Wisconsin. Department of Administration. Division of Hearings and Appeals: Nursing Home Violations and Forfeitures, 1978-2012

Container Title
2012/073
Part 13 (2012/073): Additions, 2000-2004
Physical Description: 2.4 cubic feet (2 records center cartons and 1 archives box) 
Scope and Content Note: Cases of nursing home enforcement actions from the Division of Hearings and Appeals, 2000-2004, which were closed in 2004. Included are forfeiture assessments and Statements of Deficiency (SOD), affidavits and correspondence relating to hearings and appeals, and information on some cases that were dismissed or settled with a stipulated settlement.
Arrangement of the Materials: The cases are arranged by case number.
Access Restrictions: While many patients are anonymous in these files, a few are not, therefore Boxes 1 and 2 are restricted. Box 3 has no restrictions.
Statements of Deficiency (SOD)
Box   1
Folder   1
Case No. NS-00-0036: Colonial Manor Health and Rehabilitation
Box   1
Folder   2
Case No. NS-00-0064: Homme Home for the Aging
Box   1
Folder   3
Case No. NS-00-0072: Holton Manor
Box   1
Folder   4
Case No. NS-00-0075: Woodside Lutheran Home
Box   1
Folder   5
Case No. NS-00-0079: Rolling Hills
Box   1
Folder   6
Case No. NS-00-0087: Beverly Health and Rehabilitation Center
Box   1
Folder   7
Case No. NS-00-0090: The Clairemont
Box   1
Folder   8
Case No. NS-00-0093: Golden Age Nursing and Rehabilitation Center
Box   1
Folder   9
Case No. NS-00-0107: Mellon Manor
Box   1
Folder   10
Case No. NS-00-0112: Skaalen Retirement Services
Box   1
Folder   11
Case No. NS-01-0004: Mellon Manor
Box   1
Folder   12
Case No. NS-01-0013: Bethel Home
Box   1
Folder   13
Case No. NS-01-0018: Villa Marina Health and Rehabilitation Center
Box   1
Folder   14
Case No. NS-01-0034: Family Heritage Medical and Rehabilitation
Box   1
Folder   15
Case No. NS-01-0035: Pine Crest Nursing Home
Box   1
Folder   16
Case No. NS-01-0038: Bradley Health and Rehabilitation Center
Box   1
Folder   17
Case No. NS-01-0040: Riverview Rehabilitation and Care Center
Box   1
Folder   18
Case No. NS-01-0042: Terraceview Living Center
Box   1
Folder   19
Case No. NS-01-0045: Oakridge Gardens Nursing Center
Box   1
Folder   20
Case No. NS-01-0049: Sharpe Care
Box   1
Folder   21
Case No. NS-01-0055: Holton Manor
Box   1
Folder   22
Case No. NS-01-0066: Northern Lights Health Care Center
Box   1
Folder   23
Case No. NS-01-0069: Golden Years Health Care Center
Box   1
Folder   24
Case No. NS-01-0071: Luther Home
Box   1
Folder   25
Case No. NS-01-0086: Bradley Health and Rehabilitation Center
Box   1
Folder   26
Case No. NS-01-0087: Premier Rehabilitation and Skilled Nursing
Box   1
Folder   27
Case No. NS-01-0089: Northern Lights Health Care Center
Box   1
Folder   28
Case No. NS-01-0092: Memorial Medical Center
Box   1
Folder   29
Case No. NS-02-0012: Family Heritage Medical and Rehabilitation
Box   1
Folder   30
Case No. NS-02-0015: Fairchild Healthcare Center
Box   1
Folder   31
Case No. NS-02-0017: Hales Corners Care Center
Box   1
Folder   32
