Inspection Reports for
The Waters of Pewaukee
W239N2540 Dahlia Blvd, Waukesha, WI 53188, United States, WI, 53188
Back to Facility ProfileDeficiencies (over last year)
Deficiencies (over last year)
4 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
13% better than Wisconsin average
Wisconsin average: 4.6 deficiencies/yearDeficiencies per year
4
3
2
1
0
Inspection Report
Routine
Deficiencies: 0
Date: Dec 11, 2025
Visit Reason
A standard survey was conducted on December 11, 2025, to determine if The Waters of Pewaukee was in substantial compliance with Wisconsin statutes and administrative codes governing community-based residential facilities.
Findings
The Department issued a Statement of Deficiency (SOD #O5JO11) for violations of Wis. Stat. ch. 50 and Wis. Admin. Code ch. DHS 83. A total forfeiture of $400 was imposed for these violations, with some forfeitures accruing daily until compliance is achieved.
Report Facts
Forfeiture amount: 400
Reduced forfeiture amount: 260
Forfeiture per violation: 200
Compliance timeframe: 45
Appeal 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
Renewal
Census: 16
Deficiencies: 4
Date: Dec 11, 2025
Visit Reason
The Bureau of Assisted Living conducted a standard licensing survey at The Waters of Pewaukee to assess compliance with licensing requirements.
Findings
Four citations of noncompliance were issued related to employee communicable disease screening, orientation training, continuing education, and fire drill documentation and frequency.
Deficiencies (4)
83.17(2)(a) Employees screened for communicable disease. The provider did not ensure two caregivers were screened for communicable diseases other than tuberculosis within 90 days before employment.
83.19 Orientation. The provider did not ensure one caregiver completed required orientation training, including recognizing and responding to resident changes of condition, before performing job duties.
83.25 Continuing education. The provider did not ensure one caregiver completed at least 15 hours of continuing education per calendar year, including medications, resident rights, and fire safety.
83.47(2)(d) Fire drills. The provider did not ensure quarterly fire evacuation drills were conducted during all of 2024 and the first three quarters of 2025, including at least one drill simulating sleeping hours annually.
Report Facts
Citations of noncompliance: 4
Census: 16
Continuing education hours completed: 10.25
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Caregiver F | Named in findings for lack of communicable disease screening and insufficient continuing education. | |
| Caregiver G | Named in findings for lack of communicable disease screening and incomplete orientation training. | |
| Senior Director of Health and Wellness B | Senior Director of Health and Wellness | Interviewed and acknowledged noncompliance issues and corrective actions. |
| Administrator A | Administrator | Identified Caregiver G and was informed about fire drill noncompliance. |
| Environmental Services Manager C | Environmental Services Manager | Reviewed fire drill documentation and reported noncompliance. |
| Former Environmental Services Manager D | Former Environmental Services Manager | Previously responsible for fire drill reports. |
| Former Environmental Services Manager E | Former Environmental Services Manager | Previously responsible for fire drill reports. |
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