Inspection Reports for Kettle Park Senior Living Inc
2600 JACKSON ST, STOUGHTON, WI, 53589
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
1.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
72% better than Wisconsin average
Wisconsin average: 4.6 deficiencies/yearDeficiencies per year
4
3
2
1
0
Census
Latest occupancy rate
21 residents
Based on a October 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Census over time
Inspection Report
Abbreviated Survey
Deficiencies: 1
Date: Oct 6, 2025
Visit Reason
An abbreviated survey and complaint investigation were conducted on 10/06/2025 to determine if Kettle Park Senior Living was in substantial compliance with Wisconsin statutes and administrative codes governing community-based residential facilities.
Complaint Details
The visit included a complaint investigation to determine compliance with applicable statutes and codes.
Findings
The Department issued a Statement of Deficiency (SOD #3B9T11) 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 $230.00.
Deficiencies (1)
Violation of DHS Code 83.32(3)(h) as identified in SOD #3B9T11
Report Facts
Forfeiture amount: 230
Reduced forfeiture amount: 149.5
Compliance timeframe: 45
Payment timeframe: 10
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kenneth Brotheridge | Assisted Living Director | Signed the Notice and Order letter |
| Hillary Holman | Assisted Living Regional Director | Contact person for questions about the letter |
Inspection Report
Abbreviated Survey
Census: 21
Deficiencies: 1
Date: Oct 6, 2025
Visit Reason
On 10/06/2025, a surveyor conducted an abbreviated licensure survey and a complaint investigation at Kettle Park Senior Living Inc.
Complaint Details
Complaint was unsubstantiated.
Findings
One deficiency was identified related to the failure to administer prescribed medications to three residents as scheduled. The complaint was unsubstantiated.
Deficiencies (1)
Provider did not administer medications in the intervals prescribed by a practitioner for 3 of 3 residents, including missed doses of Eliquis, acetaminophen, Gabapentin, antacid, Tamsulosin, fiber-lax, Atorvastatin, Benefiber, oyster shell, Sertraline, Pantoprazole, and Buspirone.
Report Facts
Census: 21
Number of residents with medication deficiencies: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Executive Director A | Executive Director | Interviewed by surveyor regarding observations |
| Assistant Executive Director B | Assistant Executive Director | Interviewed by surveyor regarding observations |
| Director of Health Services C | Director of Health Services | Observed medications with surveyor and interviewed regarding observations |
Inspection Report
Complaint Investigation
Census: 21
Deficiencies: 0
Date: Feb 14, 2025
Visit Reason
Surveyor conducted a complaint investigation at Kettle Park Senior Living Inc.
Complaint Details
Complaint was unsubstantiated.
Findings
No deficiencies were identified during the complaint investigation. The complaint was unsubstantiated.
Inspection Report
Complaint Investigation
Census: 11
Deficiencies: 1
Date: Jun 4, 2024
Visit Reason
Surveyor conducted a complaint investigation at Kettle Park Senior Living Inc. due to a complaint that a caregiver working at the facility was listed on the caregiver misconduct registry.
Complaint Details
Complaint was substantiated. The caregiver was listed on the caregiver misconduct registry and had a misappropriation finding from 2008. The provider employed this caregiver without proper rehabilitation approval, potentially affecting all 20 residents.
Findings
One deficiency was identified related to the licensee conducting a caregiver background check. The provider employed a caregiver with a governmental finding of misconduct who had not been approved under the department's rehabilitation process. The complaint was substantiated.
Deficiencies (1)
Licensee did not meet caregiver background check requirements by employing a caregiver with a governmental finding of misconduct who was not approved under the department's rehabilitation process.
Report Facts
Census: 11
Residents potentially affected: 20
Deficiencies identified: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Health Services A | Director of Health Services | Interviewed by surveyor regarding caregiver background check and registry review |
| Caregiver B | Caregiver employed with a governmental finding of misconduct and not approved under rehabilitation process |
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: May 7, 2024
Visit Reason
A complaint investigation was conducted on 05/07/2024 to determine if Kettle Park Senior Living Inc. was in substantial compliance with Wisconsin statutes and administrative codes governing community-based residential facilities.
Complaint Details
The complaint investigation concluded that the facility was not in substantial compliance, resulting in issuance of a Statement of Deficiency and a Notice of Violation.
Findings
The Department of Health Services issued a Statement of Deficiency (SOD #5JP611) for violations of Wis. Stat. ch. 50 and Wis. Admin. Code ch. DHS 83, establishing grounds for regulatory action and an order to comply with requirements.
Report Facts
Days to achieve compliance: 45
Posting duration: 90
Appeal filing period: 10
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kenneth Brotheridge | Assisted Living Director | Signed the Notice and Order letter. |
| Hillary Holman | Assisted Living Regional Director | Contact person for questions about the letter. |
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Oct 4, 2023
Visit Reason
A complaint investigation was conducted to determine if Kettle Park Senior Living Inc. was in substantial compliance with Wisconsin statutes and administrative codes governing community-based residential facilities.
Complaint Details
Complaint investigation concluded on 2023-10-04; the facility was found to have violations leading to issuance of a Statement of Deficiency.
Findings
The Department issued a Statement of Deficiency (SOD #445D11) for violations of Wis. Stat. ch. 50 and Wis. Admin. Code ch. DHS 83, establishing grounds for regulatory action and requiring compliance within 45 days.
Report Facts
Days to achieve compliance: 45
Appeal filing period: 10
Posting duration: 90
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kenneth Brotheridge | Assisted Living Director | Signed the notice letter as the Bureau of Assisted Living Director. |
| Hillary Holman | Assisted Living Regional Director | Contact person for questions about the letter. |
Inspection Report
Abbreviated Survey
Census: 21
Capacity: 21
Deficiencies: 1
Date: Oct 4, 2023
Visit Reason
On 10/04/2023, a surveyor conducted an abbreviated licensure survey and a complaint investigation at Kettle Park Senior Living Inc.
Complaint Details
Complaint was unsubstantiated.
Findings
One deficiency was identified related to fire drills. The complaint was unsubstantiated. The provider did not conduct quarterly fire evacuation drills with both employees and residents in 2021 and 2022 as required.
Deficiencies (1)
Provider did not conduct quarterly fire drills (including at least one fire evacuation drill simulating usual sleeping hours) with both employees and residents in 2021 and 2022.
Report Facts
Census: 21
Licensed capacity: 21
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Maintenance Director B | Maintenance Director | Interviewed and reviewed fire drills with surveyor |
| Executive Director A | Executive Director | Interviewed by surveyor regarding fire drill concerns and evacuation procedures |
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