Case No. NS-02-0018: Maplewood Center
Box   1
Folder   33
Case No. NS-02-0026: South Shore Manor
Box   1
Folder   34
Case No. NS-02-0028: The Clairemont
Box   1
Folder   35
Case No. NS-02-0029: Evergreen Healthcare Center
Box   1
Folder   36
Case No. NS-02-0031: Woodside Lutheran Home
Box   1
Folder   37
Case No. NS-02-0035: Friendly Village
Box   1
Folder   38
Case No. NS-02-0041: Woodside Lutheran Home
Box   1
Folder   39-40
Case Nos. NS-02-0045 and NS-02-0046: Maple Manor Healthcare Center
Box   1
Folder   41
Case No. NS-02-0047: Family Heritage Care Center
Box   1
Folder   42
Case No. NS-02-0050: Fairchild Healthcare Center
Box   1
Folder   43
Case No. NS-02-0057: Skaalen Sunset Home
Box   1
Folder   44
Case No. NS-02-0070: Lakewood Health and Rehabilitation Center
Box   1
Folder   45
Case No. NS-02-0077: Knapp Haven Nursing Home
Box   1
Folder   46
Case No. NS-02-0087: The Terrace at St. Francis
Box   1
Folder   47
Case No. NS-02-0093: Homme Home for the Aging
Box   1
Folder   48
Case No. NS-02-0096: The Clairemont
Box   1
Folder   49
Case No. NS-02-0100: Rice Lake Convalescent Center
Box   1
Folder   50
Case No. NS-02-0101: Oak Park Nursing and Rehabilitation Center
Box   1
Folder   51
Case No. NS-02-0102: Friendly Village
Box   1
Folder   52
Case No. NS-02-0105: Pine View
Box   1
Folder   53
Case No. NS-02-0109: Terraceview Living Center
Box   1
Folder   54
Case No. NS-02-0116: Colonial Manor Health and Rehabilitation
Box   1
Folder   55
Case No. NS-02-0123: Clairemont Nursing and Rehabilitation
Box   1
Folder   56
Case No. NS-02-0126: Friendly Village
Box   1
Folder   57
Case No. NS-02-0127: Newcare
Box   1
Folder   58
Case No. NS-02-0131: Lutheran Home: River Falls
Box   1
Folder   59
Case No. NS-03-0002: Eagleton Home
Box   1
Folder   60
Case No. NS-03-0003: Cottonwood Center
Box   1
Folder   61
Case No. NS-03-0006: Highland Health Care
Box   1
Folder   62
Case No. NS-03-0010: Family Heritage Medical and Rehabilitation
Box   1
Folder   63
Case No. NS-03-0021: Highland Health Care
Box   1
Folder   64
Case No. NS-03-0022: ManorCare Health Services
Box   1
Folder   65
Case No. NS-03-0029: Silver Spring Health and Rehabilitation Center
Box   1
Folder   66
Case No. NS-03-0030: Clairemont Nursing and Rehabilitation
Box   1
Folder   67
Case No. NS-03-0031: Orchard Manor
Box   1
Folder   68
Case No. NS-03-0032: Wisconsin Dells Health and Rehabilitation
Box   1
Folder   69
Case No. NS-03-0042: Belmont Center
Box   1
Folder   70
Case No. NS-03-0043: Park Manor
Box   1
Folder   71
Case No. NS-03-0044: Riverview Manor
Box   1
Folder   72
Case No. NS-03-0050: Edgewater Haven Nursing Home
Box   1
Folder   73
Case No. NS-03-0053: Family Heritage Medical and Rehabilitation
Box   1
Folder   74
Case No. NS-03-0056: Lakeview Manor
Box   1
Folder   75
Case No. NS-03-0057: Cottonwood Center
Box   1
Folder   76-77
Case Nos. NS-03-0060 and NS-03-0061: Kilborn Care Center
Box   1
Folder   78
Case No. NS-03-0062: Ashland Health and Rehabilitation Center
Box   1
Folder   79
Case No. NS-03-0068: Greenway Manor
Box   1
Folder   80
