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
25
Citations on file
Since October 2023
2
DQA visits
1 routine inspection
6
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 Bethel Menasha IV

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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.

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

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
02023-11252026-06
Citations at each DQA visit
VisitTypeCitations
November 2, 2023complaint investigation0
June 11, 2026survey, complaint investigation25

What the citations cover

Citations by category (TagProof's grouping)
  • Resident care 10
  • Life safety 4
  • Staffing and training 3
  • Food service 3
  • Other 5
Citations by category
CategoryCitations
Resident care10
Life safety4
Staffing and training3
Food service3
Physical plant2
Records and administration2
Medication1

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

Citations from the survey, complaint investigation on June 11, 2026
TagWhat DQA checks
N158Caregiver: Investigating abuse & neglect
N214Administrator shall supervise daily operation
N219Licensee conduct caregiver background check
N239Department-approved training courses
N277Continuing education
N348Rights of Residents: Free from mistreatment
N352Rights of Residents: Receive medication
N356Rights of Residents: Least restrictive env
N358Rights of Residents: Safe environment
N387Service plan development: parties involved
N389Service plans updated annually or on changes
N393Initial evaluation of evacuation limitations
N409Proof-of-use record
N427Leisure time activities
N431Health monitoring
N432Medication administration
N433Behavior management
N448Nutrition: diet
N450Nutrition: menus
N452Food safety
N481Environment safe, clean, and comfortable
N525Fire drills
N533Smoking policy
N617Bath and toilet areas: water temperature
N653Delayed 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.