Inspection Reports for
LakeHouse Lake Mills
300 ONEIL ST, LAKE MILLS, WI, 53551
Back to Facility ProfileDeficiencies (last 1 years)
Deficiencies (over 1 years)
7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
52% worse than Wisconsin average
Wisconsin average: 4.6 deficiencies/yearDeficiencies per year
8
6
4
2
0
Census
Latest occupancy rate
24 residents
Based on a October 2024 inspection.
This facility has shown a decline in demand based on occupancy rates.
Occupancy over time
Inspection Report
Monitoring
Census: 24
Deficiencies: 0
Date: Oct 25, 2024
Visit Reason
The Bureau of Assisted Living, Southern Regional Office, conducted a verification visit at LakeHouse Lake Mills, a community-based residential facility (CBRF) located in Lake Mills, WI.
Findings
As a result of the survey, 0 deficiencies were identified. Previous deficiencies from Statement of Deficiency (SOD) N4EP11 were corrected. A $200 revisit fee is being assessed under statutory provisions.
Report Facts
Revisit fee: 200
Inspection Report
Original Licensing
Deficiencies: 3
Date: Aug 1, 2024
Visit Reason
A probationary licensing survey was conducted on 08/01/2024 for LakeHouse Lake Mills to determine if the facility was in substantial compliance with Wisconsin statutes and administrative codes governing community-based residential facilities (CBRF).
Findings
The Department found violations of Wis. Stat. ch. 50 and Wis. Admin. Code ch. DHS 83, resulting in a Statement of Deficiency (SOD) #N4EP11. A total forfeiture of $1,000 was imposed for specific violations, and the facility was placed on probationary license status with requirements to achieve substantial compliance by 05/01/2025.
Deficiencies (3)
Violation of DHS Code 83.19
Violation of DHS Code 83.21(1)-(3)
Violation of DHS Code 83.22(1)-(4)
Report Facts
Forfeiture amount: 1000
Reduced forfeiture amount: 650
Forfeiture breakdown: 400
Forfeiture breakdown: 400
Forfeiture breakdown: 200
Compliance timeframe: 45
Probationary license expiration date: May 1, 2025
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
Original Licensing
Census: 26
Deficiencies: 4
Date: Jul 30, 2024
Visit Reason
The Bureau of Assisted Living, Southern Regional Office, conducted a probationary licensing survey at LakeHouse Lake Mills, a community-based residential facility (CBRF) located in Lake Mills, WI.
Findings
As a result of the survey, 3 deficiencies were identified related to employee orientation and training. Specifically, the provider did not ensure that 2 of 2 employees reviewed obtained orientation training in all required topics before performing job duties, including recognizing and responding to resident changes of condition.
Deficiencies (4)
The provider did not ensure that 2 of 2 employees reviewed obtained orientation training in all required topics before performing job duties.
Caregiver D and Caregiver E did not have training in recognizing and responding to resident changes of condition.
The provider did not ensure that 2 of 2 employees reviewed obtained all required employee training within 90 days after starting employment, including client group training and training on recognizing, preventing, managing, and responding to challenging behaviors.
The provider did not ensure that 1 of 2 employees reviewed obtained all task specific training as required, including assessment of residents, individual service plan development, provision of personal care, and dietary training.
Report Facts
Deficiencies identified: 3
Census: 26
Employees reviewed: 2
Deadline for additional records: 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Caregiver D | Named in findings for lack of training in recognizing and responding to resident changes of condition and other required trainings | |
| Caregiver E | Named in findings for lack of training in recognizing and responding to resident changes of condition and other required trainings | |
| Executive Director A | Executive Director | Interviewed by surveyor; reported on training processes and new ownership |
| Office Manager B | Office Manager | Interviewed by surveyor; confirmed lack of training records for Caregivers D and E |
| Nurse C | Nurse | Interviewed by surveyor regarding training compliance |
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