Case No. NS-03-0072: Lindengrove
Box   1
Folder   81
Case No. NS-03-0073: Premier Rehabilitation and Skilled Nursing
Box   1
Folder   82
Case No. NS-03-0077: Valley Health Care Center
Box   1
Folder   83
Case No. NS-03-0078: Nu-Roc Community Healthcare
Box   1
Folder   84
Case No. NS-03-0081: Alden-Meadow Park Health Care Center
Box   1
Folder   85
Case No. NS-03-0083: Meriter Health Center
Box   1
Folder   86
Case No. NS-03-0084: Lutheran Home
Box   1
Folder   87
Case No. NS-03-0085: Woodside Lutheran Home
Box   1
Folder   88
Case No. NS-03-0086: Rennes Health Center - East
Box   1
Folder   89
Case No. NS-03-0087: Menomonee Falls Health Care Center
Box   1
Folder   90
Case No. NS-03-0089: Manawa Community Nursing Center
Box   1
Folder   91
Case No. NS-03-0090: Golden Age Nursing and Rehabilitation Center
Box   1
Folder   92
Case No. NS-03-0091: Marquardt Memorial Manor
Box   1
Folder   93
Case No. NS-03-0092: Colonial Manor Health and Rehabilitation
Box   1
Folder   94
Case No. NS-03-0093: Pleasant View Rehabilitation/Health
Box   1
Folder   95
Case No. NS-03-0095: Rennes Health Center - De Pere
Box   1
Folder   96
Case No. NS-03-0100: Vallhaven Care Center
Box   1
Folder   97
Case No. NS-03-0101: Terraceview Living Center
Box   1
Folder   98
Case No. NS-03-0102: Valley Health Care Center
Box   1
Folder   99
Case No. NS-03-0103: Ladysmith Nursing Home
Box   1
Folder   100
Case No. NS-03-0105: Rennes Health Center - De Pere
Box   1
Folder   101
Case No. NS-03-0106: St. Michael's Lutheran Home
Box   1
Folder   102
Case No. NS-03-0108: Waunakee Manor Health Care Center
Box   1
Folder   103
Case No. NS-03-0109: Silver Spring Health and Rehabilitation Center
Box   1
Folder   104
Case No. NS-03-0111: Franciscan Woods
Box   1
Folder   105
Case No. NS-03-0112: Lindengrove
Box   1
Folder   106
Case No. NS-03-0113: Riverview Manor
Box   1
Folder   107
Case No. NS-03-0114: Newcare
Box   1
Folder   108
Case No. NS-03-0116: Family Heritage Medical and Rehabilitation
Box   1
Folder   109
Case No. NS-03-0117: Badger Prairie Health Care Center
Box   1
Folder   110
Case No. NS-03-0118: Milwaukee Protestant Home
Box   1
Folder   111
Case No. NS-03-0119: Meriter Health Center
Box   1
Folder   112
Case No. NS-03-0120: Mount Carmel Health and Rehabilitation Center
Box   1
Folder   113
Case No. NS-03-0121: North Central Health Care Facility
Box   2
Folder   1
Case No. NS-03-0122: North Central Health Care Facility
Box   2
Folder   2
Case No. NS-03-0123: Riverview Manor
Box   2
Folder   3
Case No. NS-03-0124: Signet Health and Rehabilitation Center
Box   2
Folder   4
Case No. NS-03-0125: Eagleton Home
Box   2
Folder   5
Case No. NS-03-0127: Vallhaven Care Center
Box   2
Folder   6
Case No. NS-03-0128: Affinity Subacute Care Unit
Box   2
Folder   7
Case No. NS-03-0129: Grande Prairie Health and Rehabilitation
Box   2
Folder   8
Case No. NS-03-0130: Linden Grove
Box   2
Folder   9
Case No. NS-03-0131: Continental Manor
Box   2
Folder   10
Case No. NS-03-0132: Marinuka Manor
Box   2
Folder   11
Case No. NS-03-0134: Hillview Health Care Center
Box   2
