Inspection Reports for Liberty Village Rcac

200 LIBERTY PLACE, TOMAH, WI, 54660-

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Deficiencies (last 3 years)

Deficiencies (over 3 years) 0.3 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

93% better than Wisconsin average
Wisconsin average: 4.6 deficiencies/year

Deficiencies per year

4 3 2 1 0
2023
2024
2025

Census

Latest occupancy rate 22 residents

Based on a November 2025 inspection.

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

Census over time

12 18 24 30 36 42 Apr 2023 Aug 2023 Oct 2024 Nov 2025
Inspection Report Complaint Investigation Census: 22 Deficiencies: 0 Nov 11, 2025
Visit Reason
Surveyors conducted a complaint investigation at Liberty Village RCAC based on two complaints.
Findings
Two complaints were investigated and both were found to be unsubstantiated. No deficiencies were identified during the investigation.
Complaint Details
Two of 2 complaints were unsubstantiated.
Report Facts
Complaints investigated: 2 Complaints unsubstantiated: 2
Inspection Report Complaint Investigation Census: 36 Deficiencies: 0 Oct 17, 2024
Visit Reason
Surveyor conducted a complaint investigation at Liberty Village RCAC.
Findings
The complaint was unsubstantiated and no deficiencies were identified.
Complaint Details
The complaint was unsubstantiated.
Inspection Report Follow-Up Census: 36 Deficiencies: 0 Aug 30, 2023
Visit Reason
The surveyor conducted a verification visit to Liberty Village RCAC to assess correction of a previously identified deficiency.
Findings
The repeat deficiency in SOD GYGO11 was corrected. No new deficiencies were identified during this visit. A $200 revisit fee is being assessed under statutory provisions.
Report Facts
Revisit fee: 200
Inspection Report Complaint Investigation Deficiencies: 0 Apr 6, 2023
Visit Reason
A standard survey and complaint investigation was conducted to determine if Liberty Village RCAC was in substantial compliance with Wisconsin statutes and administrative codes governing residential care apartment complexes.
Findings
The Department found violations of Wisconsin Statutes and Administrative Code provisions as detailed in Statement of Deficiency #GYGO11, resulting in a Notice of Violation, Order to Comply, and an imposed forfeiture.
Complaint Details
The visit was complaint-related as it included a complaint investigation; however, the substantiation status is not stated.
Report Facts
Forfeiture amount: 200 Reduced forfeiture amount: 130 Forfeiture payment timeframe: 10 Compliance timeframe: 45 Plan of Correction submission timeframe: 10 Appeal request timeframe: 10 Inspection fee: 200
Employees Mentioned
NameTitleContext
William R. GardnerAssisted Living Regional DirectorContact person for questions about the letter
Kathleen D. LyonsInterim Assisted Living DirectorSigned the Notice and Order letter
Inspection Report Complaint Investigation Census: 27 Deficiencies: 1 Apr 6, 2023
Visit Reason
Surveyor conducted a complaint investigation and a standard licensure survey at the facility.
Findings
One deficiency was identified related to the facility not ensuring a safe environment by failing to have all clothes dryers properly ducted with rigid metal vent tubing. This was a repeat deficiency from a prior survey.
Complaint Details
The complaint was not substantiated.
Deficiencies (1)
Description
Facility did not ensure a safe environment by not having all clothes dryers properly ducted with rigid metal vent tubing.
Report Facts
Number of clothes dryers not properly vented: 3
Employees Mentioned
NameTitleContext
Executive Director AExecutive DirectorDiscussed the clothes dryer venting issue with Surveyor and acknowledged the venting was not correct; stated all dryers would be fitted with rigid dryer venting.

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