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

Lilac Springs Assisted Living LLC

403 ONeil Street, Lake Mills, WI 53551 · Jefferson County · 24 licensed beds

DQA licence number 0019044 · licensed, regular licence · first licensed October 2022

The licence

Licensed by DQA · Community-based residential facility · For profit · managed by Lilac Springs Assisted Living LLC

Licence details, as listed by DQA
Licensed as
Community-based residential facility
Class
Class CNA (non-ambulatory)
Probationary licence issued
October 28, 2022
Regular licence issued
October 28, 2022
Client groups served
Advanced aged, Irreversible dementia/Alzheimer's, Terminally ill
Ownership
Limited Liability Company
23
Citations on file
Since October 2023
8
DQA visits
1 routine inspection
0
Building-related
Physical plant · emergency

Position within Wisconsin

23 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 Lilac Springs Assisted Living 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.

How that compares

Citations on file over 3 years

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

This facility23Wisconsin median1
Citations on file over 3 years, compared
MeasureCitations
This facility23
Median facility in Wisconsin1

Visit history

Citations at each DQA visit
52024-0122024-0562024-0922024-1032025-0432025-0902026-0222026-06
Citations at each DQA visit
VisitTypeCitations
January 24, 2024complaint investigation5
May 30, 2024verification visit2
September 27, 2024complaint investigation, self-report investigation, verification visit6
October 25, 2024complaint investigation2
April 22, 2025survey, complaint investigation, verification visit3
September 16, 2025complaint investigation, verification visit3
February 3, 2026verification visit0
June 10, 2026complaint investigation2

What the citations cover

Citations by category (TagProof's grouping)
  • Resident care 11
  • Records and administration 6
  • Medication 5
  • Staffing and training 1
Citations by category
CategoryCitations
Resident care11
Records and administration6
Medication5
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.

June 10, 2026 — complaint investigation, 2 citations

Citations from the complaint investigation on June 10, 2026
TagWhat DQA checks
N164Reporting when law enforcement is called
N326Notice of facility initiated discharges

February 3, 2026 — verification visit, nothing cited

September 16, 2025 — complaint investigation, verification visit, 3 citations

Citations from the complaint investigation, verification visit on September 16, 2025
TagWhat DQA checks
N389Service plans updated annually or on changes
N406Disposition of medications
N408PRN psychotropic medication

April 22, 2025 — survey, complaint investigation, verification visit, 3 citations

Citations from the survey, complaint investigation, verification visit on April 22, 2025
TagWhat DQA checks
N389Service plans updated annually or on changes
N408PRN psychotropic medication
N415Documentation of medication administration

October 25, 2024 — complaint investigation, 2 citations

Citations from the complaint investigation on October 25, 2024
TagWhat DQA checks
N200Notify within 7 days of administrator change
N346Rights of Residents: Confidentiality

September 27, 2024 — complaint investigation, self-report investigation, verification visit, 6 citations

Citations from the complaint investigation, self-report investigation, verification visit on September 27, 2024
TagWhat DQA checks
N164Reporting when law enforcement is called
N169Notification: incident, injury, changes
N214Administrator shall supervise daily operation
N389Service plans updated annually or on changes
N431Health monitoring
N480Access to resident records

May 30, 2024 — verification visit, 2 citations

Citations from the verification visit on May 30, 2024
TagWhat DQA checks
N352Rights of Residents: Receive medication
N389Service plans updated annually or on changes

January 24, 2024 — complaint investigation, 5 citations

Citations from the complaint investigation on January 24, 2024
TagWhat DQA checks
N239Department-approved training courses
N352Rights of Residents: Receive medication
N389Service plans updated annually or on changes
N415Documentation of medication administration
N431Health monitoring

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.