Inspection Reports for Hickory Park Senior Living
3933 S Prairie Hill Ln, Greenfield, WI 53228, United States, WI, 53228
Back to Facility ProfileDeficiencies (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/yearDeficiencies per year
4
3
2
1
0
Census
Latest occupancy rate
57 residents
Based on a June 2024 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Census over time
Inspection Report
Complaint Investigation
Census: 57
Deficiencies: 0
Date: Jun 25, 2024
Visit Reason
Surveyor conducted a complaint investigation at Hickory Park on 06/25/2024.
Complaint Details
Complaint investigation was conducted and found to be unsubstantiated.
Findings
No deficiencies were identified; the complaint was unsubstantiated.
Inspection Report
Deficiencies: 0
Date: Mar 13, 2023
Visit Reason
A standard survey and two complaint investigations were conducted to determine if Hickory Park was in substantial compliance with Wisconsin statutes and administrative codes governing residential care apartment complexes.
Complaint Details
Two complaint investigations were part of the visit; however, no substantiation status or further details are provided in the document.
Findings
The Department issued a Statement of Deficiency (SOD #DNI011) for violations of Wis. Stat. ch. 50 and Wis. Admin. Code ch. DHS 89, indicating noncompliance with regulatory requirements. The operator was ordered to comply immediately and submit a Plan of Correction.
Report Facts
Compliance timeframe: 45
Plan of Correction submission timeframe: 10
Inspection fee: 200
Appeal filing timeframe: 10
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kenneth Brotheridge | Assisted Living Director | Signed the notice letter |
| Mary Beth Hoffman | Assisted Living Regional Director | Contact person for questions about the letter |
Inspection Report
Routine
Census: 50
Deficiencies: 1
Date: Mar 13, 2023
Visit Reason
Surveyor conducted a standard survey and two complaint investigations at Hickory Park.
Complaint Details
Two complaints were investigated; one complaint alleging medication was not administered as prescribed was substantiated, and one complaint was unsubstantiated.
Findings
One deficiency was identified related to medication administration where one tenant did not receive insulin as prescribed on two days. One complaint was substantiated and one complaint was unsubstantiated.
Deficiencies (1)
Provider did not ensure 1 of 2 tenants reviewed received medications as prescribed by physician, specifically Tenant 1 did not receive insulin on 02/16/2023 and 02/17/2023.
Report Facts
Census: 50
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Wellness Director B | Interviewed regarding lack of insulin delivery due to weather | |
| Administrator A | Interviewed regarding incident review and corrective plan | |
| Medication Aide C | Documented medication refill requests and insulin administration | |
| Pharmacist D | Spoke about insulin delivery delay due to weather |
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