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

Meadowbrook Senior Living at Black River Falls

109 North 14th Street, Black River Falls, WI 54615 · Jackson County · 32 licensed beds

DQA licence number 0017941 · licensed, regular licence · first licensed December 2019

The licence

Licensed by DQA · Community-based residential facility · For profit · managed by Brf Nursing and Rehab LLC

Licence details, as listed by DQA
Licensed as
Community-based residential facility
Class
Class CNA (non-ambulatory)
Regular licence issued
December 1, 2019
Client groups served
Advanced aged, Irreversible dementia/Alzheimer's
Ownership
Limited Liability Company
16
Citations on file
Since October 2023
5
DQA visits
1 routine inspection
3
Building-related
Physical plant · emergency

Position within Wisconsin

16 citations — more than 93% 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.

Also on this campus

The same campus holds a Medicare-certified nursing home, with its own federal record on the Life Safety Index: MEADOWBROOK AT BLACK RIVER FALLS (1311 Tyler St). Matched by the telephone number the two records share. The records are separate and are never added together.

Get an email about Meadowbrook Senior Living at Black River Falls

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.

  • N516 Electrical outletsJuly 28, 2025
  • N394 Annual evaluation of evacuation limitsJanuary 29, 2024
  • N526 Other evacuation drillsNovember 10, 2023

How that compares

Citations on file over 3 years

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

This facility16Wisconsin median1
Citations on file over 3 years, compared
MeasureCitations
This facility16
Median facility in Wisconsin1

Visit history

Citations at each DQA visit
22023-1172024-0112024-0802025-0162025-07
Citations at each DQA visit
VisitTypeCitations
November 10, 2023survey, complaint investigation2
January 29, 2024complaint investigation7
August 14, 2024complaint investigation, verification visit1
January 14, 2025complaint investigation, verification visit0
July 28, 2025complaint investigation6

What the citations cover

Citations by category (TagProof's grouping)
  • Resident care 6
  • Medication 6
  • Life safety 2
  • Records and administration 1
  • Other 1
Citations by category
CategoryCitations
Resident care6
Medication6
Life safety2
Records and administration1
Physical plant1

Every visit on file since October 2023

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

July 28, 2025 — complaint investigation, 6 citations

Citations from the complaint investigation on July 28, 2025
TagWhat DQA checks
N200Notify within 7 days of administrator change
N409Proof-of-use record
N410Medication error or adverse reaction
N415Documentation of medication administration
N489Rooms clean and free from odors
N516Electrical outlets

January 14, 2025 — complaint investigation, verification visit, nothing cited

August 14, 2024 — complaint investigation, verification visit, 1 citation

Citations from the complaint investigation, verification visit on August 14, 2024
TagWhat DQA checks
N489Rooms clean and free from odors

January 29, 2024 — complaint investigation, 7 citations

Citations from the complaint investigation on January 29, 2024
TagWhat DQA checks
N352Rights of Residents: Receive medication
N389Service plans updated annually or on changes
N394Annual evaluation of evacuation limits
N404Medication regimen, administration review
N415Documentation of medication administration
N416Other administration given or delegated by RN
N489Rooms clean and free from odors

November 10, 2023 — survey, complaint investigation, 2 citations

Citations from the survey, complaint investigation on November 10, 2023
TagWhat DQA checks
N489Rooms clean and free from odors
N526Other evacuation drills

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.