Inspection Reports for Pleasant Point Senior Living

WI

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Inspection Report Summary

The most recent inspection on August 8, 2025, found no deficiencies and included a complaint investigation that was unsubstantiated. Earlier inspections in October 2024 identified deficiencies related to medication administration errors, where one tenant did not receive all prescribed medications as scheduled, resulting in a substantiated complaint and a Statement of Deficiency issued to the facility. Inspectors cited issues primarily with medication management and compliance with health and safety standards. No fines, immediate jeopardy findings, or license actions were listed in the available reports. The inspection history shows improvement, with the latest visit showing no deficiencies after prior issues.

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 32 residents

Based on a August 2025 inspection.

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

Occupancy over time

24 28 32 36 40 44 Oct 2024 Aug 2025

Inspection Report

Complaint Investigation
Census: 32 Deficiencies: 0 Date: Aug 8, 2025

Visit Reason
The inspection was conducted as a verification visit and to investigate one complaint.

Complaint Details
One complaint investigation was conducted and no deficiencies were found.
Findings
No deficiencies were identified during the inspection.

Report Facts
Revisit fee: 200

Inspection Report

Complaint Investigation
Deficiencies: 0 Date: Oct 10, 2024

Visit Reason
A standard survey and complaint investigation was conducted to determine if Pleasant Point Senior Living was in substantial compliance with Wisconsin Statutes and Administrative Code requirements for the operation of a residential care apartment complex (RCAC).

Complaint Details
The visit was complaint-related as it included a complaint investigation along with a standard survey. The Department found violations leading to issuance of a Statement of Deficiency.
Findings
The Department issued a Statement of Deficiency (SOD #7TBT11) for violations of Wis. Stat. ch. 50 and Wis. Admin. Code ch. DHS 89, requiring the operator to comply with standards to protect tenant health, safety, and welfare and to submit a Plan of Correction.

Report Facts
Days to achieve compliance: 45 Days to submit Plan of Correction: 10 Inspection fee: 200 Appeal filing period: 10

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

Inspection Report

Complaint Investigation
Census: 36 Deficiencies: 1 Date: Oct 10, 2024

Visit Reason
The surveyor completed a standard survey and complaint investigation triggered by a complaint alleging tenants were not receiving all scheduled medications.

Complaint Details
The complaint was substantiated. The department received a complaint on 07/16/2024 alleging concerns that tenants were not receiving all scheduled medications. The investigation confirmed medication administration errors for Tenant 1.
Findings
One deficiency was identified related to medication administration errors for one tenant, where 8 medications were not administered on 120 occasions between 06/03/2024 and 07/09/2024. The complaint was substantiated.

Deficiencies (1)
The provider did not ensure all prescription medications were administered in the dosage and at the interval prescribed by the tenant's physician for 1 of 1 tenant reviewed.
Report Facts
Missed medication administrations: 120 Census: 36 Medications not administered: 8 Delivery quantity: 60

Employees mentioned
NameTitleContext
AExecutive DirectorInterviewed regarding medication errors, pharmacy repackaging issues, and notification to physician.
DCaregiverInterviewed about medication administration process and documentation.
CWellness DirectorResponsible for reordering medications; mentioned in interviews.

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