State assisted-living licensing record · Wisconsin DQA · record as pulled October 1, 2026· Not the federal nursing home survey

Shiloh Assisted Living

140 S Mayflower Drive, Appleton, WI 54914 · Outagamie County · 22 licensed beds

DQA licence number 0018774 · licensed, regular licence · first licensed February 2022

The licence

Licensed by DQA · Community-based residential facility · For profit · managed by Shiloh Assisted Living LLC

Licence details, as listed by DQA
Licensed as
Community-based residential facility
Class
Class CS (semi-ambulatory)
Probationary licence issued
February 28, 2022
Regular licence issued
March 1, 2023
Client groups served
Advanced aged, Irreversible dementia/Alzheimer's, Physically disabled, Terminally ill, Emotionally disturbed/mental illness, Traumatic brain injury
Ownership
Limited Liability Company
24
Citations on file
Since October 2023
1
DQA visits
1 routine inspection
3
Building-related
Physical plant · emergency

Position within Wisconsin

24 citations — more than 96% of the 1,894 licensed assisted living facilities in Wisconsin. Compared only within Wisconsin: a citation from DQA means what it means in Wisconsin, and there is no national assisted living record to compare to. Counted over 3 years, which holds two or three routine inspections. How this is calculated

Not in this record

Fire and building code inspection, severity, the surveyor's narrative, and enforcement. The fire and building code inspection of a Wisconsin facility is the local fire department's and the state building authority's, and is not part of DQA's record; what DQA itself cites about the building — its physical environment, building maintenance, building support systems and fire safety rules — is here. DQA assigns no severity on these statements, and the plan of correction is the facility's own text and is not republished. Forfeitures and orders are issued in separate enforcement letters and are not republished, and an owner that is a sole proprietor is not named. Adult family homes, three or four beds, are also assisted living in Wisconsin and are not included.

Get an email about Shiloh Assisted Living

One email when it happens, from the DQA record as it is pulled each month. No account; stop it any time with one click.

Which alerts

This is the state licensing record, not the federal nursing home survey. Your address is used for these alerts and nothing else.

Building-related citations

The citations about the building itself — physical plant and emergency management. Usually the maintenance side’s to fix.

  • N525 Fire drillsMarch 16, 2026
  • N526 Other evacuation drillsMarch 16, 2026
  • N535 Smoke and heat detectors per NFPA 72March 16, 2026

How that compares

Citations on file over 3 years

Compared with the median licensed assisted living facility in Wisconsin. Within-state only.

This facility24Wisconsin median1
Citations on file over 3 years, compared
MeasureCitations
This facility24
Median facility in Wisconsin1

Visit history

Citations at each DQA visit
242026-03
Citations at each DQA visit
VisitTypeCitations
March 16, 2026survey, complaint investigation, self-report investigation24

What the citations cover

Citations by category (TagProof's grouping)
  • Records and administration 6
  • Resident care 6
  • Staffing and training 6
  • Life safety 3
  • Other 3
Citations by category
CategoryCitations
Records and administration6
Resident care6
Staffing and training6
Life safety3
Medication2
Food service1

Every visit on file since October 2023

As published by DQA, newest first, including visits that cited nothing. The wording is DQA’s own.

March 16, 2026 — survey, complaint investigation, self-report investigation, 24 citations

Citations from the survey, complaint investigation, self-report investigation on March 16, 2026
TagWhat DQA checks
N158Caregiver: Investigating abuse & neglect
N163Reporting when resident's whereabouts unknown
N164Reporting when law enforcement is called
N196Licensee ensures facility complies with laws
N198Licensee reports changes in capacity or class
N215Administrator responsible for staff training
N219Licensee conduct caregiver background check
N220Employees screened for communicable disease
N230Orientation
N243All employee training
N247Task specific training
N277Continuing education
N302Resident health screening and documentation
N326Notice of facility initiated discharges
N389Service plans updated annually or on changes
N406Disposition of medications
N416Other administration given or delegated by RN
N427Leisure time activities
N432Medication administration
N433Behavior management
N450Nutrition: menus
N525Fire drills
N526Other evacuation drills
N535Smoke and heat detectors per NFPA 72

Reflects the DQA record as pulled October 1, 2026. A recent visit may not appear yet. This is the Wisconsin state licensing record; it is not the federal nursing home survey and the two are never combined.