Inspection Reports for
Pine View Terrace
404 COUNTY RD R, BLACK RIVER FALLS, WI, 54615-
Back to Facility ProfileDeficiencies (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/yearDeficiencies per year
4
3
2
1
0
Census
Latest occupancy rate
94% occupied
Based on a November 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Occupancy over time
Inspection Report
Abbreviated Survey
Deficiencies: 0
Date: Nov 12, 2025
Visit Reason
An abbreviated survey and complaint investigation were conducted to determine if Pine View Terrace was in substantial compliance with Wisconsin statutes and administrative codes governing residential care apartment complexes.
Complaint Details
The visit included a complaint investigation as part of the abbreviated survey to assess compliance with regulatory requirements.
Findings
The Department issued a Statement of Deficiency (SOD # LK0311) 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
Inspection fee: 200
Appeal filing timeframe: 10
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kenneth Brotheridge | Assisted Living Director | Signed the notice letter |
| Kelly Haugen | Assisted Living Regional Director | Contact person for questions about the letter |
Inspection Report
Complaint Investigation
Census: 34
Capacity: 36
Deficiencies: 1
Date: Nov 4, 2025
Visit Reason
Surveyor conducted two complaint investigations and an abbreviated survey at Pine View Terrace. The visit was triggered by complaints, which were both found to be unsubstantiated.
Complaint Details
Two complaints were investigated and both were unsubstantiated.
Findings
One deficiency was identified related to the failure to review a tenant's comprehensive assessment annually when there was a change in the service or risk agreement. Tenant 1's assessment had not been updated since 2020 despite changes in care needs and service agreements.
Deficiencies (1)
Provider did not ensure 1 of 1 tenant comprehensive assessments were reviewed annually when there was a change in the service or risk agreement for Tenant 1.
Report Facts
Census: 34
Total Capacity: 36
Deficiencies identified: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Administrator A | Administrator | Interviewed regarding Tenant 1's care needs and comprehensive assessment practices |
Inspection Report
Complaint Investigation
Census: 30
Deficiencies: 0
Date: May 24, 2023
Visit Reason
A complaint investigation was conducted at Pine View Terrace on 05/24/2023.
Complaint Details
Complaint investigation conducted; no deficiencies found.
Findings
No deficiencies of DHS 89 were issued as a result of the complaint investigation.
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