Inspection Reports for Talamore Senior Living Sun Prairie

WI, 53590

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Deficiencies (last 3 years)

Deficiencies (over 3 years) 6 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

30% worse than Wisconsin average
Wisconsin average: 4.6 deficiencies/year

Deficiencies per year

12 9 6 3 0
2023
2024
2025

Census

Latest occupancy rate 26 residents

Based on a September 2025 inspection.

Census over time

16 20 24 28 32 Jun 2023 Oct 2023 Aug 2024 Jan 2025 Sep 2025
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
NameTitleContext
Kenneth BrotheridgeAssisted Living DirectorSigned the notice letter.
Hillary HolmanAssisted Living Regional DirectorContact 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
NameTitleContext
Director of Nursing KDirector of NursingInterviewed regarding notification of Resident 3's POA about abuse allegation
Administrator QAdministratorInterviewed 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
NameTitleContext
Kenneth BrotheridgeAssisted Living DirectorSigned the Notice and Order letter
Hillary HolmanAssisted Living Regional DirectorContact 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
NameTitleContext
JBusiness Office ManagerInterviewed regarding orientation, continuing education, and behavior management plans.
KDirector of NursingInterviewed regarding incident reporting, orientation, continuing education, and behavior management plans.
LClinical CoordinatorSurveyor reviewed medication cart with this employee.
HCaregiverInterviewed regarding residents' needs and behaviors, including incidents and supervision.
GCaregiverLacked training in recognizing and responding to resident changes.
ICaregiverLacked training in recognizing and responding to resident changes.
MCaregiverLacked continuing education in standard precautions, resident rights, and fire safety.
NCaregiverLacked continuing education in standard precautions, resident rights, and fire safety.
Inspection Report Complaint Investigation Census: 24 Deficiencies: 10 Aug 16, 2024
Visit Reason
On 08/14/2024, the Bureau of Assisted Living conducted a complaint investigation and standard licensing survey at Talamore Senior Living Sun Prairie, a community-based residential facility in Sun Prairie, WI.
Findings
The survey identified 12 deficiencies related to failure to send a required law enforcement report, incomplete employee communicable disease screening, inadequate orientation and training of employees on resident abuse prevention, resident rights, and other required topics, failure to update resident service plans including fall risk and medication administration, and deficiencies in fire safety including fire drills and fire inspections.
Complaint Details
The complaint was unsubstantiated. The investigation was triggered by Resident 1's behaviors involving hitting staff and throwing objects, which required law enforcement intervention. The provider failed to send the required self-report to the department within 3 working days.
Deficiencies (10)
Description
Failure to send a written report to the department within 3 working days after law enforcement personnel were called due to Resident 1's behaviors.
Failure to ensure that 2 of 3 employees were screened for communicable disease including tuberculosis within 90 days before employment.
Failure to ensure that 2 of 2 employees received orientation training including prevention and reporting of resident abuse, neglect, misappropriation of property, and recognizing/responding to resident changes of condition.
Failure to ensure that 2 of 3 employees received department-approved training including standard precautions, client group related training, medications, resident rights, prevention and reporting of abuse, neglect and misappropriation, fire safety and emergency procedures including first aid.
Failure to ensure that 1 of 1 resident care staff received at least 15 hours of continuing education in 2023 in all required topics.
Failure to ensure Resident 1's individual service plan was updated to reflect increased fall risk, bed rail use, hospice shower provision, and fall prevention interventions.
Failure to ensure adequate documentation and monitoring of PRN psychotropic medication for Resident 1 including rationale, behaviors indicating need, and monthly monitoring.
Failure to enclose and vent clothes dryers properly with rigid vent tubing.
Failure to conduct quarterly fire evacuation drills with employees and residents and retain documentation of total evacuation time.
Failure to arrange for an annual fire inspection by local fire authority or certified fire inspector and retain reports for 2 years.
Report Facts
Deficiencies identified: 12 Census: 24 Fire evacuation drills: 2 Fire inspection reports retention: 2 Fire dryer capacity: 37000 Continuing education hours: 15 Fire evacuation drills frequency: 4
Employees Mentioned
NameTitleContext
Executive Director AExecutive DirectorInterviewed regarding failure to send law enforcement report, employee training, and fire safety concerns.
Caregiver BNamed in findings related to lack of training in abuse prevention, resident rights, orientation, personal care provision, and medication administration.
Caregiver CNamed in findings related to lack of training in abuse prevention, resident rights, orientation, and personal care provision.
Caregiver DNamed in findings related to lack of training in abuse prevention, resident rights, orientation, and continuing education.
Director of Nursing EDirector of NursingMentioned in relation to employee training record keeping and extended leave.
Director of Maintenance FDirector of MaintenanceInterviewed regarding fire inspection records and dryer vent tubing.
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
NameTitleContext
Kenneth BrotheridgeAssisted Living DirectorSigned the Notice and Order letter
Hillary HolmanAssisted Living Regional DirectorContact 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
NameTitleContext
Kenneth BrotheridgeAssisted Living DirectorSigned the Notice and Order letter
Hillary HolmanAssisted Living Regional DirectorContact 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
NameTitleContext
DON BDirector of NursingInterviewed regarding medication errors and confirmed incidents
Administrator AAdministratorInterviewed regarding incident reporting and confirmed caregiver should have reported incident
Caregiver FCaregiverInvolved in medication administration errors and received disciplinary action
Caregiver ECaregiverFailed to report medication patch incident to management

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