Inspection Reports for Layton Terrace Senior Living
9200 W Layton Ave, Greenfield, WI 53228, United States, WI, 53228
Back to Facility ProfileDeficiencies per Year
8
6
4
2
0
Unclassified
Census Over Time
Census
Capacity
Inspection Report
Complaint Investigation
Deficiencies: 1
May 12, 2025
Visit Reason
A verification visit and complaint investigation was conducted on May 12, 2025, at Layton Terrace to determine if the facility was in substantial compliance with Wisconsin statutes and administrative codes governing community-based residential facilities.
Findings
The Department issued a Statement of Deficiency (SOD #JJ9F13) citing violations of Wis. Stat. ch. 50 and Wis. Admin. Code ch. DHS 83. The licensee was ordered to comply with requirements, update residents' Individual Service Plans, and was assessed a total forfeiture of $1,500 for the violations.
Complaint Details
The visit was complaint-related and included a verification visit to determine compliance with applicable statutes and administrative codes. The Department issued a Statement of Deficiency and imposed enforcement actions.
Deficiencies (1)
| Description |
|---|
| Violations of Wis. Stat. ch. 50 or Wis. Admin. Code ch. DHS 83 as identified in SOD #JJ9F13 |
Report Facts
Forfeiture amount: 1500
Reduced forfeiture amount: 975
Forfeiture tag N158: 500
Forfeiture tag N448: 1000
Inspection fee: 200
Compliance timeframe: 45
Extension request timeframe: 10
Revisit fee: 200
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| MaryBeth Hoffman | Assisted Living Regional Director | Contact person for questions about the letter |
| Kenneth Brotheridge | Assisted Living Director | Signed the Notice and Order letter |
Inspection Report
Complaint Investigation
Deficiencies: 1
Nov 1, 2024
Visit Reason
The inspection was conducted as a standard survey, verification visit, and three complaint investigations to determine if Layton Terrace was in substantial compliance with Wisconsin statutes and administrative codes governing community-based residential facilities.
Findings
The Department issued a Statement of Deficiency (SOD #JJ9F12) for violations of Wis. Stat. ch. 50 and Wis. Admin. Code ch. DHS 83, resulting in a $200 forfeiture and an order to comply with requirements to protect resident health, safety, and welfare.
Complaint Details
The visit included three complaint investigations; however, substantiation status is not explicitly stated in the document.
Deficiencies (1)
| Description |
|---|
| Violation of Wis. Admin. Code 83.37(2)(d) as identified in SOD #JJ9F12 |
Report Facts
Forfeiture amount: 200
Reduced forfeiture amount: 130
Revisit inspection fee: 200
Compliance timeframe: 45
Appeal timeframe: 10
Posting duration: 90
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| MaryBeth Hoffman | Assisted Living Regional Director | Contact person for questions about the letter |
| Kenneth Brotheridge | Assisted Living Director | Signed the notice and order letter |
Inspection Report
Routine
Census: 61
Deficiencies: 4
Nov 1, 2024
Visit Reason
The surveyor conducted a standard survey, verification visit, and three complaint investigations at Layton Terrace on 11/01/2024.
Findings
Four deficiencies were identified, including one repeat violation. Three complaints were unsubstantiated. Deficiencies involved failure to report serious injury incidents timely, lack of resident/legal representative involvement in service plan development, inaccurate medication administration documentation, and failure to ensure medication administration for a resident.
Complaint Details
Three complaints were investigated and found to be unsubstantiated.
Deficiencies (4)
| Description |
|---|
| Failure to submit a written report to the department within 3 working days after an incident resulting in emergency room treatment and hospitalization for a resident. |
| Failure to ensure the resident and/or legal representative were involved in developing and signing the individual service plan for 2 of 3 residents reviewed. |
| Failure to accurately maintain medication administration records for 1 resident, including missing staff initials and unavailable medications. |
| Failure to ensure medication administration was provided to 1 resident as prescribed from 09/01/2024 to 09/30/2024. |
Report Facts
Deficiencies identified: 4
Repeat deficiencies: 1
Revisit fee: 200
Census: 61
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| G | Senior Executive Director (SED) | Interviewed regarding incident reporting and service plan development. |
| H | Director of Nursing (DON) | Interviewed regarding incident reporting and service plan development. |
| D | Nurse (DON) | Provided self-report for incident and confirmed document provision. |
| Q | Regional Director of Nursing (RDON) | Interviewed regarding medication administration and MAR review. |
| R | Regional Director of Operations (RDOO) | Reviewed documentation with surveyor. |
| E | Caregiver | Interviewed regarding medication availability and resident refusals. |
| I | Caregiver | Interviewed regarding medication availability and resident refusals. |
| P | Facility Nurse (DON) | Signed ISP for Resident 3. |
| K | Director of Nursing (DON) | Believed to have reviewed initial evaluation with resident's power of attorney. |
| C | Executive Director | Confirmed provision of resident files and involved in ISP discussions. |
Inspection Report
Complaint Investigation
Census: 65
Deficiencies: 2
Jun 26, 2024
Visit Reason
The surveyor completed a complaint investigation at Layton Terrace following a complaint received on 04/18/2024 regarding a resident not receiving her/his medications.
