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

Clovercrest

503 Clovercrest Court, Watertown, WI 53094 · Jefferson County · 6 licensed beds

DQA licence number 0018569 · licensed, regular licence · first licensed June 2021

The licence

Licensed by DQA · Community-based residential facility · For profit · managed by Broadstep-Wisconsin INC

Licence details, as listed by DQA
Licensed as
Community-based residential facility
Class
Class CNA (non-ambulatory)
Regular licence issued
June 21, 2021
Client groups served
Physically disabled, Developmentally disabled, Emotionally disturbed/mental illness, Traumatic brain injury, Alcohol/drug dependent
Ownership
Corporation - Business
26
Citations on file
Since October 2023
4
DQA visits
1 routine inspection
4
Building-related
Physical plant · emergency

Position within Wisconsin

26 citations — more than 97% 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 Clovercrest

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

  • N499 Toxic substancesNovember 14, 2025
  • N637 Proper exit locations, sidewalks, drivewaysNovember 14, 2025
  • N499 Toxic substancesAugust 15, 2025
  • N637 Proper exit locations, sidewalks, drivewaysAugust 15, 2025

How that compares

Citations on file over 3 years

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

This facility26Wisconsin median1
Citations on file over 3 years, compared
MeasureCitations
This facility26
Median facility in Wisconsin1

Visit history

Citations at each DQA visit
122025-08122025-1112026-0312026-05
Citations at each DQA visit
VisitTypeCitations
August 15, 2025survey12
November 14, 2025verification visit12
March 18, 2026verification visit1
May 26, 2026verification visit1

What the citations cover

Citations by category (TagProof's grouping)
  • Resident care 8
  • Medication 6
  • Records and administration 4
  • Staffing and training 3
  • Other 5
Citations by category
CategoryCitations
Resident care8
Medication6
Records and administration4
Staffing and training3
Life safety2
Physical plant2
Food service1

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 26, 2026 — verification visit, 1 citation

Citations from the verification visit on May 26, 2026
TagWhat DQA checks
N415Documentation of medication administration

March 18, 2026 — verification visit, 1 citation

Citations from the verification visit on March 18, 2026
TagWhat DQA checks
N416Other administration given or delegated by RN

November 14, 2025 — verification visit, 12 citations

Citations from the verification visit on November 14, 2025
TagWhat DQA checks
N165Reporting incidents with serious injury
N196Licensee ensures facility complies with laws
N205Not permit a condition of substantial risk
N388Implement, follow the individual service plan
N396Adequate staff to meet resident needs
N407Scheduled psychotropic medications
N416Other administration given or delegated by RN
N427Leisure time activities
N433Behavior management
N499Toxic substances
N637Proper exit locations, sidewalks, driveways
Y3234Treatment

August 15, 2025 — survey, 12 citations

Citations from the survey on August 15, 2025
TagWhat DQA checks
N205Not permit a condition of substantial risk
N219Licensee conduct caregiver background check
N352Rights of Residents: Receive medication
N388Implement, follow the individual service plan
N396Adequate staff to meet resident needs
N407Scheduled psychotropic medications
N416Other administration given or delegated by RN
N427Leisure time activities
N432Medication administration
N450Nutrition: menus
N499Toxic substances
N637Proper exit locations, sidewalks, driveways

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.