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

Safe Haven Adult Assisted Living LLC

421 Main Street, Boyceville, WI 54725 · Dunn County · 8 licensed beds

DQA licence number 0015032 · licensed, regular licence · first licensed June 2014

The licence

Licensed by DQA · Community-based residential facility · For profit · managed by Safe Haven Adult Assisted Living LLC

Licence details, as listed by DQA
Licensed as
Community-based residential facility
Class
Class CNA (non-ambulatory)
Probationary licence issued
June 1, 2014
Regular licence issued
June 1, 2015
Client groups served
Advanced aged, Physically disabled, Developmentally disabled, Traumatic brain injury
Ownership
Limited Liability Company
9
Citations on file
Since October 2023
2
DQA visits
1 routine inspection
1
Building-related
Physical plant · emergency

Position within Wisconsin

9 citations — more than 84% 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 Safe Haven Adult Assisted Living LLC

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

  • N507 CombustiblesJanuary 11, 2024

How that compares

Citations on file over 3 years

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

This facility9Wisconsin median1
Citations on file over 3 years, compared
MeasureCitations
This facility9
Median facility in Wisconsin1

Visit history

Citations at each DQA visit
92024-0102025-02
Citations at each DQA visit
VisitTypeCitations
January 11, 2024survey9
February 17, 2025verification visit0

What the citations cover

Citations by category (TagProof's grouping)
  • Staffing and training 7
  • Medication 1
  • Physical plant 1
Citations by category
CategoryCitations
Staffing and training7
Medication1
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.

February 17, 2025 — verification visit, nothing cited

January 11, 2024 — survey, 9 citations

Citations from the survey on January 11, 2024
TagWhat DQA checks
N219Licensee conduct caregiver background check
N220Employees screened for communicable disease
N230Orientation
N239Department-approved training courses
N283Documentation of required employee training
N284Orientation, continuing education documented
N423Medication storage: controlled substances
N507Combustibles
Z012Out of state background checks

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.