Inspection Reports for Rosewood Manor
1515 Washington St, Grafton, WI 53024, United States, WI, 53024
Back to Facility ProfileDeficiencies (last 1 years)
Deficiencies (over 1 years)
4 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
13% better than Wisconsin average
Wisconsin average: 4.6 deficiencies/yearDeficiencies per year
4
3
2
1
0
Inspection Report
Abbreviated Survey
Deficiencies: 0
Apr 19, 2023
Visit Reason
An Abbreviated Survey and Complaint Investigation were conducted on April 19, 2023, to determine if Rosewood Manor was in substantial compliance with Wisconsin statutes and administrative codes governing community-based residential facilities.
Findings
The Department issued a Statement of Deficiency (SOD #WLCA11) 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 within 45 days.
Complaint Details
The visit included a complaint investigation; however, the substantiation status is not explicitly stated in the document.
Report Facts
Days to achieve compliance: 45
Appeal filing period: 10
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kathleen D. Lyons | Interim Assisted Living Director | Signed the notice letter. |
| Vicky Wittman | Assisted Living Regional Director | Contact person for questions about the letter. |
Inspection Report
Abbreviated Survey
Census: 8
Capacity: 8
Deficiencies: 4
Apr 18, 2023
Visit Reason
On 04/18/2023, an abbreviated survey and 2 complaint investigations were conducted at Rosewood Manor. Additional information was gathered through 04/19/2023.
Findings
Four deficiencies were identified related to employee orientation, fire drills, other evacuation drills, and smoke detector testing. Two complaints were unsubstantiated.
Complaint Details
Two complaint investigations were conducted and both complaints were unsubstantiated.
Deficiencies (4)
| Description |
|---|
| The provider did not ensure 1 of 2 employees (Caregiver C) obtained all required orientation training prior to performing any job duties. |
| The provider did not ensure quarterly fire drills were conducted as required, missing drills for the 1st, 2nd, and 4th quarters of 2021 and the 4th quarter of 2022. |
| The provider did not conduct and document other evacuation drills (e.g., tornado, flooding) at least semi-annually, missing drills for the 1st half of 2022. |
| The provider did not test the facility's smoke detectors powered by the electrical system every other month as required, and had no documentation of such testing. |
Report Facts
Deficiencies identified: 4
Complaints investigated: 2
Complaints unsubstantiated: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Caregiver C | Caregiver | Named in deficiency for lack of required orientation training |
| Manager B | Manager | Interviewed regarding orientation and fire drill documentation |
| Administrator A | Administrator | Interviewed regarding fire drill and smoke detector testing documentation |
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