Inspection Report Summary
The most recent inspection at Madison Pointe Senior Living on August 13, 2025, found no deficiencies during a complaint investigation, and the complaint was unsubstantiated. Earlier inspections showed a mix of results, including deficiencies related to health monitoring, medication administration, residents’ rights, and infection control, with a substantiated complaint in March 2025 involving inadequate wound care that resulted in a resident’s death. Enforcement actions included a $700 forfeiture in March 2025 and a $200 revisit fee in July 2025, with no license suspensions or revocations listed in the available reports. Most complaint investigations were unsubstantiated except for a few substantiated cases involving privacy violations and infection control issues during a COVID outbreak. The trend suggests improvement, as recent inspections have found no deficiencies following earlier citations and enforcement actions.
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/yearDeficiencies per year
4
3
2
1
0
Census
Latest occupancy rate
39 residents
Based on a August 2025 inspection.
This facility has shown a decline in demand based on occupancy rates.
Occupancy over time
Inspection Report
Complaint Investigation
Census: 39
Deficiencies: 0
Date: Aug 13, 2025
Visit Reason
Surveyor conducted a complaint investigation at Madison Pointe Senior Living from 08/12/2025 to 08/13/2025.
Complaint Details
The complaint was unsubstantiated.
Findings
No deficiencies were identified during the complaint investigation. The complaint was unsubstantiated.
Inspection Report
Follow-Up
Census: 38
Deficiencies: 0
Date: 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
Date: 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.
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.
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.
Deficiencies (1)
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
| Name | Title | Context |
|---|---|---|
| Administrator A | Administrator | Interviewed by surveyor regarding Resident 1's wound care |
| D. RN D | Hospice Registered Nurse | Interviewed by surveyor regarding Resident 1's skin condition and wound |
| Clinical Market Leader B | Clinical Market Leader | Participated in exit interview and discussed wound documentation |
| Clinical Market Leader C | Clinical Market Leader | Participated in exit interview and discussed wound documentation and staff training |
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: 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.
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.
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.
Deficiencies (1)
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
| Name | Title | Context |
|---|---|---|
| Kenneth Brotheridge | Assisted Living Director | Signed the notice letter |
| Hillary Holman | Assisted Living Regional Director | Contact person for questions about the letter |
Inspection Report
Complaint Investigation
Census: 35
Deficiencies: 0
Date: Apr 9, 2024
Visit Reason
Surveyors conducted one complaint investigation and a standard survey at Madison Pointe Senior Living on 2024-04-09.
Complaint Details
One complaint was investigated and found to be unsubstantiated.
Findings
No deficiencies were identified during the complaint investigation and standard survey. The complaint was found to be unsubstantiated.
Report Facts
Complaint investigations conducted: 1
Census: 35
Inspection Report
Census: 40
Deficiencies: 0
Date: 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
Date: 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.
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.
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.
Report Facts
Compliance timeframe: 45
Inspection fee: 200
Appeal timeframe: 10
Posting duration: 90
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kathleen D. Lyons | Interim Assisted Living Director | Signed the Notice and Order letter. |
| Hillary Holman | Assisted Living Regional Director | Contact person for questions about the letter. |
Inspection Report
Complaint Investigation
Census: 41
Deficiencies: 2
Date: 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.
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.
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.
Deficiencies (2)
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
| Name | Title | Context |
|---|---|---|
| Executive Director A | Executive Director | Interviewed regarding Resident 3's verbal outbursts and privacy concerns |
| Dietary Supervisor B | Dietary Supervisor | Observed wearing mask improperly and handling food without proper hand hygiene |
| Wellness Director C | Wellness Director | Observed assisting with food service but not practicing hand hygiene properly |
| Caregiver D | Involved in verbal altercation with Resident 3 and privacy violation | |
| Caregiver E | Witnessed incident involving Resident 3 and Caregiver D | |
| Family Member F | Interviewed about Resident 3's telephone calls and caregiver conduct |
Inspection Report
Complaint Investigation
Census: 39
Deficiencies: 0
Date: Jan 26, 2023
Visit Reason
Surveyor conducted a complaint investigation at Madison Pointe Senior Living on 01/26/2023.
Complaint Details
Complaint investigation conducted; no deficiencies identified.
Findings
No deficiencies were identified during the complaint investigation.
Report Facts
Census: 39
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