State assisted-living licensing record · Wisconsin DQA · record as pulled October 1, 2026· Not the federal nursing home survey
Bethel Menasha IV
1670 Century Oaks Court, Menasha, WI 54952 · Winnebago County · 8 licensed beds
DQA licence number 0017962 · licensed, regular licence · first licensed July 2020
The licence
Licensed by DQA · Community-based residential facility · For profit · managed by BA Israel LLC
Licence details, as listed by DQA
- Licensed as
- Community-based residential facility
- Class
- Class CS (semi-ambulatory)
- Regular licence issued
- July 22, 2020
- Client groups served
- Advanced aged, Irreversible dementia/Alzheimer's, Physically disabled, Terminally ill, Developmentally disabled, Emotionally disturbed/mental illness, Traumatic brain injury
- Ownership
- Limited Liability Company
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.
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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.
- N393 Initial evaluation of evacuation limitationsJune 11, 2026
- N481 Environment safe, clean, and comfortableJune 11, 2026
- N525 Fire drillsJune 11, 2026
- N533 Smoking policyJune 11, 2026
- N617 Bath and toilet areas: water temperatureJune 11, 2026
- N653 Delayed egress: irreversible process releaseJune 11, 2026
How that compares
Compared with the median licensed assisted living facility in Wisconsin. Within-state only.
| Measure | Citations |
|---|---|
| This facility | 25 |
| Median facility in Wisconsin | 1 |
Visit history
| Visit | Type | Citations |
|---|---|---|
| November 2, 2023 | complaint investigation | 0 |
| June 11, 2026 | survey, complaint investigation | 25 |
What the citations cover
- Resident care 10
- Life safety 4
- Staffing and training 3
- Food service 3
- Other 5
| Category | Citations |
|---|---|
| Resident care | 10 |
| Life safety | 4 |
| Staffing and training | 3 |
| Food service | 3 |
| Physical plant | 2 |
| Records and administration | 2 |
| Medication | 1 |
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 11, 2026 — survey, complaint investigation, 25 citations
| Tag | What DQA checks |
|---|---|
| N158 | Caregiver: Investigating abuse & neglect |
| N214 | Administrator shall supervise daily operation |
| N219 | Licensee conduct caregiver background check |
| N239 | Department-approved training courses |
| N277 | Continuing education |
| N348 | Rights of Residents: Free from mistreatment |
| N352 | Rights of Residents: Receive medication |
| N356 | Rights of Residents: Least restrictive env |
| N358 | Rights of Residents: Safe environment |
| N387 | Service plan development: parties involved |
| N389 | Service plans updated annually or on changes |
| N393 | Initial evaluation of evacuation limitations |
| N409 | Proof-of-use record |
| N427 | Leisure time activities |
| N431 | Health monitoring |
| N432 | Medication administration |
| N433 | Behavior management |
| N448 | Nutrition: diet |
| N450 | Nutrition: menus |
| N452 | Food safety |
| N481 | Environment safe, clean, and comfortable |
| N525 | Fire drills |
| N533 | Smoking policy |
| N617 | Bath and toilet areas: water temperature |
| N653 | Delayed egress: irreversible process release |
November 2, 2023 — complaint investigation, nothing cited
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.