Inspection Reports for Sunrise Meadows Senior Living
2800 North Calhoun Rd, Brookfield, WI, 53005
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
1.7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
63% better than Wisconsin average
Wisconsin average: 4.6 deficiencies/year
Deficiencies per year
4
3
2
1
0
Census
Latest occupancy rate
85% occupied
Based on a February 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Census over time
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Feb 6, 2025
Visit Reason
A complaint investigation was conducted on February 6, 2025, to determine if Sunrise Meadows Senior Living was in substantial compliance with Wisconsin statutes and administrative codes governing community-based residential facilities.
Complaint Details
Complaint investigation concluded on February 6, 2025, determining noncompliance with Wis. Stat. ch. 50 and Wis. Admin. Code ch. DHS 83, resulting in issuance of Statement of Deficiency #DM7011.
Findings
The Department issued a Statement of Deficiency (SOD #DM7011) for violations related to staffing requirements, mandating the licensee to comply immediately with staffing standards to meet residents' needs and ensure safety. A forfeiture of $300 was imposed for these violations, with a reduced payment option available.
Deficiencies (1)
Failure to provide employees in sufficient numbers on a 24-hour basis to meet the needs of the residents as required by Wis. Admin. Code § DHS 83.36(1)(a).
Report Facts
Forfeiture amount: 300
Reduced forfeiture amount: 195
Forfeiture payment timeframe: 10
Compliance timeframe: 45
Inspection fee: 200
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kenneth Brotheridge | Assisted Living Director | Signed the Notice and Order letter. |
| Hillary Holman | Assisted Living Regional Director | Contact person for questions about the letter. |
Inspection Report
Complaint Investigation
Census: 44
Capacity: 52
Deficiencies: 2
Date: Feb 6, 2025
Visit Reason
Surveyor conducted a complaint investigation at Sunrise Meadows Senior Living due to concerns about resident care and staffing, specifically regarding medication administration on the 3rd shift.
Complaint Details
The complaint was substantiated. The complaint alleged concerns that the provider did not have a medication passer on the 3rd shift during the first week of November 2024.
Findings
Two deficiencies were identified: failure to complete a change of condition assessment for a resident after starting hospice services, and inadequate staffing on the 3rd shift resulting in delayed administration of pain medications to an end-of-life resident.
Deficiencies (2)
The provider did not ensure the needs, abilities, and physical condition of residents was assessed when there was a change in condition for 1 of 1 resident reviewed; Resident 1 did not have an assessment completed after starting hospice services.
The provider did not ensure the facility was staffed to meet the needs of residents; on 11/08/2024-11/09/2024 during the 3rd shift, no caregiver was able to administer medications to Resident 1, resulting in a 3-hour delay in pain medication administration.
Report Facts
Census: 44
Total licensed capacity: 52
Hospice visits: 17
Medication administration delay: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Administrator A | Administrator | Interviewed regarding missing change of condition assessment and staffing issues; acknowledged failure to complete assessment and confirmed staffing deficiencies. |
| Hospice Director E | Hospice Director | Interviewed about Resident 1's hospice care and nursing visits. |
| Market Nurse B | Market Nurse | Interviewed with Administrator A regarding Resident 1's assessments. |
| Caregiver C | Caregiver | Present on 3rd shift 11/08/2024-11/09/2024 but not trained in medication administration. |
| Caregiver D | Caregiver | Present on 3rd shift 11/08/2024-11/09/2024, trained in medication administration but not delegated and lacked EHR access. |
Inspection Report
Follow-Up
Census: 36
Deficiencies: 0
Date: May 23, 2024
Visit Reason
The Bureau of Assisted Living conducted a verification visit to assess the correction of previously cited deficiencies at Sunrise Meadows Senior Living.
Findings
No citations of noncompliance were issued as the previously cited deficiencies were substantially corrected.
Report Facts
Revisit fee: 200
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Feb 8, 2024
Visit Reason
A standard survey, self-report, and complaint investigation was conducted to determine if Sunrise Meadows Senior Living was in substantial compliance with Wisconsin statutes and administrative codes governing community-based residential facilities.
Complaint Details
The visit was complaint-related as it included a complaint investigation along with a standard survey and self-report. Specific substantiation status is not stated.
Findings
The Department issued a Statement of Deficiency (SOD #YXPQ11) for violations of Wis. Stat. ch. 50 and Wis. Admin. Code ch. DHS 83, resulting in a Notice of Violation, Order to Comply, and an imposed forfeiture totaling $1,470.00.
Report Facts
Forfeiture amount: 1470
Forfeiture amount: 870
Forfeiture amount: 600
Reduced forfeiture amount: 955.5
Compliance timeframe: 45
Payment timeframe: 10
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kenneth Brotheridge | Assisted Living Director | Signed the Notice and Order letter |
| Hillary Holman | Assisted Living Regional Director | Contact person for questions about the letter |
Inspection Report
Complaint Investigation
Census: 26
Deficiencies: 2
Date: Feb 6, 2024
Visit Reason
The Bureau of Assisted Living conducted a standard licensing survey, complaint investigation, and self-report review of Sunrise Meadows Senior Living.
Complaint Details
The complaint was investigated and found to be unsubstantiated.
Findings
Two citations of noncompliance were issued related to medication administration and personal care. The complaint was unsubstantiated. Resident 2, Resident 3, and Resident 4 did not receive all prescribed medications as ordered. Resident 1 was transferred using a mechanical lift improperly, resulting in significant injury including a scalp laceration and multiple fractures.
Deficiencies (2)
Resident 2 did not receive an eye drop medication as prescribed; Resident 3 and Resident 4 did not receive bowel medication as prescribed.
Resident 1 was transferred while caregivers utilized a mechanical lift improperly, resulting in significant injury.
Report Facts
Days since medication dispensed: 66
Days since medication dispensed: 76
Missed doses: 2
Staff work shifts post-incident: 5
Hospital stay duration: 7
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director A | Interviewed regarding medication administration and mechanical lift incident; provided investigation details and training information. | |
| Facility Nurse B | Interviewed regarding medication administration and mechanical lift incident; provided medical and training information. | |
| Caregiver C | Interviewed about medication administration practices for Residents 2 and 3; reported lack of official mechanical lift training before incident. | |
| Caregiver E | Involved in mechanical lift incident resulting in Resident 1's injury; terminated for caregiver misconduct. | |
| Caregiver F | Involved in mechanical lift incident resulting in Resident 1's injury; terminated for caregiver misconduct. | |
| Caregiver J | Reported receiving mechanical lift training only after the incident involving Resident 1. | |
| Pharmacy Staff D | Provided information about medication dispensing dates and supplies for Residents 2, 3, and 4. |
Inspection Report
Complaint Investigation
Census: 19
Deficiencies: 0
Date: Oct 31, 2023
Visit Reason
Surveyor conducted a complaint investigation at Robins Landing at Brookfield, a CBRF in Brookfield.
Complaint Details
The complaint was unsubstantiated.
Findings
No deficiencies were identified. The complaint was unsubstantiated.
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