Inspection Reports for
Homme Residential Wittenberg
604 SOUTH WEBB STREET, WITTENBERG, WI, 54499-
Back to Facility ProfileDeficiencies (last 2 years)
Deficiencies (over 2 years)
14 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
204% worse than Wisconsin average
Wisconsin average: 4.6 deficiencies/yearDeficiencies per year
16
12
8
4
0
Census
Latest occupancy rate
41% occupied
Based on a September 2025 inspection.
This facility has shown a decline in demand based on occupancy rates.
Occupancy over time
Notice
Deficiencies: 0
Date: Oct 8, 2025
Visit Reason
A verification visit was conducted on October 8, 2025, to determine if Homme Residential Wittenberg was in substantial compliance with Wisconsin statutes and administrative codes governing community-based residential facilities.
Findings
The facility was found to have violations of Wis. Stat. ch. 50 and Wis. Admin. Code ch. DHS 83, resulting in a Notice of Violation and an imposed Order to Comply. A $200 inspection fee is assessed for a revisit to verify correction of prior deficiencies.
Report Facts
Inspection fee: 200
Compliance timeframe: 45
Revisit fee payment timeframe: 10
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kenneth Brotheridge | Assisted Living Director | Signed the Notice and Order letter. |
| Vicky Wittman | Assisted Living Regional Director | Contact person for questions about the letter. |
Inspection Report
Follow-Up
Census: 31
Capacity: 75
Deficiencies: 5
Date: Sep 17, 2025
Visit Reason
Verification visit conducted on 09/17/2025 and 09/25/2025 to assess correction of previous deficiencies and compliance with laws governing the Community Based Residential Facility (CBRF).
Findings
The facility was found to have 5 repeat deficient practices related to fire safety systems, smoke detection, delayed egress doors, and emergency evacuation plans. Many required fire protection systems were not installed or were incomplete, and the emergency evacuation plan was inadequate for the staffing levels and facility layout.
Deficiencies (5)
Licensee did not ensure the facility complied with all laws governing the CBRF, a repeat deficient practice.
Residents were not ensured a safe environment due to incomplete emergency systems, emergency egress, and fire detection systems.
Smoke detection was not installed in at least 7 non-resident living rooms in the basement containing building systems.
Smoke detection was not installed in at least 58 compartments on ceilings where lintels exceeded 8 inches.
Delayed egress doors were not approved by the Department prior to installation and more than one device was present in means of egress, a repeat deficient practice.
Report Facts
Deficient practices identified: 5
Revisit fee: 200
Census: 31
Total licensed capacity: 75
Smoke detectors missing: 6
Smoke detectors missing: 58
Smoke detectors missing: 50
Smoke detectors missing: 8
Delayed egress doors: 5
Cell phones for communication: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Administrator A | Interviewed regarding fire safety deficiencies, emergency evacuation plan, and delayed egress doors. | |
| Board Member I | Former Maintenance Director | Interviewed and participated in facility tours and discussions of fire safety and compliance. |
| Licensee M | Interviewed and participated in facility tours and discussions of fire safety and compliance. | |
| RN K | Lead RN | Participated in facility tours and discussions of fire safety and compliance. |
| Accounting Manager R | Recorded exit interview for board members not present. |
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Aug 27, 2025
Visit Reason
A complaint investigation was conducted on August 27, 2025, to determine if Homme Residential Wittenberg 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 August 27, 2025, to assess compliance with applicable statutes and codes. The Department found violations and issued a Statement of Deficiency.
Findings
The Department issued a Statement of Deficiency (SOD #NKEG11) for violations of Wis. Stat. ch. 50 and Wis. Admin. Code ch. DHS 83, requiring the licensee to comply with operational standards and implement corrective measures to ensure adequate personal care services for residents.
Deficiencies (1)
Violations identified in Statement of Deficiency NKEG11 related to failure to meet requirements under Wis. Stat. ch. 50 and Wis. Admin. Code ch. DHS 83.
Report Facts
Compliance timeframe: 45
Inspection fee: 200
Extension request timeframe: 10
Posting duration: 90
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kenneth Brotheridge | Assisted Living Director | Signed the notice letter as the Bureau of Assisted Living representative. |
| Vicky Wittman | Assisted Living Regional Director | Contact person for questions about the letter. |
Inspection Report
Complaint Investigation
Census: 32
Deficiencies: 1
Date: Aug 21, 2025
Visit Reason
The inspection was conducted as a complaint investigation triggered by allegations that residents were not receiving care to meet their needs.
