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
51
Citations on file
Since October 2023
6
DQA visits
1 routine inspection
9
Building-related
Physical plant · emergency

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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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 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

Citations on file over 3 years

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

This facility51Wisconsin median1
Citations on file over 3 years, compared
MeasureCitations
This facility51
Median facility in Wisconsin1

Visit history

Citations at each DQA visit
122023-1192024-0702024-09162025-0142025-03102026-02
Citations at each DQA visit
VisitTypeCitations
November 16, 2023survey12
July 25, 2024verification visit9
September 12, 2024complaint investigation0
January 14, 2025complaint investigation, verification visit16
March 31, 2025complaint investigation4
February 19, 2026complaint investigation, verification visit10

What the citations cover

Citations by category (TagProof's grouping)
  • Resident care 19
  • Medication 14
  • Life safety 6
  • Physical plant 3
  • Other 9
Citations by category
CategoryCitations
Resident care19
Medication14
Life safety6
Physical plant3
Staffing and training3
Food service3
Records and administration3

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

Citations from the complaint investigation, verification visit on February 19, 2026
TagWhat DQA checks
N196Licensee ensures facility complies with laws
N229Employee records available upon request
N352Rights of Residents: Receive medication
N388Implement, follow the individual service plan
N396Adequate staff to meet resident needs
N404Medication regimen, administration review
N431Health monitoring
N490Toilet and bathing area
N525Fire drills
N526Other evacuation drills

March 31, 2025 — complaint investigation, 4 citations

Citations from the complaint investigation on March 31, 2025
TagWhat DQA checks
N388Implement, follow the individual service plan
N389Service plans updated annually or on changes
N416Other administration given or delegated by RN
N431Health monitoring

January 14, 2025 — complaint investigation, verification visit, 16 citations

Citations from the complaint investigation, verification visit on January 14, 2025
TagWhat DQA checks
N156Death reporting related to accident or injury
N196Licensee ensures facility complies with laws
N352Rights of Residents: Receive medication
N387Service plan development: parties involved
N389Service plans updated annually or on changes
N391Staff access to assessment and ISP
N396Adequate staff to meet resident needs
N406Disposition of medications
N415Documentation of medication administration
N419Medication storage: locked cabinet
N420Medication storage: refrigeration
N432Medication administration
N450Nutrition: menus
N452Food safety
N489Rooms clean and free from odors
N499Toxic substances

September 12, 2024 — complaint investigation, nothing cited

July 25, 2024 — verification visit, 9 citations

Citations from the verification visit on July 25, 2024
TagWhat DQA checks
N352Rights of Residents: Receive medication
N406Disposition of medications
N415Documentation of medication administration
N417Medication storage: original containers
N419Medication storage: locked cabinet
N425Personal care
N432Medication administration
N452Food safety
N499Toxic substances

November 16, 2023 — survey, 12 citations

Citations from the survey on November 16, 2023
TagWhat DQA checks
N386Comprehensive Individualized Service Plan
N389Service plans updated annually or on changes
N394Annual evaluation of evacuation limits
N412Self-administered by resident
N415Documentation of medication administration
N417Medication storage: original containers
N420Medication storage: refrigeration
N488Clothes dryers enclosed and vented
N499Toxic substances
N530Fire inspection
N531Fire extinguishers: type and inspection
N640Solid 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.