Deficiencies (last 4 years)
Deficiencies (over 4 years)
3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
35% better than Wisconsin average
Wisconsin average: 4.6 deficiencies/yearDeficiencies per year
8
6
4
2
0
Occupancy
Latest occupancy rate
73% occupied
Based on a February 2026 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Occupancy rate over time
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Feb 26, 2026
Visit Reason
A verification visit and complaint investigation was conducted to determine if Kenosha Place 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. Specific substantiation status is not stated.
Findings
The Department found violations of Wis. Stat. ch. 50 and Wis. Admin. Code ch. DHS 83 at Kenosha Place, resulting in a Statement of Deficiency #JIQ112 and an imposed forfeiture of $2,400. A follow-up verification visit confirmed correction of prior violations, with an inspection fee of $200 assessed.
Report Facts
Forfeiture amount: 2400
Reduced forfeiture amount: 1560
Inspection fee: 200
Days to achieve compliance: 45
Days to request extension: 10
Days to pay forfeiture: 10
Days to file appeal: 10
Days to pay inspection fee: 10
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kenneth Brotheridge | Assisted Living Director | Signed the Notice and Order letter |
| MaryBeth Hoffman | Assisted Living Regional Director | Contact person for questions about the letter |
Inspection Report
Complaint Investigation
Census: 22
Deficiencies: 3
Date: Feb 26, 2026
Visit Reason
The surveyor completed a verification visit and complaint investigation triggered by a complaint alleging concerns regarding staff training.
Complaint Details
The complaint was substantiated. It alleged concerns regarding staff training, which was confirmed by the findings.
Findings
The investigation found that one caregiver was screened for communicable diseases including tuberculosis 35 days after employment start, two caregivers lacked required department-approved training within 90 days of employment, and one resident was not assessed in physical health including chronic illnesses.
Deficiencies (3)
83.17(2)(a) Employees screened for communicable disease. The provider did not obtain documentation that all employees were screened for communicable diseases including tuberculosis within 90 days before employment for one caregiver. This was a repeat deficiency.
83.20(2)(a)-(d) Department-approved training courses. Two employees did not complete required training in standard precautions, fire safety, and first aid and choking within 90 days after starting employment. This deficiency was cited for a third time.
83.35(1)(c) Listed areas for assessments. One resident was not assessed in physical health, including identification of chronic, short-term, and recurring illnesses.
Report Facts
Revisit fee: 200
Census: 22
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Apr 3, 2025
Visit Reason
A standard survey and complaint investigation was conducted to determine if Kenosha Place was in substantial compliance with Wisconsin Statutes and Administrative Code governing community-based residential facilities.
Complaint Details
The visit was complaint-related as it included a complaint investigation along with a standard survey. Specific substantiation status is not stated.
Findings
The Department issued a Statement of Deficiency (SOD #JIQ111) for violations of Wis. Stat. ch. 50 and Wis. Admin. Code ch. DHS 83, resulting in a Notice of Violation and an imposed forfeiture totaling $950.00.
Report Facts
Forfeiture amount: 950
Forfeiture amount: 800
Forfeiture amount: 150
Reduced forfeiture amount: 617.5
Compliance timeframe: 45
Payment timeframe: 10
Employees mentioned
| Name | Title | Context |
|---|---|---|
| MaryBeth Hoffman | Assisted Living Regional Director | Contact person for questions about the letter |
| Kenneth Brotheridge | Assisted Living Director | Signed the Notice and Order letter |
Inspection Report
Complaint Investigation
Census: 24
Capacity: 30
Deficiencies: 6
Date: Apr 3, 2025
Visit Reason
The surveyor completed a standard survey and complaint investigation to assess compliance with regulatory requirements and investigate a complaint.
Complaint Details
The complaint investigation was unsubstantiated.
Findings
Six deficiencies were identified, including two repeat deficiencies. The complaint was unsubstantiated. Deficiencies included failure to obtain communicable disease screening for employees, incomplete department-approved training, incomplete individualized service plans for residents, unsecured toxic substances, lack of heating system maintenance documentation, and combustible materials stored too close to heating equipment.
