Deficiencies per Year
8
6
4
2
0
Unclassified
Census Over Time
Inspection Report
Complaint Investigation
Deficiencies: 0
Sep 2, 2025
Visit Reason
A complaint investigation and verification visit was conducted on 09/02/2025 to determine if Talamore Senior Living was in substantial compliance with Wisconsin statutes and administrative codes governing community-based residential facilities.
Findings
The Department issued a Statement of Deficiency (SOD #FF1V13) for violations found during the complaint investigation. A follow-up verification visit was conducted to determine if prior violations were corrected, resulting in an imposed $200 inspection fee.
Complaint Details
The visit was complaint-related, conducted to verify compliance with Wis. Stat. ch. 50 and Wis. Admin. Code ch. DHS 83. The Statement of Deficiency #FF1V13 was issued for violations found during the complaint investigation.
Report Facts
Inspection fee: 200
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
Complaint Investigation
Census: 26
Deficiencies: 1
Sep 2, 2025
Visit Reason
The Bureau of Assisted Living conducted two complaint investigations and a verification visit at Talamore Senior Living Sun Prairie, a community-based residential facility, following allegations of abuse and neglect.
Findings
One deficiency was identified related to failure to notify Resident 3's legal representative of an allegation of physical abuse by a caregiver. Both complaints were found to be unsubstantiated.
Complaint Details
Two complaints were investigated and both were unsubstantiated. The deficiency involved failure to notify Resident 3's power of attorney of an allegation of physical abuse by a caregiver. The allegation was made on 06/12/2025 and involved Caregiver O hitting Resident 3. The provider did not notify the POA as required.
Deficiencies (1)
| Description |
|---|
| Failure to ensure that Resident 3's legal representative was notified of an allegation of physical abuse by Caregiver O as required by regulation. |
Report Facts
Revisit fee: 200
Census: 26
Deficiencies identified: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing K | Director of Nursing | Interviewed regarding notification of Resident 3's POA about abuse allegation |
| Administrator Q | Administrator | Interviewed regarding notification of Resident 3's POA about abuse allegation |
Inspection Report
Enforcement
Deficiencies: 0
Jan 31, 2025
Visit Reason
A verification visit was conducted on 01/31/2025 to determine if Talamore Senior Living Sun Prairie was in substantial compliance with Wisconsin statutes and administrative codes governing community-based residential facilities (CBRF). The visit was to assess compliance and resulted in issuance of a Statement of Deficiency (SOD) #FF1V12.
Findings
The Department found violations of Wis. Stat. ch. 50 and Wis. Admin. Code ch. DHS 83, leading to an order to comply with requirements, including development and implementation of corrective measures for fall management. A total forfeiture of $6,400 was imposed for multiple violations, with a reduced forfeiture option of $4,160 if not appealed. Additionally, a $200 inspection fee was assessed for a revisit to verify correction of prior violations.
Report Facts
Forfeiture amount: 6400
Reduced forfeiture amount: 4160
Forfeiture amount: 1000
Forfeiture amount: 800
Forfeiture amount: 4000
Forfeiture amount: 600
Inspection fee: 200
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
Follow-Up
Census: 21
Deficiencies: 5
Jan 28, 2025
Visit Reason
The Bureau of Assisted Living conducted a verification visit at Talamore Senior Living Sun Prairie, a community-based residential facility, to follow up on previously identified deficiencies.
Findings
Five deficiencies were identified, four of which were repeat deficiencies. Deficiencies included failure to report incidents with serious injury, inadequate employee orientation and continuing education, incomplete individual service plans reflecting residents' needs and behaviors, and insufficient documentation and monitoring of PRN psychotropic medication use.
Deficiencies (5)
| Description |
|---|
| Failure to ensure a written report was sent to the Department within 3 working days after residents experienced falls with serious injury requiring hospital or emergency room treatment. |
| Failure to ensure that 3 employees reviewed orientation training including all required topics before performing job duties. |
| Failure to ensure that 2 of 3 staff completed continuing education in all required topics including standard precautions, resident rights, and fire safety. |
| Failure to update individual service plans (ISPs) for residents to reflect changes in needs, behaviors, fall risk, and dietary orders. |
| Failure to ensure individual service plans included rationale and detailed descriptions for PRN psychotropic medication administration and to monitor for inappropriate use. |
Report Facts
Deficiencies identified: 5
Census: 21
Revisit fee: 200
Employees reviewed for orientation: 3
Employees not trained in recognizing/responding to resident changes: 3
Hours of continuing education required: 15
Residents with incomplete ISPs: 4
PRN psychotropic medication cards reviewed: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| J | Business Office Manager | Interviewed regarding orientation, continuing education, and behavior management plans. |
| K | Director of Nursing | Interviewed regarding incident reporting, orientation, continuing education, and behavior management plans. |
| L | Clinical Coordinator | Surveyor reviewed medication cart with this employee. |
| H | Caregiver | Interviewed regarding residents' needs and behaviors, including incidents and supervision. |
| G | Caregiver | Lacked training in recognizing and responding to resident changes. |
| I | Caregiver | Lacked training in recognizing and responding to resident changes. |
| M | Caregiver | Lacked continuing education in standard precautions, resident rights, and fire safety. |
| N | Caregiver | Lacked continuing education in standard precautions, resident rights, and fire safety. |
Inspection Report
Complaint Investigation
Deficiencies: 0
Aug 16, 2024
Visit Reason
A standard survey and a complaint investigation were conducted on 08/16/2024 to determine if Talamore Senior Living was in substantial compliance with Wisconsin statutes and administrative codes governing community-based residential facilities.