Complaint Details
The complaint was substantiated. The investigation found that Resident 1's foot care needs were not met, with overgrown toenails neglected for at least a year. The power of attorney expressed frustration and refused to pay for podiatry services, citing provider neglect.
Findings
The complaint was substantiated with one deficient practice identified: Resident 1 did not receive adequate foot care, resulting in overgrown and thick toenails that required podiatrist intervention. The provider failed to ensure proper care and accurate documentation, leading to neglect of the resident's foot care needs.
Deficiencies (1)
Provider did not ensure Resident 1 received adequate foot care; toenails were overgrown and thick, requiring podiatrist intervention.
Report Facts
Census: 32
Date of complaint receipt: Jun 5, 2025
Date of podiatrist visit: Jun 4, 2025
Next care plan meeting due: Nov 10, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Lead RN B | Lead Registered Nurse | Interviewed during survey; acknowledged issues with foot care and re-educated caregivers |
| Administrator A | Administrator | Interviewed during survey; confirmed provider paid for podiatry services |
Notice
Deficiencies: 0
Date: Mar 4, 2025
Visit Reason
A verification visit and complaint investigation were conducted to determine if Homme Residential Wittenberg was in substantial compliance with Wisconsin statutes and administrative codes governing community-based residential facilities.
Complaint Details
The visit was complaint-related and included a verification visit to determine compliance with cited violations. Specific substantiation status is not stated.
Findings
The Department found violations of state statutes and administrative codes as detailed in Statement of Deficiency (SOD) #Y5HZ12, resulting in an order to comply, an extended order not to admit new residents, special orders for safety compliance, and imposition of a forfeiture totaling $1,750.00.
Report Facts
Forfeiture amount: 1750
Reduced forfeiture amount: 1137.5
Revisit inspection fee: 200
Compliance timeframe: 45
Appeal timeframe: 10
Posting duration: 90
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kenneth Brotheridge | Assisted Living Director | Signed the Notice and Order letter. |
| Vicky Wittman | Assisted Living Regional Director | Contact person for questions about the letter. |
Inspection Report
Complaint Investigation
Census: 38
Capacity: 75
Deficiencies: 9
Date: Mar 4, 2025
Visit Reason
Surveyor conducted a verification visit and two complaint investigations at Homme Residential Wittenberg. One complaint was substantiated resulting in one identified deficient practice, and eight additional deficient practices were identified during the verification visit, totaling nine deficient practices with five repeat violations.
Complaint Details
One of two complaints investigated from 02/11/2025 through 03/04/2025 was substantiated, resulting in nine deficient practices including five repeat violations.
Findings
The facility did not comply with all laws governing the Community Based Residential Facility (CBRF), including issues with admission agreements, resident safety, emergency evacuation plans, fire safety systems, smoke detection, exit maintenance, and resident record keeping. Multiple repeat deficiencies were noted from prior surveys, and enforcement orders including a no new admissions order and fire watches remain in effect due to ongoing safety concerns.
Deficiencies (9)
Licensee did not ensure all laws governing the CBRF were complied with.
Admission agreement contained approximately 24 areas not congruent with resident rights as defined in Chapter 83.
Residents were not living in a safe environment due to multiple physical plant safety concerns including emergency evacuation system deficiencies, unapproved delayed egress doors, breaches in fire walls, and unmaintained outdoor exits.
Resident record did not consistently describe condition changes or provider responses, including documentation of health monitoring.
Interior floors, walls, and ceilings were not maintained in good repair with cracks, leaks, holes, and unsealed electrical cords.
Horizontal evacuation was implemented without Department approval.
Smoke detectors were not installed in at least 50 compartments where lintels exceeded 8 inches.
Exits were not maintained clear and unobstructed; an exit had ice and hazardous icicles and a ramp did not meet code requirements for slope or width.
Delayed egress doors were not approved by the Department prior to installation and more than one device was present in means of egress.
Report Facts
Census: 38
Total Capacity: 75
Deficient practices identified: 9
Repeat violations: 5
Revisit fee: 200
Smoke detector compartments missing: 50
Ramp dimensions: 3
Ramp dimensions: 9
Ramp dimensions: 38
Pain level: 9
Oxygen saturation: 80
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Administrator A | Administrator | Interviewed multiple times regarding facility operations, deficiencies, and plans of correction. |
| Board Member I | Board Member and former Maintenance Director | Interviewed during facility tour and regarding physical plant and fire safety deficiencies. |
| Licensee M | Licensee | Named as licensee and interviewed regarding compliance and deficiencies. |
| RN K | Registered Nurse | Interviewed regarding resident care and documentation deficiencies. |
| Caregiver T | Referenced in resident care documentation related to pain management. | |
| Maintenance L | Maintenance Person | Interviewed regarding physical plant repairs and fire barrier corrections. |
| SST O | Security Services Technician | Interviewed regarding fire safety system deficiencies. |
| SST P | Security Services Technician | Participated in facility tour and fire safety inspection. |
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Feb 27, 2024
Visit Reason
A complaint investigation and standard survey were conducted to determine if Homme Residential Wittenberg was in substantial compliance with Wisconsin statutes and administrative codes governing community-based residential facilities.
