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

Bethany Home INC

1226 Berlin St, Waupaca, WI 54981 · Waupaca County · 49 licensed beds

DQA licence number 0016965 · licensed, regular licence · first licensed March 2018

The licence

Licensed by DQA · Community-based residential facility · Not for profit · managed by Bethany Home INC

Licence details, as listed by DQA
Licensed as
Community-based residential facility
Class
Class CNA (non-ambulatory)
Probationary licence issued
March 8, 2018
Regular licence issued
March 1, 2019
Client groups served
Advanced aged, Irreversible dementia/Alzheimer's, Physically disabled, Terminally ill
Ownership
Corporation - Non profit
12
Citations on file
Since October 2023
3
DQA visits
1 routine inspection
9
Building-related
Physical plant · emergency

Position within Wisconsin

12 citations — more than 89% 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.

Also on this campus

The same campus holds a Medicare-certified nursing home, with its own federal record on the Life Safety Index: Bethany Home (1226 Berlin Street). Matched by the telephone number the two records share. The records are separate and are never added together.

Get an email about Bethany Home INC

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.

  • N527 Horizontal evacuationApril 15, 2026
  • N546 Smoke detector in non-resident living areasApril 15, 2026
  • N547 Smoke detector where lintels exceed 8 inchesApril 15, 2026
  • N555 Equipment for hearing or vision impairedApril 15, 2026
  • N394 Annual evaluation of evacuation limitsDecember 3, 2025
  • N527 Horizontal evacuationDecember 3, 2025
  • N546 Smoke detector in non-resident living areasDecember 3, 2025
  • N547 Smoke detector where lintels exceed 8 inchesDecember 3, 2025
  • N555 Equipment for hearing or vision impairedDecember 3, 2025

How that compares

Citations on file over 3 years

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

This facility12Wisconsin median1
Citations on file over 3 years, compared
MeasureCitations
This facility12
Median facility in Wisconsin1

Visit history

Citations at each DQA visit
02023-1262025-1262026-04
Citations at each DQA visit
VisitTypeCitations
December 22, 2023verification visit0
December 3, 2025survey, complaint investigation6
April 15, 2026complaint investigation, verification visit6

What the citations cover

Citations by category (TagProof's grouping)
  • Life safety 9
  • Resident care 3
Citations by category
CategoryCitations
Life safety9
Resident care3

Every visit on file since October 2023

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

April 15, 2026 — complaint investigation, verification visit, 6 citations

Citations from the complaint investigation, verification visit on April 15, 2026
TagWhat DQA checks
N362Grievance procedure: written summary
N431Health monitoring
N527Horizontal evacuation
N546Smoke detector in non-resident living areas
N547Smoke detector where lintels exceed 8 inches
N555Equipment for hearing or vision impaired

December 3, 2025 — survey, complaint investigation, 6 citations

Citations from the survey, complaint investigation on December 3, 2025
TagWhat DQA checks
N356Rights of Residents: Least restrictive env
N394Annual evaluation of evacuation limits
N527Horizontal evacuation
N546Smoke detector in non-resident living areas
N547Smoke detector where lintels exceed 8 inches
N555Equipment for hearing or vision impaired

December 22, 2023 — 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.