritage House of Portage RCAC, with 2 complaints unsubstantiated and 1 complaint substantiated.
Findings
Tenant 1 did not receive adequate nursing services related to health monitoring, including running out of oxygen in the dining room due to staff not being trained to refill portable oxygen tanks, and missing a doctor's appointment due to lack of portable oxygen tanks. Observations included oxygen tubing wrapped around Tenant 1's legs and dragging on the floor, and staff confirmed lack of training on oxygen tank refilling.
Complaint Details
3 complaint investigations were conducted; 2 complaints were unsubstantiated and 1 complaint was substantiated regarding nursing services and oxygen management for Tenant 1.
Deficiencies (1)
| Description |
|---|
| Tenant 1 did not receive nursing services related to health monitoring when they ran out of oxygen because staff were not trained to refill portable oxygen tanks and missed a doctor's appointment due to lack of portable oxygen tanks. |
Report Facts
Census: 64
Inspection Report
Complaint Investigation
Census: 56
Deficiencies: 0
Aug 10, 2023
Visit Reason
Surveyor conducted a complaint investigation at Heritage House of Portage.
Findings
The complaint was unsubstantiated and no deficiencies were identified during the investigation.
Complaint Details
Complaint was unsubstantiated.
Report
File
TR4P11ENFS.PDF_15503.pdf
Report
File
TRP412SODS.PDF_15503.pdf
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