Folder   12
Case No. NS-03-0135: Colonial Manor Health and Rehabilitation
Box   2
Folder   13
Case No. NS-03-0136: Schmitt Woodland Hills
Box   2
Folder   14
Case No. NS-03-0137: Sheltered Village of Ripon
Box   2
Folder   15
Case No. NS-04-0001: Capeside Cove Good Samaritan Center
Box   2
Folder   16
Case No. NS-04-0002: Memorial Community Hospital
Box   2
Folder   17
Case No. NS-04-0003: Grancare Nursing and Rehabilitation Center
Box   2
Folder   18
Case No. NS-04-0004: Rib Lake Health Care Center
Box   2
Folder   19
Case No. NS-04-0005: Signet Health and Rehabilitation Center
Box   2
Folder   20
Case No. NS-04-0006: Colonial Manor Health and Rehabilitation
Box   2
Folder   21-22
Case Nos. NS-04-0009 and NS-04-0010: Bethesda Lutheran Homes
Box   2
Folder   23
Case No. NS-04-0011: Northern Lights Health Care Center
Box   2
Folder   24
Case No. NS-04-0012: Sauk County Health Care Center
Box   2
Folder   25
Case No. NS-04-0013: Allis Care Center
Box   2
Folder   26
Case No. NS-04-0014: Meriter Health Center
Box   2
Folder   27-28
Case Nos. NS-04-0015 and NS-04-0016: Vallhaven Care Center
Box   2
Folder   29
Case No. NS-04-0017: Horizons Unlimited
Box   2
Folder   30
Case No. NS-04-0019: Franciscan Villa of South Milwaukee
Box   2
Folder   31
Case No. NS-04-0021: Rennes Health Center - De Pere
Box   2
Folder   32
Case No. NS-04-0022: Marian Franciscan Center
Box   2
Folder   33
Case No. NS-04-0023: Memorial Community Hospital
Box   2
Folder   34
Case No. NS-04-0024: Ellsworth Care Centers
Box   2
Folder   35
Case No. NS-04-0025: Bethesda Lutheran Homes
Box   2
Folder   36
Case No. NS-04-0026: Pepin Manor
Box   2
Folder   37
Case No. NS-04-0027: Mequon Care Center
Box   2
Folder   38
Case No. NS-04-0030: Woodlands of Suring Nursing Home
Box   2
Folder   39
Case No. NS-04-0031: Woodlands of Gillett
Box   2
Folder   40
Case No. NS-04-0032: Luther Home
Box   2
Folder   41
Case No. NS-04-0033: Tudor Oaks Health Center
Box   2
Folder   42
Case No. NS-04-0034: Terraceview Living Center
Box   2
Folder   43
Case No. NS-04-0035: Woodstock Health and Rehabilitation Center
Box   2
Folder   44
Case No. NS-04-0037: Marian Franciscan Center
Box   2
Folder   45
Case No. NS-04-0039: Divine Savior Hospital and Nursing Home
Box   2
Folder   46
Case No. NS-04-0040: Pepin Manor
Box   2
Folder   47
Case No. NS-04-0043: Grand View Care Center
Box   2
Folder   48
Case No. NS-04-0044: Eastview Medical and Rehabilitation Center
Box   2
Folder   49
Case No. NS-04-0045: Marian Franciscan Center
Box   2
Folder   50
Case No. NS-04-0046: Oshkosh Medical Rehabilitation Center
Box   2
Folder   51
Case No. NS-04-0047: Wisconsin Dells Health and Rehabilitation
Box   2
Folder   52
Case No. NS-04-0048: Spooner Health System
Box   2
Folder   53
Case No. NS-04-0049: Dunn County Health Care Center
Box   2
Folder   54
Case No. NS-04-0050: Oakwood Village West
Box   2
Folder   55
Case No. NS-04-0051: Woodlands of Suring Nursing Home
Box   2
Folder   56
Case No. NS-04-0054: Kenosha Care Center
Box   2
Folder   57
Case No. NS-04-0057: Dunn County Health Care Center
