Long Lake House

Last survey

May 18, 2026 complaint

Surveys

3

Deficiencies cited

24

Enforcement letters

3

Forfeitures imposed

$4,950 2 notices

Complaints substantiated

1 of 3 as stated in the reports

Enforcement

• June 5, 2026: notice of violation, order to comply
• June 2, 2026: notice of violation, order to comply, special orders, forfeiture, forfeiture $1,200 (reduced to $780 if paid within ten days)
• May 7, 2024: notice of violation, order to comply, special orders, forfeiture, forfeiture $3,750 (reduced to $2,437.50 if paid within ten days)

May 18, 2026, complaint 1 of 1 complaints substantiated · statement of deficiency

• Admission agreement include services, charges (DHS 83.29(2)) Admission agreement
  From the report: Based on record review and interview, the provider did not ensure each resident, or their responsible party, signed an admission agreement prior to or at the time of admission for 1 of 2 residents.
• Comprehensive Individualized Service Plan (DHS 83.35(3)(a)) Assessment, individual service plan and evaluations
  From the report: Based on record review and interview, the provider did not ensure the individualized service plan (ISP) for 1 of 2 (Resident 1) residents reviewed, identified the residents' needs, desired outcomes, measurable goals, methods for delivering care, and who was responsible for implementing the plan.
• Service plan development: parties involved (DHS 83.35(3)(b)) Assessment, individual service plan and evaluations
  From the report: Based on record review and interview, the provider did not have the resident or resident's legal representative sign the Individual Service Plan (ISP) acknowledging their involvement in, understanding of, and agreement with the plan for 1 of 2 residents (Resident 1) records reviewed.

April 22, 2026, complaint, verification visit 0 of 1 complaints substantiated · statement of deficiency

• Posting activity schedule (DHS 83.13(3)(d)) General records, retention and posting
  From the report: Based on observation and interview, the provider did not ensure an activity schedule was posted in the facility.
• Licensee ensures facility complies with laws (DHS 83.14(2)(a)) Licensee
  From the report: Based on observation, record review, and interviews, the provider and its operation did not comply with all laws governing the Community-Based Residential Facility (CBRF).
• Task specific training (DHS 83.22(1)-(4)) Task specific training
  From the report: N0247 83.22(2) Task Specific Training Based on record review and interview, the provider did not ensure 1 of 2 employees (House Manager B) reviewed obtained all task specific training.
• 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 obtain documentation of a screening for clinically apparent communicable disease, including tuberculosis (TB) by a physician, physician assistant, clinical nurse practitioner or a licensed registered nurse within 90 days before or 7 days after admission for 1 of 2 residents (Resident 9) reviewed.
• Comprehensive Individualized Service Plan (DHS 83.35(3)(a)) Assessment, individual service plan and evaluations
  From the report: Based on record review, observation, and interview, the provider did not ensure 1 of 2 residents (Resident 9) had a completed individualized service plan (ISP) within 30 days of admission.

March 27, 2024, standard survey, complaint, verification visit 0 of 1 complaints substantiated · statement of deficiency

• Pre-admission and ongoing assessments (DHS 83.35(1)(a)) Assessment, individual service plan and evaluations
  From the report: Based on record review and interview, the provider did not assess 2 of 2 residents (Resident 7 and Resident 8) reviewed for resident's needs, abilities, and physical and mental condition before admitting the person to the facility and at least annually.
• Temporary Service Plan (DHS 83.35(2)) Assessment, individual service plan and evaluations
  From the report: Based on record review and interview, the provider did not ensure a written temporary service plan was prepared upon admission to meet the immediate needs of 2 of 2 residents (Resident 7 and Resident 8.) This is a repeat deficiency.
• Service plan development: parties involved (DHS 83.35(3)(b)) Assessment, individual service plan and evaluations
  From the report: Based on record review and interview, the provider did not have the resident or resident's legal representative sign the Individual Service Plan (ISP) acknowledging their involvement in, understanding of, and agreement with the plan for 2 of 2 resident records reviewed.
• 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 update Individual Service Plans (ISP) annually for 2 of 2 resident records reviewed.
• Environment safe, clean, and comfortable (DHS 83.43(1)) Furnishings and equipment
  From the report: Based on observation and interview, the provider did not ensure the facility was maintained in a safe, clean, comfortable, and homelike environment.

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 8 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.