Inspection Reports for The Courtyard at Fitchburg – Memory Care

A standard survey, complaint investigation, and verification visit was conducted to determine if The Courtyard at Fitchburg-Memory Care was in substantial compliance with Wisconsin statutes and administrative codes governing community-based residential facilities.

The Department issued a Statement of Deficiency (SOD) #HT4312 for violations of Wis. Stat. ch. 50 and Wis. Admin. Code ch. DHS 83. The licensee was ordered to comply with requirements immediately, develop corrective measures with a registered nurse consultant, and provide documentation of compliance. A total forfeiture of $6,550 was imposed for multiple violations, with some accruing daily until compliance is verified. Additionally, a $200 inspection fee for a revisit was assessed.

The visit included a complaint investigation and verification to assess compliance with applicable statutes and administrative codes. Specific substantiation status is not stated.

Surveyors conducted 3 complaint investigations, 2 verification visits, and a standard survey at Courtyard at Fitchburg - Memory Care from 10/27/2025 to 10/30/2025.

Twelve deficiencies were identified, including medication administration errors, inadequate treatment, lack of updated assessments, failure to follow individual service plans, personal care deficiencies, health monitoring issues, improper medication administration, hand hygiene violations, and environmental cleanliness concerns. Three of three complaints were substantiated.

Three of three complaints were substantiated. The complaints involved medication administration errors, inadequate treatment, and care concerns.

Surveyors conducted 3 complaint investigations at Courtyard at Fitchburg - Memory Care on 08/12/2025.

No deficiencies were identified during the investigations. One complaint was substantiated, while two complaints were unsubstantiated.

One complaint was substantiated with statement of deficiency (SOD) 5LT211, dated 05/07/2025.

A complaint investigation was conducted on 06/26/2025 for Courtyard at Fitchburg Memory Care to determine if the facility was in substantial compliance with Wisconsin statutes and administrative codes governing community-based residential facilities.

The Department issued a Statement of Deficiency (SOD #HT4311) for violations of Wis. Stat. ch. 50 and Wis. Admin. Code ch. DHS 83, establishing grounds for enforcement including a forfeiture of $1,100. The licensee was ordered to comply immediately with requirements to protect resident health, safety, and rights, and to develop corrective measures within 45 days.

The complaint investigation concluded that the facility was not in substantial compliance with applicable statutes and administrative codes, resulting in issuance of SOD #HT4311 and enforcement actions including forfeiture.

Surveyor conducted a complaint investigation from 06/20/2025 through 06/26/2025 based on concerns that residents were not receiving adequate care.

Two deficiencies were identified related to personal care and health monitoring. The provider failed to ensure timely assistance with personal care and did not provide appropriate health monitoring for one resident, resulting in hospitalization due to severe dehydration, hypotension, and sepsis.

Complaint was substantiated. The investigation was initiated due to concerns that residents were not receiving adequate care. Resident 1 was observed with dried feces on body and was hospitalized due to failure in health monitoring and following physician orders.

Surveyors conducted 3 complaint investigations at Courtyard at Fitchburg - Memory Care on 06/10/2025.

One complaint was substantiated based on a previous investigation, while two complaints were unsubstantiated.

One complaint was substantiated based on a previous investigation. Two complaints were unsubstantiated.

Six complaint investigations were concluded for The Courtyard at Fitchburg Memory Care to determine if the facility was in substantial compliance with Wisconsin statutes and administrative codes governing community-based residential facilities.

The Department issued a Statement of Deficiency (SOD #5LT211) for violations of state statutes and administrative codes, resulting in a Notice of Violation and an imposed forfeiture totaling $4,680. The licensee is ordered to comply with requirements, develop corrective measures, provide training, and notify legal representatives and case managers of affected residents.

Six complaint investigations were concluded on 05/07/2025. The Department found violations and issued Statement of Deficiency #5LT211. The report does not specify substantiation status.

Surveyor conducted 6 complaint investigations at Courtyard at Fitchburg - Memory Care following complaints alleging abuse, neglect, medication errors, and failure to provide adequate care.

Seventeen deficiencies were identified including failure to investigate abuse allegations, failure to notify resident representatives of abuse, improper medication administration, failure to provide adequate nutrition and assistance with meals, failure to provide scheduled showers, and failure to ensure proper documentation and compliance with laws and regulations.

Six of six complaints were substantiated. Complaints included abuse and neglect, medication errors, failure to provide assistance with meals, failure to provide scheduled showers, failure to provide proper nutrition, and failure to provide adequate housekeeping and laundry services.

Surveyor conducted a verification visit at Courtyard at Fitchburg - Memory Care, a CBRF located in Fitchburg, to verify correction of a previously identified deficiency.

No deficiencies were identified during this verification visit. The previously cited Statement of Deficiency KI2611 dated 04/22/2024 was corrected.

A standard survey was conducted on April 22, 2024, to determine if Courtyard at Fitchburg - Memory Care was in substantial compliance with Wisconsin statutes and administrative codes governing community-based residential facilities.

The Department found violations of Wis. Stat. ch. 50 and Wis. Admin. Code ch. DHS 83, resulting in a Statement of Deficiency (SOD #KI2611), issuance of a probationary license, and imposition of a forfeiture totaling $1200 for specific code violations.

Surveyor conducted a probationary licensing survey at Courtyard at Fitchburg - Memory Care, a Community-Based Residential Facility (CBRF) in Fitchburg.

Five deficiencies were identified including lack of required department-approved training for employees, incomplete individual service plans for residents, missing signatures on service plans, incomplete documentation for PRN psychotropic medication use, and failure to conduct quarterly fire drills.