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

Forest Haven

400 Martin Dr, Fredonia, WI 53021 · Ozaukee County · 24 licensed beds

DQA licence number 0015119 · licensed, regular licence · first licensed September 2014

The licence

Licensed by DQA · Community-based residential facility · For profit · managed by Forest Haven LLC

Licence details, as listed by DQA
Licensed as
Community-based residential facility
Class
Class CNA (non-ambulatory)
Probationary licence issued
September 15, 2014
Regular licence issued
October 1, 2015
Client groups served
Advanced aged, Irreversible dementia/Alzheimer's, Physically disabled, Terminally ill
Ownership
Limited Liability Company
8
Citations on file
Since October 2023
3
DQA visits
1 routine inspection
4
Building-related
Physical plant · emergency

Position within Wisconsin

8 citations — more than 82% 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 Forest Haven

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.

  • N393 Initial evaluation of evacuation limitationsMay 20, 2024
  • N394 Annual evaluation of evacuation limitsMay 20, 2024
  • N393 Initial evaluation of evacuation limitationsNovember 3, 2023
  • N499 Toxic substancesNovember 3, 2023

How that compares

Citations on file over 3 years

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

This facility8Wisconsin median1
Citations on file over 3 years, compared
MeasureCitations
This facility8
Median facility in Wisconsin1

Visit history

Citations at each DQA visit
52023-1132024-0502024-11
Citations at each DQA visit
VisitTypeCitations
November 3, 2023survey, complaint investigation5
May 20, 2024verification visit3
November 5, 2024verification visit0

What the citations cover

Citations by category (TagProof's grouping)
  • Staffing and training 3
  • Life safety 3
  • Resident care 1
  • Physical plant 1
Citations by category
CategoryCitations
Staffing and training3
Life safety3
Resident care1
Physical plant1

Every visit on file since October 2023

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

November 5, 2024 — verification visit, nothing cited

May 20, 2024 — verification visit, 3 citations

Citations from the verification visit on May 20, 2024
TagWhat DQA checks
N220Employees screened for communicable disease
N393Initial evaluation of evacuation limitations
N394Annual evaluation of evacuation limits

November 3, 2023 — survey, complaint investigation, 5 citations

Citations from the survey, complaint investigation on November 3, 2023
TagWhat DQA checks
N220Employees screened for communicable disease
N277Continuing education
N389Service plans updated annually or on changes
N393Initial evaluation of evacuation limitations
N499Toxic substances

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.