Inspection Reports for
LakeHouse Sheboygan

1231 Eisner Avenue, Sheboygan, WI, 53083

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Deficiencies (last 2 years)

Deficiencies (over 2 years) 0.5 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

89% better than Wisconsin average
Wisconsin average: 4.6 deficiencies/year

Deficiencies per year

4 3 2 1 0
2024
2025

Occupancy

Latest occupancy rate 91% occupied

Based on a December 2025 inspection.

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

Occupancy rate over time

84% 88% 92% 96% 100% 104% Oct 2024 Dec 2025

Inspection Report

Complaint Investigation
Census: 111 Deficiencies: 0 Date: Dec 9, 2025

Visit Reason
Surveyor investigated one complaint at Lakehouse Sheboygan.

Complaint Details
One complaint was investigated and found to be unsubstantiated.
Findings
The complaint was unsubstantiated and no new deficiencies were identified.

Notice

Deficiencies: 1 Date: May 22, 2025

Visit Reason
A compliance visit was conducted on May 22, 2025, to verify LakeHouse Sheboygan's compliance with Wisconsin statutes and administrative codes governing registered residential care apartment complexes.

Complaint Details
The visit was complaint-related based on a complaint received on December 18, 2024, alleging the activated power of attorney was not notified immediately of a fall requiring emergency services. The complaint was substantiated by record review and interviews.
Findings
The facility was found noncompliant for failing to provide timely services to meet unscheduled care needs, specifically not notifying the activated power of attorney immediately after a fall incident requiring emergency services for Tenant 1.

Deficiencies (1)
Failure to ensure unscheduled needs were provided in a timely manner for Tenant 1, specifically delayed notification to the activated power of attorney after a fall requiring emergency services.
Report Facts
Date of fall incident: Dec 4, 2024 Date of complaint received: Dec 18, 2024 Date of compliance visit: May 22, 2025

Employees mentioned
NameTitleContext
Kenneth Brotheridge Assisted Living Director Signed the Notice of Noncompliance letter
Michael Davis Registrant of LakeHouse Sheboygan
Director of Health and Wellness B Director of Health and Wellness Interviewed during survey; confirmed activated power of attorney and re-education of caregivers
Caregiver D Caregiver Completed incident report for Tenant 1's fall; no longer employed at RCAC
Executive Director A Executive Director Acknowledged findings and noted Caregiver D no longer works for the RCAC
Administrative Specialist D Administrative Specialist Confirmed Service Description is the assessment/service agreement

Inspection Report

Complaint Investigation
Census: 118 Deficiencies: 0 Date: Oct 14, 2024

Visit Reason
Surveyor conducted one complaint investigation at LakeHouse Sheboygan.

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

Report


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