Inspection Reports for
Woodlands Senior Park

77 WISCONSIN AMERICAN DR, FOND DU LAC, WI, 54937

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Deficiencies (last 1 years)

Deficiencies (over 1 years) 1 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

78% better than Wisconsin average
Wisconsin average: 4.6 deficiencies/year

Deficiencies per year

4 3 2 1 0
2024

Census

Latest occupancy rate 73% occupied

Based on a August 2024 inspection.

Occupancy over time

15 20 25 30 35 Jan 2024 Aug 2024

Notice

Deficiencies: 0 Date: Aug 15, 2024

Visit Reason
A complaint investigation was conducted on August 15, 2024, to determine if Woodlands Senior Park was in substantial compliance with Wisconsin statutes and administrative codes governing community-based residential facilities.

Complaint Details
Complaint investigation concluded on August 15, 2024, to assess compliance; violations were found and a Statement of Deficiency issued.
Findings
The Department found violations of Wis. Stat. ch. 50 and Wis. Admin. Code ch. DHS 83, resulting in a Statement of Deficiency (SOD #PT6G11) being issued to the facility.

Report Facts
Appeal filing timeframe: 10 Compliance timeframe: 45 Posting duration: 90

Employees mentioned
NameTitleContext
Kenneth BrotheridgeAssisted Living DirectorSigned the notice letter as Bureau of Assisted Living, Division of Quality Assurance.
Vicky WittmanAssisted Living Regional DirectorContact person for questions about the letter.

Inspection Report

Complaint Investigation
Census: 22 Capacity: 30 Deficiencies: 1 Date: Aug 12, 2024

Visit Reason
The visit was conducted as a complaint investigation triggered by an allegation that the facility was left unattended during a night shift.

Complaint Details
The complaint was substantiated. It alleged the facility was left unattended on 07/23/2024 when two staff left to assist a sister facility with a resident fall. Interviews confirmed staff left the building unattended for 2 to 3 minutes during the night shift.
Findings
The complaint was substantiated with one deficiency identified: the provider did not ensure sufficient staff were present on a 24-hour basis to meet the needs of 22 residents. Two staff members left the facility unattended during the third shift to assist at a sister facility.

Deficiencies (1)
The provider did not ensure sufficient staff were provided on a 24-hour basis to meet the needs of 22 residents; two staff left the residents unattended during the third shift to assist a sister facility.
Report Facts
Census: 22 Total licensed capacity: 30

Employees mentioned
NameTitleContext
Administrator AAdministratorInterviewed regarding staff schedule and awareness of staff leaving the facility unattended
Caregiver BCaregiverInterviewed about leaving the facility unattended to assist sister facility and training Caregiver C
Caregiver CCaregiverInterviewed about leaving the facility unattended on first night working and assisting sister facility

Inspection Report

Complaint Investigation
Census: 21 Deficiencies: 0 Date: Jan 4, 2024

Visit Reason
Surveyor conducted a complaint investigation at Woodlands Senior Park in Fond du Lac on 01/03/2024 with additional information gathered through 01/04/2024.

Complaint Details
2 of 2 complaints were unsubstantiated.
Findings
Two complaints were investigated and both were unsubstantiated; no deficiencies were identified during the investigation.

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