Inspection Reports for The Ridge at Madison

2879 Fish Hatchery Rd, Fitchburg, WI 53713, United States, WI, 53713

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Deficiencies (last 3 years)

Deficiencies (over 3 years) 12.3 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

167% worse than Wisconsin average
Wisconsin average: 4.6 deficiencies/year

Deficiencies per year

16 12 8 4 0
2023
2024
2025

Census

Latest occupancy rate 12 residents

Based on a June 2025 inspection.

This facility has shown a decline in demand based on occupancy rates.

Census over time

4 8 12 16 20 24 Jun 2023 Mar 2024 Mar 2025 Jun 2025
Inspection Report Re-Inspection Census: 12 Deficiencies: 1 Jun 17, 2025
Visit Reason
The surveyor conducted a verification visit at The Ridge at Madison CBRF to assess compliance with training requirements for employees, specifically focusing on standard precautions, fire safety, first aid, choking, and medication administration training.
Findings
The facility was found to have one repeat violation related to an employee (Caregiver B) who had not completed required training in first aid and choking, fire safety, and medication administration despite working since 07/18/2024. The facility acknowledged difficulties in providing training in Spanish, which is the primary language of the caregiver.
Deficiencies (1)
Description
Employee Caregiver B had not completed training in first aid and choking, fire safety, and medication administration as required.
Report Facts
Revisit fee: 200 Census: 12 Employees reviewed: 3 Employees not trained: 1
Employees Mentioned
NameTitleContext
Caregiver BCaregiverNamed in deficiency for lack of required training in first aid, choking, fire safety, and medication administration
Manager CHouse ManagerInterviewed and confirmed Caregiver B's job duties and lack of training
Administrator AAdministratorAcknowledged training requirements and issues with providing training in Spanish
Inspection Report Enforcement Deficiencies: 0 Jun 17, 2025
Visit Reason
A verification visit was conducted on June 17, 2025, to determine if The Ridge at Madison was in substantial compliance with Wisconsin statutes and administrative codes governing community-based residential facilities (CBRF).
Findings
The Department found violations of Wis. Stat. ch. 50 and Wis. Admin. Code ch. DHS 83, resulting in a Statement of Deficiency (SOD #R71L12) and imposed a forfeiture of $1200.00. The licensee is ordered to comply with all requirements immediately and maintain compliance.
Report Facts
Forfeiture amount: 1200 Reduced forfeiture amount: 780 Revisit inspection fee: 200 Compliance timeframe: 45 Payment timeframe: 10
Employees Mentioned
NameTitleContext
Hillary HolmanAssisted Living Regional DirectorContact person for questions about the letter
Kenneth BrotheridgeAssisted Living DirectorSigned the Notice and Order letter
Inspection Report Complaint Investigation Deficiencies: 1 May 1, 2025
Visit Reason
A standard survey and complaint investigation was conducted to determine if The Ridge at Madison was in substantial compliance with Wisconsin statutes and administrative codes governing community-based residential facilities.
Findings
The Department issued a Statement of Deficiency (SOD #LGZ011) for violations related to caregiver misconduct and other regulatory requirements. A forfeiture of $600 was imposed due to these violations, with corrective actions and compliance required within specified timeframes.
Complaint Details
The visit was complaint-related and included a standard survey. The investigation concluded that the facility was not in substantial compliance, resulting in issuance of SOD #LGZ011.
Deficiencies (1)
Description
Violations related to caregiver misconduct including failure to properly recognize, investigate, document, and report allegations of abuse, neglect, misappropriation of property, and injuries of unknown origin.
Report Facts
Forfeiture amount: 600 Reduced forfeiture amount: 390 Days to achieve compliance: 45 Days to submit investigation report: 14 Days to request extension: 10 Days to pay forfeiture: 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: 13 Deficiencies: 6 Apr 29, 2025
Visit Reason
The survey was conducted as a standard licensing survey combined with a complaint investigation at The Ridge at Madison CBRF in Fitchburg, WI.
Findings
The survey identified 6 violations of Chapter DHS 83, including failure to investigate caregiver abuse, lack of required employee training, unsecured medication storage, unclean and odorous resident bathroom, unsecured toxic substances, and obstructed fire extinguishers. The complaint regarding caregiver abuse was substantiated.
Complaint Details
The complaint alleged that a caregiver was filmed yelling and berating a resident. The complaint was substantiated. The facility failed to conduct an investigation after the incident, and the caregiver quit without notice before an investigation could be completed.
Deficiencies (6)
Description
Failure to investigate and document an allegation of caregiver abuse where Former Caregiver D was witnessed yelling and calling a resident derogatory names, and no investigation was conducted.
One of three employees reviewed (Caregiver C) did not complete required training in first aid and choking, fire safety, and medication administration prior to assuming job duties.
