State assisted-living licensing record · Wisconsin DQA · record as pulled October 1, 2026· Not the federal nursing home survey
Liberty Village LLC
200 Liberty Place, Tomah, WI 54660 · Monroe County · 22 licensed beds
DQA licence number 0013967 · licensed, regular licence · first licensed December 2011
The licence
Licensed by DQA · Community-based residential facility · For profit · managed by Liberty Village LLC
Licence details, as listed by DQA
- Licensed as
- Community-based residential facility
- Class
- Class CNA (non-ambulatory)
- Probationary licence issued
- December 1, 2011
- Regular licence issued
- November 12, 2012
- Client groups served
- Advanced aged, Irreversible dementia/Alzheimer's, Physically disabled
- Ownership
- Limited Liability Company
Position within Wisconsin
21 citations — more than 95% 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 Liberty Village LLC
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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 | 21 |
| Median facility in Wisconsin | 1 |
Visit history
| Visit | Type | Citations |
|---|---|---|
| October 3, 2024 | complaint investigation | 3 |
| January 30, 2025 | complaint investigation, verification visit | 0 |
| December 2, 2025 | survey, complaint investigation | 10 |
| May 6, 2026 | complaint investigation, verification visit | 8 |
What the citations cover
- Resident care 8
- Staffing and training 5
- Life safety 4
- Physical plant 2
- Other 2
| Category | Citations |
|---|---|
| Resident care | 8 |
| Staffing and training | 5 |
| Life safety | 4 |
| Physical plant | 2 |
| Records and administration | 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.
May 6, 2026 — complaint investigation, verification visit, 8 citations
| Tag | What DQA checks |
|---|---|
| N158 | Caregiver: Investigating abuse & neglect |
| N196 | Licensee ensures facility complies with laws |
| N218 | Resident care staff at least 18 years old |
| N220 | Employees screened for communicable disease |
| N355 | Rights of Residents: Self-determination |
| N356 | Rights of Residents: Least restrictive env |
| N389 | Service plans updated annually or on changes |
| N525 | Fire drills |
December 2, 2025 — survey, complaint investigation, 10 citations
| Tag | What DQA checks |
|---|---|
| N219 | Licensee conduct caregiver background check |
| N220 | Employees screened for communicable disease |
| N230 | Orientation |
| N310 | Admission agreement include services, charges |
| N328 | Involuntary discharge notice requirements |
| N389 | Service plans updated annually or on changes |
| N443 | Pets vaccinated |
| N499 | Toxic substances |
| N525 | Fire drills |
| N526 | Other evacuation drills |
January 30, 2025 — complaint investigation, verification visit, 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.