Inspection Reports for Oak Hill Terrace Senior Living

Surveyor conducted a self-report investigation at Oak Hill Terrace on 07/22/2025.

No deficiencies were identified during the investigation.

Self-report investigation conducted; no deficiencies identified.

A standard survey and complaint investigation was conducted to determine if Oak Hill Terrace was in substantial compliance with Wisconsin statutes and administrative codes governing community-based residential facilities.

The Department issued a Statement of Deficiency (SOD #6LQT11) for violations of Wisconsin Statutes and Administrative Code chapters related to the operation of the facility, requiring the licensee to comply with all requirements to protect resident health, safety, and welfare.

The visit was complaint-related and included a standard survey. The Department concluded the investigation on November 27, 2024, and issued a Statement of Deficiency.

The Bureau of Assisted Living conducted a standard licensing survey and two complaint investigations at Oak Hill Terrace.

One citation of noncompliance was issued related to failure to ensure daily auditing, signing, and dating of proof-of-use records for schedule II drugs. Both complaints investigated were unsubstantiated.

Two complaints were investigated and found to be unsubstantiated.

The Bureau of Assisted Living, Southern Regional Office conducted a verification visit of statement of deficiency (SOD) 3DLB11 at Oak Hill Terrace.

No citations of noncompliance were issued during the verification visit. The citation was corrected.

The Bureau of Assisted Living conducted three complaint investigations at Oak Hill Terrace following complaints alleging Resident 1 sustained significant burns to lower extremities at the facility.

The provider failed to safeguard Resident 1 from an environmental hazard involving a wall heater near the resident's bed, resulting in significant third degree burns. Resident 1 was hospitalized, transferred to long-term acute care, then hospice, and died from complications related to the burns. Staffing and communication deficiencies were noted during the incident response.

Three complaints were investigated; two were substantiated and one was unsubstantiated. The substantiated complaints involved Resident 1 sustaining significant burns to lower extremities due to proximity to a wall heater.

A complaint investigation was conducted to determine if Oak Hill Terrace was in substantial compliance with Wisconsin statutes and administrative codes governing community-based residential facilities.

The Department found violations of Wis. Stat. ch. 50 and Wis. Admin. Code ch. DHS 83, resulting in a Statement of Deficiency (SOD #3DLB11), issuance of special orders, and a forfeiture of $1000 for noncompliance.

The complaint investigation concluded that the facility was not in substantial compliance with applicable statutes and codes, leading to enforcement actions including a Statement of Deficiency and imposed forfeiture.

Surveyors conducted a verification visit at Oak Hill Terrace to verify correction of previous deficiencies.

No deficiencies were identified during the verification visit. A $200 revisit fee is being assessed under statutory provisions.

Surveyors conducted a complaint investigation at Oak Hill Terrace on 09/13/2023 following a complaint.

Three deficiencies were identified including failure to keep rooms clean and free from odors, presence of hazards such as improperly used electrical cords, and failure to ensure habitable rooms had operable windows. The complaint was substantiated.

Complaint was substantiated.

A complaint investigation was conducted on 09/13/2023 to determine if Oak Hill Terrace was in substantial compliance with Wisconsin statutes and administrative codes governing community-based residential facilities.

The Department issued a Statement of Deficiency (SOD #1EVS11) for violations of Wis. Stat. ch. 50 and Wis. Admin. Code ch. DHS 83, establishing grounds for regulatory action and requiring the licensee to comply with all requirements within 45 days.

The visit was a complaint investigation concluded on 09/13/2023. The report does not state whether the complaint was substantiated or not.

The inspection was conducted as a complaint investigation triggered by an allegation that a resident's personal video camera had been removed from his/her room.

One deficiency was identified related to the violation of a resident's right to self-determination. The provider did not ensure that Resident 1 was allowed to have a video camera in his/her room as they decided, which was substantiated by observations, record reviews, and interviews.

Complaint was substantiated. The complaint alleged that a resident's personal video camera had been removed from his/her room without proper consent or allowance.

A complaint investigation was conducted to determine if Oak Hill Terrace was in substantial compliance with Wisconsin statutes and administrative codes governing community-based residential facilities.

The Department issued a Statement of Deficiency (SOD #LIQT11) for violations of Wis. Stat. ch. 50 and Wis. Admin. Code ch. DHS 83, requiring the licensee to comply with all applicable requirements to protect resident health, safety, and welfare.

Complaint investigation concluded on 08/24/2023; violations substantiated as evidenced by issuance of Statement of Deficiency #LIQT11.

Surveyor conducted a complaint investigation and verification visit at Oak Hill Terrace on 03/21/2023.

No deficiencies were identified during the visit. Six deficiencies from a prior Statement of Deficiency dated 01/17/2023 were corrected. The complaint was unsubstantiated.

The complaint was unsubstantiated. A $200 revisit fee is being assessed under statutory provisions of Wis. Stat. ch. 50.