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

Lake Shore Assisted Living Lake Tomahawk

6416 Flicker Rd, Lake Tomahawk, WI 54539 · Oneida County · 16 licensed beds

DQA licence number 0016401 · licensed, regular licence · first licensed January 2017

The licence

Licensed by DQA · Community-based residential facility · For profit · managed by Lake Shore Assisted Living LLC

Licence details, as listed by DQA
Licensed as
Community-based residential facility
Class
Class CNA (non-ambulatory)
Probationary licence issued
January 9, 2017
Regular licence issued
January 1, 2018
Client groups served
Advanced aged, Irreversible dementia/Alzheimer's, Physically disabled, Terminally ill, Traumatic brain injury
Ownership
Limited Liability Company
25
Citations on file
Since October 2023
6
DQA visits
1 routine inspection
7
Building-related
Physical plant · emergency

Position within Wisconsin

25 citations — more than 96% 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 Lake Shore Assisted Living Lake Tomahawk

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.

  • N530 Fire inspectionApril 14, 2025
  • N495 HazardsJanuary 9, 2024
  • N499 Toxic substancesJanuary 9, 2024
  • N504 Heating system maintenanceJanuary 9, 2024
  • N525 Fire drillsJanuary 9, 2024
  • N526 Other evacuation drillsJanuary 9, 2024
  • N535 Smoke and heat detectors per NFPA 72January 9, 2024

How that compares

Citations on file over 3 years

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

This facility25Wisconsin median1
Citations on file over 3 years, compared
MeasureCitations
This facility25
Median facility in Wisconsin1

Visit history

Citations at each DQA visit
102024-0102024-0832025-0422025-0782026-0122026-05
Citations at each DQA visit
VisitTypeCitations
January 9, 2024complaint investigation, verification visit10
August 20, 2024complaint investigation, verification visit0
April 14, 2025survey, complaint investigation3
July 31, 2025complaint investigation, verification visit2
January 8, 2026complaint investigation, verification visit8
May 6, 2026complaint investigation, verification visit2

What the citations cover

Citations by category (TagProof's grouping)
  • Staffing and training 6
  • Resident care 6
  • Life safety 4
  • Records and administration 4
  • Other 5
Citations by category
CategoryCitations
Staffing and training6
Resident care6
Life safety4
Records and administration4
Physical plant3
Medication1
Food service1

Every visit on file since October 2023

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

May 6, 2026 — complaint investigation, verification visit, 2 citations

Citations from the complaint investigation, verification visit on May 6, 2026
TagWhat DQA checks
N158Caregiver: Investigating abuse & neglect
N169Notification: incident, injury, changes

January 8, 2026 — complaint investigation, verification visit, 8 citations

Citations from the complaint investigation, verification visit on January 8, 2026
TagWhat DQA checks
N158Caregiver: Investigating abuse & neglect
N230Orientation
N239Department-approved training courses
N243All employee training
N247Task specific training
N310Admission agreement include services, charges
N396Adequate staff to meet resident needs
N427Leisure time activities

July 31, 2025 — complaint investigation, verification visit, 2 citations

Citations from the complaint investigation, verification visit on July 31, 2025
TagWhat DQA checks
N165Reporting incidents with serious injury
Y3244Care

April 14, 2025 — survey, complaint investigation, 3 citations

Citations from the survey, complaint investigation on April 14, 2025
TagWhat DQA checks
N302Resident health screening and documentation
N404Medication regimen, administration review
N530Fire inspection

August 20, 2024 — complaint investigation, verification visit, nothing cited

January 9, 2024 — complaint investigation, verification visit, 10 citations

Citations from the complaint investigation, verification visit on January 9, 2024
TagWhat DQA checks
N219Licensee conduct caregiver background check
N386Comprehensive Individualized Service Plan
N389Service plans updated annually or on changes
N450Nutrition: menus
N495Hazards
N499Toxic substances
N504Heating system maintenance
N525Fire drills
N526Other evacuation drills
N535Smoke and heat detectors per NFPA 72

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.