Findings
Two deficiencies were identified: inaccurate documentation of medication administration for one resident, and failure to monitor health and make arrangements for physical health services, including daily weight and oxygen saturation monitoring as ordered. One complaint was substantiated.
Complaint Details
The complaint was substantiated. It involved Resident 1 not receiving medications as prescribed and inadequate health monitoring, including missing documentation of vital signs and weights, and failure to notify physicians of critical health indicators.
Deficiencies (2)
| Description |
|---|
| The provider did not ensure each resident's medication administration record (MAR) was accurately maintained for Resident 1, with multiple dates missing staff initials indicating medication administration. |
| The provider did not monitor the health and make arrangements for physical health services for Resident 1, including failure to monitor weight and oxygen saturation as ordered on a daily basis. |
Report Facts
Census: 65
Deficiencies identified: 2
Dates missing medication administration initials: 40
Days vitals refused: 11
Weight discrepancy: 60
Inspection Report
Complaint Investigation
Census: 148
Deficiencies: 0
Oct 25, 2023
Visit Reason
Surveyor conducted a complaint investigation at Layton Terrace on 10/25/2023.
Findings
No deficiencies were identified during the complaint investigation. The complaint was unsubstantiated.
Complaint Details
One complaint was investigated and found to be unsubstantiated.
Inspection Report
Complaint Investigation
Deficiencies: 0
Jan 20, 2023
Visit Reason
A standard survey, two complaint investigations, and a self-report review were conducted to determine if Layton Terrace was in substantial compliance with Wisconsin statutes and administrative codes governing community-based residential facilities.
Findings
The Department issued a Statement of Deficiency (SOD #7IEO11) for violations of state statutes and administrative codes. A forfeiture of $150.00 was imposed for violations described in the SOD. The licensee was placed on probationary license status and ordered to correct all violations to achieve substantial compliance.
Complaint Details
The visit included two complaint investigations and a self-report review, but the substantiation status is not explicitly stated.
Report Facts
Forfeiture amount: 150
Reduced forfeiture amount: 112.5
Forfeiture payment timeframe: 10
Compliance timeframe: 45
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| MaryBeth Hoffman | Assisted Living Regional Director | Contact person for questions about the letter |
| Dan Perron | Assisted Living Director | Signed the notice and order letter |
Inspection Report
Routine
Census: 64
Capacity: 80
Deficiencies: 5
Jan 20, 2023
Visit Reason
On 01/20/2023, a standard survey, two complaint investigations, and a self-report review were completed at Layton Terrace.
Findings
Five deficiencies were identified including failure to document employee communicable disease screening, incomplete employee training and orientation documentation, medication administration error, and failure to maintain safe food temperatures during service.
Complaint Details
Two complaint investigations were conducted; one complaint was substantiated regarding food safety and medication administration, and one complaint was unsubstantiated.
Deficiencies (5)
| Description |
|---|
| Provider did not ensure documentation was obtained indicating employees were screened for clinically apparent communicable disease. |
| Provider did not ensure required employee training was documented for employees employed over 90 days. |
| Provider did not ensure required orientation training was documented for employees. |
| Provider did not ensure all medications were administered at the prescribed dose; Resident 1 received 14 units of Novolog instead of 15 units. |
| Provider did not ensure all food was held at safe temperatures prior to serving; food temperatures were not taken or recorded, and hot food was served below 140°F. |
Report Facts
Deficiencies identified: 5
Residents present: 64
Total licensed capacity: 80
Medication dosage error: 1
Food temperature measured: 120.1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Caregiver D | Caregiver | Named in communicable disease screening deficiency and medication administration error. |
| Caregiver E | Caregiver | Named in communicable disease screening deficiency and food service temperature observation. |
| Caregiver F | Caregiver | Named in communicable disease screening and training documentation deficiencies. |
| Executive Director A | Executive Director | Interviewed regarding communicable disease screening, training, orientation, medication error, and food temperature procedures. |
| Health Services Director B | Health Services Director | Interviewed regarding communicable disease screening and medication pass observation. |
| Registered Nurse C | Registered Nurse | Interviewed regarding medication error and food temperature monitoring. |
Report
File
4T2Q11SODS.PDF_18810.pdf
Report
File
7IEO12SODS.PDF_18810.pdf
Report
File
JJ9F11ENFS.PDF_18810.pdf
Report
File
JJ9F13SODS.PDF_18810.pdf
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