Division of Quality AssuranceWisconsin Department of Health Services Page 1

04/04/2018Directory U d t d

Facility Name and Address Licensee Name and PhoneMailing Address

By County,Facility Name

Phone Number / Contact Person

Public Directory

Specialty Programs

For Facility Type RCAC

708 TAINTER STCHETEK WI 54728(715) 924-4891 DYLAN FAULKNERCounty: BARRON

725 KNAPP ST OPERATING COMPANY LLC

708 TAINTER STREETCHETEK WI 54728

Type: Class:

Low/High rate:

RCAC(973) 339-8892DYLAN FAULKNER

CERTIFIED

1,500/3,600M/F - 14Gender - Total Apartments:

Initial Certification: 04/04/2016

ATRIUM SENIOR LIVING OF CHETEK (0016139)

03/31/2019Certification Fee Due*:

633 CAMERON RDRICE LAKE WI 54868(715) 736-7400 KEVIN RUNDHAUGCounty: BARRON

P O BOX 155BARRON WI 54812

Type: Class:

Low/High rate:

RCAC(715) 537-3393DAVID BARTA

CERTIFIED

2,744/4,240M/F - 28Gender - Total Apartments:

Initial Certification: 03/03/2006

BRENTWOOD SENIOR LIVING INC (0011336)

02/28/2019Certification Fee Due*:

1333 MEMORIAL DRIVEBARRON WI 54812(423) 227-5957 TOMMY DAVIDSONCounty: BARRON

HALCYON SENIOR SERVICES OF BARRON LLC

2815 CO HWY ICHIPPEWA FALLS WI 54729

Type: Class:

Low/High rate:

RCAC(423) 227-5957JEREMY KILEY

CERTIFIED

572/1,467M/F - 40

PUBLIC FUNDING

Gender - Total Apartments:

Initial Certification: 10/01/2015

DOVE HEALTHCARE BARRON ASSISTED LIVING (0015804

09/30/2018Certification Fee Due*:

950 BEAR PAW AVENUERICE LAKE WI 54868(715) 736-6060 DENISE OLSONCounty: BARRON

WELCOME HOME HEALTH CARE INC

PO BOX 172HUTCHINSON MN 55350

Type: Class:

Low/High rate:

RCAC(320) 587-0005ROMAN BLOEMKE

CERTIFIED

2,277/3,085M/F - 43Gender - Total Apartments:

Initial Certification: 09/01/2009

WOODSTONE SENIOR LIVING RCAC (0012946)

08/31/2018Certification Fee Due*:

320 SUPERIOR AVENUEWASHBURN WI 54891(715) 373-0078 DALE KELMCounty: BAYFIELD

218 22ND AVE WASHLAND WI 54806

Type: Class:

Low/High rate:

RCAC(715) 331-9148DALE KELM

CERTIFIED

2,400/4,800M/F - 13Gender - Total Apartments:

Initial Certification: 12/23/2013

BIRCH HAVEN NORTH RCAC (0014850)

12/31/2018Certification Fee Due*:

320 SUPERIOR AVEWASHBURN WI 54891(715) 292-4550 RICH CARBONCounty: BAYFIELD

MARTINSEN INVESTMENTS

320 SUPERIOR AVEWASHBURN WI 54891

Type: Class:

Low/High rate:

RCAC(715) 682-8811RICH CARBON

REGISTERED

2,226/2,650M/F - 12Gender - Total Apartments:

Initial Registration: 02/28/2013

CHEQUAMEGON AREA ASSISTED LIVING (0014557)

02/28/2013Certification Fee Due*:

246 BERGER STGREEN BAY WI 54302(920) 468-9174 LORI ALLENCounty: BROWN

246 BERGER LLC

333 W WACKER DR STE 1010CHICAGO IL 60606-1284

Type: Class:

Low/High rate:

RCAC(312) 837-0701MARIA OLIVA

CERTIFIED

2,176/2,409M/F - 59

PUBLIC FUNDING

Gender - Total Apartments:

Initial Certification: 07/02/2013

AGE WELL CENTRE FOR LIFE ENRICHMENT (0014683)

06/30/2018Certification Fee Due*:

