Inspection Reports for Sonrisas Assisted Living
315-317 Llanos St, Verona, WI 53593, United States, WI, 53593
Back to Facility ProfileDeficiencies (last 2 years)
Deficiencies (over 2 years)
2 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
57% better than Wisconsin average
Wisconsin average: 4.6 deficiencies/yearDeficiencies per year
4
3
2
1
0
Census
Latest occupancy rate
100% occupied
Based on a February 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Census over time
Notice
Deficiencies: 0
Date: Feb 12, 2025
Visit Reason
A verification visit was conducted on 02/12/2025 to determine if Sonrisas Assisted Living was in substantial compliance with state statutes and administrative codes governing community-based residential facilities.
Findings
The Department issued a Statement of Deficiency (SOD #25HL12) for violations found during the verification visit. The licensee is ordered to comply with all requirements within 45 days to protect resident health, safety, and welfare.
Report Facts
Inspection fee: 200
Appeal filing timeframe: 10
Compliance timeframe: 45
Posting duration: 90
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kenneth Brotheridge | Assisted Living Director | Signed the notice letter. |
| Hillary Holman | Assisted Living Regional Director | Contact person for questions about the letter. |
Inspection Report
Follow-Up
Census: 4
Capacity: 4
Deficiencies: 1
Date: Feb 7, 2025
Visit Reason
Surveyor conducted a verification visit at Sonrisas Assisted Living to verify compliance with previous citations and corrective actions.
Findings
One deficiency was identified related to noncompliance with OSHA standards for blood-borne pathogen control, specifically the failure of certain staff to complete annual training on universal precautions in 2024.
Deficiencies (1)
The provider did not ensure all service providers involved in the operation of the adult family home complied with OSHA Standard 29 CFR 1910.1030 for control of blood-borne pathogens. Manager B, Caregiver D, and Caregiver E did not complete annual training regarding standard precautions in 2024.
Report Facts
Revisit fee: 200
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Manager B | Manager | Did not complete annual training regarding standard precautions in 2024 |
| Caregiver D | Caregiver | Did not complete annual training regarding standard precautions in 2024 |
| Caregiver E | Caregiver | Did not complete annual training regarding standard precautions in 2024 |
| Assistant Administrator F | Assistant Administrator | Interviewed and stated staff had completed required 2024 continuing education |
Inspection Report
Routine
Deficiencies: 0
Date: Sep 6, 2024
Visit Reason
A standard survey was conducted on 09/06/2024 to determine if Sonrisas Assisted Living was in substantial compliance with Wisconsin statutes and administrative codes governing adult family homes.
Findings
The Department issued a Statement of Deficiency #25HL11 for violations of Wis. Stat. ch. 50 and Wis. Admin. Code ch. DHS 88, establishing grounds for regulatory action and requiring the licensee to comply with operational standards to protect resident health, safety, and welfare.
Report Facts
Compliance timeframe: 45
Inspection fee: 200
Extension request timeframe: 10
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kenneth Brotheridge | Assisted Living Director | Signed the order to comply with requirements |
| Hillary Holman | Assisted Living Regional Director | Contact person for questions about the letter |
Inspection Report
Routine
Census: 4
Capacity: 4
Deficiencies: 3
Date: Sep 6, 2024
Visit Reason
On 09/04/2024, with information gathered through 09/06/2024, a standard licensure survey was conducted at Sonrisas Assisted Living to assess compliance with regulatory requirements.
Findings
Three deficiencies were identified, including a repeat violation related to annual staff training, inadequate staffing for resident evacuation, and failure to assess resident needs and abilities properly, including use of bedrails without proper assessment.
Deficiencies (3)
Provider did not ensure 2 of 2 staff members received annual training related to residents' rights, medications, and standard precautions in 2022 and 2023. This is a repeat deficiency.
Provider did not ensure adequate staff to evacuate 1 resident incapable of self-evacuation during an emergency.
Provider failed to assess resident's needs and abilities in areas of daily living, medications, health, and supervision; used potentially dangerous bedrails without assessment or waiver.
Report Facts
Deficiencies identified: 3
Staff members not trained: 2
Residents licensed for: 4
Resident incapable of self-evacuation: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Manager B | Manager | Named in deficiency related to lack of annual training and bedrail assessment |
| Caregiver C | Caregiver | Named in deficiency related to lack of annual training and staffing during evacuation |
Inspection Report
Complaint Investigation
Census: 2
Deficiencies: 0
Date: Jan 8, 2024
Visit Reason
Surveyor conducted a complaint investigation at Sonrisas Assisted Living.
Complaint Details
Complaint was unsubstantiated.
Findings
The complaint was unsubstantiated and no deficiencies were identified during the investigation.
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