Inspection Reports for Woodside Manor I II III IV
1060 PILGRIM WAY, GREEN BAY, WI, 54304-
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
0.7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
85% better than Wisconsin average
Wisconsin average: 4.6 deficiencies/yearDeficiencies per year
4
3
2
1
0
Census
Latest occupancy rate
119 residents
Based on a November 2025 inspection.
This facility has shown a decline in demand based on occupancy rates.
Census over time
Inspection Report
Complaint Investigation
Census: 119
Deficiencies: 0
Date: Nov 6, 2025
Visit Reason
Surveyors conducted a standard survey and complaint investigation at Woodside Manor I II III IV following two complaints.
Complaint Details
Two complaints were investigated and both were unsubstantiated.
Findings
Two complaints were investigated and found to be unsubstantiated; no deficiencies were identified during the survey.
Inspection Report
Complaint Investigation
Census: 32
Deficiencies: 0
Date: Jul 18, 2025
Visit Reason
Surveyor conducted a complaint investigation at Woodside Manor I, II, III, & IV.
Complaint Details
The complaint was unsubstantiated.
Findings
The complaint was unsubstantiated and no deficiencies were identified.
Inspection Report
Complaint Investigation
Census: 125
Deficiencies: 0
Date: Dec 17, 2024
Visit Reason
Surveyor conducted a complaint investigation at Woodside Manor I, II, III and IV in Green Bay following two complaints.
Complaint Details
Two complaints were investigated and both were unsubstantiated.
Findings
Two complaints were investigated and both were found to be unsubstantiated; no deficiencies were identified during the investigation.
Inspection Report
Complaint Investigation
Census: 121
Deficiencies: 0
Date: Jun 3, 2024
Visit Reason
Surveyor conducted a complaint investigation at Woodside Manor I, II, III, IV in Green Bay.
Complaint Details
Complaint was unsubstantiated with no deficiencies identified.
Findings
The complaint was unsubstantiated and no deficiencies were identified.
Inspection Report
Complaint Investigation
Census: 120
Deficiencies: 0
Date: Jan 8, 2024
Visit Reason
Surveyors conducted a complaint investigation at Woodside Manor I, II, III, IV in Green Bay following a complaint received.
Complaint Details
1 of 1 complaints was unsubstantiated.
Findings
The investigation found that 1 of 1 complaints was unsubstantiated and no deficiencies were identified.
Inspection Report
Follow-Up
Census: 119
Deficiencies: 0
Date: Nov 21, 2023
Visit Reason
Surveyor conducted a verification visit and standard survey to confirm correction of previous violations at Woodside Manor I II III & IV.
Findings
The previous violation was corrected and no deficiencies were identified during this visit.
Report Facts
Revisit fee: 200
Inspection Report
Complaint Investigation
Census: 120
Deficiencies: 1
Date: Apr 5, 2023
Visit Reason
The surveyor conducted a complaint investigation triggered by allegations that residents' needs were not being met, specifically focusing on Resident 1's care related to skin integrity and assessments.
Complaint Details
The complaint investigation was substantiated. Resident 1 was admitted to the hospital and died due to sepsis related to cellulitis, strep bacteremia, and rhabdomyolysis. The provider failed to conduct required skin integrity assessments and monitoring despite Resident 1's known risk factors and history.
Findings
The complaint was substantiated with one deficiency identified: the provider failed to assess Resident 1's needs and physical condition related to skin integrity. Resident 1 had a history of impaired skin integrity and lymphedema but was not properly assessed or monitored, which contributed to sepsis and subsequent death.
Deficiencies (1)
Provider did not assess Resident 1's needs and physical condition related to skin integrity, despite history of impaired skin integrity and lymphedema.
Report Facts
Census: 120
Dates of key events: Feb 6, 2023
Dates of key events: Apr 5, 2023
Medication dates: 2022-12-09 to 2023-01-19
Medication dates: 2022-10-13 to 2023-02-17
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Apr 5, 2023
Visit Reason
A complaint investigation was conducted on April 5, 2023, to determine if Woodside Manor I II III IV was in substantial compliance with Wisconsin statutes and administrative codes governing community-based residential facilities.
Complaint Details
The complaint investigation concluded that the facility was not in substantial compliance with applicable statutes and administrative codes, leading to the issuance of a Statement of Deficiency and enforcement actions.
Findings
The Department issued a Statement of Deficiency (SOD #DOQB11) for violations of Wis. Stat. ch. 50 and Wis. Admin. Code ch. DHS 83, resulting in a Notice of Violation and an imposed forfeiture of $600.
Deficiencies (1)
Violation of Wis. Admin. Code 83.35(1)(a) as identified in SOD #DOQB11
Report Facts
Forfeiture amount: 600
Reduced forfeiture amount: 390
Forfeiture payment timeframe: 10
Compliance timeframe: 45
Inspection fee: 200
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kathleen D. Lyons | Interim Assisted Living Director | Signed the Notice and Order letter |
| Vicky Wittman | Assisted Living Regional Director | Contact person for questions about the letter |
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