Inspection Reports for Prairie Pointe Assisted Living and Memory Care
286 N Willson Dr, Altoona, WI, 54720
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
2.7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
41% better than Wisconsin average
Wisconsin average: 4.6 deficiencies/yearDeficiencies per year
4
3
2
1
0
Census
Latest occupancy rate
46 residents
Based on a October 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Census over time
Inspection Report
Complaint Investigation
Census: 46
Deficiencies: 0
Date: Oct 27, 2025
Visit Reason
Surveyors conducted a complaint investigation, licensure survey, and two verification visits for Statement of Deficiencies at Prairie Pointe Assisted Living and Memory Care.
Complaint Details
The complaint was unsubstantiated.
Findings
The complaint was unsubstantiated and no deficiencies were identified during the inspection.
Report Facts
Revisit fee: 200
Inspection Report
Complaint Investigation
Deficiencies: 3
Date: May 16, 2024
Visit Reason
A complaint investigation was conducted on May 16, 2024, at Prairie Pointe Assisted Living and Memory Care to determine if the facility was in substantial compliance with Wisconsin statutes and administrative codes governing community-based residential facilities.
Complaint Details
The complaint investigation was concluded on 2024-05-16 to assess compliance with statutory and administrative requirements for community-based residential facilities. Violations were substantiated as indicated by the issuance of the Statement of Deficiency and imposed forfeiture.
Findings
The Department issued a Statement of Deficiency (SOD #ROHN11) for violations of Wis. Stat. ch. 50 and Wis. Admin. Code ch. DHS 83, resulting in an imposed forfeiture of $800 for specific violations identified in the SOD.
Deficiencies (3)
Violation of DHS Code 83.19 (Tag N230)
Violation of DHS Code 83.32(3)(i) (Tag N353)
Violation of DHS Code 83.37(1)(k) (Tag N410)
Report Facts
Forfeiture amount: 800
Forfeiture amount: 200
Forfeiture amount: 400
Forfeiture amount: 200
Reduced forfeiture amount: 520
Compliance timeframe: 45
Payment timeframe: 10
Employees mentioned
| Name | Title | Context |
|---|---|---|
| William R. Gardner | Assisted Living Regional Director | Contact person for questions about the letter |
| Kenneth Brotheridge | Assisted Living Director | Signed the Notice and Order letter |
Inspection Report
Complaint Investigation
Census: 39
Deficiencies: 3
Date: May 16, 2024
Visit Reason
Surveyors conducted a complaint investigation at Prairie Pointe Assisted Living and Memory Care from 05/08/2024 through 05/16/2024 following receipt of complaints alleging issues with staff orientation, resident treatment, and medication errors.
Complaint Details
Two of five complaints were substantiated. The complaints involved lack of orientation for agency staff, inadequate treatment response to a resident's rectal bleeding, and medication errors involving wrong medication administration and incomplete documentation.
Findings
Two of five complaints were substantiated with three deficiencies identified: failure to provide orientation training to a contracted agency caregiver prior to job duties, failure to ensure prompt and adequate treatment for a resident with increased rectal bleeding, and failure to document all medication administration errors for a resident who received the wrong medications.
Deficiencies (3)
Provider did not ensure Caregiver F received orientation training prior to performing job duties.
Provider did not ensure Resident 1 received prompt and adequate treatment after increased bleeding from the rectum.
Provider did not document all errors in the administration of Resident 2's medication when Resident 2 received another resident's medication and details were not recorded in the medical record.
Report Facts
Complaints received: 5
Deficiencies identified: 3
Resident census: 39
Dates Caregiver F worked without orientation: 2
Date of medication error incident: Jul 27, 2023
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Caregiver F | Contracted agency employee | Named in deficiency for lack of orientation training prior to job duties |
| Caregiver G | Caregiver | Interviewed regarding orientation training for Caregiver F |
| Caregiver I | Caregiver | Reported Resident 1's bleeding concerns and Resident 2's hallucinations and medication incident |
| Nursing Supervisor C | Nursing Supervisor | Involved in Resident 1 bleeding assessment and Resident 2 medication error documentation |
| Nursing Supervisor D | Nursing Supervisor | Discussed staff charting and incident documentation processes |
| Chief Operating Officer A | Chief Operating Officer | Acknowledged lack of orientation process and incomplete incident documentation |
| Administrator B | Administrator | Interviewed about deficiencies and documentation issues |
| Clinical Educator E | Clinical Educator | Participated in discussions about documentation and incident reporting |
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Nov 30, 2023
Visit Reason
A complaint investigation was conducted on 11-30-23 to determine if Prairie Pointe Assisted Living and Memory Care was in substantial compliance with Wisconsin statutes and administrative codes governing community-based residential facilities.
Complaint Details
The complaint investigation concluded that the facility was not in substantial compliance with applicable statutes and administrative codes, leading to issuance of a Statement of Deficiency and enforcement actions.
Findings
The Department issued a Statement of Deficiency (SOD #L9PS11) for violations of Wis. Stat. ch. 50 and Wis. Admin. Code ch. DHS 83, resulting in a Notice of Violation, Order to Comply, and a forfeiture of $600.
Deficiencies (1)
Violation of DHS Code 83.39(1) as identified in SOD #L9PS11
Report Facts
Forfeiture amount: 600
Inspection fee: 200
Compliance timeframe: 45
Payment timeframe: 10
Employees mentioned
| Name | Title | Context |
|---|---|---|
| William R. Gardner | Assisted Living Regional Director | Contact person for questions about the letter |
| Kenneth Brotheridge | Assisted Living Director | Signed the Notice and Order letter |
Inspection Report
Complaint Investigation
Census: 36
Capacity: 50
Deficiencies: 1
Date: Nov 2, 2023
Visit Reason
The inspection was conducted as a complaint investigation triggered by allegations that residents' urinary catheter bags were not being cleaned and managed appropriately.
Complaint Details
The complaint was substantiated. It alleged that residents' urinary catheter bags were not being cleaned and managed appropriately, which was confirmed by observations, interviews, and record review.
Findings
The provider failed to follow an infection control program based on current standards to prevent urinary tract infections associated with catheter use. Observations, interviews, and record reviews revealed inconsistent catheter bag cleaning practices and lack of a catheter care protocol, resulting in a substantiated complaint and identification of one deficiency.
Deficiencies (1)
Failure to establish and follow an infection control program to prevent urinary tract infections associated with catheter use, including improper cleaning and management of urinary catheter bags.
Report Facts
Census: 36
Total Capacity: 50
Residents with urinary catheters: 4
Frequency of catheter care: 3
Soak time for catheter bags: 20
Soak time reported by caregiver: 60
Employees mentioned
| Name | Title | Context |
|---|---|---|
| RN A | Registered Nurse | Interviewed regarding catheter care procedures and staff training. |
| Caregiver E | Reported observing dirty catheter bags and described cleaning practices. | |
| Caregiver F | Provided information about catheter care training and inconsistent cleaning practices. | |
| COO B | Chief Operating Officer | Provided information about catheter care charting and training documentation. |
Inspection Report
Complaint Investigation
Census: 32
Deficiencies: 0
Date: Jun 9, 2023
Visit Reason
Surveyor conducted a complaint investigation at Prairie Pointe Assisted Living and Memory Care starting on 06/09/2023 with data collection continuing through 06/13/2023.
Complaint Details
The complaint was unsubstantiated.
Findings
The complaint was unsubstantiated and no deficiencies were identified during the investigation.
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