Medication cabinet was unlocked and unattended in a common area multiple times during the survey.
A bathroom in the common area used by residents was unclean with feces on the toilet and floor and smelled of feces and urine.
Toxic substances, specifically a bucket of laundry detergent labeled as dangerous, were stored unsecured in an unlocked closet accessible in the common area.
Two fire extinguishers were blocked by furniture, obstructing access.
Report Facts
Violations cited: 6 Employees reviewed: 3 Residents present: 13
Employees Mentioned
NameTitleContext
Administrator AAdministratorInterviewed regarding caregiver abuse incident, employee training, medication storage, toxic substances, and fire extinguisher obstructions.
Resident Care Coordinator BResident Care CoordinatorInterviewed regarding caregiver abuse incident and toxic substances storage.
Caregiver CCaregiverFound to have not completed required training in first aid and choking, fire safety, and medication administration.
Former Caregiver DFormer CaregiverWitnessed and filmed yelling at a resident and calling derogatory names; quit without notice before investigation.
Inspection Report Complaint Investigation Deficiencies: 0 Mar 11, 2025
Visit Reason
A complaint investigation was conducted on March 11, 2025, to determine if Ridge at Madison was in substantial compliance with Wisconsin statutes and administrative codes governing community-based residential facilities.
Findings
The Department issued a Statement of Deficiency (SOD #XGGF11) 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 and provide documentation of compliance within specified timeframes.
Complaint Details
The investigation was complaint-driven and concluded that the facility was not in substantial compliance, leading to issuance of SOD #XGGF11 and enforcement actions including a forfeiture.
Report Facts
Forfeiture amount: 400 Reduced forfeiture amount: 260 Forfeiture payment timeframe (days): 10 Compliance timeframe (days): 45 Documentation timeframe (days): 7 Appeal request timeframe (days): 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: 14 Deficiencies: 3 Mar 11, 2025
Visit Reason
The surveyor conducted two complaint investigations at The Ridge at Madison CBRF related to removal of residents' personal refrigerators without notice and electrical issues in resident rooms.
Findings
Two violations of Chapter DHS 83 were substantiated: residents' rights to self-determination were violated by removing personal refrigerators without notice, and the facility failed to maintain a safe and functioning electrical system, resulting in electricity outages in resident rooms for up to 8 days and an unwitnessed fall.
Complaint Details
Two complaints were substantiated: one regarding removal of personal refrigerators without notice, and another regarding electrical outages causing safety hazards including an unwitnessed fall.
Deficiencies (3)
Description
Facility removed residents' personal refrigerators without notice or asking residents' preference, violating residents' self-determination rights.
Resident 1's bedroom was not kept clean and free from odors; strong urine smell was detected.
Electrical system was not maintained in a safe and functioning condition; electricity in Resident 1 and Resident 2's rooms was not functioning for up to 8 days, contributing to an unwitnessed fall.
Report Facts
Census: 14 Electricity outage duration: 8 Incident date: Feb 10, 2025 Electricity service repair date: Feb 18, 2025
Employees Mentioned
NameTitleContext
Administrator AAdministratorInterviewed regarding removal of refrigerators and electrical issues
Caregiver BCaregiverProvided written statement about Resident 1's fall during electricity outage
Inspection Report Complaint Investigation Deficiencies: 1 Dec 18, 2024
Visit Reason
A complaint investigation was conducted on December 18, 2024, to determine if The Ridge at Madison was in substantial compliance with Wisconsin statutes and administrative codes governing community-based residential facilities.
Findings
The Department issued a Statement of Deficiency (SOD #R71L11) for violations of Wis. Stat. ch. 50 and Wis. Admin. Code ch. DHS 83, resulting in a notice of violation and an imposed forfeiture.
Complaint Details
The complaint investigation concluded that the facility was not in substantial compliance with applicable statutes and administrative codes, leading to enforcement actions including a forfeiture.
Deficiencies (1)
Description
Violations of Wis. Stat. ch. 50 or Wis. Admin. Code ch. DHS 83 as identified in SOD #R71L11
Report Facts
Forfeiture amount: 600 Forfeiture reduced amount: 390 Forfeiture payment timeframe: 10 Compliance timeframe: 45 Inspection fee: 200
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: 2 Dec 18, 2024
Visit Reason
Surveyor conducted a complaint investigation at The Ridge at Madison, a Community-Based Residential Facility (CBRF) in Fitchburg, WI, triggered by a complaint alleging noncompliance with employee training requirements and medication administration documentation.
Findings
