Inspection Reports for
Patriot Place Rcac
609 BROADWAY STREET, BERLIN, WI, 54923
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
2.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
50% better than Wisconsin average
Wisconsin average: 4.6 deficiencies/yearDeficiencies per year
8
6
4
2
0
Census
Latest occupancy rate
56 residents
Based on a July 2025 inspection.
Occupancy over time
Inspection Report
Complaint Investigation
Census: 56
Deficiencies: 0
Date: Jul 18, 2025
Visit Reason
The surveyor conducted one complaint investigation at Patriot Place RCAC on 07/18/2025.
Complaint Details
One complaint was investigated and found to be unsubstantiated.
Findings
The complaint was unsubstantiated and no deficiencies were identified during the investigation.
Inspection Report
Complaint Investigation
Census: 48
Deficiencies: 0
Date: Oct 11, 2024
Visit Reason
The surveyor completed a complaint investigation at Patriot Place RCAC in Berlin on 10/11/2024.
Complaint Details
The complaint was unsubstantiated.
Findings
No deficiencies were identified during the complaint investigation, and the complaint was unsubstantiated.
Inspection Report
Follow-Up
Census: 52
Deficiencies: 0
Date: Feb 12, 2024
Visit Reason
The surveyor conducted an onsite visit to verify corrections for previous Statements of Deficiency (SOD) TJJR12 and WJ7113, investigated one complaint, reviewed one self-report, and conducted a survey with additional information received through 02/14/2024.
Complaint Details
One complaint was investigated and found to be unsubstantiated.
Findings
The previous citations from both SODs were corrected, the complaint was unsubstantiated, and no deficiencies were identified during this visit.
Report Facts
Revisit fee: 200
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Dec 13, 2023
Visit Reason
A Complaint Investigation was conducted on December 13, 2023, for Patriot Place RCAC to determine if the facility was in substantial compliance with Wisconsin Statutes and Administrative Code requirements for residential care apartment complexes.
Complaint Details
The visit was complaint-related, concluding a Complaint Investigation to assess compliance with applicable statutes and administrative codes. The Department found violations and issued a Statement of Deficiency.
Findings
The Department issued a Statement of Deficiency (SOD # TJJR11) for violations of Wis. Stat. ch. 50 and Wis. Admin. Code ch. DHS 89, establishing grounds for regulatory action and ordering the operator to comply with requirements to protect tenant health, safety, and welfare.
Report Facts
Compliance timeframe: 45
Plan of Correction submission timeframe: 10
Inspection fee: 200
Appeal request 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
Complaint Investigation
Census: 55
Deficiencies: 1
Date: Dec 6, 2023
Visit Reason
The surveyor conducted an unannounced facility visit to investigate two complaints related to fall prevention at Patriot Place RCAC.
Complaint Details
Two complaints were received alleging concerns with fall prevention. Two of two complaints were substantiated. Tenant 1 experienced at least three documented falls since admission and continued to be at risk due to inconsistent staff assistance calls.
Findings
Two complaints were substantiated, and one deficiency was identified related to the failure to update the risk agreement when Tenant 1's condition and service needs changed, increasing fall risk. Tenant 1 had multiple falls and a tendency to self-transfer without calling for assistance, but the risk agreement was not updated accordingly.
Deficiencies (1)
The provider did not ensure the risk agreement was updated when Tenant 1's condition or service needs changed in a way that affected risk.
Report Facts
Census: 55
Fall risk assessment score: 8
Number of documented falls: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director A | Director | Interviewed regarding Tenant 1's falls and risk agreement process |
| Caregiver B | Assisted Tenant 1 with transfer and ambulation during surveyor observation | |
| Caregiver C | Interviewed about Tenant 1's need for staff assistance with transfers and ambulation |
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Sep 15, 2023
Visit Reason
A Verification Visit, Complaint Investigation, and Self Report Review were conducted to determine if Patriot Place RCAC was in substantial compliance with Wisconsin statutes and administrative codes governing residential care apartment complexes.
Complaint Details
The visit was complaint-related, involving investigation of alleged incidents of misappropriation of property and abuse. The facility was ordered to submit a complete investigation report within 7 days to the Department’s Office of Caregiver Quality.
