Inspection Reports for Lincoln Village

1330 W LINCOLN AVE, WI, 53074

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Deficiencies (last 2 years)

Deficiencies (over 2 years) 1.5 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

67% better than Wisconsin average
Wisconsin average: 4.6 deficiencies/year

Deficiencies per year

4 3 2 1 0
2023
2024

Census

Latest occupancy rate 34 residents

Based on a April 2024 inspection.

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

Census over time

18 24 30 36 42 48 Apr 2023 May 2023 Apr 2024

Inspection Report

Complaint Investigation
Deficiencies: 0 Date: Oct 21, 2024

Visit Reason
Surveyor conducted 2 complaint investigations at Lincoln Village, a CBRF located in Port Washington, WI.

Complaint Details
Two complaints were investigated and both were found to be unsubstantiated.
Findings
As a result of the investigations, 0 violations of Chapter DHS 83 were issued. Both complaints were unsubstantiated.

Report Facts
Number of complaints investigated: 2 Violations issued: 0

Inspection Report

Routine
Census: 34 Deficiencies: 0 Date: Apr 4, 2024

Visit Reason
A standard survey and verification visit was conducted at Lincoln Village CBRF on 04/04/2024.

Findings
No deficiencies were identified during the survey, and previous deficiencies were corrected. A $200 revisit fee is being assessed under statutory provisions.

Report Facts
Revisit fee: 200

Inspection Report

Complaint Investigation
Deficiencies: 2 Date: May 18, 2023

Visit Reason
A complaint investigation was conducted on May 18, 2023, to determine if Lincoln Village was in substantial compliance with Wisconsin statutes and administrative codes governing community-based residential facilities.

Complaint Details
Complaint investigation concluded on May 18, 2023, to assess compliance with Wis. Stat. ch. 50 and Wis. Admin. Code ch. DHS 83. Violations were substantiated as indicated by issuance of SOD #LOPF11.
Findings
The Department found violations of Wis. Stat. ch. 50 and Wis. Admin. Code ch. DHS 83, resulting in a Statement of Deficiency (SOD #LOPF11) and imposed a total forfeiture of $1,300.00 for specific violations.

Deficiencies (2)
Violation of DHS Code 83.35(3)(d)
Violation of DHS Code 83.31(4)(a)
Report Facts
Forfeiture amount: 1300 Forfeiture amount: 800 Forfeiture amount: 500 Reduced forfeiture amount: 845 Days to achieve compliance: 45 Days to request extension: 10 Days to pay forfeiture: 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: 28 Capacity: 42 Deficiencies: 1 Date: May 15, 2023

Visit Reason
The surveyor conducted a complaint investigation triggered by a complaint alleging that involuntary discharge requirements were not being followed at Lincoln Village.

Complaint Details
The complaint investigation was substantiated. The complaint alleged that involuntary discharge requirements were not followed. The provider failed to provide the required 30-day written notice and did not ensure a suitable living arrangement was available before discharge.
Findings
The investigation found that the provider did not ensure Resident 1 or their power of attorney received a 30-day written advance notice before initiating an involuntary discharge, including appeal rights and assistance for relocation. The complaint was substantiated with two deficiencies identified.

Deficiencies (1)
The provider did not ensure the resident and/or power of attorney were provided a 30-day written advance notice before initiating an involuntary discharge of Resident 1, including appeal rights, contact information, and assistance for relocation.
Report Facts
Deficiencies identified: 2 Licensed capacity: 42 Census: 28

Employees mentioned
NameTitleContext
AExecutive DirectorInterviewed regarding Resident 1's discharge and facility actions.
KFamily MemberInterviewed regarding Resident 1's discharge and communication with the facility.
JPower of AttorneySigned Resident Bill of Rights and involved in discharge process.
NRegistered NurseMentioned in communication with Family Member K regarding Resident 1's discharge.

Inspection Report

Plan of Correction
Census: 28 Deficiencies: 0 Date: Apr 26, 2023

Visit Reason
Surveyors conducted 4 self-report reviews at Lincoln Village, a Community-Based Residential Facility (CBRF) in Port Washington, WI.

Findings
No deficiencies were identified during the survey.

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