DEPARTMENT OF HEALTH SERVICES
Division of Quality Assurance
Printed 07/29/2024
STATE OF WISCONSIN
Bureau of Assisted Living
P.O. Box 7940
Madison WI 53707-7940
Provider Inspection Summary
For the period 06/30/2021 to 06/29/2024
Notes
This report includes Provider Inspection Summaries (Facility Profiles) for Assisted Living Facilities in Crawford County.
The report is a PDF (Adobe Acrobat) document and includes a total of 9.00 pages. If you wish to read the profile for a particular
facility without scrolling through the rest of the document, use the Search feature in the Acrobat Reader to specify part of the
name of the facility you wish to review.
If you wish to print the profile for a particular facility, be sure to send only the desired pages to your computer printer.
Otherwise you will be printing all pages in the document.
DEPARTMENT OF HEALTH SERVICES
Division of Quality Assurance
Printed 07/29/2024
STATE OF WISCONSIN
Bureau of Assisted Living
P.O. Box 7940
Madison WI 53707-7940
Provider Inspection Summary
For the period 06/30/2021 to 06/29/2024
Adult Day Care Center
Facility Information
Facility Name: UNITY ADULT DAY CENTER (0017038)
Address: 120 N BEAUMONT RD, PRAIRIE DU CHIEN, WI 53821
License Status: REGULAR
Licensed/Certified/Registered 06/01/2018 12:00:00AM
Regional Office: SOUTHERN REGION (MADISON), (608) 264-9888
Survey History
No survey activity during the period 6/30/21 to 6/29/24
This is Page 2 of 9 total pages. If printing this report ensure that your printer is set to print only the desired pages.
Disclaimer: This information is provided as a public service by the Wisconsin Department of Health Services (DHS). The Department neither
endorses any facility nor guarantees that this information is accurate, up-to-date, or complete. This information, which should not be used as a sole
source in selecting a facility, does not replace official information sources.
DEPARTMENT OF HEALTH SERVICES
Division of Quality Assurance
Printed 07/29/2024
STATE OF WISCONSIN
Bureau of Assisted Living
P.O. Box 7940
Madison WI 53707-7940
Provider Inspection Summary
For the period 06/30/2021 to 06/29/2024
Adult Family Home
Facility Information
Facility Name: KNAPP CASS ST AFH (0018851)
Address: 216 W CASS ST, PRAIRIE DU CHIEN, WI 53821
License Status: REGULAR
Licensed/Certified/Registered 02/14/2022 12:00:00AM
Regional Office: SOUTHERN REGION (MADISON), (608) 264-9888
Survey History
Type: INITIAL Purpose: CHOW--DESK REVIEWSurvey ID: 0138961 End Date: 02/14/2022
Results:
LICENSE/CERT/REGISTRATION ISSUED
This is Page 3 of 9 total pages. If printing this report ensure that your printer is set to print only the desired pages.
Disclaimer: This information is provided as a public service by the Wisconsin Department of Health Services (DHS). The Department neither
endorses any facility nor guarantees that this information is accurate, up-to-date, or complete. This information, which should not be used as a sole
source in selecting a facility, does not replace official information sources.
DEPARTMENT OF HEALTH SERVICES
Division of Quality Assurance
Printed 07/29/2024
STATE OF WISCONSIN
Bureau of Assisted Living
P.O. Box 7940
Madison WI 53707-7940
Provider Inspection Summary
For the period 06/30/2021 to 06/29/2024
Adult Family Home
Facility Information
Facility Name: KNAPP MEADOW LANE AFH (0018134)
Address: 63808 MEADOW LANE, PRAIRIE DU CHIEN, WI 53821
License Status: REGULAR
Licensed/Certified/Registered 07/01/2020 12:00:00AM
Regional Office: SOUTHERN REGION (MADISON), (608) 264-9888
Survey History
Type: STANDARD Purpose: SURVEYSurvey ID: 0140622 End Date: 08/23/2022
Results:
NO STATEMENT OF DEFICIENCY ISSUED
This is Page 4 of 9 total pages. If printing this report ensure that your printer is set to print only the desired pages.
