Department of Health Services Logo

 

Wisconsin Department of Health Services

Finding and Choosing Health and Residential Care Providers

Provider Search

County-By-County Residential Care Options

Complaints about Health/ Residential Care Providers

Provider Types Regulated by the Department

WI Adult Programs Caregiver Misconduct Registry

Understanding Assisted Living Facility Profiles

The information on this page may be helpful when you are viewing Assisted Living Facility Profiles.

The health, safety and welfare of Wisconsin residents is a top priority for the Department and the Division of Quality Assurance is responsible for making sure that providers offer or arrange services that adhere to the rules and requirements outlined in state and federal law.

The assisted living facility profile includes compliance history for the four assisted living provider types regulated by the Department:

Assisted living facility profile information is provided by the Department as a public service. The Department neither endorses any facility nor guarantees that the information is accurate, up-to-date or complete.

This information, which should not be used as a sole source in selecting a facility, does not replace official information sources. The DHS is not responsible for any errors in or omissions from the compliance history information

Surveys of Assisted Living Facilities

Assisted Living Facilities are surveyed every two years to review compliance with applicable administrative codes, standards and state statutes. In addition, the Department responds to complaints received against providers. See Guidelines for Assisted Living Enforcement (PDF, 91 KB) for more information on the survey process.

Note: Residential Care Apartment Complexes (RCACs)

  • RCACs may be certified or registered. Certified RCACs may accept tenants that receive public funding while registered RCACs serve private pay only tenants.
  • The Department’s oversight of registered RCACs is limited to conducting complaint investigations. Information for registered RCACs will only appear in the profile under the complaint section, if applicable.

Facility Profile

The facility profile is divided into four categories:

  1. Facility Name and Status

  2. Survey History

  3. Enforcement History

  4. Complaint History

Detailed information regarding facility size, client group(s) served, owner/ licensee information, etc., can be found on the statewide directory for each of the Assisted Living provider types:

Dates at the top of each profile indicate the time period for which survey activities are identified. Survey information related to dates outside this time period may be obtained by contacting the appropriate regional office for the county in which the facility is located.

Profile information is available only for facilities that are currently licensed (open facility). Licenses for assisted living facilities are not transferable. Therefore, records for facilities that experience a change of ownership are closed and then opened under the new owner/licensee.

  • Information on closed facilities may be obtained by contacting the appropriate regional office for the county in which the facility is located.

The Profile is a “Snapshot” – Not the Complete Picture

The assisted living facility profile is designed to provide an overview of the results of inspections completed by the Department.

When comparing facilities in terms of quality of care and safety, consumers should keep in mind that the profile does not reflect such factors as facility size or the complexity of healthcare needs of its residents/tenants.

In light of this, the profile is a “snapshot” of the facility – not the complete picture. Inspection information measures whether the facility meets the minimum standard for a particular set of requirements at the time of that inspection.

When comparing one facility’s profile results to another, the consumer should compare facilities that provide services to the same client group(s) and that are similar in size.

Please note that information on this website should not be construed as an endorsement or advertisement for or against any assisted living facility by the Department.

In addition to reviewing the assisted living facility profiles, we encourage people to visit facilities in person and talk with providers. The Assisted Living Facility Checklist (P-60579) (PDF, 124 KB) may also be helpful to you.

Understanding the Terminology Used on Facility Profiles

The following is a glossary of terms for the facility profile. The Glossary of Terms are divided into four categories to match the order in which the terms appear on the profile.

Facility Name and Status

Identifies the name and address of the facility.

  • License Status: Regular or Probationary. The Department issues all assisted living facilities a “regular” license/certificate/registration, except CBRFs, which are issued a “probationary” license for the first year of operation.
  • Licensed/Certified/Registered: The date provided indicates when the facility received their initial license/certification/registration. CBRFs and AFHs are licensed, ADCs are certified, and RCACs may be certified or registered.

Survey History

Assisted living facilities are surveyed by the Department approximately every two years to ensure compliance with applicable Wisconsin Administrative Codes, statutes and standards.

Additional reviews may be conducted as part of complaint investigations, verification visits and follow up to facility self-reports.

The Survey History section of the profile report captures all survey activity completed during the reporting period identified at the top of the report.

  • End Date: Date inspection was completed.
  • Type: Type of survey may be Initial, Abbreviated, Standard or Other.
    • Initial: Inspection conducted prior to issuing a facility’s first license/certification.
    • Abbreviated: At the Department's discretion, the abbreviated survey process is used for facilities with a compliance history that meets the following three criteria:
      • No enforcement activity within the last three years;
      • No substantiated complaints, resulting in deficiencies, within the last three years; and
      • Facility has been licensed/certified for at least three years.