279 E ST JOSEPH STGREEN BAY WI 54301(920) 591-1822 AMY VANELZENCounty: BROWN

ALLOUEZ SUNRISE SENIOR CARE LLC

W4647 CO RD KKKAUKAUNA WI 54130

Type: Class:

Low/High rate:

RCAC(920) 337-2450AMY DOOLITTLE

REGISTEREDM/F - 50Gender - Total Apartments:

Initial Registration: 09/30/2014

ALLOUEZ SUNRISE VILLAGE RESIDENTIAL CARE APT (00

09/30/2014Certification Fee Due*:

1660 HOFFMAN RDGREEN BAY WI 54311(920) 337-0771 MARY ROGALACounty: BROWN

SL BELLEVUE LLC

1660 HOFFMAN RDGREEN BAY WI 54311

Type: Class:

Low/High rate:

RCAC(312) 673-4333MARY ROGALA

REGISTERED

3,295/4,370M/F - 126Gender - Total Apartments:

Initial Registration: 07/10/2013

BELLEVUE (0014671)

07/10/2013Certification Fee Due*:

1740 CONDOR LNGREEN BAY WI 54313(972) 308-8397 KIRSTEN HUTCHISONCounty: BROWN

CSL GREEN BAY LLC

7100 S WILKINSON WAYPERRYBURG OH 43551

Type: Class:

Low/High rate:

RCAC(972) 308-8387CHERYL HARTMAN

REGISTERED

2,995/5,275M/F - 77Gender - Total Apartments:

Initial Registration: 01/13/2015

BROOKVIEW MEADOWS (0015436)

01/13/2015Certification Fee Due*:

*The Residential Care Apartment Complex (RCAC) directory is updated quarterly. It is possible that a facility's certification fee due date may appear to have passed since the directory was last updated, when in fact that facility's required fee has been paid and its certification has been renewed without this being reflected on the directory.

Division of Quality AssuranceWisconsin Department of Health Services Page 2

04/04/2018Directory U d t d

Facility Name and Address Licensee Name and PhoneMailing Address

By County,Facility Name

Phone Number / Contact Person

Public Directory

Specialty Programs

For Facility Type RCAC

650 CENTENNIAL CENTRE BLVDHOBART WI 54155(920) 378-5839 TABATHA LUEPKECounty: BROWN

SCAL HOBART LLC

425 W MAIN ST STE 201SUN PRAIRIE WI 53590

Type: Class:

Low/High rate:

RCAC(608) 837-2649MICHAEL COLLINS

CERTIFIED

3,000/4,500M/F - 52Gender - Total Apartments:

Initial Certification: 09/08/2015

EMERALD BAY ASSISTED LIVING (0015710)

08/31/2018Certification Fee Due*:

212 IROQUOIS AVEGREEN BAY WI 54301(920) 437-0883 JAMES GENRICHCounty: BROWN

MCCORMICK MEMORIAL HOME FOR THE AGED

212 IROQUOIS AVENUEGREEN BAY WI 54301

Type: Class:

Low/High rate:

RCAC(920) 437-0883JAMES GENRICH

REGISTERED

4,200/4,200M/F - 16Gender - Total Apartments:

Initial Registration: 09/01/2017

MCCORMICK ASSISTED LIVING (0016831)

08/31/2018Certification Fee Due*:

2929 SAINT ANTHONY DRGREEN BAY WI 54311(920) 468-3111 LORRIE RYCZEKCounty: BROWN

MORAINE RIDGE LLC DBA MORAINE RIDGE SEN

8101 N MONTICELLO STE 100SKOKIE IL 60076

Type: Class:

Low/High rate:

RCAC(773) 851-1328MICHAEL KLEIN

CERTIFIEDM/F - 75

PUBLIC FUNDING

Gender - Total Apartments:

Initial Certification: 03/29/2011

MORAINE RIDGE (0013688)

03/31/2019Certification Fee Due*:

2790 ELM TREE HILLHOWARD WI 54313(920) 489-8600 STACIE HACKLCounty: BROWN

HOWARD OPS LLC

2790 ELM TREE HILLHOWARD WI 54313

Type: Class:

Low/High rate:

RCAC(952) 746-3630STACIE HACKL

CERTIFIED

1,734/5,813M/F - 85Gender - Total Apartments:

Initial Certification: 06/27/2016

NEW PERSPECTIVE-HOWARD (0016148)

