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

Van Dyke

1811 S Van Dyke Rd, Appleton, WI 54914 · Outagamie County · 8 licensed beds

DQA licence number 0014137 · licensed, regular licence · first licensed August 2012

The licence

Licensed by DQA · Community-based residential facility · Not for profit · managed by Clarity Care Inc

Licence details, as listed by DQA
Licensed as
Community-based residential facility
Class
Class CNA (non-ambulatory)
Regular licence issued
August 8, 2012
Client groups served
Advanced aged, Irreversible dementia/Alzheimer's, Physically disabled, Developmentally disabled, Emotionally disturbed/mental illness, Traumatic brain injury
Ownership
Corporation - Non profit
15
Citations on file
Since October 2023
6
DQA visits
2 routine inspections
4
Building-related
Physical plant · emergency

Position within Wisconsin

15 citations — more than 92% 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 Van Dyke

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.

  • N499 Toxic substancesJune 10, 2024
  • N525 Fire drillsJune 10, 2024
  • N526 Other evacuation drillsJune 10, 2024
  • N532 Fire extinguishers: locationsJune 10, 2024

How that compares

Citations on file over 3 years

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

This facility15Wisconsin median1
Citations on file over 3 years, compared
MeasureCitations
This facility15
Median facility in Wisconsin1

Visit history

Citations at each DQA visit
02023-10112024-0612024-0922025-0412025-1102026-03
Citations at each DQA visit
VisitTypeCitations
October 12, 2023verification visit0
June 10, 2024survey, complaint investigation, self-report investigation11
September 3, 2024complaint investigation1
April 15, 2025complaint investigation, verification visit2
November 12, 2025complaint investigation1
March 19, 2026survey, verification visit0

What the citations cover

Citations by category (TagProof's grouping)
  • Resident care 7
  • Life safety 3
  • Food service 2
  • Records and administration 1
  • Other 2
Citations by category
CategoryCitations
Resident care7
Life safety3
Food service2
Records and administration1
Physical plant1
Staffing and training1

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 19, 2026 — survey, verification visit, nothing cited

November 12, 2025 — complaint investigation, 1 citation

Citations from the complaint investigation on November 12, 2025
TagWhat DQA checks
N388Implement, follow the individual service plan

April 15, 2025 — complaint investigation, verification visit, 2 citations

Citations from the complaint investigation, verification visit on April 15, 2025
TagWhat DQA checks
N389Service plans updated annually or on changes
N397Qualified staff in charge, on duty and awake

September 3, 2024 — complaint investigation, 1 citation

Citations from the complaint investigation on September 3, 2024
TagWhat DQA checks
Y3244Care

June 10, 2024 — survey, complaint investigation, self-report investigation, 11 citations

Citations from the survey, complaint investigation, self-report investigation on June 10, 2024
TagWhat DQA checks
N165Reporting incidents with serious injury
N353Rights of Residents: Adequate treatment
N389Service plans updated annually or on changes
N431Health monitoring
N450Nutrition: menus
N452Food safety
N489Rooms clean and free from odors
N499Toxic substances
N525Fire drills
N526Other evacuation drills
N532Fire extinguishers: locations

October 12, 2023 — verification visit, nothing cited

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.