Deficiencies (6)
Failure to obtain documentation that employees were screened for communicable diseases including tuberculosis within 90 days before employment for 5 of 6 caregivers reviewed.
Failure to ensure 3 of 6 employees completed department-approved training including fire safety within 90 days after employment; this was a repeat deficiency.
Failure to ensure comprehensive individualized service plans for 3 residents included residents' needs, desired outcomes, measurable goals, methods for delivering care, responsible persons, and frequency of care.
Failure to securely store cleaning compounds and toxic substances in two areas: kitchenette cabinet and main kitchen.
Failure to provide documentation of inspection for 2 gas furnaces at least every 3 years.
Combustible materials stored within 18 inches of a furnace and within 26 inches of a water heater.
Report Facts
Deficiencies identified: 6
Employees reviewed: 6
Residents reviewed: 3
Facility licensed capacity: 30
Current census: 24
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Administrator A | Administrator | Interviewed regarding deficiencies and compliance. |
| Former Administrator I | Former Administrator | Interviewed regarding deficiencies and compliance. |
| Regional Wellness Director H | Regional Wellness Director | Interviewed regarding deficiencies and compliance. |
| Maintenance Director J | Maintenance Director | Mentioned in relation to heating system maintenance and fire safety training certification lapse. |
Inspection Report
Follow-Up
Census: 20
Deficiencies: 0
Date: Jan 2, 2024
Visit Reason
Surveyor completed a verification visit and 2 complaint investigations at Kenosha Place.
Complaint Details
Two complaints were investigated and found to be unsubstantiated.
Findings
Statement of Deficiency P70Y11 was corrected and no new deficiencies were identified. Two complaints were unsubstantiated.
Report Facts
Revisit fee: 200
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Apr 7, 2023
Visit Reason
A standard survey and complaint investigation was conducted on 04/07/2023 to determine if Kenosha Place 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. The Department found violations substantiated by the issuance of SOD #P70411.
Findings
The Department issued a Statement of Deficiency (SOD #P70411) for violations of Wis. Stat. ch. 50 and Wis. Admin. Code ch. DHS 83, resulting in a Notice of Violation and an imposed forfeiture of $200.
Report Facts
Forfeiture amount: 200
Reduced forfeiture amount: 130
Forfeiture payment timeframe: 10
Compliance timeframe: 45
Employees mentioned
| Name | Title | Context |
|---|---|---|
| MaryBeth Hoffman | Assisted Living Regional Director | Contact person for questions about the letter |
| Kenneth Brotheridge | Assisted Living Director | Signed the Notice and Order letter |
Inspection Report
Complaint Investigation
Census: 23
Capacity: 30
Deficiencies: 3
Date: Apr 7, 2023
Visit Reason
Surveyor completed a standard survey and complaint investigation at Kenosha Place on 04/07/2023. The visit was triggered by a complaint, which was found to be unsubstantiated.
Complaint Details
Complaint was investigated and found to be unsubstantiated.
Findings
Three deficiencies were identified related to employee training, resident record maintenance, and storage of toxic substances. The complaint was unsubstantiated. Residents were observed moving freely throughout the facility.
Deficiencies (3)
Department-approved training courses not ensured for 1 of 3 employees; Caregiver C lacked evidence of training in first aid and choking within 90 days of employment.
Resident records not maintained for 2 of 2 residents, missing required assessments, plans, and documentation including annual evacuation and quarterly psychotropic medication reviews.
Cleaning compounds, polishes, insecticides, and toxic substances were not securely stored; laundry room contained unsecured bottles of urine stain remover and bio-suds advanced enzyme detergent.
Report Facts
Deficiencies identified: 3
Licensed capacity: 30
Census: 23
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Caregiver C | Named in deficiency for lack of required training in first aid and choking | |
| Administrator B | Administrator | Interviewed regarding training and record maintenance; reported misreading registry and replacement of laundry door lock |
| Assistant Administrator A | Assistant Administrator | Interviewed regarding training requirements and record maintenance; reported working on uploading resident documents |
| Caregiver D | Reported laundry room keycode was removed about 1 year ago |
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