State assisted-living licensing record · Wisconsin DQA · record as pulled October 1, 2026· Not the federal nursing home survey
Autumn Winds LLC
N3767 Airport RD, Cambridge, WI 53523 · Jefferson County · 8 licensed beds
DQA licence number 0016509 · licensed, regular licence · first licensed February 2017
The licence
Licensed by DQA · Community-based residential facility · For profit · managed by Autumn Winds LLC
Licence details, as listed by DQA
- Licensed as
- Community-based residential facility
- Class
- Class CNA (non-ambulatory)
- Probationary licence issued
- February 21, 2017
- Regular licence issued
- March 1, 2018
- Client groups served
- Advanced aged, Irreversible dementia/Alzheimer's, Physically disabled, Terminally ill, Developmentally disabled, Traumatic brain injury
- Ownership
- Limited Liability Company
Position within Wisconsin
51 citations — more than 99% 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 Autumn Winds LLC
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Building-related citations
The citations about the building itself — physical plant and emergency management. Usually the maintenance side’s to fix.
- N525 Fire drillsFebruary 19, 2026
- N526 Other evacuation drillsFebruary 19, 2026
- N499 Toxic substancesJanuary 14, 2025
- N499 Toxic substancesJuly 25, 2024
- N394 Annual evaluation of evacuation limitsNovember 16, 2023
- N499 Toxic substancesNovember 16, 2023
- N530 Fire inspectionNovember 16, 2023
- N531 Fire extinguishers: type and inspectionNovember 16, 2023
- N640 Solid core wood doors or equivalentNovember 16, 2023
How that compares
Compared with the median licensed assisted living facility in Wisconsin. Within-state only.
| Measure | Citations |
|---|---|
| This facility | 51 |
| Median facility in Wisconsin | 1 |
Visit history
| Visit | Type | Citations |
|---|---|---|
| November 16, 2023 | survey | 12 |
| July 25, 2024 | verification visit | 9 |
| September 12, 2024 | complaint investigation | 0 |
| January 14, 2025 | complaint investigation, verification visit | 16 |
| March 31, 2025 | complaint investigation | 4 |
| February 19, 2026 | complaint investigation, verification visit | 10 |
What the citations cover
- Resident care 19
- Medication 14
- Life safety 6
- Physical plant 3
- Other 9
| Category | Citations |
|---|---|
| Resident care | 19 |
| Medication | 14 |
| Life safety | 6 |
| Physical plant | 3 |
| Staffing and training | 3 |
| Food service | 3 |
| Records and administration | 3 |
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 19, 2026 — complaint investigation, verification visit, 10 citations
| Tag | What DQA checks |
|---|---|
| N196 | Licensee ensures facility complies with laws |
| N229 | Employee records available upon request |
| N352 | Rights of Residents: Receive medication |
| N388 | Implement, follow the individual service plan |
| N396 | Adequate staff to meet resident needs |
| N404 | Medication regimen, administration review |
| N431 | Health monitoring |
| N490 | Toilet and bathing area |
| N525 | Fire drills |
| N526 | Other evacuation drills |
March 31, 2025 — complaint investigation, 4 citations
January 14, 2025 — complaint investigation, verification visit, 16 citations
| Tag | What DQA checks |
|---|---|
| N156 | Death reporting related to accident or injury |
| N196 | Licensee ensures facility complies with laws |
| N352 | Rights of Residents: Receive medication |
| N387 | Service plan development: parties involved |
| N389 | Service plans updated annually or on changes |
| N391 | Staff access to assessment and ISP |
| N396 | Adequate staff to meet resident needs |
| N406 | Disposition of medications |
| N415 | Documentation of medication administration |
| N419 | Medication storage: locked cabinet |
| N420 | Medication storage: refrigeration |
| N432 | Medication administration |
| N450 | Nutrition: menus |
| N452 | Food safety |
| N489 | Rooms clean and free from odors |
| N499 | Toxic substances |
September 12, 2024 — complaint investigation, nothing cited
July 25, 2024 — verification visit, 9 citations
| Tag | What DQA checks |
|---|---|
| N352 | Rights of Residents: Receive medication |
| N406 | Disposition of medications |
| N415 | Documentation of medication administration |
| N417 | Medication storage: original containers |
| N419 | Medication storage: locked cabinet |
| N425 | Personal care |
| N432 | Medication administration |
| N452 | Food safety |
| N499 | Toxic substances |
November 16, 2023 — survey, 12 citations
| Tag | What DQA checks |
|---|---|
| N386 | Comprehensive Individualized Service Plan |
| N389 | Service plans updated annually or on changes |
| N394 | Annual evaluation of evacuation limits |
| N412 | Self-administered by resident |
| N415 | Documentation of medication administration |
| N417 | Medication storage: original containers |
| N420 | Medication storage: refrigeration |
| N488 | Clothes dryers enclosed and vented |
| N499 | Toxic substances |
| N530 | Fire inspection |
| N531 | Fire extinguishers: type and inspection |
| N640 | Solid core wood doors or equivalent |
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.