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

Serenity Villa V

280 N Baumann St, Campbellsport, WI 53010 · Washington County · 22 licensed beds

DQA licence number 0019888 · licensed, regular licence · first licensed January 2024

The licence

Licensed by DQA · Community-based residential facility · For profit · managed by Serenity Villa Ops LLC

Licence details, as listed by DQA
Licensed as
Community-based residential facility
Class
Class CNA (non-ambulatory)
Probationary licence issued
January 5, 2024
Regular licence issued
January 1, 2025
Client groups served
Advanced aged, Irreversible dementia/Alzheimer's, Physically disabled, Terminally ill
Ownership
Limited Liability Company
3
Citations on file
Since October 2023
1
DQA visits
1 routine inspection
2
Building-related
Physical plant · emergency

Position within Wisconsin

3 citations — more than 62% 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 Serenity Villa V

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.

  • N525 Fire drillsAugust 21, 2024
  • N637 Proper exit locations, sidewalks, drivewaysAugust 21, 2024

How that compares

Citations on file over 3 years

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

This facility3Wisconsin median1
Citations on file over 3 years, compared
MeasureCitations
This facility3
Median facility in Wisconsin1

Visit history

Citations at each DQA visit
32024-08
Citations at each DQA visit
VisitTypeCitations
August 21, 2024survey3

What the citations cover

Citations by category (TagProof's grouping)
  • Life safety 2
  • Staffing and training 1
Citations by category
CategoryCitations
Life safety2
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.

August 21, 2024 — survey, 3 citations

Citations from the survey on August 21, 2024
TagWhat DQA checks
N525Fire drills
N637Proper exit locations, sidewalks, driveways
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.