State assisted-living licensing record · Wisconsin DQA · record as pulled October 1, 2026· Not the federal nursing home survey
Pine Tree Cbrf
324 Robin Ln, Luxemburg, WI 54217 · Kewaunee County · 8 licensed beds
DQA licence number 0012647 · licensed, regular licence · first licensed December 2008
The licence
Licensed by DQA · Community-based residential facility · For profit · managed by Infinity Care INC
Licence details, as listed by DQA
- Licensed as
- Community-based residential facility
- Class
- Class CNA (non-ambulatory)
- Probationary licence issued
- December 1, 2008
- Regular licence issued
- December 1, 2009
- Client groups served
- Physically disabled, Developmentally disabled
- Ownership
- Corporation - Business
Position within Wisconsin
16 citations — more than 93% 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.
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Building-related citations
The citations about the building itself — physical plant and emergency management. Usually the maintenance side’s to fix.
How that compares
Compared with the median licensed assisted living facility in Wisconsin. Within-state only.
| Measure | Citations |
|---|---|
| This facility | 16 |
| Median facility in Wisconsin | 1 |
Visit history
| Visit | Type | Citations |
|---|---|---|
| August 19, 2025 | survey, complaint investigation | 11 |
| December 15, 2025 | verification visit | 5 |
| June 12, 2026 | verification visit | 0 |
What the citations cover
- Resident care 6
- Staffing and training 3
- Medication 3
- Life safety 2
- Other 2
| Category | Citations |
|---|---|
| Resident care | 6 |
| Staffing and training | 3 |
| Medication | 3 |
| Life safety | 2 |
| Physical plant | 2 |
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 12, 2026 — verification visit, nothing cited
December 15, 2025 — verification visit, 5 citations
August 19, 2025 — survey, complaint investigation, 11 citations
| Tag | What DQA checks |
|---|---|
| N230 | Orientation |
| N243 | All employee training |
| N302 | Resident health screening and documentation |
| N310 | Admission agreement include services, charges |
| N343 | Explanation of rights, grievance procedure |
| N392 | Resident satisfaction evaluation |
| N404 | Medication regimen, administration review |
| N407 | Scheduled psychotropic medications |
| N416 | Other administration given or delegated by RN |
| N481 | Environment safe, clean, and comfortable |
| N639 | One-hand, one-motion door operation |
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.