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

Bergen Manor Cbrf

522 West Bergen Drive, Fox Point, WI 53217 · Milwaukee County · 8 licensed beds

DQA licence number 0017968 · licensed, regular licence · first licensed January 2020

The licence

Licensed by DQA · Community-based residential facility · For profit · managed by Bergen Manor LLC

Licence details, as listed by DQA
Licensed as
Community-based residential facility
Class
Class CNA (non-ambulatory)
Regular licence issued
January 23, 2020
Client groups served
Advanced aged, Irreversible dementia/Alzheimer's, Physically disabled, Terminally ill, Developmentally disabled, Emotionally disturbed/mental illness, Traumatic brain injury, Alcohol/drug dependent
Ownership
Limited Liability Company
21
Citations on file
Since October 2023
4
DQA visits
2 routine inspections
10
Building-related
Physical plant · emergency

Position within Wisconsin

21 citations — more than 95% 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 Bergen Manor Cbrf

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.

  • N481 Environment safe, clean, and comfortableApril 1, 2026
  • N499 Toxic substancesApril 1, 2026
  • N617 Bath and toilet areas: water temperatureApril 1, 2026
  • N637 Proper exit locations, sidewalks, drivewaysOctober 3, 2024
  • N481 Environment safe, clean, and comfortableFebruary 22, 2024
  • N499 Toxic substancesFebruary 22, 2024
  • N526 Other evacuation drillsFebruary 22, 2024
  • N531 Fire extinguishers: type and inspectionFebruary 22, 2024
  • N612 Bath and toilet areas: hand dryingFebruary 22, 2024
  • N637 Proper exit locations, sidewalks, drivewaysFebruary 22, 2024

How that compares

Citations on file over 3 years

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

This facility21Wisconsin median1
Citations on file over 3 years, compared
MeasureCitations
This facility21
Median facility in Wisconsin1

Visit history

Citations at each DQA visit
172024-0212024-1002025-0232026-04
Citations at each DQA visit
VisitTypeCitations
February 22, 2024survey, complaint investigation, verification visit17
October 3, 2024complaint investigation, verification visit1
February 7, 2025complaint investigation, verification visit0
April 1, 2026survey, complaint investigation3

What the citations cover

Citations by category (TagProof's grouping)
  • Physical plant 6
  • Life safety 4
  • Food service 4
  • Resident care 3
  • Other 4
Citations by category
CategoryCitations
Physical plant6
Life safety4
Food service4
Resident care3
Medication2
Staffing and training1
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.

April 1, 2026 — survey, complaint investigation, 3 citations

Citations from the survey, complaint investigation on April 1, 2026
TagWhat DQA checks
N481Environment safe, clean, and comfortable
N499Toxic substances
N617Bath and toilet areas: water temperature

February 7, 2025 — complaint investigation, verification visit, nothing cited

October 3, 2024 — complaint investigation, verification visit, 1 citation

Citations from the complaint investigation, verification visit on October 3, 2024
TagWhat DQA checks
N637Proper exit locations, sidewalks, driveways

February 22, 2024 — survey, complaint investigation, verification visit, 17 citations

Citations from the survey, complaint investigation, verification visit on February 22, 2024
TagWhat DQA checks
N196Licensee ensures facility complies with laws
N220Employees screened for communicable disease
N391Staff access to assessment and ISP
N406Disposition of medications
N419Medication storage: locked cabinet
N425Personal care
N447Dishwashing
N448Nutrition: diet
N450Nutrition: menus
N452Food safety
N481Environment safe, clean, and comfortable
N499Toxic substances
N526Other evacuation drills
N531Fire extinguishers: type and inspection
N612Bath and toilet areas: hand drying
N637Proper exit locations, sidewalks, driveways
Y3100Resident's rights in certain facilities

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.