Findings
The Department issued a Statement of Deficiency (SOD #FF1V11) for violations of Wis. Stat. ch. 50 and Wis. Admin. Code ch. DHS 83, resulting in an imposed forfeiture of $2,800.00. The licensee is ordered to comply with all requirements within 45 days and may request an extension within 10 days.
Complaint Details
The visit was complaint-related as it included a complaint investigation along with a standard survey. The report does not explicitly state the substantiation status of the complaint.
Report Facts
Forfeiture amount: 2800
Reduced forfeiture amount: 1820
Forfeiture breakdown: 400
Forfeiture breakdown: 400
Forfeiture breakdown: 400
Forfeiture breakdown: 200
Forfeiture breakdown: 200
Forfeiture breakdown: 1200
Inspection fee: 200
Compliance timeframe: 45
Extension request timeframe: 10
Forfeiture 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
Deficiencies: 0
Jan 23, 2024
Visit Reason
The Bureau of Assisted Living, Southern Regional Office conducted a complaint investigation at Talamore Senior Living Sun Prairie.
Findings
The investigation resulted in zero violations of Chapter DHS 83, and the complaint was unsubstantiated.
Complaint Details
The complaint was unsubstantiated.
Inspection Report
Follow-Up
Census: 25
Deficiencies: 0
Oct 3, 2023
Visit Reason
Surveyor conducted a verification visit to assess correction of previous deficiencies.
Findings
No deficiencies were identified during the visit. All prior deficiencies from the statement of deficiency dated 06/01/2023 were substantially corrected.
Report Facts
Revisit fee: 200
Inspection Report
Complaint Investigation
Deficiencies: 1
Jun 1, 2023
Visit Reason
A complaint investigation was conducted on June 1, 2023, to determine if Talamore Senior Living Sun Prairie was in substantial compliance with Wisconsin statutes and administrative codes governing community-based residential facilities.
Findings
The Department issued a Statement of Deficiency (SOD #OKJS11) for violations of Wis. Stat. ch. 50 and Wis. Admin. Code ch. DHS 83, resulting in a $400 forfeiture imposed on the licensee. The licensee is ordered to comply with all requirements immediately and maintain substantial compliance within 45 days.
Complaint Details
Complaint investigation concluded on June 1, 2023, determining noncompliance with statutory and administrative requirements. Statement of Deficiency #OKJS11 issued.
Deficiencies (1)
| Description |
|---|
| Violation of Wis. Admin. Code 83.32(3)(h) |
Report Facts
Forfeiture amount: 400
Reduced forfeiture amount: 260
Compliance timeframe: 45
Forfeiture payment timeframe: 10
Appeal filing 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: 23
Deficiencies: 1
Jun 1, 2023
Visit Reason
Surveyors conducted a complaint investigation and self-report review at Talamore Senior Living Sun Prairie due to a complaint alleging overmedication and missing medications for residents.
Findings
One deficiency was identified where two residents did not receive medications as prescribed. Resident 1 was found with four medication patches on their back causing hospitalization, and Resident 2 was given a PM medication during the AM shift.
Complaint Details
The complaint was substantiated. The complaint alleged a resident was overmedicated and residents were missing their medications. Resident 1's medication error led to hospitalization and disciplinary action against caregivers. Resident 2 received medication at the wrong time due to pharmacy labeling error and MAR not being checked.
Deficiencies (1)
| Description |
|---|
| Provider did not ensure that 2 of 2 residents received medications as prescribed, resulting in Resident 1 having 4 medication patches on their back causing hospitalization and Resident 2 receiving a PM medication on the AM shift. |
Report Facts
Census: 23
Medication patches found: 4
Medication error incident date: Mar 28, 2023
Medication administration record dates: Mar 23, 2023
Medication administration record dates: Mar 28, 2023
Medication administration record dates: Apr 22, 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| DON B | Director of Nursing | Interviewed regarding medication errors and confirmed incidents |
| Administrator A | Administrator | Interviewed regarding incident reporting and confirmed caregiver should have reported incident |
| Caregiver F | Caregiver | Involved in medication administration errors and received disciplinary action |
| Caregiver E | Caregiver | Failed to report medication patch incident to management |
Report
File
FF1V11SODS.PDF_18374.pdf
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