Inspection Reports for
Woodlands Senior Park
77 WISCONSIN AMERICAN DR, FOND DU LAC, WI, 54937
Back to Facility ProfileDeficiencies (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/yearDeficiencies per year
4
3
2
1
0
Census
Latest occupancy rate
73% occupied
Based on a August 2024 inspection.
Occupancy over time
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
| Name | Title | Context |
|---|---|---|
| Kenneth Brotheridge | Assisted Living Director | Signed the notice letter as Bureau of Assisted Living, Division of Quality Assurance. |
| Vicky Wittman | Assisted Living Regional Director | Contact 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
| Name | Title | Context |
|---|---|---|
| Administrator A | Administrator | Interviewed regarding staff schedule and awareness of staff leaving the facility unattended |
| Caregiver B | Caregiver | Interviewed about leaving the facility unattended to assist sister facility and training Caregiver C |
| Caregiver C | Caregiver | Interviewed 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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