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

Country Side Manor West

4228 Kadlec Drive, Sheboygan, WI 53083 · Sheboygan County · 63 licensed beds

DQA licence number 0018351 · licensed, regular licence · first licensed February 2021

The licence

Licensed by DQA · Community-based residential facility · For profit · managed by Encore Wisconsin LLC

Licence details, as listed by DQA
Licensed as
Community-based residential facility
Class
Class CNA (non-ambulatory)
Probationary licence issued
February 15, 2021
Regular licence issued
March 1, 2022
Client groups served
Advanced aged, Irreversible dementia/Alzheimer's, Physically disabled, Terminally ill
Ownership
Limited Liability Company
6
Citations on file
Since October 2023
7
DQA visits
1 routine inspection
0
Building-related
Physical plant · emergency

Position within Wisconsin

6 citations — more than 77% 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 Side Manor West

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.

How that compares

Citations on file over 3 years

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

This facility6Wisconsin median1
Citations on file over 3 years, compared
MeasureCitations
This facility6
Median facility in Wisconsin1

Visit history

Citations at each DQA visit
02023-1202024-0712024-1032025-0622025-1102026-0402026-09
Citations at each DQA visit
VisitTypeCitations
December 18, 2023complaint investigation0
July 18, 2024complaint investigation0
October 9, 2024complaint investigation1
June 7, 2025survey, complaint investigation3
November 6, 2025complaint investigation, verification visit2
April 22, 2026complaint investigation, verification visit0
September 9, 2026complaint investigation0

What the citations cover

Citations by category (TagProof's grouping)
  • Resident care 5
  • Records and administration 1
Citations by category
CategoryCitations
Resident care5
Records and administration1

Every visit on file since October 2023

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

September 9, 2026 — complaint investigation, nothing cited

April 22, 2026 — complaint investigation, verification visit, nothing cited

November 6, 2025 — complaint investigation, verification visit, 2 citations

Citations from the complaint investigation, verification visit on November 6, 2025
TagWhat DQA checks
N386Comprehensive Individualized Service Plan
N389Service plans updated annually or on changes

June 7, 2025 — survey, complaint investigation, 3 citations

Citations from the survey, complaint investigation on June 7, 2025
TagWhat DQA checks
N158Caregiver: Investigating abuse & neglect
N386Comprehensive Individualized Service Plan
N389Service plans updated annually or on changes

October 9, 2024 — complaint investigation, 1 citation

Citations from the complaint investigation on October 9, 2024
TagWhat DQA checks
N352Rights of Residents: Receive medication

July 18, 2024 — complaint investigation, nothing cited

December 18, 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.