Disclaimer: This information is provided as a public service by the Wisconsin Department of Health Services (DHS). The Department neither
endorses any facility nor guarantees that this information is accurate, up-to-date, or complete. This information, which should not be used as a sole
source in selecting a facility, does not replace official information sources.
DEPARTMENT OF HEALTH SERVICES
Division of Quality Assurance
Printed 07/29/2024
STATE OF WISCONSIN
Bureau of Assisted Living
P.O. Box 7940
Madison WI 53707-7940
Provider Inspection Summary
For the period 06/30/2021 to 06/29/2024
Adult Family Home
Facility Information
Facility Name: KNAPP PARKVIEW UPPER (0018136)
Address: 611 PARKVIEW COURT UPPER, PRAIRIE DU CHIEN, WI 53821
License Status: REGULAR
Licensed/Certified/Registered 07/01/2020 12:00:00AM
Regional Office: SOUTHERN REGION (MADISON), (608) 264-9888
Survey History
Type: STANDARD Purpose: SURVEYSurvey ID: 0144700 End Date: 10/31/2023
Results:
NO STATEMENT OF DEFICIENCY ISSUED
This is Page 5 of 9 total pages. If printing this report ensure that your printer is set to print only the desired pages.
Disclaimer: This information is provided as a public service by the Wisconsin Department of Health Services (DHS). The Department neither
endorses any facility nor guarantees that this information is accurate, up-to-date, or complete. This information, which should not be used as a sole
source in selecting a facility, does not replace official information sources.
DEPARTMENT OF HEALTH SERVICES
Division of Quality Assurance
Printed 07/29/2024
STATE OF WISCONSIN
Bureau of Assisted Living
P.O. Box 7940
Madison WI 53707-7940
Provider Inspection Summary
For the period 06/30/2021 to 06/29/2024
Adult Family Home
Facility Information
Facility Name: KNAPP STATE STREET (0018135)
Address: 500 S STATE ST, PRAIRIE DU CHIEN, WI 53821
License Status: REGULAR
Licensed/Certified/Registered 07/01/2020 12:00:00AM
Regional Office: SOUTHERN REGION (MADISON), (608) 264-9888
Survey History
Type: STANDARD Purpose: SURVEYSurvey ID: 0140624 End Date: 08/23/2022
Results:
NO STATEMENT OF DEFICIENCY ISSUED
This is Page 6 of 9 total pages. If printing this report ensure that your printer is set to print only the desired pages.
Disclaimer: This information is provided as a public service by the Wisconsin Department of Health Services (DHS). The Department neither
endorses any facility nor guarantees that this information is accurate, up-to-date, or complete. This information, which should not be used as a sole
source in selecting a facility, does not replace official information sources.
DEPARTMENT OF HEALTH SERVICES
Division of Quality Assurance
Printed 07/29/2024
STATE OF WISCONSIN
Bureau of Assisted Living
P.O. Box 7940
Madison WI 53707-7940
Provider Inspection Summary
For the period 06/30/2021 to 06/29/2024
Adult Family Home
Facility Information
Facility Name: KANDOO 2 (0016497)
Address: 12358 EAST STREET, SOLDIERS GROVE, WI 54665
License Status: REGULAR
Licensed/Certified/Registered 08/01/2017 12:00:00AM
Regional Office: SOUTHERN REGION (MADISON), (608) 264-9888
Survey History
Type: STANDARD Purpose: SURVEY/COMPLAINTSurvey ID: 0141775 End Date: 12/19/2022
Results:
STATEMENT OF DEFICIENCY ISSUED
Statement of Deficiency:
#06U811 Served 01/09/2023
Deficiencies Cited Subject Area Corrected
Compliance
Verified
Yes50.065(2)(bb) DETERMINE FINAL DISPOSITION OF CHARGE 2/23/23
Enforcement History (KANDOO 2--0016497)
Date: 01/09/2023 SOD #06U811 Appealed: No
Sanctions
ORDER TO COMPLY
Complaint History (KANDOO 2--0016497)
Date Complaint Received: 11/29/2022 Date Investigation Completed: 12/12/2022
Subject Area(s) Result SOD #
PROGRAM SERVICES NOT SUBSTANTIATED
This is Page 7 of 9 total pages. If printing this report ensure that your printer is set to print only the desired pages.