Complaint Details
The visit was complaint-related and included a standard survey to assess compliance. Specific substantiation status is not stated.
Findings
The Department found violations of Wis. Stat. ch. 50 and Wis. Admin. Code ch. DHS 83, resulting in a Notice of Violation, an Order to Comply, an Order not to admit new residents until compliance is achieved, and a forfeiture of $1,800. Specific corrective measures were ordered including upgrades to smoke and heat detection systems and compliance with delayed egress door device requirements.
Report Facts
Forfeiture amount: 1800
Reduced forfeiture amount: 1170
Forfeiture breakdown: 500
Forfeiture breakdown: 500
Forfeiture breakdown: 200
Forfeiture breakdown: 600
Compliance timeframe: 45
Payment timeframe: 10
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kenneth Brotheridge | Assisted Living Director | Signed the Notice and Order letter |
| Vicky Wittman | Assisted Living Regional Director | Contact person for questions about the letter |
Inspection Report
Complaint Investigation
Census: 53
Capacity: 75
Deficiencies: 12
Date: Feb 27, 2024
Visit Reason
Surveyor conducted 4 complaint investigations and a standard survey at Homme Residential Wittenberg. All 4 complaints were unsubstantiated. The visit included complaint investigations and a standard survey.
Complaint Details
The visit included 4 complaint investigations which were all unsubstantiated.
Findings
Multiple deficiencies were identified including unsafe environment hazards such as an active gas leak, emergency evacuation issues, public access to the facility, areas in need of repair, missing smoke and heat detection in many rooms, fire safety code violations including removal of fire rated doors, combustible materials stored near heating equipment, obstructed and difficult exits, unapproved delayed egress doors, lack of emergency lighting, and inadequate resident evacuation evaluations and fire drills.
Deficiencies (12)
Residents were not living in a safe environment due to an active gas leak, emergency evacuation issues, public access to the facility, areas in need of repair, smoke separation, and fire detection and suppression system deficiencies.
Residents were not evaluated to determine if they could evacuate within required timeframes using department approved forms.
Interior floors, walls, and ceilings were not maintained in good repair with cracks, leaks, holes, and unsealed piping and electrical cords.
Combustible materials were stored within 3 feet of heating and electrical equipment in multiple areas.
Fire drills were not conducted as required; drills did not involve full facility evacuation or participation of all residents and staff, and did not identify residents with evacuation times greater than allowed.
Horizontal evacuation was implemented without department approval and required smoke compartments were not maintained.
Smoke detectors were not installed in over 50 basement rooms and more than 20 other areas, including rooms and corridors with lintels exceeding 8 inches and enclosed stairwells.
Heat detectors integrated with smoke detection system were missing in required locations including laundry rooms and attached garage.
Exits were obstructed or difficult to open due to force required, debris, or uneven surfaces, impeding safe egress.
Delayed egress doors were installed without department approval, more than one device was present in means of egress, and doors lacked signage on how to unlock.
Emergency egress lighting with stand-by power source was not present in all exit passageways and stairwells, especially in basement and first floor corridors.
Smoke compartments formed by smoke barriers were not maintained; fire rated solid core doors were removed or replaced with hollow core or vented doors.
Report Facts
Number of complaints investigated: 4
Number of deficiencies identified: 12
Facility census: 53
Facility total capacity: 75
Gas reading: 2.6
Evacuation time: 3.5
Evacuation time: 7
Evacuation time: 6
Evacuation time: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Administrator A | Acknowledged multiple deficiencies including unsafe environment, fire safety issues, and evacuation concerns. | |
| Maintenance Manager E | Acknowledged facility deficiencies related to fire safety, combustible storage, and emergency lighting. | |
| Coordinator B | Interviewed regarding fire drills, evacuation procedures, and use of department approved forms. | |
| Board Member C | Acknowledged safety concerns during facility tours and exit interviews. | |
| Caregiver H | Observed during evacuation moving residents and discussing coat retrieval. | |
| Gas Professional F | Located natural gas leaks and advised immediate evacuation. |
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