Deficiencies (last 3 years)
Deficiencies (over 3 years)
5.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
15% worse than Wisconsin average
Wisconsin average: 4.6 deficiencies/yearDeficiencies per year
8
6
4
2
0
Census
Latest occupancy rate
52 residents
Based on a August 2025 inspection.
This facility has shown a decline in demand based on occupancy rates.
Census over time
Inspection Report
Re-Inspection
Census: 52
Deficiencies: 0
Aug 20, 2025
Visit Reason
Surveyor conducted a verification visit to Moraine Ridge to confirm correction of a previous deficiency.
Findings
No deficiencies were identified during the verification visit, indicating the previous deficiency was corrected.
Report Facts
Revisit fee: 200
Inspection Report
Complaint Investigation
Deficiencies: 0
May 30, 2025
Visit Reason
A Complaint Investigation and Verification Visit was conducted on May 30, 2025, to determine if Moraine Ridge was in substantial compliance with Wisconsin statutes and administrative codes governing residential care apartment complexes.
Findings
The Department issued a Statement of Deficiency (SOD # X50W13) for violations of Wis. Stat. ch. 50 and Wis. Admin. Code ch. DHS 89, requiring the operator to comply with standards to protect tenant health, safety, and welfare. A verification visit was also conducted to confirm correction of prior violations.
Complaint Details
The visit was complaint-related, conducted to verify compliance with applicable statutes and administrative codes. The report does not specify substantiation status.
Report Facts
Inspection fee: 200
Days to achieve compliance: 45
Days to submit Plan of Correction: 10
Days to request extension: 10
Days to file appeal: 10
Revisit fee: 200
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kenneth Brotheridge | Assisted Living Director | Signed the notice letter as the Assisted Living Director, Bureau of Assisted Living, Division of Quality Assurance. |
| Vicky Wittman | Assisted Living Regional Director | Contact person for questions about the letter. |
Inspection Report
Complaint Investigation
Census: 43
Deficiencies: 1
May 29, 2025
Visit Reason
Surveyors conducted 3 complaint investigations and a verification visit at Moraine Ridge to investigate complaints and verify correction of previous deficiencies.
Findings
Three complaints were unsubstantiated. Four of five previous deficiencies were corrected. One deficiency related to unsanitary conditions in the kitchen and food storage areas was identified, including unclean refrigerator, sticky floors, dried spills, grime, and dust on shelves.
Complaint Details
Three complaints were investigated and found to be unsubstantiated.
Deficiencies (1)
| Description |
|---|
| The provider did not ensure the refrigerator and food storage areas were sanitarily maintained, including a reddish liquid puddle on the refrigerator floor, sticky floors, dried spills, grime, and dust on shelves. |
Report Facts
Revisit fee: 200
Previous deficiencies: 5
Deficiencies identified: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Dietary Assistant B | Dietary Assistant | Present during kitchen tour and confirmed observations of unsanitary conditions |
| Administrator A | Administrator | Interviewed regarding cleaning schedule and acknowledged unsanitary conditions |
Inspection Report
Complaint Investigation
Deficiencies: 0
Sep 6, 2024
Visit Reason
On September 6, 2024, a Standard Survey, Complaint Investigation, and Verification Visit were conducted at Moraine Ridge to determine if the facility was in substantial compliance with Wisconsin statutes and administrative codes governing residential care apartment complexes.
Findings
The Department issued Statement of Deficiency (SOD) # X50W12 for violations of Wis. Stat. ch. 50 and Wis. Admin. Code ch. DHS 89. A total forfeiture of $2,200 was imposed for these violations, with a reduced forfeiture option of $1,430 if not appealed. The operator was ordered to comply with requirements immediately and submit a Plan of Correction within 10 days.
Complaint Details
The visit included a complaint investigation as part of the standard survey and verification visit. The report does not explicitly state the substantiation status of the complaint.
Report Facts
Forfeiture amount: 2200
Reduced forfeiture amount: 1430
Forfeiture by tag U 114: 600
Forfeiture by tag U 127: 500
Forfeiture by tag U 129: 500
Forfeiture by tag U 269: 600
Inspection fee: 200
Compliance timeframe: 45
Plan of Correction submission timeframe: 10
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kenneth Brotheridge | Assisted Living Director | Signed the notice letter |
| Vicky Wittman | Assisted Living Regional Director | Contact person for questions about the letter |
Inspection Report
Complaint Investigation
Census: 50
Deficiencies: 5
Sep 6, 2024
Visit Reason
The survey was conducted due to 3 complaint investigations, a standard survey, and a verification visit at Moraine Ridge. All 3 complaints were substantiated.
Findings
Five deficient practices were identified including failure to meet tenant care needs, unsanitary food storage and kitchen conditions, improper medication management, neglect of a tenant resulting in injury, and incomplete caregiver background checks.
Complaint Details
The complaint investigation revealed that Caregiver C witnessed Tenant 2 fall, did not assist, and left Tenant 2 on the floor. The incident was reported to police and Caregiver C was charged with physical abuse and neglect. Tenant 2 confirmed the abuse and injury. Caregiver C had prior complaints of mistreatment and incomplete background checks were identified.