Disclaimer: This information is provided as a public service by the Wisconsin Department of Health Services (DHS). The Department neither
endorses any facility nor guarantees that this information is accurate, up-to-date, or complete. This information, which should not be used as a sole
source in selecting a facility, does not replace official information sources.
DEPARTMENT OF HEALTH SERVICES
Division of Quality Assurance
Printed 07/29/2024
STATE OF WISCONSIN
Bureau of Assisted Living
P.O. Box 7940
Madison WI 53707-7940
Provider Inspection Summary
For the period 06/30/2021 to 06/29/2024
Community Based Residential Facility--CLASS CNA (NONAMBULATORY)
Facility Information
Facility Name: BLUFF HAVEN ASSISTED LIVING (0012823)
Address: 720 S FREMONT ST, PRAIRIE DU CHIEN, WI 53821
License Status: REGULAR
Licensed/Certified/Registered 08/01/2010 12:00:00AM
Regional Office: SOUTHERN REGION (MADISON), (608) 264-9888
Survey History
Type: OTHER Purpose: COMPLAINTSurvey ID: 0146690 End Date: 06/04/2024
Results:
NO STATEMENT OF DEFICIENCY ISSUED
Type: ABBREVIATED Purpose: SURVEYSurvey ID: 0140620 End Date: 08/30/2022
Results:
NO STATEMENT OF DEFICIENCY ISSUED
Complaint History (BLUFF HAVEN ASSISTED LIVING--0012823)
Date Complaint Received: 04/22/2024 Date Investigation Completed: 06/04/2024
Subject Area(s) Result SOD #
PROGRAM SERVICES NOT SUBSTANTIATED
This is Page 8 of 9 total pages. If printing this report ensure that your printer is set to print only the desired pages.
Disclaimer: This information is provided as a public service by the Wisconsin Department of Health Services (DHS). The Department neither
endorses any facility nor guarantees that this information is accurate, up-to-date, or complete. This information, which should not be used as a sole
source in selecting a facility, does not replace official information sources.
DEPARTMENT OF HEALTH SERVICES
Division of Quality Assurance
Printed 07/29/2024
STATE OF WISCONSIN
Bureau of Assisted Living
P.O. Box 7940
Madison WI 53707-7940
Provider Inspection Summary
For the period 06/30/2021 to 06/29/2024
Residential Care Apartment Complex (CERTIFIED)
Facility Information
Facility Name: RESIDENCE AT BLUFF HAVEN (0012866)
Address: 720 S FREMONT ST, PRAIRIE DU CHIEN, WI 53821
License Status: REGULAR
Licensed/Certified/Registered 08/03/2009 12:00:00AM
Regional Office: SOUTHERN REGION (MADISON), (608) 264-9888
Survey History
Type: ABBREVIATED Purpose: SURVEYSurvey ID: 0140618 End Date: 08/23/2022
Results:
NO STATEMENT OF DEFICIENCY ISSUED
This is Page 9 of 9 total pages. If printing this report ensure that your printer is set to print only the desired pages.
Disclaimer: This information is provided as a public service by the Wisconsin Department of Health Services (DHS). The Department neither
endorses any facility nor guarantees that this information is accurate, up-to-date, or complete. This information, which should not be used as a sole
source in selecting a facility, does not replace official information sources.
