Grand Oaks CBRF

Last survey

October 20, 2025 standard survey, verification visit

Surveys

3

Deficiencies cited

14

Enforcement letters

3

Forfeitures imposed

$2,275 3 notices

Complaints substantiated

0 of 1 as stated in the reports

Enforcement

• December 2, 2025: notice of violation, order to comply, special orders, forfeiture, forfeiture $1,775 (reduced to $1,153.75 if paid within ten days)
• May 7, 2024: notice of violation, order to comply, forfeiture, forfeiture $300 (reduced to $195 if paid within ten days)
• January 19, 2024: notice of violation, order to comply, forfeiture, forfeiture $200 (reduced to $130 if paid within ten days)

October 20, 2025, standard survey, verification visit · statement of deficiency

• All employee training (DHS 83.21(1)-(3)) All employee training
  From the report: Based on record review and interview, the provider did not ensure 2 of 2 employees sampled (Caregiver A and Caregiver B) completed training in the provider's licensed client groups and training in challenging behaviors within 90 days of hire.
• Continuing education (DHS 83.25) Continuing education
  From the report: Based on record review and interview, the provider did not ensure 2 of 2 employees sampled completed continuing education requirements.
• Qualified staff in charge, on duty and awake (DHS 83.36(1)(b)) Staffing requirements
  From the report: Based on record review, the provider did not ensure a qualified resident care staff was in charge on the premises at all times residents were present.
• Toxic substances (DHS 83.45(3)) Building maintenance and site
  From the report: Based on observation and record review, the provider did not ensure toxic substances were securely stored.

April 4, 2024, verification visit · statement of deficiency

• Resident health screening and documentation (DHS 83.28(4)(a)) Admission procedures
  From the report: Based on record review and interview, the provider did not ensure 1 of 2 residents sampled (Resident 1) was screened for communicable disease, including tuberculosis (TB), within 7 days after admission.
• Rights of Residents: Receive medication (DHS 83.32(3)(h)) Rights of residents
  From the report: Based on observation and interview, the provider did not ensure Resident 2 received diclofenac gel in the dosage prescribed by his/her physician.
• Initial evaluation of evacuation limitations (DHS 83.35(5)(a)) Assessment, individual service plan and evaluations
  From the report: Based on record review and interview, the provider did not ensure 2 of 2 residents sampled (Resident 1 and Resident 3) were assessed for evacuation capabilities within 3 days of admission.
• Qualified staff in charge, on duty and awake (DHS 83.36(1)(b)) Staffing requirements
  From the report: Based on observation, interview, and record review, the provider did not ensure staff were on site whenever residents were present.

November 9, 2023, standard survey, complaint 0 of 1 complaints substantiated · statement of deficiency

• Department-approved training courses (DHS 83.20(2)(a)-(d)) Department-approved training
  From the report: Based on record review and interview, the provider did not ensure 1 of 2 caregivers sampled (Caregiver E) completed Department approved fire safety training within 90 days of hire.
• Resident health screening and documentation (DHS 83.28(4)(a)) Admission procedures
  From the report: Based on record review and interview, the provider did not ensure 2 of 2 residents sampled (Resident 1 and Resident 2) were screened for communicable disease including tuberculosis within 7 days after admission.
• Service plans updated annually or on changes (DHS 83.35(3)(d)) Assessment, individual service plan and evaluations
  From the report: Based on record review and interview, the provider did not ensure 2 of 2 individual service plans (ISP) reviewed were signed by residents or their legal representatives, indicating their involvement and agreement with the ISP.
• Initial evaluation of evacuation limitations (DHS 83.35(5)(a)) Assessment, individual service plan and evaluations
  From the report: Based on record review and interview, the provider did not ensure 1 of 2 residents sampled (Resident 2) was assessed for evacuation capabilities within 3 days of admission.
• Infection control program (DHS 83.39(1)) Infection control program
  From the report: Based on observation and interview, the provider did not follow an infection control program based on current standards of practice.
• Other evacuation drills (DHS 83.47(2)(e)) Fire safety requirements
  From the report: Based on record review and interview, the provider did not ensure at least 2 "other" evacuation drills were completed annually in 2021 or 2022.

Read the survey history on DQA’s Provider Search →

DQA posts surveys from the last three years. DHS says posting may be delayed and Provider Search is updated weekly. This community is licensed for 16 residents; larger communities are surveyed and reported on more often, so read counts with size in mind. Source: Wisconsin Department of Health Services, Division of Quality Assurance, data as of October 15, 2026. Always visit in person and ask the community about anything listed here.