Inspection Reports for LJB Adult Living
5032 N 33rd St, Milwaukee, WI 53209, United States, WI, 53209
Back to Facility ProfileDeficiencies (last 2 years)
Deficiencies (over 2 years)
11 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
139% worse than Wisconsin average
Wisconsin average: 4.6 deficiencies/yearDeficiencies per year
16
12
8
4
0
Census
Latest occupancy rate
75% occupied
Based on a January 2025 inspection.
Census over time
Inspection Report
Complaint Investigation
Deficiencies: 1
Jan 14, 2025
Visit Reason
A complaint investigation and verification visit was conducted to determine if LJB Adult Living was in substantial compliance with Wisconsin statutes and administrative codes governing adult family homes.
Findings
The Department issued a Statement of Deficiency (SOD #NVNQ12) for violations of Wis. Stat. ch. 50 and Wis. Admin. Code ch. DHS 88. The licensee was ordered to comply with requirements to protect resident health, safety, and welfare, and a $200 inspection fee was imposed for a revisit to verify correction of prior deficiencies.
Complaint Details
The visit was complaint-related and included a verification visit to determine compliance with cited violations. The Department concluded the investigation on January 14, 2025.
Deficiencies (1)
| Description |
|---|
| Violations of Wis. Stat. ch. 50 or Wis. Admin. Code ch. DHS 88 as detailed in Statement of Deficiency #NVNQ12 |
Report Facts
Inspection fee: 200
Compliance timeframe: 45
Notification timeframe: 7
Revisit fee payment timeframe: 10
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
Census: 3
Capacity: 4
Deficiencies: 5
Jan 14, 2025
Visit Reason
Surveyors conducted a complaint investigation and verification visit at LJB Adult Living, an Adult Family Home, to investigate complaints and verify compliance.
Findings
Five deficiencies were identified, four of which were repeat deficiencies from a prior inspection dated 07/29/2024. The complaint was unsubstantiated. Deficiencies included failure to conduct annual fire evacuation evaluations, incomplete signed service agreements prior to admission, lack of documentation of resident rights and grievance procedures explained to residents and guardians, failure to update individual service plans every 6 months, and missing written authorization for resident funds management.
Complaint Details
Complaint was unsubstantiated. A $200 revisit fee was assessed under statutory provisions.
Deficiencies (5)
| Description |
|---|
| Provider did not ensure 2 of 2 residents were evaluated annually for evacuation time using the Department's form. |
| Provider did not ensure 3 of 3 residents had a signed service agreement completed prior to admission. |
| Provider did not ensure 3 of 3 residents had a statement indicating resident rights and grievance procedures explained and copies provided. |
| Provider did not update the Individual Service Plan every 6 months for 1 of 3 residents. |
| Provider did not ensure resident records included written authorization from resident or guardian to control resident funds for 1 of 1 resident. |
Report Facts
Deficiencies identified: 5
Repeat deficiencies: 4
Census: 3
Total licensed capacity: 4
Revisit fee: 200
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Licensee A | Interviewed regarding deficiencies including evacuation evaluations, service agreements, resident rights, ISP updates, and resident funds authorization. |
Inspection Report
Enforcement
Deficiencies: 0
Jul 29, 2024
Visit Reason
A standard survey and two complaint investigations were conducted to determine if LJB Adult Living was in substantial compliance with Wisconsin statutes and administrative codes governing adult family homes.
Findings
The Department issued a Statement of Deficiency for violations of Wis. Stat. ch. 50 and Wis. Admin. Code ch. DHS 88, resulting in a Notice of Violation and an Order to Comply with Requirements including special orders related to staff training and resident privacy protections.
Complaint Details
Two complaint investigations were concluded as part of the visit; however, substantiation status is not explicitly stated.
Report Facts
Compliance timeframe: 45
Inspection fee: 200
Extension request timeframe: 10
Service provider employment duration: 6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kenneth Brotheridge | Assisted Living Director | Signed the Notice of Violation and Order to Comply. |
| MaryBeth Hoffman | Assisted Living Regional Director | Contact person for questions about the letter. |
Inspection Report
Routine
Census: 3
Capacity: 4
Deficiencies: 16
Jul 18, 2024
Visit Reason
Surveyors conducted a standard survey and two complaint investigations at LJB Adult Living, an Adult Family Home in Milwaukee, WI.
Findings
The survey identified 16 deficiencies including lack of timely criminal background checks and health screenings for staff, missing training documentation, failure to conduct required furnace inspections, fire safety violations including missing fire extinguishers and smoke detectors, lack of evacuation evaluations and fire drill records, incomplete resident health exams and service agreements, unsecured medication storage, missing resident funds authorization, and privacy violations due to a camera in the living room.
Complaint Details
Two complaints were investigated and both were unsubstantiated.
Deficiencies (16)
| Description |
|---|
| Provider did not ensure 2 of 2 staff members had completed criminal background checks. |
| Provider did not ensure 3 of 3 employees received baseline tuberculosis skin tests within 90 days prior to hire. |
| Provider did not ensure 1 of 1 caregiver received 15 hours of required training within 6 months of hire. |
| Facility did not ensure gas furnace was inspected every 3 years by a heating contractor or utility company. |
| Provider did not ensure 2 of 2 fire extinguishers were inspected annually; no extinguisher in basement. |
| Provider did not ensure smoke detector in Resident 2's bedroom. |
| Provider did not ensure monthly smoke detector testing for 3 years (2021-2023). |
| Provider did not ensure 3 of 3 residents were evaluated for evacuation time within 3 days of admission. |
| Provider did not maintain records of semi-annual fire drills for 2021, 2022, and 2023. |
| Provider did not ensure 3 of 3 residents received health exams including communicable disease screening within required timeframe. |
| Provider did not ensure 3 of 3 residents had signed service agreements completed prior to admission. |
| Provider did not ensure 3 of 3 residents had resident rights and grievance procedures explained and documented. |
| Provider did not ensure written assessment and individual service plan completed within 30 days for 3 of 3 residents. |
| Medication requiring refrigeration (Resident 3's insulin) was stored unlocked in a common refrigerator accessible to all residents. |
| Provider did not ensure written authorization from residents or guardians to control resident funds for 3 of 3 residents. |
| Provider did not ensure physical and emotional privacy for 3 residents; a camera was observed in the living room. |
Report Facts
Deficiencies identified: 16
Residents present: 3
Licensed capacity: 4
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Caregiver B | Named in findings related to missing background check, TB screening, training, furnace inspection, fire safety, and medication storage. | |
| Caregiver D | Named in findings related to missing background check and TB screening. | |
| Caregiver C | Named in findings related to missing TB screening. | |
| Licensee A | Interviewed regarding missing documentation and deficiencies. |
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