06/30/2018Certification Fee Due*:

421 ERIE RDGREEN BAY WI 54311(920) 461-2533 JOHN CORPUSCounty: BROWN

OAK PARK PLACE OF GREEN BAY LLC

719 JUPITER DRMADISON WI 53718

Type: Class:

Low/High rate:

RCAC(608) 279-0378CHAD BASCHE

REGISTEREDM/F - 36Gender - Total Apartments:

Initial Registration: 04/17/2017

OAK PARK PLACE OF GREEN BAY (0016398)

04/30/2019Certification Fee Due*:

826 GRIGNON STGREEN BAY WI 54301(920) 435-4810 SHERRI STOCKCounty: BROWN

ODD FELLOW REBEKAH HOME ASSOCIATION

1207 S JACKSON STGREEN BAY WI 54301

Type: Class:

Low/High rate:

RCAC(920) 437-6523CHARLENE EVERETT

CERTIFIED

3,268/4,918M/F - 20Gender - Total Apartments:

Initial Certification: 02/01/1998

REBEKAH HAVEN (0010347)

01/31/2019Certification Fee Due*:

Association Approval: LeadingAge Wisconsin

250 SOUTH 9TH STDE PERE WI 54115(920) 983-5100 MICHAEL MILLERCounty: BROWN

RENNES ASSISTED LIVING INC

250 SOUTH 9TH STDE PERE WI 54115

Type: Class:

Low/High rate:

RCAC(715) 582-2200MICHAEL MILLER

CERTIFIED

2,800/4,025M/F - 71

PUBLIC FUNDING

Gender - Total Apartments:

Initial Certification: 05/14/2013

RENAISSANCE DE PERE (0014532)

04/30/2019Certification Fee Due*:

3838 CHURCH VIEW CTGREENLEAF WI 54126(920) 864-2702 ERIC ROFFERSCounty: BROWN

WAYSIDE PARKVIEW ESTATES LLC

3838 CHURCH VIEW CTGREENLEAF WI 54126

Type: Class:

Low/High rate:

RCAC(920) 864-2702DAWN KASTER

REGISTERED

1,345/2,74518Gender - Total Apartments:

Initial Registration: 09/08/2003

WAYSIDE PARKVIEW ESTATES (0010376)

09/08/2003Certification Fee Due*:

Association Approval: WALA

158 EAST MAIN STREETMONDOVI WI 54755(715) 926-4777 SARAH MORGANCounty: BUFFALO

HOMEPLACE OF MONDOVI LLC (THE)

225 E 4TH AVENUESTANLEY WI 54768

Type: Class:

Low/High rate:

RCAC(715) 644-2136JASON HAZUGA

CERTIFIED

3,250/6,271 - 21Gender - Total Apartments:

Initial Certification: 06/01/1999

HOMEPLACE OF MONDOVI LLC (THE) (0010250)

05/31/2018Certification Fee Due*:

108 NATIONAL AVEBRILLION WI 54110(920) 756-3041 TONJA PALMERCounty: CALUMET

HERITAGE APARTMENT REDEVELOPMENT LLC

210 S PARKWAY DRBRILLION WI 54110

Type: Class:

Low/High rate:

RCAC(920) 756-3041TONJA PALMER

CERTIFIED

408/680M/F - 12Gender - Total Apartments:

Initial Certification: 07/26/2011

HERITAGE APARTMENT REDEVELOPMENT LLC (0013604

07/31/2018Certification Fee Due*:

*The Residential Care Apartment Complex (RCAC) directory is updated quarterly. It is possible that a facility's certification fee due date may appear to have passed since the directory was last updated, when in fact that facility's required fee has been paid and its certification has been renewed without this being reflected on the directory.

