Inspection Reports for Prospect Heights Community Living Center
2015 PROSPECT ST, RACINE, WI, 53404-
Back to Facility ProfileInspection Report Summary
The most recent inspection on April 3, 2025, identified deficiencies including incomplete staff orientation and training, lack of nurse delegation for injectable medication administration, and failure to conduct the annual fire detection system inspection, resulting in a $1,200 forfeiture and a $200 inspection fee. Earlier inspections showed a substantiated complaint in November 2024 regarding inadequate bed bug extermination procedures, leading to a Statement of Deficiency, with prior reports also noting regulatory noncompliance. The main issues across inspections involved staff training and medication delegation, as well as environmental safety related to pest control and fire system maintenance. Most complaints were unsubstantiated except for the bed bug case, and enforcement actions included fines but no license suspensions or revocations were listed in the available reports. The facility’s recent findings suggest ongoing challenges with compliance, particularly in staff training and environmental safety, without a clear pattern of improvement.
Deficiencies (last 2 years)
Deficiencies (over 2 years)
3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
35% better than Wisconsin average
Wisconsin average: 4.6 deficiencies/yearDeficiencies per year
8
6
4
2
0
Census
Latest occupancy rate
38 residents
Based on a April 2025 inspection.
Occupancy over time
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Apr 3, 2025
Visit Reason
A verification visit, complaint investigation, and standard survey were conducted on April 3, 2025, to determine if Prospect Heights Community Living Center was in substantial compliance with Wisconsin statutes and administrative codes governing community-based residential facilities.
Complaint Details
The visit was complaint-related, involving a verification visit, complaint investigation, and standard survey to assess compliance. Specific substantiation status is not stated.
Findings
The Department issued a Statement of Deficiency (SOD #1RIQ12) for violations of Wis. Stat. ch. 50 and Wis. Admin. Code ch. DHS 83. A total forfeiture of $1,200 was imposed for these violations, with a reduced forfeiture option of $780 if not appealed. Additionally, a $200 inspection fee was assessed for a revisit inspection to verify correction of prior deficiencies.
Report Facts
Forfeiture amount: 1200
Reduced forfeiture amount: 780
Forfeiture breakdown: 200
Forfeiture breakdown: 400
Forfeiture breakdown: 400
Forfeiture breakdown: 200
Inspection fee: 200
Forfeiture payment timeframe: 10
Revisit fee payment timeframe: 10
Compliance timeframe: 45
Employees mentioned
| Name | Title | Context |
|---|---|---|
| MaryBeth Hoffman | 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: 38
Deficiencies: 5
Date: Apr 3, 2025
Visit Reason
Surveyor conducted a verification visit, complaint investigation, and standard survey at Prospect Heights Community Living Center.
Complaint Details
Complaint was investigated and found to be unsubstantiated.
Findings
Five deficiencies were identified including lack of required orientation and training for employees, failure to ensure nurse delegation for injectable medication administration, and failure to conduct the annual fire detection system inspection for 2024. The complaint was unsubstantiated.
Deficiencies (5)
Provider did not provide orientation training including job responsibilities, prevention and reporting of resident abuse, neglect and misappropriation of resident property, emergency and disaster plan and evacuation procedures, policies and procedures, and recognizing and responding to resident changes of condition for Caregiver B.
Provider did not ensure Caregiver C received Department-approved training courses within 90 days after starting employment, specifically fire safety training.
Provider did not ensure Caregiver B obtained all required training within 90 days after starting employment, including training in recognizing, preventing, managing and responding to challenging behaviors, and client groups training.
Provider did not ensure Caregivers B and C, who administered injectable medication, were delegated by a registered nurse within the scope of their license to do so.
Provider did not ensure the fire detection system was inspected for calendar year 2024.
Report Facts
Deficiencies identified: 5
Revisit fee: 200
Residents receiving insulin injections: 6
Residents receiving nebulizer treatments: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Caregiver B | Named in findings related to lack of orientation training, incomplete required training within 90 days, and lack of nurse delegation for injectable medication administration. | |
| Caregiver C | Named in findings related to lack of fire safety training and lack of nurse delegation for injectable medication administration. | |
| Assistant Administrator A | Interviewed regarding employee training and fire inspection findings. |
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Nov 13, 2024
Visit Reason
A complaint investigation was conducted on November 13, 2024, to determine if Prospect Heights Community Living Center 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, resulting in issuance of a Statement of Deficiency (SOD #1RIQ11).
Findings
The Department issued a Statement of Deficiency (SOD #1RIQ11) for violations of Wis. Stat. ch. 50 and Wis. Admin. Code ch. DHS 83, establishing grounds for regulatory action and requiring the licensee to comply with all requirements to protect resident health, safety, and welfare.
Report Facts
Inspection fee: 200
Compliance timeframe: 45
Appeal timeframe: 10
Posting duration: 90
Employees mentioned
| Name | Title | Context |
|---|---|---|
| MaryBeth Hoffman | 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: 37
Deficiencies: 1
Date: Nov 13, 2024
Visit Reason
The surveyor completed a complaint investigation at Prospect Heights Community Living Center due to a complaint alleging a bed bug infestation was not being addressed properly.
Complaint Details
The complaint was substantiated. The department received a complaint on 09/26/2024 alleging a bed bug infestation was not being addressed properly.
Findings
The provider did not implement safe, effective procedures for control and extermination of bed bugs for three months, failing to follow the exterminator's recommended biweekly treatment schedule during June, July, and September. The complaint was substantiated with one deficient practice identified.
Deficiencies (1)
Provider did not implement safe, effective procedures for control and extermination of bed bugs for 3 of 3 months and did not follow the exterminator's timeframe for follow-up service during June, July, and September.
Report Facts
Census: 37
Bed bug treatment dates: 11
Years dealing with bed bugs: 10
Employees mentioned
| Name | Title | Context |
|---|---|---|
| A. A. A. | Assistant Administrator | Interviewed regarding bed bug infestation and extermination procedures |
Viewing
Loading inspection reports...