The investigation substantiated two violations of Chapter DHS 83 related to employee training and medication administration documentation. One caregiver had not completed required training in first aid and choking, fire safety, and medication administration despite working since July 2024. Additionally, medication administration records for two residents contained numerous blank entries over several months.
Complaint Details
The complaint was substantiated. The investigation found that Caregiver B, hired on 07/18/2024, had not completed required training and was not listed on the Community-Based Care and Treatment training registry for first aid and choking, fire safety, or medication administration. Medication administration documentation for Resident 1 and Resident 2 had multiple missing entries for October, November, and December 2024.
Deficiencies (2)
Description
Failure to ensure that 1 of 3 employees completed required training in first aid and choking, fire safety, and medication administration.
Inaccurate documentation of medication administration for 2 of 3 residents reviewed, with numerous blank spaces in the Medication Administration Records (MAR).
Report Facts
Number of violations: 2 Number of employees reviewed: 3 Number of residents reviewed: 3 Caregiver B hire date: Jul 18, 2024
Employees Mentioned
NameTitleContext
Caregiver BCaregiverNamed in findings for failure to complete required training and medication administration duties.
Administrator AAdministratorInterviewed and acknowledged training and documentation deficiencies.
Inspection Report Complaint Investigation Deficiencies: 0 Jul 24, 2024
Visit Reason
Surveyor conducted a complaint investigation at The Ridge At Madison, a CBRF located in Fitchburg, WI.
Findings
As a result of the investigation, zero violations of Chapter DHS 83 were issued and the complaint was unsubstantiated.
Complaint Details
The complaint was unsubstantiated.
Report Facts
Violations issued: 0
Inspection Report Complaint Investigation Census: 14 Deficiencies: 0 Mar 28, 2024
Visit Reason
Surveyor conducted a complaint investigation and verification visit at The Ridge at Madison, a CBRF located in Fitchburg, WI.
Findings
As a result of the survey, 0 violations of Chapter DHS 83 were issued. Three violations were corrected from a previous statement of deficiency dated 03/13/2024.
Complaint Details
Complaint investigation and verification visit with no violations issued.
Report Facts
Revisit fee: 200
Inspection Report Complaint Investigation Deficiencies: 0 Mar 13, 2024
Visit Reason
A complaint investigation and verification visit was conducted to determine if The Ridge at Madison was in substantial compliance with Wisconsin statutes and administrative codes governing community-based residential facilities.
Findings
The Department issued a Statement of Deficiency (SOD #GP7H13) citing violations of Wis. Stat. ch. 50 and Wis. Admin. Code ch. DHS 83. The facility was ordered to comply with requirements, was placed on probationary license status, and was prohibited from admitting new or additional residents until compliance is verified. A forfeiture of $1500 was imposed for specific violations.
Complaint Details
The visit was complaint-related, conducted to verify compliance with applicable statutes and administrative codes. The Department found violations and issued enforcement actions including a notice of violation, order to comply, and forfeiture.
Report Facts
Forfeiture amount: 1500 Reduced forfeiture amount: 975 Forfeiture components: 500 Forfeiture components: 400 Forfeiture components: 600 Inspection fee: 200 Compliance timeframe: 45 Extension request timeframe: 10 Sprinkler inspection submission timeframe: 5 Revisit 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: 14 Deficiencies: 16 Mar 7, 2024
Visit Reason
Surveyor conducted a complaint investigation and verification visit at The Ridge at Madison, a CBRF located in Fitchburg, WI, due to complaints about the physical environment and compliance with Chapter DHS 83 regulations.
Findings
The facility had 3 violations including repeat violations from previous inspections related to physical environment deficiencies such as stains, deteriorating furnishings, water damage, missing smoke/heat detector, and obstructed or corroded sprinkler heads. The facility had not made required corrections due to financial and vendor issues.
Complaint Details
The visit was complaint-related and included a verification visit. Three violations of Chapter DHS 83 were issued, two of which were repeat violations from previous statements of deficiency dated 06/16/2023 and 09/06/2023. A $200 revisit fee was assessed under Wis. Stat. Ch. 50.
Deficiencies (16)
Description
Stains on countertop near sink in common area.
Leaking and visibly corroded faucet at sink.
Deteriorating and faded finish on table used by residents in common area.
Deteriorating bathroom wall next to Resident 1's bedroom with peeling paint.
Towel holder torn off wall near Resident 2 and 3's bedroom.
Scuffed and damaged cabinet in bathroom near Resident 2 and 3's bedroom.
Carpeting stained with black substance in Resident 4's room.
Deteriorating cabinet with broken bottom and missing paint in bathroom near Resident 4's room.
Substance appearing to be dried blood and/or feces on bathroom wall near Resident 4's room.
Mildew-like substance inside bathroom cabinet near Resident 5's bedroom.
Bathroom floor threshold near Resident 6's bedroom coming up, creating trip/fall hazard.
