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

Country Villa Assisted Living Pulaski

830 Crest Dr, Pulaski, WI 54162 · Brown County · 38 licensed beds

DQA licence number 0016105 · licensed, regular licence · first licensed April 2016

The licence

Licensed by DQA · Community-based residential facility · For profit · managed by Country Villa Assisted Living LLC

Licence details, as listed by DQA
Licensed as
Community-based residential facility
Class
Class CNA (non-ambulatory)
Probationary licence issued
April 25, 2016
Regular licence issued
March 16, 2017
Client groups served
Advanced aged, Irreversible dementia/Alzheimer's, Physically disabled, Terminally ill, Emotionally disturbed/mental illness
Ownership
Limited Liability Company
3
Citations on file
Since October 2023
4
DQA visits
1 routine inspection
1
Building-related
Physical plant · emergency

Position within Wisconsin

3 citations — more than 62% 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 Country Villa Assisted Living Pulaski

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 citation about the building itself — physical plant and emergency management. Usually the maintenance side’s to fix.

  • N654 Delayed egress: department approvalMay 13, 2026

How that compares

Citations on file over 3 years

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

This facility3Wisconsin median1
Citations on file over 3 years, compared
MeasureCitations
This facility3
Median facility in Wisconsin1

Visit history

Citations at each DQA visit
02024-0602024-1002025-0732026-05
Citations at each DQA visit
VisitTypeCitations
June 21, 2024complaint investigation, self-report investigation0
October 1, 2024complaint investigation0
July 9, 2025survey, complaint investigation0
May 13, 2026complaint investigation3

What the citations cover

Citations by category (TagProof's grouping)
  • Resident care 2
  • Life safety 1
Citations by category
CategoryCitations
Resident care2
Life safety1

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 13, 2026 — complaint investigation, 3 citations

Citations from the complaint investigation on May 13, 2026
TagWhat DQA checks
N426Supervision
N654Delayed egress: department approval
Y3244Care

July 9, 2025 — survey, complaint investigation, nothing cited

October 1, 2024 — complaint investigation, nothing cited

June 21, 2024 — complaint investigation, self-report 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.