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
54 residents
Based on a July 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Census over time
Inspection Report
Follow-Up
Census: 54
Deficiencies: 0
Jul 7, 2025
Visit Reason
Surveyor conducted a verification visit to determine if previous deficiencies were corrected.
Findings
Two of two previous deficiencies were corrected and no new deficiencies were identified. A $200 revisit fee is being assessed under statutory provisions.
Report Facts
Revisit fee: 200
Inspection Report
Complaint Investigation
Census: 52
Deficiencies: 0
Apr 2, 2025
Visit Reason
Surveyor conducted a complaint investigation at Oak Park Place of Green Bay.
Findings
One complaint was investigated and found to be unsubstantiated; no deficiencies were identified.
Complaint Details
1 of 1 complaints was unsubstantiated.
Inspection Report
Complaint Investigation
Census: 56
Deficiencies: 0
Dec 11, 2024
Visit Reason
Surveyor conducted a complaint investigation at Oak Park Place of Green Bay based on 3 complaints.
Findings
All 3 complaints were unsubstantiated and no deficiencies were identified during the investigation.
Complaint Details
3 of 3 complaints were unsubstantiated.
Inspection Report
Complaint Investigation
Deficiencies: 2
May 2, 2024
Visit Reason
A Standard Survey, Complaint Investigation, and Self Report Review was conducted to determine if Oak Park Place of Green Bay was in substantial compliance with Wisconsin statutes and administrative codes governing community-based residential facilities.
Findings
The Department issued a Statement of Deficiency (SOD #2ML611) for violations of Wis. Stat. ch. 50 and Wis. Admin. Code ch. DHS 83, resulting in a Notice of Violation and an imposed forfeiture totaling $550.00 for specific code violations.
Complaint Details
The visit was complaint-related as it included a Complaint Investigation and Self Report Review to assess compliance with applicable statutes and codes.
Deficiencies (2)
| Description |
|---|
| Violation of Wis. Admin. Code 83.35(1)(a) |
| Violation of Wis. Admin. Code 83.44(2)(a) |
Report Facts
Forfeiture amount: 550
Reduced forfeiture amount: 330
Forfeiture amount for violation N 381: 400
Forfeiture amount for violation N 489: 150
Compliance timeframe: 45
Payment timeframe: 10
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kenneth Brotheridge | Assisted Living Director | Signed the Notice and Order letter |
| Vicky Wittman | Assisted Living Regional Director | Contact person for questions about the letter |
Inspection Report
Routine
Census: 50
Deficiencies: 2
May 1, 2024
Visit Reason
Surveyors conducted a standard survey, 4 complaint investigations, and 1 self-report review at Oak Park Place in Green Bay. The visit included a review of complaints and a self-report related to resident safety and facility conditions.
Findings
Two deficiencies were identified: failure to assess a resident's use of an enabler bar prior to admission or change in condition, which contributed to a resident's death; and failure to maintain a resident's room free from strong urine odors despite cleaning efforts.
Complaint Details
Four complaints were investigated and all were unsubstantiated. The visit also included a self-report review related to Resident 1's death involving an enabler bar.
Deficiencies (2)
| Description |
|---|
| Provider did not assess Resident 1's needs and use of an enabler bar before admission or when there was a change in condition, contributing to an unsafe environment. |
| Provider did not ensure Resident 2's room was free from strong urine odors despite cleaning attempts. |
Report Facts
Complaints investigated: 4
Deficiencies identified: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| DON C | Director of Nursing | Interviewed regarding assessment of Resident 1's use of an enabler bar and acknowledged no prior assessment was done. |
| Director of Housing D | Accompanied surveyor during facility tour and acknowledged urine odor issues in Resident 2's room. | |
| Caregiver B | Confirmed Resident 1 utilized an enabler bar in bed to reposition. |
Inspection Report
Monitoring
Census: 45
Capacity: 61
Deficiencies: 0
Mar 1, 2023
Visit Reason
Surveyor conducted a monitoring visit to review construction to add 12 resident rooms/16 resident beds increasing capacity to 61.
Findings
No deficient practices were identified as a result of the visit.
Report Facts
Added resident rooms: 12
Added resident beds: 16
Total capacity: 61
Census: 45
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