Inspection Reports for Laurel Oaks Senior Living

WI, 53209

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Deficiencies (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/year

Deficiencies per year

4 3 2 1 0
2023
2024

Census

Latest occupancy rate 24 residents

Based on a September 2024 inspection.

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

Census over time

0 30 60 90 120 Apr 2023 Feb 2024 Sep 2024
Inspection Report Complaint Investigation Census: 24 Deficiencies: 0 Sep 9, 2024
Visit Reason
Surveyors completed a standard licensure survey and complaint investigation at Laurel Oaks.
Findings
No deficiencies were identified. The complaint was unsubstantiated.
Complaint Details
The complaint was unsubstantiated.
Inspection Report Complaint Investigation Census: 103 Deficiencies: 0 Feb 23, 2024
Visit Reason
Surveyor conducted a verification visit and two complaint investigations at Laurel Oaks.
Findings
No deficiencies were identified. Both complaints were unsubstantiated.
Complaint Details
Two complaints were investigated and both were found to be unsubstantiated.
Report Facts
Revisit fee: 200
Inspection Report Complaint Investigation Deficiencies: 1 Apr 7, 2023
Visit Reason
A complaint investigation was conducted on 04/07/2023 to determine if Laurel Oaks was in substantial compliance with Wisconsin statutes and administrative codes governing Residential Care Apartment Complexes (RCAC).
Findings
The Department found violations of Wis. Stat. ch. 50 and Wis. Admin. Code ch. DHS 89, resulting in a Statement of Deficiency (SOD #9YM711) and an imposed forfeiture of $200. The operator was ordered to comply with requirements and submit a Plan of Correction.
Complaint Details
Complaint investigation concluded on 04/07/2023; violations substantiated as per SOD #9YM711.
Deficiencies (1)
Description
Violations of Wis. Stat. ch. 50 or Wis. Admin. Code ch. DHS 89 as identified in SOD #9YM711
Report Facts
Forfeiture amount: 200 Reduced forfeiture amount: 130 Forfeiture payment due days: 10 Plan of Correction submission days: 10 Compliance timeframe: 45
Employees Mentioned
NameTitleContext
Mary Beth HoffmanAssisted Living Regional DirectorContact person for questions about the letter
Kenneth BrotheridgeAssisted Living DirectorSigned the notice and order letter
Inspection Report Complaint Investigation Census: 27 Deficiencies: 1 Apr 7, 2023
Visit Reason
Surveyor completed 2 complaint surveys at Laurel Oaks on 04/07/2023, with one complaint substantiated and one unsubstantiated.
Findings
One deficiency was identified related to the provider not entering into a risk agreement for Tenant 1, who had a risk of falls, resistiveness to care, and did not always remember to use his/her walker. The Executive Director acknowledged the missing risk agreements and reported auditing tenant records to ensure appropriate documentation.
Complaint Details
Two complaints were investigated; one was substantiated and one was unsubstantiated.
Deficiencies (1)
Description
Provider did not enter into a risk agreement for Tenant 1's risk of falls, resistiveness to cares, and not always remembering to use his/her walker.
Report Facts
Complaints investigated: 2 Complaints substantiated: 1 Complaints unsubstantiated: 1 Census: 27
Employees Mentioned
NameTitleContext
A. ED AExecutive DirectorInterviewed by surveyor; acknowledged missing risk agreements and auditing tenant records

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