Box   2
Folder   58
Case No. NS-04-0059: Lincoln Lutheran Care Center
Box   2
Folder   59
Case No. NS-04-0060: Mequon Care Center
Box   2
Folder   60
Case No. NS-04-0063: Bethany Home
Box   2
Folder   61
Case No. NS-04-0064: Pleasant View Rehabilitation/Health
Box   2
Folder   62
Case No. NS-04-0065: Spooner Health System
Box   2
Folder   63
Case No. NS-04-0068: Oak Park Nursing and Rehabilitation Center
Box   2
Folder   64-65
Case Nos. NS-04-0069 and NS-04-0070: Oshkosh Medical Rehabilitation Center
Box   2
Folder   66
Case No. NS-04-0071: Lakeside Nursing and Rehabilitation
Box   2
Folder   67
Case No. NS-04-0072: Signet Health and Rehabilitation Center
Box   2
Folder   68
Case No. NS-04-0074: Knapp Haven Nursing Home
Box   2
Folder   69
Case No. NS-04-0075: Becker Shoop Center
Box   2
Folder   70
Case No. NS-04-0076: Vallhaven Care Center
Box   2
Folder   71
Case No. NS-04-0077: St. Francis Home
Box   2
Folder   72
Case No. NS-04-0078: Wild Rose Manor
Box   2
Folder   73
Case No. NS-04-0079: Ladysmith Nursing Home
Box   2
Folder   74
Case No. NS-04-0080: Bethel Home and Service
Box   2
Folder   75
Case No. NS-04-0083: Terraceview Living Center
Box   2
Folder   76
Case No. NS-04-0085: Wild Rose Manor
Box   2
Folder   77
Case No. NS-04-0087: Wisconsin Lutheran Care Center
Box   2
Folder   78
Case No. NS-04-0088: Greenway Manor
Box   2
Folder   79
Case No. NS-04-0090: North Central Health Care Facility
Box   2
Folder   80
Case No. NS-04-0091: Norseland Nursing Home
Box   2
Folder   81
Case No. NS-04-0093: Grancare Nursing and Rehabilitation Center
Box   2
Folder   82
Case No. NS-04-0094: Lutheran Home: River Falls
Box   2
Folder   83
Case No. NS-04-0095: Grancare Nursing and Rehabilitation Center
Box   2
Folder   84
Case No. NS-04-0096: St. John's on the Lake
Box   2
Folder   85
Case No. NS-04-0098: Newcare
Box   2
Folder   86
Case No. NS-04-0099: Hillview Healthcare Center, LLC
Box   2
Folder   87
Case No. NS-04-0104: Morrow Memorial Home
Box   2
Folder   88
Case No. NS-04-0110: Pine Manor Health Care Center
Box   2
Folder   89
Case No. NS-04-0112: Hillview Healthcare Center, LLC
Box   2
Folder   90
Case No. NS-04-0113: Ashland Health and Rehabilitation Center
Box   2
Folder   91
Case No. NS-04-0115: Pine Manor Health Care Center
Forfeiture assessments
Box   2
Folder   92
Case No. NF-00-0034: Colonial Manor Health and Rehabilitation
Box   2
Folder   93
Case No. NF-00-0044: The Waters of Westmoreland
Box   2
Folder   94
Case No. NF-01-0004: Rolling Hills
Box   2
Folder   95
Case No. NF-01-0007: Bethel Home
Box   2
Folder   96
Case No. NF-01-0018: Bradley Health and Rehabilitation Center
Box   2
Folder   97
Case No. NF-02-0002: Ashland Health and Rehabilitation Center
Box   2
Folder   98
Case No. NF-02-0009: Woodside Lutheran Home
Lakewood Health and Rehabilitation Center
Box   2
Folder   99
Case No. NF-02-0010
Box   2
Folder   100
Case No. NF-02-0012
Box   2
Folder   101
Case No. NF-02-0013
Box   2
Folder   102
Case No. NF-02-0014: The Clairemont
Box   2
Folder   103
Case No. NF-02-0022: Villa Marina Health and Rehabilitation Center
