Care-facility inspections
How nursing homes and care facilities in Wisconsin are inspected, licensed, and held to account.
7 laws · 8 enforcement actions · 4 guides · 2 court decisions
See the details
The laws 7
- Wis. Stat. § 50.01, Definitions (Subchapter I, Care and Service Residential Facilities): defines the core Chapter 50 facility categories regulated by DHS/DQA - "adult family home" (a licensed private residence providing care above room-and-… docs.legis.wisconsin.gov
- Wis. Stat. § 50.02, Department; powers and duties: the general grant of DHS authority to provide "uniform, statewide licensing, inspection, and regulation of community-based residential facilities and nursing homes," to certify/inspect/regu… docs.legis.wisconsin.gov
- Wis. Stat. § 50.03, Licensing, powers and duties: the core licensure-mandate and penalty statute - no person may conduct, maintain or operate a CBRF or nursing home unless licensed by the department (first-conviction fine up to $500/day of… docs.legis.wisconsin.gov
- Wis. Stat. § 50.033, Licensure of certain adult family homes: requires licensure of the larger-category adult family home (3-4 unrelated adults receiving above-room-and-board care, up to 7 hours/week nursing care), specifies that a county d… docs.legis.wisconsin.gov
- Wis. Stat. § 50.034, Residential care apartment complexes (RCACs): requires certification (for RCACs serving Family Care/publicly-funded home-health clients) or, absent certification, registration, before a person may operate an RCAC, autho… docs.legis.wisconsin.gov
- Wis. Stat. § 50.035, Special provisions relating to regulation of community-based residential facilities: mandates CBRF employee training (first-aid/safety within 90 days; docs.legis.wisconsin.gov
- Wis. Stat. § 50.04, Special provisions applying to licensing and regulation of nursing homes: the nursing-home-specific enforcement chapter - defines a "class 'C' repeat violation," requires a licensed nursing-home administrator, sets minim… docs.legis.wisconsin.gov
Know your rights 4
- DHS 'Consumer Guide: Provider Search Survey History Information': DQA's own plain-language explanation of the state deficiency-classification and correction system referenced on every Statement of Deficiencies - federal scope/severity (SS)… dhs.wisconsin.gov
- DQA Bureau of Nursing Home Resident Care, 'Survey Guide, Long-Term Care Facilities' (Nursing Homes, Skilled Nursing Facilities, Nursing Facilities), P-62014 (07/2025): the bureau's own surveyor/provider compliance guide, walking through the… dhs.wisconsin.gov
- DHS Bureau of Assisted Living 'Survey Guide' page: the BAL counterpart to the nursing-home survey guide, covering initial/standard/abbreviated survey types (complaint, verification, self-report, monitoring), the on-site survey tasks (tour,… dhs.wisconsin.gov
- DQA, 'Informal Dispute Resolution for Nursing Homes and Facilities Serving People With Developmental Disabilities (FDD)', P-01856 (02/2023): DQA's own compliance guidance describing the Informal Dispute Resolution (IDR) process (standardize… dhs.wisconsin.gov
Enforcement actions 2
- DQA Provider Search: the state's live, named-facility search of DQA-licensed/certified care providers - Residential Care (Assisted Living: Adult Family Home, Community Based Residential Facility, Residential Care Apartment Complex; forwardhealth.wi.gov
- DHS 'Consumer Guide: Provider Search Survey History Information' companion page: explains what the live DQA Provider Search tool (above) actually publishes per named facility - each provider's survey/violation history (subject to the CMS-ho… dhs.wisconsin.gov
Orders & settlements 6
- Wis. Admin. Code ch. DHS 132, Nursing Homes: the operative nursing-home licensing/operating rule, promulgated under Ch. docs.legis.wisconsin.gov
- Wis. Admin. Code ch. DHS 83, Community-Based Residential Facilities: the operative CBRF licensing rule - General Provisions/Variance; docs.legis.wisconsin.gov
- Wis. Admin. Code ch. DHS 89, Residential Care Apartment Complexes (RCACs) (titled "Assisted Living Facilities" before December 1, 1998), promulgated under s. docs.legis.wisconsin.gov
- Wis. Admin. Code ch. DHS 88, Adult Family Homes: the operative AFH rule (originally created as emergency rule HSS 88, effective June 1, 1995) - Authority/purpose/scope, Definitions, Licensing administration, Licensee and service-provider st… docs.legis.wisconsin.gov
- Wis. Admin. Code ch. DHS 133, Home Health Agencies, promulgated under s. 50.49(2), Stats.: Authority/purpose, Definitions, Licensure, Inspections, Governance, Administration, Evaluation, Patient rights, Acceptance/discharge, Services provid… docs.legis.wisconsin.gov
- Wis. Admin. Code ch. DHS 131, Hospices, promulgated under s. 50.95, Stats. (chapter as it existed on Sept. 30, 2010 repealed and recreated eff. Oct. docs.legis.wisconsin.gov
Court decisions 2
- Park Manor Limited v. Department of Health and Family Services, Wisconsin Court of Appeals, District III, Appeal No. 98-1678 (per curiam, decided Jan. wicourts.gov
- Farr v. Alternative Living Services, Inc., 2002 WI App 88 (Ct. App. Wis., Dist. IV, Appeal No. 01-0971, decided March 28, 2002; wicourts.gov
Official notices 3
- DHS 'Closed Beds' (Redistribution of Closed Nursing Home Bed) notice program: a statutory public-notice process under Wis. Stat. dhs.wisconsin.gov
- DQA Memo 21-008 / DMS Numbered Memo 2021-07 / DCTS Action Memo 2021-15, 'Prohibited Restraints and Restrictive Measures in Community-Based Programs and Facilities' (Dec. dhs.wisconsin.gov
- DQA Memo 25-002 (replacing Memo 23-003), 'Requirements for New "Class-C" CBRFs in Existing or New Structures' (Oct. dhs.wisconsin.gov