Inspection Reports for The Landings of Kaukauna
793 Tarragon Dr, Kaukauna, WI 54130, United States, WI, 54130
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/yearDeficiencies per year
4
3
2
1
0
Census
Latest occupancy rate
30 residents
Based on a December 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Census over time
Inspection Report
Complaint Investigation
Deficiencies: 0
Dec 2, 2025
Visit Reason
A complaint investigation was conducted to determine if Landings of Kaukauna was in substantial compliance with Wisconsin statutes and administrative codes governing community-based residential facilities.
Findings
The Department issued a Statement of Deficiency (SOD #5Y1M11) for violations of Wis. Stat. ch. 50 and Wis. Admin. Code ch. DHS 83, establishing grounds for regulatory action and requiring compliance within 45 days.
Complaint Details
The visit was complaint-related and resulted in issuance of a Statement of Deficiency for violations found during the investigation.
Report Facts
Days to achieve compliance: 45
Appeal filing deadline: 10
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kenneth Brotheridge | Assisted Living Director | Signed the notice letter. |
| Vicky Wittman | Assisted Living Regional Director | Contact person for questions about the letter. |
Inspection Report
Complaint Investigation
Census: 30
Deficiencies: 1
Dec 2, 2025
Visit Reason
The surveyor investigated one complaint at Landings of Kaukauna regarding the administration of an as needed medication, specifically morphine.
Findings
The complaint was substantiated with one new deficiency identified related to incomplete documentation of medication administration. The provider failed to ensure the medication administration record (MAR) was initialed at the time of administration and did not document the reason for administration or the resident's response to the as needed morphine medication.
Complaint Details
The complaint was substantiated. Family members expressed concerns that morphine made Resident 1 anxious, jittery, and agitated. Documentation review showed multiple instances where the MAR was not initialed or lacked documentation of reason and response for as needed morphine doses.
Deficiencies (1)
| Description |
|---|
| Failure to ensure the medication administration record was initialed at the time of administration and failure to document the reason for administration or the resident's response to as needed morphine medication. |
Report Facts
Census: 30
Medication administration documentation dates missing initials or reason/response: 13
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Executive Director A | Executive Director | Interviewed regarding medication administration documentation and management changes |
Inspection Report
Follow-Up
Census: 22
Deficiencies: 0
Sep 22, 2025
Visit Reason
Surveyor conducted a verification visit to assess correction of previous deficiencies at Landings of Kaukauna.
Findings
Four of four previous deficiencies were corrected and no new deficiencies were identified during the visit.
Report Facts
Revisit fee: 200
Inspection Report
Complaint Investigation
Census: 25
Deficiencies: 0
Apr 16, 2025
Visit Reason
Surveyor investigated one complaint at Landings of Kaukauna.
Findings
The complaint was unsubstantiated and no new deficiencies were identified.
Complaint Details
One complaint was investigated and found to be unsubstantiated with no new deficiencies identified.
Notice
Deficiencies: 0
Jan 30, 2025
Visit Reason
A Standard Survey was conducted on January 30, 2025, to determine if Landings of Kaukauna was in substantial compliance with Wisconsin statutes and administrative codes governing community-based residential facilities.
Findings
The Department found violations of Wis. Stat. ch. 50 and Wis. Admin. Code ch. DHS 83, resulting in a Statement of Deficiency and an imposed forfeiture of $150.00. The licensee is ordered to comply with all requirements within 45 days.
Report Facts
Forfeiture amount: 150
Reduced forfeiture amount: 97.5
Compliance timeframe: 45
Payment timeframe: 10
Appeal timeframe: 10
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kenneth Brotheridge | Assisted Living Director | Signed the Notice and Order letter. |
| Vicky Wittman | Assisted Living Regional Director | Contact person for questions about the letter. |
Inspection Report
Routine
Census: 23
Deficiencies: 4
Jan 30, 2025
Visit Reason
A standard licensure survey was conducted at The Landings of Kaukauna to assess compliance with regulatory requirements.
Findings
Four deficiencies were identified including failure to administer medications as prescribed for 3 residents, lack of signatures on individual service plans for 2 residents, improper documentation of medication administration for 4 residents, and improper storage of medication for 1 resident.
Deficiencies (4)
| Description |
|---|
| Provider did not administer medications in the intervals prescribed by a practitioner for 3 of 4 residents. |
| Provider did not ensure the resident's Individual Service Plan was signed by the resident or legal representative for 2 residents. |
| Provider did not ensure proper documentation within the Medication Administration Record for 4 residents. |
| Provider did not ensure 1 resident's medications were stored as outlined by the pharmacy; eye drops were not refrigerated until opened. |
Report Facts
Deficiencies identified: 4
Census: 23
Medication administration opportunities: 30
Medication administration opportunities: 59
Medication administration opportunities: 60
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Administrator A | Observed medication administration issues and interviewed regarding deficiencies | |
| PCP B | Primary Care Physician | Consulted regarding medication discontinuation for Resident 1 |
Inspection Report
Complaint Investigation
Census: 25
Deficiencies: 0
Apr 10, 2024
Visit Reason
Surveyor conducted a complaint investigation at The Landings of Kaukauna following a complaint received.
Findings
The complaint was unsubstantiated and no deficient practices were identified during the investigation.
Complaint Details
Complaint investigation was unsubstantiated with no deficient practices identified.
Inspection Report
Census: 25
Deficiencies: 0
Jun 21, 2023
Visit Reason
Surveyor reviewed one self-report at Landings of Kaukauna as part of the survey process.
Findings
No findings were identified as a result of the survey; the self-report was filed.
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