Division of Quality AssuranceWisconsin Department of Health Services Page 3

04/04/2018Directory U d t d

Facility Name and Address Licensee Name and PhoneMailing Address

By County,Facility Name

Phone Number / Contact Person

Public Directory

Specialty Programs

For Facility Type RCAC

2205 MIDWAY ROADMENASHA WI 54952(920) 702-0000 MITCHELL MARTENSONCounty: CALUMET

OAK PARK PLACE OF MENASHA LLC

719 JUPITER DRMADISON WI 53718

Type: Class:

Low/High rate:

RCAC(608) 663-8600SCOTT FRANK

REGISTERED

2,550/2,995M/F - 29Gender - Total Apartments:

Initial Registration: 02/26/2016

OAK PARK PLACE OF MENASHA (0015973)

02/26/2016Certification Fee Due*:

2205 MIDWAY ROADMENASHA WI 54952(920) 702-0000 MITCHELL MARTENSONCounty: CALUMET

OAK PARK PLACE OF MENASHA LLC

719 JUPITER DRMADISON WI 53718

Type: Class:

Low/High rate:

RCAC(608) 663-8600SCOTT FRANK

REGISTERED

2,550/2,995M/F - 29Gender - Total Apartments:

Initial Registration: 02/26/2016

OAK PARK PLACE OF MENASHA (0015973)

02/26/2016Certification Fee Due*:

1900 PRIDDY STBLOOMER WI 54724(973) 339-8892 SARA STARCKCounty: CHIPPEWA

1840 PRIDDY STREET OPERATING COMPANY, L

1900 PRIDDY STREETBLOOMER WI 54724

Type: Class:

Low/High rate:

RCAC(973) 339-8899SARA STARCK

CERTIFIED

3,425/5,775 - 18Gender - Total Apartments:

Initial Certification: 03/01/2016

ATRIUM SENIOR LIVING OF BLOOMER RCAC (0016039)

02/28/2019Certification Fee Due*:

756 IRVINE STREETCHIPPEWA FALLS WI 54729(715) 726-2123 KAREN DAVIS-ROBINSONCounty: CHIPPEWA

CHIPPEWA MANOR HOME HEALTH CARE CORP

756 IRVINE STREETCHIPPEWA FALLS WI 54729

Type: Class:

Low/High rate:

RCAC(715) 726-2123KAREN DAVIS-ROBINSON

REGISTERED

1,482/1,669 - 95Gender - Total Apartments:

Initial Registration: 06/20/1997

CHIPPEWA MANOR RETIREMENT CENTER (0010254)

06/20/1997Certification Fee Due*:

756 IRVINE STREETCHIPPEWA FALLS WI 54729(715) 726-2123 KAREN DAVIS-ROBINSONCounty: CHIPPEWA

CHIPPEWA MANOR HOME HEALTH CARE CORP

756 IRVINE STREETCHIPPEWA FALLS WI 54729

Type: Class:

Low/High rate:

RCAC(715) 726-2123KAREN DAVIS-ROBINSON

REGISTERED

1,482/1,669 - 95Gender - Total Apartments:

Initial Registration: 06/20/1997

CHIPPEWA MANOR RETIREMENT CENTER (0010254)

06/20/1997Certification Fee Due*:

1224 PUMPHOUSE RDCHIPPEWA FALLS WI 54729(715) 726-2527 SUSAN CARLSONCounty: CHIPPEWA

CHIPPEWA FALLS RCAC LLC

750 MAIN ST STE 200MENDOTA HEIGHTS MN 55118

Type: Class:

Low/High rate:

RCAC(651) 287-0265RHONDA SCHILLINGER

CERTIFIED

2,900/6,120M/F - 21Gender - Total Apartments:

Initial Certification: 07/01/2006

COMFORTS OF HOME CHIPPEWA FALLS RCAC (0011498)

06/30/2018Certification Fee Due*:

225 E FOURTH AVESTANLEY WI 54768(715) 644-2136 JUDY HULSCounty: CHIPPEWA

225 E FOURTH AVESTANLEY WI 54768

Type: Class:

Low/High rate:

RCAC(715) 644-2137JASON HAZUGA

CERTIFIED

3,250/3,495M/F - 25Gender - Total Apartments:

Initial Certification: 11/04/2005

HOMEPLACE OF STANLEY LLC (THE) (0011165)

10/31/2018Certification Fee Due*:

2801 COUNTY HWY 1CHIPPEWA FALLS WI 54729(715) 720-9710 ANDREW KEARNSCounty: CHIPPEWA

WISSOTA SPRINGS AID OPCO LLC

330 N WABASH AVE STE 3700CHICAGO IL 60611

Type: Class:

Low/High rate:

RCAC(415) 706-9715ATTN: POC/LEGAL DEPT

REGISTERED

7,365/8,324M/F - 70Gender - Total Apartments:

Initial Registration: 07/11/2013

WISSOTA PLACE (0014672)

06/30/2014Certification Fee Due*:

510 W WAUSAU STCOLBY WI 54421(715) 223-1612 LEANNE OELRICHCounty: CLARK

MIDWEST SENIOR LIVING

5900 MONONA DR STE 200MADISON WI 53716

Type: Class:

Low/High rate:

RCAC(608) 316-1291JOAN BARMISH

CERTIFIED

3,595/3,595M/F - 24

PUBLIC FUNDING

Gender - Total Apartments:

Initial Certification: 03/22/2007

COLBY RETIREMENT COMMUNITY (0011896)

03/31/2019Certification Fee Due*:

1211 LLOYD STNEILLSVILLE WI 54456(715) 743-6700 SUE PETERSONCounty: CLARK

MIDWEST SENIOR LIVING

5900 MONONA DR STE 200MADISON WI 53716

Type: Class:

Low/High rate:

RCAC(608) 316-1291JOAN BARMISH

CERTIFIED

3,410/3,410M/F - 24

PUBLIC FUNDING

Gender - Total Apartments:

Initial Certification: 03/22/2007

NEILLSVILLE RETIREMENT COMMUNITY (0011895)

03/31/2019Certification Fee Due*:

*The Residential Care Apartment Complex (RCAC) directory is updated quarterly. It is possible that a facility's certification fee due date may appear to have passed since the directory was last updated, when in fact that facility's required fee has been paid and its certification has been renewed without this being reflected on the directory.

Division of Quality AssuranceWisconsin Department of Health Services Page 4

04/04/2018Directory U d t d

Facility Name and Address Licensee Name and PhoneMailing Address

By County,Facility Name

Phone Number / Contact Person

Public Directory

Specialty Programs

For Facility Type RCAC

418 E STANLEY STREETTHORP WI 54771(715) 456-4269 JASON HAZUGACounty: CLARK

B K ANDERSON LLC

418 E STANLEY STREETTHORP WI 54771

Type: Class:

Low/High rate:

RCAC(715) 669-3844JASON HAZUGA

REGISTERED

2,200/2,750M/F - 12Gender - Total Apartments:

Initial Registration: 01/20/2010

TRADITIONS ASSISTED LIVING (0013002)

01/20/2010Certification Fee Due*:

2685 AIRPORT ROADPORTAGE WI 53901(608) 745-3312 COLLEEN NALLCounty: COLUMBIA

SHA MSL PORTAGE OPCO LLC

700 N GREEN UNIT 401CHICAGO IL 60642

Type: Class:

Low/High rate:

RCAC(312) 462-4462TOM OSTROM

CERTIFIED

500/6,000M/F - 66Gender - Total Apartments:

Initial Certification: 04/07/2015

HERITAGE HOUSE OF PORTAGE (0015503)

03/31/2019Certification Fee Due*:

101 HOMETOWN AVEFALL RIVER WI 53932(920) 484-6171 MARILYN GREENCounty: COLUMBIA

THE MEADOWS OF FALL RIVER, LLC

2850 MONARCHALTOONA WI 54720

Type: Class:

Low/High rate:

RCAC(608) 317-6384ROBERT SIMONSON

CERTIFIED

2,600/3,150M/F - 38Gender - Total Apartments:

Initial Certification: 01/01/2010

MEADOWS OF FALL RIVER (THE) (0013097)

12/31/2018Certification Fee Due*:

215 NORTHRIDGE DRPORTAGE WI 53901(608) 745-0331 DAWN KOEPPELCounty: COLUMBIA

KSMS OUR HOUSE LLC

4350 156TH STCHIPPEWA FALLS WI 54729

Type: Class:

Low/High rate:

RCAC(317) 280-8455LORI NARDIN

CERTIFIED

2,800/3,800M/F - 32

PUBLIC FUNDING

Gender - Total Apartments:

Initial Certification: 04/15/2011

OUR HOUSE PORTAGE RCAC (0013662)

03/31/2019Certification Fee Due*:

