Inspection Reports for Madison Pointe Senior Living

WI, 53714

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Deficiencies (last 3 years)

Deficiencies (over 3 years) 1.3 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

72% 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 39 residents

Based on a August 2025 inspection.

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

Census over time

28 32 36 40 44 48 Jan 2023 Jul 2023 Mar 2025 Aug 2025
Inspection Report Complaint Investigation Census: 39 Deficiencies: 0 Aug 13, 2025
Visit Reason
Surveyor conducted a complaint investigation at Madison Pointe Senior Living from 08/12/2025 to 08/13/2025.
Findings
No deficiencies were identified during the complaint investigation. The complaint was unsubstantiated.
Complaint Details
The complaint was unsubstantiated.
Inspection Report Follow-Up Census: 38 Deficiencies: 0 Jul 31, 2025
Visit Reason
Surveyor conducted a verification visit at Madison Pointe Senior Living to verify correction of previous deficiencies.
Findings
No deficiencies were identified during the verification visit. A $200 revisit fee is being assessed under statutory provisions.
Report Facts
Revisit fee: 200
Inspection Report Complaint Investigation Census: 36 Deficiencies: 1 Mar 24, 2025
Visit Reason
A complaint investigation was conducted at Madison Pointe Senior Living due to concerns about residents experiencing wounds and not receiving appropriate care.
Findings
One deficiency was identified related to inadequate health monitoring for one resident who developed a pressure wound that became unresponsive and septic, ultimately resulting in the resident's death. The facility failed to ensure appropriate monitoring and documentation of the resident's skin condition and wound care.
Complaint Details
Complaint was substantiated. The investigation found that Resident 1, who required assistance with bathing, showering, and toileting, was not monitored for skin breakdown. Resident 1 developed a pressure wound that became unresponsive and septic and passed away on 03/23/2025.
Deficiencies (1)
Description
The provider did not ensure one resident received appropriate health monitoring to meet needs, including monitoring for skin breakdown and wound care.
Report Facts
Census: 36 Deficiencies identified: 1
Employees Mentioned
NameTitleContext
Administrator AAdministratorInterviewed by surveyor regarding Resident 1's wound care
D. RN DHospice Registered NurseInterviewed by surveyor regarding Resident 1's skin condition and wound
Clinical Market Leader BClinical Market LeaderParticipated in exit interview and discussed wound documentation
Clinical Market Leader CClinical Market LeaderParticipated in exit interview and discussed wound documentation and staff training
Inspection Report Complaint Investigation Deficiencies: 1 Mar 18, 2025
Visit Reason
A complaint investigation was conducted on 03/18/2025 to determine if Madison Pointe Senior Living was in substantial compliance with Wisconsin statutes and administrative codes governing community-based residential facilities.
Findings
The Department issued Statement of Deficiency #UZZU11 for violations of Wis. Stat. ch. 50 and Wis. Admin. Code ch. DHS 83, identifying deficiencies related to health monitoring and medication administration. A forfeiture of $700 was imposed for these violations.
Complaint Details
The complaint investigation concluded that the facility was not in substantial compliance with applicable statutes and codes, resulting in issuance of Statement of Deficiency #UZZU11 and enforcement actions including a forfeiture.
Deficiencies (1)
Description
Health monitoring deficiency identified in Statement of Deficiency UZZU11
Report Facts
Forfeiture amount: 700 Reduced forfeiture amount: 455 Compliance timeframe: 45 Payment timeframe: 10
Employees Mentioned
NameTitleContext
Kenneth BrotheridgeAssisted Living DirectorSigned the notice letter
Hillary HolmanAssisted Living Regional DirectorContact person for questions about the letter
Inspection Report Complaint Investigation Census: 35 Deficiencies: 0 Apr 9, 2024
Visit Reason
Surveyors conducted one complaint investigation and a standard survey at Madison Pointe Senior Living on 2024-04-09.
Findings
No deficiencies were identified during the complaint investigation and standard survey. The complaint was found to be unsubstantiated.
Complaint Details
One complaint was investigated and found to be unsubstantiated.
Report Facts
Complaint investigations conducted: 1 Census: 35
Inspection Report Census: 40 Deficiencies: 0 Jul 31, 2023
Visit Reason
Surveyor conducted a verification visit at Madison Pointe Senior Living on 07/31/2023.
Findings
No deficiencies were identified during the verification visit.
Report Facts
Revisit fee: 200
Inspection Report Complaint Investigation Deficiencies: 0 Apr 4, 2023
Visit Reason
Two complaint investigations were concluded to determine if Madison Pointe Senior Living was in substantial compliance with Wisconsin statutes and administrative codes governing community-based residential facilities.
Findings
The Department issued a Statement of Deficiency (SOD #W6Z611) for violations found during the complaint investigations, requiring corrective actions and training to ensure residents are treated with respect and allowed autonomy.
Complaint Details
Two complaint investigations were concluded on 04/04/2023. The Department found violations and issued a Statement of Deficiency #W6Z611. Specific substantiation status is not stated.
Report Facts
Compliance timeframe: 45 Inspection fee: 200 Appeal timeframe: 10 Posting duration: 90
Employees Mentioned
NameTitleContext
Kathleen D. LyonsInterim Assisted Living DirectorSigned the Notice and Order letter.
Hillary HolmanAssisted Living Regional DirectorContact person for questions about the letter.
Inspection Report Complaint Investigation Census: 41 Deficiencies: 2 Apr 3, 2023
Visit Reason
Surveyor conducted two complaint investigations at Madison Pointe Senior Living based on concerns received regarding resident privacy and caregiver conduct.
Findings
Two deficiencies were identified related to residents' rights to self-determination and infection control practices during an active COVID outbreak. The provider failed to ensure Resident 3 could have private conversations and did not follow proper infection control procedures.
Complaint Details
Two complaints were substantiated. Complaints included allegations that caregivers were eavesdropping on resident telephone calls and that Resident 3's privacy was not respected. The provider also failed to follow infection control protocols during a COVID outbreak.
Deficiencies (2)
Description
Provider did not ensure Resident 3 was able to have private conversations in his/her room or lock the bedroom door when desired, resulting in verbal altercations and privacy violations.
Provider did not follow an infection control program based on current standards to prevent development and transmission of communicable disease and infection during an active COVID outbreak, including improper mask wearing and inadequate hand hygiene during meal preparation and service.
Report Facts
Complaints substantiated: 2 Deficiencies identified: 2 Confirmed COVID cases: 5 Census: 41
Employees Mentioned
NameTitleContext
Executive Director AExecutive DirectorInterviewed regarding Resident 3's verbal outbursts and privacy concerns
Dietary Supervisor BDietary SupervisorObserved wearing mask improperly and handling food without proper hand hygiene
Wellness Director CWellness DirectorObserved assisting with food service but not practicing hand hygiene properly
Caregiver DInvolved in verbal altercation with Resident 3 and privacy violation
Caregiver EWitnessed incident involving Resident 3 and Caregiver D
Family Member FInterviewed about Resident 3's telephone calls and caregiver conduct
Inspection Report Complaint Investigation Census: 39 Deficiencies: 0 Jan 26, 2023
Visit Reason
Surveyor conducted a complaint investigation at Madison Pointe Senior Living on 01/26/2023.
Findings
No deficiencies were identified during the complaint investigation.
Complaint Details
Complaint investigation conducted; no deficiencies identified.
Report Facts
Census: 39

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