Inspection Reports for
Willow Brooke Point Senior Living Rcac

1801 LILAC LN, STEVENS POINT, WI, 54481

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Deficiencies (last 3 years)

Deficiencies (over 3 years) 0.3 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

93% better than Wisconsin average
Wisconsin average: 4.6 deficiencies/year

Deficiencies per year

4 3 2 1 0
2023
2024
2025

Census

Latest occupancy rate 35 residents

Based on a June 2025 inspection.

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

Occupancy over time

14 21 28 35 42 Feb 2023 Mar 2024 Jun 2025

Inspection Report

Complaint Investigation
Deficiencies: 0 Date: Jun 24, 2025

Visit Reason
A complaint investigation was conducted on June 24, 2025, to determine if Willow Brooke Point Senior Living RCAC was in substantial compliance with Wisconsin statutes and administrative codes governing residential care apartment complexes.

Complaint Details
The visit was a complaint investigation concluded on June 24, 2025, determining noncompliance with applicable statutes and administrative codes.
Findings
The Department found violations of Wis. Stat. ch. 50 and Wis. Admin. Code ch. DHS 89, resulting in a Statement of Deficiency (SOD # DN0F11), an imposed forfeiture of $1,500, and an order to comply with requirements to protect tenant health, safety, and welfare.

Report Facts
Forfeiture amount: 1500 Reduced forfeiture amount: 975 Forfeiture payment timeframe: 10 Compliance timeframe: 45 Plan of Correction submission timeframe: 10 Inspection fee: 200

Employees mentioned
NameTitleContext
Kenneth BrotheridgeAssisted Living DirectorSigned the notice and order letter
Vicky WittmanAssisted Living Regional DirectorContact person for questions about the letter

Inspection Report

Complaint Investigation
Census: 35 Deficiencies: 1 Date: Jun 23, 2025

Visit Reason
Surveyor conducted 2 complaint investigations at Willow Brooke Point Senior Living RCAC on 06/23/2025 with additional information gathered through 06/24/2025.

Complaint Details
The complaints investigated were unsubstantiated. Tenant 1's medication refusals and behavioral changes were documented, with multiple interviews and record reviews confirming risks. Adult Protective Services investigated an incident with no findings. The provider did not create new risk agreements despite documented risks and surveyor concerns.
Findings
One deficiency was identified related to failure to update Tenant 1's risk agreement when his/her condition changed, despite multiple documented falls, confusion, memory impairment, and behaviors putting the tenant at risk of harm or injury. The complaints were unsubstantiated.

Deficiencies (1)
Provider did not ensure Tenant 1's risk agreement was updated when his/her condition changed in a way that affected risk, including falls, confusion, memory impairment, and behaviors.
Report Facts
Census: 35 Medication refusal counts: 3 Medication refusal counts: 6 Medication refusal counts: 3 Medication refusal counts: 3 Medication refusal counts: 18 Medication refusal counts: 9 Medication refusal counts: 3 Medication refusal counts: 3 Medication refusal counts: 2 Medication refusal counts: 3 Medication refusal counts: 3 Medication refusal counts: 4 Medication refusal counts: 8 Medication refusal counts: 4 Medication refusal counts: 16 Medication refusal counts: 13 Medication refusal counts: 7 Medication refusal counts: 3 Medication refusal counts: 2 Medication refusal counts: 2 Falls: 3

Inspection Report

Complaint Investigation
Census: 23 Deficiencies: 0 Date: Mar 5, 2024

Visit Reason
An investigation of 2 complaints was conducted at Willow Brooke Point Senior Living RCAC from 03/04/2024 through 03/05/2024.

Complaint Details
Investigation of 2 complaints; both complaints were unsubstantiated.
Findings
Both complaints were unsubstantiated and no deficiencies were identified during the survey.

Report Facts
Complaints investigated: 2 Census: 23

Inspection Report

Abbreviated Survey
Census: 19 Deficiencies: 0 Date: Feb 1, 2023

Visit Reason
Surveyor conducted an abbreviated survey at Willow Brooke Point Senior Living RCAC on 02/01/2023 with additional information gathered through 02/02/2023.

Findings
No deficiencies were issued as a result of the abbreviated survey.

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