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

Kelly House Assisted Living Apartments

121 South Fifth St, Evansville, WI 53536 · Rock County · 9 licensed beds

DQA licence number 0010246 · licensed, regular licence · first licensed July 1997

The licence

Licensed by DQA · Residential care apartment complex · For profit · managed by Saee INC.

Licence details, as listed by DQA
Licensed as
Residential care apartment complex
Certification
Certified
Regular licence issued
July 1, 1997
Ownership
Corporation - Business
3
Citations on file
Since October 2023
2
DQA visits
1 routine inspection
0
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 Kelly House Assisted Living Apartments

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.

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
22025-0412025-09
Citations at each DQA visit
VisitTypeCitations
April 29, 2025survey2
September 18, 2025verification visit1

What the citations cover

Citations by category (TagProof's grouping)
  • Resident care 2
  • Records and administration 1
Citations by category
CategoryCitations
Resident care2
Records and administration1

Every visit on file since October 2023

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

September 18, 2025 — verification visit, 1 citation

Citations from the verification visit on September 18, 2025
TagWhat DQA checks
U292Reporting of changes

April 29, 2025 — survey, 2 citations

Citations from the survey on April 29, 2025
TagWhat DQA checks
U118Services
U172Service agreement

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.