Findings
The Department found violations of Wis. Stat. ch. 50 and Wis. Admin. Code ch. DHS 89, resulting in a Statement of Deficiency (SOD) #WJ7112, imposition of a total forfeiture of $4,460, and orders to comply with requirements, including staff training and policy revisions. An inspection fee of $200 was also assessed for a follow-up verification visit.
Report Facts
Forfeiture amount: 4460
Reduced forfeiture amount: 2899
Forfeiture amount: 900
Forfeiture amount: 1660
Forfeiture amount: 1100
Forfeiture amount: 200
Forfeiture amount: 600
Inspection fee: 200
Compliance timeframe: 45
Plan of Correction submission timeframe: 10
Investigation report submission timeframe: 7
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: 59
Deficiencies: 6
Date: Aug 31, 2023
Visit Reason
The survey was conducted as a verification visit, reviewing a self-report and investigating one complaint regarding insufficient assistance with activities of daily living and other care concerns.
Complaint Details
The complaint alleged tenants did not receive timely assistance with toileting and transferring, and concerns about staff ignoring call lights, disrespectful behavior, and inappropriate discharge notices were investigated and substantiated.
Findings
The complaint was substantiated. Deficiencies were found related to insufficient assistance with activities of daily living, inadequate health monitoring and medication management, poor staff supervision, long call light response times, disrespectful staff behavior, and an inappropriate involuntary discharge notice. Several tenants experienced delayed care and distress, and management failed to adequately investigate or address these issues.
Deficiencies (6)
Tenant 1 and Tenant 2 did not receive necessary assistance with bathing, toileting, transferring, and repositioning needs.
Tenant 1 did not receive appropriate health monitoring or medication management, including failure to apply prescribed barrier paste and monitor pressure injuries.
Tenant 4 did not receive appropriate health monitoring after a change in condition, including monitoring oxygen saturation levels and follow-up after medication administration.
Designated service manager failed to ensure staff were appropriately supervised, policies followed, and tenant care needs met, including ignoring call lights and delayed responses.
Tenant 2 was issued an involuntary discharge notice based on inaccurate assessment of care needs exceeding 28 hours per week.
Tenant 1 was not treated with courtesy, respect, and dignity by Caregiver L, who swore at Tenant 1 and admonished him/her for using the call pendant.
Report Facts
Census: 59
Revisit fee: 200
Call light wait times: 80
Call light wait times: 44
Call light wait times: 52
Call light wait times: 29
Call light wait times: 35
Call light wait times: 47
Call light wait times: 53
Call light wait times: 55
Call light wait times: 77
Medication administration frequency: 4
Shower frequency: 1
Care hours: 28
Care hours: 28.5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Vicky Wittman | Surveyor | Conducted verification visit and complaint investigation. |
| Nichole J. Hall | Surveyor | Conducted interviews and record review related to complaint investigation. |
| Director A | Facility director involved in management, communication failures, and investigation delays. | |
| Administrator B | Registered Nurse | Facility administrator involved in management and oversight. |
| Manager H | Facility manager involved in complaint investigations and staff supervision. | |
| Certified Nursing Assistant C | CNA | Tenant 1's family member and staff who reported care concerns and assisted Tenant 1. |
| Caregiver D | Staff who provided interviews about tenant care and staffing issues. | |
| Caregiver E | Staff who reported understaffing and call light response issues. | |
| Caregiver G | Staff alleged to have ignored call lights and left work area. | |
| Caregiver I | Staff alleged to have ignored call lights and used phone during work. | |
| Caregiver L | Staff who swore at tenants and was terminated for resident rights violations. | |
| Caregiver N | Staff who corroborated allegations of disrespectful behavior. | |
| Officer J | Berlin Police Officer | Reported concerns about staff responsiveness and management oversight. |
Inspection Report
Complaint Investigation
Census: 50
Deficiencies: 0
Date: Apr 24, 2023
Visit Reason
Surveyors conducted an unannounced visit to Patriot Place RCAC to conduct a complaint investigation and self-report review.
Complaint Details
The complaint was unsubstantiated.
Findings
The complaint was unsubstantiated and no deficiencies were identified during the investigation.
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