Inspection Reports for North Haven Assisted Living

WI, 54482

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Deficiencies (last 2 years)

Deficiencies (over 2 years) 0.5 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

89% better than Wisconsin average
Wisconsin average: 4.6 deficiencies/year

Deficiencies per year

4 3 2 1 0
2024
2025

Census

Latest occupancy rate 18 residents

Based on a November 2025 inspection.

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

Census over time

12 16 20 24 28 Jul 2024 May 2025 Aug 2025 Nov 2025

Inspection Report

Complaint Investigation
Census: 18 Deficiencies: 0 Date: Nov 25, 2025

Visit Reason
Surveyor conducted a complaint investigation at North Haven.

Complaint Details
The complaint was unsubstantiated and no deficiencies were identified.
Findings
The complaint was unsubstantiated and no deficiencies were identified.

Inspection Report

Complaint Investigation
Census: 21 Deficiencies: 0 Date: Aug 27, 2025

Visit Reason
Surveyor conducted a complaint investigation at North Haven on 08/27/2025.

Complaint Details
Complaint was unsubstantiated with no deficiencies identified.
Findings
The complaint was unsubstantiated and no deficiencies were identified during the investigation.

Inspection Report

Complaint Investigation
Census: 17 Deficiencies: 0 Date: May 19, 2025

Visit Reason
An investigation into 2 complaints was conducted at North Haven on 05/19/2025.

Complaint Details
Investigation of 2 complaints; both complaints were unsubstantiated.
Findings
No deficient practice was identified as a result of the investigations. Both complaints were unsubstantiated.

Report Facts
Complaints investigated: 2

Inspection Report

Complaint Investigation
Deficiencies: 0 Date: Jul 8, 2024

Visit Reason
A complaint investigation was conducted to determine if North Haven was in substantial compliance with Wisconsin Statutes and Administrative Code requirements for the operation of a community-based residential facility.

Complaint Details
Complaint investigation concluded on July 8, 2024, with issuance of Statement of Deficiency #26RK11 for violations of Wis. Stat. ch. 50 and Wis. Admin. Code ch. DHS 83.
Findings
The Department issued a Statement of Deficiency (SOD #26RK11) for violations of applicable statutes and administrative codes, requiring the licensee to comply with all requirements within 45 days to protect resident health, safety, and welfare.

Report Facts
Days to achieve compliance: 45 Appeal filing period: 10

Employees mentioned
NameTitleContext
Kenneth BrotheridgeAssisted Living DirectorSigned the notice letter as Bureau of Assisted Living, Division of Quality Assurance.
Vicky WittmanAssisted Living Regional DirectorContact person for questions about the letter.

Inspection Report

Complaint Investigation
Census: 19 Deficiencies: 1 Date: Jul 2, 2024

Visit Reason
An investigation into 2 complaints was conducted at North Haven on 07/02/2024 with information gathered through 07/08/2024. One of the two complaints was substantiated.

Complaint Details
One (1) of 2 complaints was substantiated. The complaint investigation revealed failure to follow Resident 1's ISP regarding wound care and notification to Hospice.
Findings
The provider did not ensure that Resident 1's Individual Service Plan (ISP) for wound care was implemented and followed. Staff failed to notify Hospice when the resident's wound dressing became soiled or fell off, resulting in improper wound care and lack of timely hospice intervention.

Deficiencies (1)
Provider did not ensure Resident 1's written ISP for wound care was implemented and followed, specifically failure to notify Hospice when wound dressing was soiled or fell off.
Report Facts
Census: 19 Complaints investigated: 2 Complaints substantiated: 1

Employees mentioned
NameTitleContext
Caregiver FCaregiverInterviewed regarding Resident 1's wound care and ISP knowledge
Caregiver ACaregiverInterviewed regarding wound dressing incident and notification procedures
Caregiver BCaregiverInterviewed regarding wound dressing incident and ISP access
Hospice RN-EHospice Registered NurseInterviewed regarding wound care and hospice visits for Resident 1
Administrator CAdministratorInterviewed regarding wound care procedures and staff responsibilities

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