    • Standard: A standard survey process is used in facilities that do not meet the criteria for an abbreviated or initial survey.
    • Other: Complaint, self-report or verification visit.
  • Purpose: The reason an inspection occurred. Following are the possible reasons: a two-year survey; complaint investigation; self-report investigation; a verification visit; or a combination of any of the above.
  • Results: Action taken by the Department in response to the inspection. Following are the possible results:
    • Issuance of a license/certificate
    • No Statement of Deficiency
    • Statement of Deficiency
    • Enforcement
  • Statement of Deficiency: Used to identify incidents of non-compliance that:
    • Result in more than minimal, but not serious harm; or
    • Have potential for more than minimal harm, but not serious harm; or
    • Indicate a breakdown in facility systems.

All Statements of Deficiency will include a sanction for an order to submit a plan of correction within 30 days (see Wis. Admin. Code § HFS 83.07(14)(a)).

  • Served: Date licensee receives the Statement of Deficiency
  • Deficiencies Cited: The code reference from the Wisconsin Administrative Code, statute or standard for the incident of non-compliance.
  • Subject Area: Description title of the referenced Wisconsin Administrative Code, statute or standard.
  • Compliance Verified: Date the Department verifies correction of the non-compliance. If this item is empty, then verification of the non-compliance has not occurred.
  • Corrected: This item will contain a "yes," "no," "variance," "waiver," "Admin. Code Revision," or "withdrawn" response, or may be blank.
    • Yes: A verification visit was conducted and the deficiency was corrected.
    • No: A verification visit was conducted, but the deficiency was found to be uncorrected.
    • Variance: The facility requested and was issued a variance allowing an alternative means of meeting the requirement.
    • Waiver: The facility requested and was issued a waiver granting an exemption from the requirement.
    • Administrative Code Revision: On 4/1/09, revised Wisconsin Administrative Code, Chapter DHS 83 became effective.  Codes that were cited prior to 4/1/09 may no longer be the same code under the revised DHS 83.  Therefore, an onsite verification visit was not conducted to determine the status of the deficiency and the deficiency has been closed without action.
    • Withdrawn: As a result of litigation (appeal), the Department withdraws the citation.
    • (Blank/Empty): The Department has not completed a verification visit to determine compliance.

Enforcement History

Information contained in this portion of the facility profile identifies an occurrence from the Survey History section of the profile that resulted in the Department issuing a sanction against the facility. Deficiencies resulting in enforcement action include those that:

  • Result in serious harm, has a potential for serious harm, or indicates a breakdown in facility systems that could lead to serious harm;
  • Create a condition or occurrence that presents a substantial probability that death or serious mental or physical harm to a resident will result (or did occur);
  • Create a condition or occurrence that presents a direct threat to the health, safety or welfare of a resident.
  • Repeated, uncorrected, or “target” violations. For example, violations of staff training requirements are “target” violations that result in enforcement action.

See Guidelines for Assisted Living Enforcement (PDF, 91 KB) for more information.

  • SOD #: Number on the Statement of Deficiency (SOD) that corresponds to the SOD # under Survey History.
  • Appeal: Assisted living facilities have a right to dispute inspection findings through an appeal to the Division of Hearing and Appeals. Appeals may be resolved via stipulated settlement agreements or may go to hearing before an administrative law judge.
  • Decision: Result of the appeal process which could be one of the following:
    • Pending (department action has been appealed and is awaiting resolution).
    • Withdrawn (petitioner withdraws appeal request prior to hearing).
    • Upheld (hearing decision rules in favor of department)
    • Reversed (hearing decision rules in favor of petitioner)
    • Split-Decision (hearing decision rules in favor of a portion of the department’s action and in favor of a portion of the petitioner’s appeal).
  • Stipulation: A Stipulated Settlement Agreement between the department and petitioner to resolve original survey findings and enforcement actions without a formal hearing.
    • Examples include a reduced forfeiture, amended language on the SOD, or a withdrawn citation.
  • Sanction: The Department has the authority under state law (ch. 50 of the Wisconsin Statutes and applicable Wisconsin Administrative Code) to impose the following penalties:
    • Forfeiture
    • No New Admissions
    • Revocation
    • Orders to Comply With Corrective Action Specified by the Department
    • Order to Obtain Training
    • Order to Stop Violating a Provision of Licensure

Complaint History

The Department accepts all complaints against providers over which the Department has authority. The Complaint History section includes all complaints that had a completed investigation during the time period identified at the top of the report.

Please note: pending complaints do not appear on this profile report.

  • Date Complaint Received: Date the Department received the letter, telephone call, or e-mail from a complainant.
  • Date Investigation Completed: Date all aspects of the complaint investigation have been concluded.
  • Subject Area: Identifies area(s) of concern reported by the complainant.
  • Result:
    • Substantiated: A deficient practice was identified related to the complaint and a Statement of Deficiency or Notice of Finding was issued.
    • Unsubstantiated: There was no deficient practice identified related to the complaint.
  • SOD #: If the subject area of a complaint is substantiated and results in the issuance of a Statement of Deficiency, the SOD # will be indicated. Please reference Survey History and Enforcement History for additional information about the SOD.

Last Revised: September 11, 2014