Inspection Reports for High Point Residence Germantown South

Surveyor conducted a verification visit at High Point Residence Germantown South, a Community-Based Residential Facility (CBRF) in Germantown, WI.

No deficiencies were identified during the verification visit. A $200 revisit fee is being assessed under statutory provisions.

A verification visit and complaint investigation were conducted on March 27, 2025, at High Point Residence Germantown South to determine if the facility was in substantial compliance with Wisconsin statutes and administrative codes governing community-based residential facilities.

The Department issued Statement of Deficiency #846E12 for violations of Wis. Stat. ch. 50 and Wis. Admin. Code ch. DHS 83. The licensee was ordered to comply with requirements immediately, implement corrective measures, provide training to staff, and notify legal representatives and case managers of affected residents. A total forfeiture of $1,500 was imposed for specific violations.

The visit was complaint-related and included a verification visit to determine compliance with applicable statutes and codes. The Department concluded the investigation and issued deficiencies and enforcement actions accordingly.

Surveyors conducted a verification visit and an investigation of four complaints at High Point Residence Germantown South, triggered by complaints received by the department.

Five deficiencies were identified, including failure to submit timely self-reports after law enforcement involvement, incomplete individualized service plans lacking required components and signatures, inadequate resident record documentation of significant incidents, and inadequate care evidenced by long wait times for resident assistance.

The investigation was triggered by four complaints received by the department, two of which were substantiated. Complaints included police presence incidents and concerns about resident care and service plan updates.

A complaint investigation and self-report review were conducted to determine if High Point Residence Germantown South was in substantial compliance with Wisconsin statutes and administrative codes governing community-based residential facilities.

The Department issued a Statement of Deficiency (SOD #846E11) identifying violations of Wis. Stat. ch. 50 and Wis. Admin. Code ch. DHS 83. The licensee was ordered to comply immediately with requirements to protect residents' health, safety, and welfare, including consultation with a registered nurse to develop corrective measures and staff training.

The visit was complaint-related, involving a complaint investigation and self-report review concluded on October 8, 2024. The Department found violations leading to enforcement actions including a Statement of Deficiency and imposed forfeiture.

Surveyors conducted multiple onsite visits between 08/07/2024 and 10/08/2024 to investigate three complaints and a self-report regarding care and safety concerns at the facility.

Three complaints were substantiated with eleven deficiencies identified, including failure to investigate injuries of unknown origin, inadequate supervision and medication management, failure to update individual service plans, insufficient behavior management, lack of timely showers, long call light response times, and inadequate documentation of medication administration.

Three complaints were investigated between 08/07/2024 and 10/08/2024, all substantiated. Complaints included failure to investigate injuries, medication errors, inadequate supervision, behavior management issues, and delayed response to call lights.

Surveyor conducted a verification visit to Ellens Home South to verify correction of previous deficiencies.

Previous deficiencies were corrected and no new deficiencies were identified. A standard license was issued.

Surveyor conducted a complaint investigation at Ellens Home South following a complaint received.

The complaint was unsubstantiated and no deficiencies were identified during the investigation.

Complaint was unsubstantiated and no deficiencies were identified.

A probationary survey and complaint investigation was conducted to determine if Ellens Home South was in substantial compliance with Wisconsin Statutes and Administrative Code requirements for community-based residential facilities.

The Department issued a Statement of Deficiency (SOD #OPUV11) for violations of Wis. Stat. ch. 50 and Wis. Admin. Code ch. DHS 83, establishing grounds for enforcement action and requiring the licensee to comply with all applicable standards.

The visit was a probationary survey and complaint investigation concluded on March 14, 2024, to assess compliance with regulatory requirements. The Department issued a Statement of Deficiency (SOD #OPUV11) for violations found.

Surveyor conducted a probationary survey and two complaint investigations at Ellens Home South, triggered by complaints alleging concerns with employee training, refund delays, and rodent activity.

Five deficiencies were identified including failure to ensure employee orientation and training, delayed refund to a discharged resident, ongoing rodent activity without mitigation, and incomplete medication administration documentation.

Two complaints were substantiated: one regarding employee training deficiencies and another regarding delayed refund to a discharged resident and rodent activity within the facility.