Deficiencies (5)
| Description |
|---|
| Provider did not ensure Tenant 1's care needs for toileting assistance and housekeeping to maintain a safe and clean environment were met. |
| Food was not stored in a sanitary manner; refrigerator and food storage areas were unsanitary with evidence of rodent feces and spoiled food. |
| Schedule II medications were not stored securely and medication cards containing private health information were not properly disposed of. |
| Caregiver C neglected Tenant 2 by failing to assist after a fall, leaving Tenant 2 on the floor, resulting in a broken hip and police involvement. |
| Caregiver C had a prior conviction and pending charges but the provider failed to obtain complete background information and verify final disposition with the Clerk of Courts. |
Report Facts
Revisit fee: 200
Number of complaints substantiated: 3
Number of deficient practices identified: 5
Number of previous deficient practices corrected: 5
Number of hydrocodone tablets found unsecured: 27
Date of Tenant 2 fall: Oct 28, 2023
Date of Caregiver C arrest: Oct 29, 2023
Date of Caregiver C conviction: Feb 19, 2021
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Caregiver C | Caregiver | Named in neglect and abuse finding involving Tenant 2 fall and injury; also noted for incomplete background check. |
| Administrator A | Administrator | Interviewed regarding tenant care, kitchen sanitation, medication management, and caregiver background check processes. |
| Manager G | Manager | Acknowledged unsanitary conditions in kitchen and medication storage issues. |
| Cook H | Cook | Reported concerns about kitchen sanitation and food storage temperatures. |
| Caregiver J | Caregiver | Reported Tenant 2's fall and assisted Tenant 2 after incident. |
| Family Member E | Reported Tenant 1's care and housekeeping concerns. | |
| Family Member K | Interviewed regarding Tenant 2's fall and injury. |
Inspection Report
Complaint Investigation
Deficiencies: 4
Oct 27, 2023
Visit Reason
A complaint investigation was conducted on October 27, 2023, to determine if Moraine Ridge was in substantial compliance with Wisconsin statutes and administrative codes governing residential care apartment complexes.
Findings
The Department found violations of Wis. Stat. ch. 50 and Wis. Admin. Code ch. DHS 89, resulting in a Statement of Deficiency and imposed forfeiture totaling $1,175. The operator was ordered to comply immediately with requirements including developing a written emergency plan and training staff accordingly.
Complaint Details
The visit was a complaint investigation concluded on October 27, 2023, to assess compliance with relevant statutes and administrative codes. Violations were substantiated as indicated by the issuance of a Statement of Deficiency and enforcement actions.
Deficiencies (4)
| Description |
|---|
| Violation of Wis. Admin. Code § DHS 89.23(2)(a)2b |
| Violation of Wis. Admin. Code § 83.23(4)(a)2 |
| Violation of Wis. Admin. Code § 89.27(2)(a)1 |
| Violation of Wis. Admin. Code § 89.34(16) |
Report Facts
Forfeiture amount: 1175
Reduced forfeiture amount: 705
Forfeiture payment deadline: 10
Compliance timeframe: 45
Plan of Correction submission deadline: 10
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kenneth Brotheridge | Assisted Living Director | Signed the notice letter |
| Vicky Wittman | Assisted Living Regional Director | Contact person for questions about the letter |
Inspection Report
Complaint Investigation
Deficiencies: 6
Oct 18, 2023
Visit Reason
Surveyors conducted 6 complaint investigations at Moraine Ridge - RCAC based on complaints alleging insufficient personal care services and medication administration issues.
Findings
Seven deficiencies were identified, including failure to provide timely personal care assistance, lack of an emergency plan in cooperation with local fire services, medication administration errors, outdated service agreements, and failure to update risk agreements. Five of seven complaints were substantiated.
Complaint Details
Six complaint investigations were conducted. Five of seven complaints were substantiated. Complaints included failure to meet tenants' needs for toileting and bathing assistance, medication administration errors, and emergency preparedness concerns.
Deficiencies (6)
| Description |
|---|
| Provider did not ensure capacity to provide personal services such as timely assistance with dressing, eating, bathing, grooming, toileting, transferring, and ambulation for 1 of 2 tenants. |
| Provider did not ensure tenant health and safety were protected in the event of an emergency by developing an emergency plan in cooperation with local fire and emergency services. |
| Provider did not ensure 2 of 2 tenants received all medication as prescribed; Tenant 4 had 9 undocumented medication administrations and Tenant 5's lidocaine patch administration did not align with documentation. |
| Provider did not update 1 of 1 tenant's service agreement to reflect tenant's physical and functional limitations; Tenant 2 was documented as catheterized and bedbound when not. |
| Provider did not ensure risk agreement was updated for 1 of 1 tenant when condition or service needs changed; Tenant 5's risk agreement was not updated when s/he began self-administering Sertraline. |
| Provider did not ensure 1 of 1 tenant received all medication as prescribed; Tenant 5 did not receive scheduled hydrocortisone ointment and received hydrocodone doses after medication was placed on hold. |
Report Facts
Deficiencies identified: 6
Complaints substantiated: 5
Census: 62
Total licensed capacity: 60
Medication administration undocumented instances: 9
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Compliance Officer A | Interviewed regarding personal care services, emergency plan, and medication administration findings. | |
| Licensed Practical Nurse B | Licensed Practical Nurse | Interviewed regarding medication administration and service plan accuracy. |
| Executive Director C | Executive Director | Interviewed regarding response times and emergency plan. |
Inspection Report
Complaint Investigation
Census: 66
Deficiencies: 0
Mar 9, 2023
Visit Reason
Surveyor conducted 2 complaint investigations at Moraine Ridge in Green Bay.
Findings
Two complaints were unsubstantiated and no deficiencies were issued as a result of the survey.
Complaint Details
Two (2) complaints were investigated and both were unsubstantiated.
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