Inspection Reports for
Preferred Senior Living of Ellsworth
429 W WAYNE ST, ELLSWORTH, WI, 54011
Back to Facility ProfileDeficiencies (last 1 years)
Deficiencies (over 1 years)
3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
35% better than Wisconsin average
Wisconsin average: 4.6 deficiencies/year
Deficiencies per year
4
3
2
1
0
Census
Latest occupancy rate
39 residents
Based on a October 2024 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Occupancy over time
Inspection Report
Follow-Up
Census: 39
Deficiencies: 0
Date: Oct 22, 2024
Visit Reason
The surveyor conducted a verification visit to confirm correction of previously identified deficiencies from the Statement of Deficiency dated 01/03/2024.
Findings
All previously identified deficiencies were corrected and no new deficiencies were identified during this visit. A $200 revisit fee is being assessed under statutory provisions.
Report Facts
Revisit fee: 200
Notice
Deficiencies: 0
Date: Jan 3, 2024
Visit Reason
A standard survey was conducted on 2024-01-03 to determine if Preferred Senior Living of Ellsworth was in substantial compliance with Wisconsin Statutes chapter 50 and Administrative Code chapter DHS 83, which govern the operation of community-based residential facilities.
Findings
The Department issued a Statement of Deficiency (SOD #L2EM11) for violations of the applicable statutes and administrative codes, resulting in a Notice of Violation and an Order to Comply with requirements to protect resident health, safety, and welfare.
Report Facts
Compliance timeframe: 45
Inspection fee: 200
Appeal timeframe: 10
Posting duration: 90
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
Routine
Census: 37
Capacity: 43
Deficiencies: 3
Date: Jan 3, 2024
Visit Reason
A standard survey was conducted at Preferred Senior Living of Ellsworth to assess compliance with regulatory requirements.
Findings
Three deficiencies were identified including failure to ensure residents' rights regarding recording and filming with electronic surveillance cameras in common areas, lack of annual onsite medication regimen review with written documentation, and failure to ensure annual inspection of fire extinguishers.
Deficiencies (3)
Failure to ensure each resident had the right not to be recorded or filmed when electronic surveillance cameras were placed throughout the facility in common spaces.
Failure to ensure an onsite review of the provider's medication administration and medication storage systems was completed annually with a written report of findings.
Failure to ensure fire extinguishers were inspected annually as required.
Report Facts
Deficiencies identified: 3
Number of cameras observed: 9
Licensed capacity: 43
Current census: 37
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