720 S FREMONT STPRAIRIE DU CHIEN WI 53821(608) 326-3200 ALESHA ERDENBERGERCounty: CRAWFORD

COMMUNITY HEALTH SERVICES CORPORATION

720 S FREMONT STPRAIRIE DU CHIEN WI 53821

Type: Class:

Low/High rate:

RCAC(608) 326-3200ALESHA ERDENBERGER

CERTIFIED

2,868/6,231M/F - 24Gender - Total Apartments:

Initial Certification: 08/03/2009

RESIDENCE AT BLUFF HAVEN (0012866)

01/31/2019Certification Fee Due*:

Association Approval: LeadingAge Wisconsin

139 E REYNOLDS STCOTTAGE GROVE WI 53527(608) 839-8085 SUSAN HICKLINCounty: DANE

ASHFORD MARTIN CORPORATION

1500 N. CASALOMA DR STE 300APPLETON WI 54913

Type: Class:

Low/High rate:

RCAC(608) 839-5884PATRICIA MARTIN

CERTIFIED

3,715/4,625M/F - 70

PUBLIC FUNDING

Gender - Total Apartments:

Initial Certification: 01/08/2008

ASTER ASSISTED LIVING OF COTTAGE GROVE (0012237

12/31/2018Certification Fee Due*:

1120 CONNERY COVEWAUNAKEE WI 53597(608) 712-1517 MELISSA OCONNORCounty: DANE

HOME AGAIN ASSISTED LIVING INC

3120 EDMONTON DR STE 300SUN PRAIRIE WI 53590

Type: Class:

Low/High rate:

RCAC(608) 712-1517MARTY OCONNOR

REGISTERED

2,600/3,800M/F - 53Gender - Total Apartments:

Initial Registration: 11/01/2017

AT HOME AGAIN WAUNAKEE LLC (0016886)

10/31/2018Certification Fee Due*:

8301 OLD SAUK RDMIDDLETON WI 53562(608) 662-8842 DEREK BUCKLEYCounty: DANE

ATTIC ANGEL PLACE INC

8301 OLD SAUK RDMIDDLETON WI 53562

Type: Class:

Low/High rate:

RCAC(608) 662-8842DEREK BUCKLEY

CERTIFIED

1,494/7,524M/F - 130Gender - Total Apartments:

Initial Certification: 09/09/2009

ATTIC ANGEL PLACE (0012985)

08/31/2018Certification Fee Due*:

Association Approval: LeadingAge Wisconsin

2879 FISH HATCHERY RDMADISON WI 53713(608) 274-4350 LISA HARRISONCounty: DANE

MADISON ASSISTED LIVING LLC

2879 FISH HATCHERY RDMADISON WI 53713

Type: Class:

Low/High rate:

RCAC(971) 717-2475LISA HARRISON

CERTIFIED

2,192/2,595M/F - 42Gender - Total Apartments:

Initial Certification: 06/10/2009

AVALON ASSISTED LIVING COMMUNITY (0012841)

05/31/2018Certification Fee Due*:

333 W MAIN STMADISON WI 53703(608) 283-2137 TIM CONROYCounty: DANE

CAPITOL LAKES INC

333 W MAIN STMADISON WI 53703

Type: Class:

Low/High rate:

RCAC(608) 283-2000TIM CONROY

REGISTERED

1,150/2,716M/F - 40Gender - Total Apartments:

Initial Registration: 03/01/2002

CAPITOL LAKES (0010301)

03/01/2002Certification Fee Due*:

*The Residential Care Apartment Complex (RCAC) directory is updated quarterly. It is possible that a facility's certification fee due date may appear to have passed since the directory was last updated, when in fact that facility's required fee has been paid and its certification has been renewed without this being reflected on the directory.