Box   2
Folder   104
Case No. NF-02-0023: Mellon Manor
Box   3
Folder   1
Case No. NF-02-0030: River Hills West Health Care Center
Box   3
Folder   2
Case No. NF-02-0034: Sharpe Care
Box   3
Folder   3-4
Case Nos. NF-02-0037 and NF-02-0038: Family Heritage Medical and Rehabilitation
Box   3
Folder   5-6
Case Nos. NF-02-0039 and NF-02-0040: Clairemont Nursing and Rehabilitation
Box   3
Folder   7
Case No. NF-02-0041: Bradley Health and Rehabilitation
Box   3
Folder   8
Case No. NF-02-0042: Golden Years Health Care Center
Box   3
Folder   9
Case No. NF-03-0003: SouthPointe Healthcare Center
Box   3
Folder   10
Case No. NF-03-0004: Oak Park Nursing and Rehabilitation Center
Box   3
Folder   11
Case No. NF-03-0005: Colonial Manor Health and Rehabilitation
Box   3
Folder   12
Case No. NF-03-0009: Clairemont Nursing and Rehabilitation
Box   3
Folder   13
Case No. NF-03-0010: Cottonwood Center
Box   3
Folder   14
Case No. NF-03-0012: Meriter Health Center
Box   3
Folder   15-16
Case Nos. NF-03-0013 and NF-03-0014: Clairemont Nursing and Rehabilitation
Box   3
Folder   17
Case No. NF-03-0016: Family Heritage Care Center
Box   3
Folder   18
Case No. NF-03-0017: Premier Rehabilitation and Skilled Nursing
Box   3
Folder   19
Case No. NF-03-0020: Clairemont Nursing and Rehabilitation
Box   3
Folder   20-22
Case Nos. NF-03-0023 to NF-03-0025: Birch Hill Healthcare Center
Box   3
Folder   23
Case No. NF-03-0027: The Terrace at St. Francis
Box   3
Folder   24
Case No. NF-03-0028: Skaalen Sunset Home
Box   3
Folder   25-26
Case Nos. NF-03-0030 and NF-03-0031: Cottonwood Center
Box   3
Folder   27-29
Case Nos. NF-03-0032 to NF-03-0034: Friendly Village
Box   3
Folder   30
Case No. NF-03-0035: Woodside Lutheran Home
Box   3
Folder   31-32
Case Nos. NF-03-0036 and NF-03-0037: Rice Lake Convalescent Center
Box   3
Folder   33
Case No. NF-03-0038: Woodside Lutheran Home
Box   3
Folder   34
Case No. NF-03-0039: Homme Home for the Aging
Box   3
Folder   35
Case No. NF-03-0040: Woodside Lutheran Home
Box   3
Folder   36
Case No. NF-03-0041: Edgewater Haven Nursing Home
Box   3
Folder   37
Case No. NF-04-0001: Alden-Meadow Park Health Care Center
Box   3
Folder   38
Case No. NF-04-0003: Premier Rehabilitation and Skilled Nursing
Box   3
Folder   39
Case No. NF-04-0004: Lutheran Home
Box   3
Folder   40
Case No. NF-04-0005: Rennes Health Center - De Pere
Box   3
Folder   41
Case No. NF-04-0006: Ladysmith Nursing Home
Box   3
Folder   42
Case No. NF-04-0007: Four Winds Manor
Box   3
Folder   43
Case No. NF-04-0008: Sky View Nursing Center
Box   3
Folder   44
Case No. NF-04-0014: Marinuka Manor
Box   3
Folder   45
Case No. NF-04-0017: Eastcastle Place Bradford Terrace Convalescent Center
Box   3
Folder   46
Case No. NF-04-0022: Pepin Manor
Box   3
Folder   47
Case No. NF-04-0023: Tri-County Memorial Hospital and Nursing Home
Box   3
Folder   48
Case No. NF-04-0024: Franciscan Villa of South Milwaukee
Box   3
Folder   49
Case No. NF-04-0025: Becker Shoop Center
Box   3
Folder   50
Case No. NF-04-0034: Kinnic Long Term Care