Inspection Reports for LakeHouse New Holstein

1706 Hoover St, New Holstein, WI, 53061

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Deficiencies (last 1 years)

Deficiencies (over 1 years) 4 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

13% better than Wisconsin average
Wisconsin average: 4.6 deficiencies/year

Deficiencies per year

4 3 2 1 0
2025

Census

Latest occupancy rate 25 residents

Based on a May 2025 inspection.

This facility has shown a steady increase in demand based on occupancy rates.

Census over time

10 20 30 40 50 60 Jan 2025 May 2025

Inspection Report

Complaint Investigation
Census: 25 Deficiencies: 0 Date: May 14, 2025

Visit Reason
Surveyor conducted a complaint investigation at LakeHouse New Holstein.

Complaint Details
Complaint was unsubstantiated.
Findings
The complaint was unsubstantiated and no deficiencies were identified.

Inspection Report

Deficiencies: 0 Date: Jan 21, 2025

Visit Reason
A Probationary Survey was conducted on January 21, 2025, for LakeHouse New Holstein to determine if the facility was in substantial compliance with Wisconsin Statutes and Administrative Code requirements for community-based residential facilities.

Findings
The Department of Health Services issued a Statement of Deficiency (SOD #DPUR11) for violations of Wis. Stat. ch. 50 and Wis. Admin. Code ch. DHS 83, establishing grounds for regulatory action and requiring the licensee to comply with all requirements within 45 days.

Report Facts
Days to achieve compliance: 45 Appeal filing deadline: 10 Posting duration: 90

Employees mentioned
NameTitleContext
Kenneth BrotheridgeAssisted Living DirectorSigned the notice letter as Bureau of Assisted Living, Division of Quality Assurance.
Vicky WittmanAssisted Living Regional DirectorContact person for questions about the letter.

Inspection Report

Original Licensing
Census: 20 Capacity: 50 Deficiencies: 4 Date: Jan 16, 2025

Visit Reason
A probationary survey was conducted at Lakehouse New Holstein to assess compliance with regulatory requirements for initial licensing.

Findings
The survey identified four deficiencies including failure to screen employees for communicable diseases and tuberculosis prior to employment, incomplete department-approved training for an employee, failure to complete evacuation evaluation for a resident within required timeframe, and lack of an out-of-state background check for an employee.

Deficiencies (4)
Two employees (Housekeeper B and Caregiver C) were not screened for communicable disease and tuberculosis within 90 days before employment.
Housekeeper B did not complete required fire safety training within 90 days of employment.
Resident 1 was not evaluated within 3 days of admission for evacuation limitations as required.
Housekeeper B did not have an out-of-state background check completed at time of hire despite living in South Carolina within the last three years.
Report Facts
Deficiencies issued: 4 Census: 20 Total licensed capacity: 50

Employees mentioned
NameTitleContext
Housekeeper BNamed in deficiencies related to communicable disease screening, fire safety training, and out-of-state background check.
Caregiver CNamed in deficiency related to communicable disease screening.
Executive Director AExecutive DirectorInterviewed regarding deficiencies and confirmed lack of required screenings and evaluations.

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