State assisted-living licensing record · Wisconsin DQA · record as pulled October 1, 2026· Not the federal nursing home survey
Park Vista the Legacy
1403 Churchill St, Waupaca, WI 54981 · Waupaca County · 22 licensed beds
DQA licence number 0016379 · licensed, regular licence · first licensed October 2016
The licence
Licensed by DQA · Community-based residential facility · For profit · managed by Park Vista Senior Housing Management LLC
Licence details, as listed by DQA
- Licensed as
- Community-based residential facility
- Class
- Class CNA (non-ambulatory)
- Probationary licence issued
- October 10, 2016
- Regular licence issued
- October 1, 2017
- Client groups served
- Advanced aged, Irreversible dementia/Alzheimer's, Terminally ill
- Ownership
- Limited Liability Company
Position within Wisconsin
2 citations — more than 55% 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 Park Vista the Legacy
One email when it happens, from the DQA record as it is pulled each month. No account; stop it any time with one click.
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 | 2 |
| Median facility in Wisconsin | 1 |
Visit history
| Visit | Type | Citations |
|---|---|---|
| October 26, 2023 | survey, self-report investigation | 1 |
| April 5, 2024 | complaint investigation | 0 |
| April 11, 2024 | self-report investigation | 0 |
| May 28, 2026 | survey | 1 |
| September 21, 2026 | verification visit | 0 |
What the citations cover
- Life safety 1
- Physical plant 1
| Category | Citations |
|---|---|
| Life safety | 1 |
| Physical plant | 1 |
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 21, 2026 — verification visit, nothing cited
May 28, 2026 — survey, 1 citation
| Tag | What DQA checks |
|---|---|
| N653 | Delayed egress: irreversible process release |
April 11, 2024 — self-report investigation, nothing cited
April 5, 2024 — complaint investigation, nothing cited
October 26, 2023 — survey, self-report investigation, 1 citation
| Tag | What DQA checks |
|---|---|
| N504 | Heating system maintenance |
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.