Inspection Reports for Larson House
550 River Rd, Columbus, WI 53925, United States, WI
Back to Facility ProfileDeficiencies (last 2 years)
Deficiencies (over 2 years)
1 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
78% better than Wisconsin average
Wisconsin average: 4.6 deficiencies/yearDeficiencies per year
4
3
2
1
0
Census
Latest occupancy rate
23 residents
Based on a August 2025 inspection.
Census over time
Inspection Report
Complaint Investigation
Census: 23
Deficiencies: 0
Aug 28, 2025
Visit Reason
Surveyor conducted a complaint investigation at Larson House South, a CBRF in Columbus.
Findings
No deficiencies were identified. The complaint was unsubstantiated.
Complaint Details
The complaint was unsubstantiated.
Inspection Report
Census: 23
Deficiencies: 0
Jan 14, 2025
Visit Reason
On 01/14/2025, the Bureau of Assisted Living, Southern Regional Office, conducted a verification visit at Larson House South, a community-based residential facility (CBRF) located in Columbus, WI.
Findings
As a result of the survey, 0 deficiencies were identified. Under statutory provisions of Wis. Stat. Chapter 50, a $200 revisit fee is being assessed.
Report Facts
Revisit fee: 200
Inspection Report
Enforcement
Deficiencies: 0
Oct 2, 2024
Visit Reason
A standard survey was conducted on October 2, 2024, to determine if Larson House South was in substantial compliance with Wisconsin statutes and administrative codes governing community-based residential facilities.
Findings
The Department found violations of Wis. Stat. ch. 50 and Wis. Admin. Code ch. DHS 83, resulting in a Statement of Deficiency (SOD #GU1N11) and issuance of a Notice of Violation, Order to Comply, Special Orders, and a forfeiture of $800.00.
Report Facts
Forfeiture amount: 800
Reduced forfeiture amount: 520
Forfeiture payment timeframe: 10
Compliance timeframe: 45
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: 24
Deficiencies: 2
Oct 1, 2024
Visit Reason
Surveyors conducted a probationary licensing survey at Larson House South to assess compliance with regulatory requirements.
Findings
Two deficiencies were identified: the individual service plans for two residents were not updated to reflect changes in their needs, and the living environment was found to be unclean and not homelike, with issues such as water damage, damaged drywall, dust buildup, and rust spots in microwaves.
Deficiencies (2)
| Description |
|---|
| Individual service plans were not updated for 2 residents when there was a change in their needs and abilities, including mobility and fall interventions. |
| The living environment was not clean and homelike, with water damage to the sunroom ceiling, damaged drywall in a resident's room, dust buildup on bathroom fan and hood fans, and rust-like spots inside microwaves. |
Report Facts
Number of deficiencies identified: 2
Number of falls for Resident 2 since last ISP review: 6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Administrator A | Interviewed regarding Resident 2's fall risk status and environmental concerns. | |
| Regional Nurse B | Interviewed regarding Resident 2's fall risk status and environmental concerns. | |
| Caregiver C | Interviewed about Resident 1 and Resident 2's mobility and fall risk. |
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