Visible water damage to ceiling tiles and base of wall and floor in common rooms.
Missing smoke/heat detector in community room used by residents.
Area of damaged flooring marked off by tape outside Resident 6 and 7's bedrooms with no new flooring in place.
Two sprinkler heads corroded or obstructed, including one in kitchen cooler obstructed by black tar-like substance and one in closet with air handler rusted out.
Two light bulbs missing from outside exit used by residents, reducing visibility at sundown.
Report Facts
Violations issued: 3 Revisit fee: 200 Date of previous violations: 2023 Inspection date: 2024
Employees Mentioned
NameTitleContext
Administrator AInterviewed multiple times regarding facility deficiencies, financial issues, vendor problems, and status of corrections.
Inspection Report Complaint Investigation Deficiencies: 0 Jan 8, 2024
Visit Reason
Surveyor conducted 2 complaint investigations at The Ridge at Madison, a CBRF located in Fitchburg, WI.
Findings
As a result of the investigation, 0 violations of Chapter DHS 83 were issued. Both complaints were unsubstantiated.
Complaint Details
Two complaints were investigated and both were found to be unsubstantiated.
Inspection Report Enforcement Deficiencies: 0 Sep 6, 2023
Visit Reason
A verification visit was conducted on September 6, 2023, to determine if The Ridge at Madison 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 (SOD #GP7H12), imposition of a $500 forfeiture, and issuance of a probationary license with corrective action requirements.
Report Facts
Forfeiture amount: 500 Forfeiture amount: 200 Forfeiture amount: 300 Reduced forfeiture amount: 325 Compliance timeframe: 45 Revisit inspection fee: 200 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: 14 Deficiencies: 2 Sep 6, 2023
Visit Reason
The Bureau of Assisted Living conducted a verification visit at The Ridge at Madison, a CBRF, to assess compliance with Chapter DHS 83 and verify correction of previous deficiencies.
Findings
Two repeat violations were identified: the facility did not maintain a safe, clean, and homelike environment with multiple areas of deterioration and damage, and two sprinkler heads were corroded or obstructed, hindering effectiveness.
Deficiencies (2)
Description
The facility did not ensure a safe, clean and homelike environment appropriate for residents, with stains, deterioration, peeling paint, water damage, mildew, and damaged furnishings observed throughout common and resident areas.
Two sprinkler heads were corroded or obstructed, including one in the kitchen cooler blocked by a black tar-like substance and another in a closet containing an air handler that was rusted, hindering sprinkler effectiveness.
Report Facts
Revisit fee: 200 Violations issued: 2 Repeat violations: 2 Corrected violations: 3
Employees Mentioned
NameTitleContext
Administrator AAcknowledged facility deficiencies and ongoing repair efforts; involved in discussions with surveyor regarding findings.
Notice Deficiencies: 0 Jun 16, 2023
Visit Reason
The document serves as a Notice of Violation and Order to Comply following a standard survey and complaint investigation conducted on June 16, 2023, to determine 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 at The Ridge at Madison, resulting in issuance of a Statement of Deficiency and an order to achieve substantial compliance within 45 days.
Report Facts
Inspection fee: 200 Compliance timeframe: 45 Appeal timeframe: 10 Posting duration: 90
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: 16 Deficiencies: 5 Jun 15, 2023
Visit Reason
The Bureau of Assisted Living conducted a standard licensing survey and complaint investigation at The Ridge at Madison, a CBRF located in Fitchburg, WI.
Findings
The survey resulted in 5 violations of Chapter DHS 83, including failure to conduct caregiver background checks for 2 employees, unsafe and unclean environment with multiple maintenance issues, lack of furnace servicing in the last 3 years, insufficient emergency evacuation drills, and corroded sprinkler heads.
Complaint Details
The complaint was substantiated as part of the investigation.
Deficiencies (5)
Description
Failure to conduct and document caregiver background checks for 2 of 3 employees reviewed.
Provider did not ensure a safe, clean, and homelike environment; numerous environmental concerns including stains, leaks, deteriorating furniture, peeling paint, trip hazards, water damage, missing light bulbs, and moldy mattresses.
Furnace was not serviced or inspected in the last 3 years as required.
Emergency evacuation drills were not conducted semi-annually; only 1 documented drill for calendar year 2022.
Two sprinkler heads were corroded or obstructed, hindering effectiveness.
Report Facts
Violations issued: 5 Employees with missing background checks: 2 Residents present: 16 Evacuation drills conducted: 1 Sprinkler heads corroded or obstructed: 2 Mattresses stored in basement: 5
Employees Mentioned
NameTitleContext
Administrator AAdministratorInterviewed regarding background checks, environment, furnace maintenance, evacuation drills, and sprinkler heads
Caregiver CEmployee with out-of-date background check
Caregiver DEmployee with out-of-date background check

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