Division of Quality AssuranceWisconsin Department of Health Services Page 5

04/04/2018Directory U d t d

Facility Name and Address Licensee Name and PhoneMailing Address

By County,Facility Name

Phone Number / Contact Person

Public Directory

Specialty Programs

For Facility Type RCAC

5781 CHAPEL VALLEY ROADFITCHBURG WI 53711(608) 276-3449County: DANE

CHAPEL VALLEY HOUSING II LLC

5781 CHAPEL VALLEY ROADFITCHBURG WI 53711

Type: Class:

Low/High rate:

RCAC(608) 277-8887 REGISTERED

655/1,02524Gender - Total Apartments:

Initial Registration: 06/01/2000

CHAPEL VALLEY II (0010287)

06/01/2000Certification Fee Due*:

602 N SEGOE RDMADISON WI 53705(608) 268-5482 JOYCE BEHRENDCounty: DANE

INDEPENDENT LIVING INC

2970 CHAPEL VALLEY RD STE 203MADISON WI 53711

Type: Class:

Low/High rate:

RCAC(608) 274-7900JOYCE BEHREND

CERTIFIED

295/2,400M/F - 75

PUBLIC FUNDING

Gender - Total Apartments:

Initial Certification: 08/01/2012

GARDENS (THE) (0014262)

07/31/2018Certification Fee Due*:

6234 MAYWOOD AVEMIDDLETON WI 53562(608) 831-7004 BOBBI STOLTZCounty: DANE

HERITAGE 11 LLC

7901 W NATIONAL AVEWEST ALLIS WI 53214

Type: Class:

Low/High rate:

RCAC(952) 351-4541PIERRE VERGER

CERTIFIED

3,800/8,000M/F - 43Gender - Total Apartments:

Initial Certification: 01/02/2013

HERITAGE ASSISTED LIVING MIDDLETON (0014201)

12/31/2018Certification Fee Due*:

6234 MAYWOOD AVEMIDDLETON WI 53562(608) 831-7004 BOBBI STOLTZCounty: DANE

HERITAGE 11 LLC

7901 W NATIONAL AVEWEST ALLIS WI 53214

Type: Class:

Low/High rate:

RCAC(952) 351-4541PIERRE VERGER

CERTIFIED

3,800/8,000M/F - 43Gender - Total Apartments:

Initial Certification: 01/02/2013

HERITAGE ASSISTED LIVING MIDDLETON (0014201)

12/31/2018Certification Fee Due*:

111 OWEN RDMONONA WI 53716(608) 441-9990 ADRIANE STUPARCounty: DANE

HERITAGE 9 LLC

7901 W NATIONAL AVEWEST ALLIS WI 53214

Type: Class:

Low/High rate:

RCAC(952) 351-4541PIERRE VERGER

CERTIFIED

3,800/7,300M/F - 37

PUBLIC FUNDING

Gender - Total Apartments:

Initial Certification: 11/17/2009

HUBS HOME (0012892)

11/30/2018Certification Fee Due*:

111 OWEN RDMONONA WI 53716(608) 441-9990 ADRIANE STUPARCounty: DANE

HERITAGE 9 LLC

7901 W NATIONAL AVEWEST ALLIS WI 53214

Type: Class:

Low/High rate:

RCAC(952) 351-4541PIERRE VERGER

CERTIFIED

3,800/7,300M/F - 37

PUBLIC FUNDING

Gender - Total Apartments:

Initial Certification: 11/17/2009

HUBS HOME (0012892)

11/30/2018Certification Fee Due*:

111 OWEN RDMONONA WI 53716(608) 441-9990 ADRIANE STUPARCounty: DANE

HERITAGE 9 LLC

7901 W NATIONAL AVEWEST ALLIS WI 53214

Type: Class:

Low/High rate:

RCAC(952) 351-4541PIERRE VERGER

CERTIFIED

3,800/7,300M/F - 37

PUBLIC FUNDING

Gender - Total Apartments:

Initial Certification: 11/17/2009

HUBS HOME (0012892)

11/30/2018Certification Fee Due*:

881 LIBERTY BOULEVARDSUN PRAIRIE WI 53590(608) 834-2073 RYAN WAGNERCounty: DANE

CAPRI LIFESTYLES LLC

20875 CROSSROADS CIR SUITE 400WAUKESHA WI 53186

Type: Class:

Low/High rate:

RCAC(262) 798-1224GLEN CHOBAN

CERTIFIED

2,400/3,800 - 49

PUBLIC FUNDING

Gender - Total Apartments:

Initial Certification: 08/28/2013

HYLAND PARK SUN PRAIRIE (0014752)

08/31/2018Certification Fee Due*:

Association Approval: WALA

407 N 8TH STMOUNT HOREB WI 53572(608) 437-8111 DONNA KRUCHTENCounty: DANE

WISCONSIN ILLINOIS SENIOR HOUSING INC

407 N 8TH STMOUNT HOREB WI 57532

Type: Class:

Low/High rate:

RCAC(608) 437-5511DONNA KRUCHTEN

REGISTERED

2,460/2,995M/F - 24Gender - Total Apartments:

Initial Registration: 10/08/2012

INGLEWOOD (0014327)

10/08/2012Certification Fee Due*:

5601 BURKE RDMADISON WI 53718(608) 268-9100 JESSICA VETTERKINDCounty: DANE

FIVE STAR QUALITY CARE-WI- LLC

5601 BURKE RDMADISON WI 53718

Type: Class:

Low/High rate:

RCAC(617) 796-8387HEIDI STEWART

CERTIFIED

2,610/3,800M/F - 60

PUBLIC FUNDING

Gender - Total Apartments:

Initial Certification: 01/01/2008

MEADOWMERE OF MADISON (0012218)

12/31/2018Certification Fee Due*:

*The Residential Care Apartment Complex (RCAC) directory is updated quarterly. It is possible that a facility's certification fee due date may appear to have passed since the directory was last updated, when in fact that facility's required fee has been paid and its certification has been renewed without this being reflected on the directory.

Division of Quality AssuranceWisconsin Department of Health Services Page 6

04/04/2018Directory U d t d

Facility Name and Address Licensee Name and PhoneMailing Address

By County,Facility Name

Phone Number / Contact Person

Public Directory

Specialty Programs

For Facility Type RCAC

2220 LINCOLN AVESTOUGHTON WI 53589(608) 205-6800 LISA FORDCounty: DANE

MILESTONE SENIOR LIVING LLC

1574 W BROADWAY STE 200MADISON WI 53713

Type: Class:

Low/High rate:

RCAC(608) 819-2200

CERTIFIED

4,150/4,650M/F - 20Gender - Total Apartments:

Initial Certification: 05/03/2016

MILESTONE SENIOR LIVING APARTMENTS (0016099)

04/30/2018Certification Fee Due*:

1870 MARKET STREETCROSS PLAINS WI 53528(608) 413-0451 MADELYN ZAFFINOCounty: DANE

MILESTONE SENIOR LIVING LLC

560 water aveHillsboro WI 54634

Type: Class:

Low/High rate:

RCAC(608) 819-2200Bobbi Richardson

CERTIFIED

4,000/4,500 - 20Gender - Total Apartments:

Initial Certification: 02/24/2014

MILESTONE SENIOR LIVING APARTMENTS (0014959)

01/31/2019Certification Fee Due*:

222 S BRISTOL STREETSUN PRAIRIE WI 53590(608) 825-1600 SARAH SEARLESCounty: DANE

SUN PRAIRIE OPS LLC

7625 GOLDEN TRIANGLE DR STE #TEDEN PRAIRIE MN 55344

Type: Class:

Low/High rate:

RCAC(952) 241-8204RYAN NOVACZYK

CERTIFIED

1,642/4,894M/F - 112Gender - Total Apartments:

Initial Certification: 07/25/2014

NEW PERSPECTIVE SUN PRAIRIE (0015198)

07/31/2018Certification Fee Due*:

222 S BRISTOL STREETSUN PRAIRIE WI 53590(608) 825-1600 SARAH SEARLESCounty: DANE

SUN PRAIRIE OPS LLC

7625 GOLDEN TRIANGLE DR STE #TEDEN PRAIRIE MN 55344

Type: Class:

Low/High rate:

RCAC(952) 241-8204RYAN NOVACZYK

CERTIFIED

1,642/4,894M/F - 112Gender - Total Apartments:

Initial Certification: 07/25/2014

NEW PERSPECTIVE SUN PRAIRIE (0015198)

07/31/2018Certification Fee Due*:

471 PRAIRIE WAY BLVDVERONA WI 53593(612) 414-4515 KELLY ROBINSONCounty: DANE

PARK VISTA SENIOR HOUSING MANAGEMENT L

132 6TH AVE SCLINTON IA 52732

Type: Class:

Low/High rate:

RCAC(563) 503-6001JULIE LONERGAN

REGISTERED

2,200/2,750M/F - 97Gender - Total Apartments:

Initial Registration: 10/25/2016

NOEL MANOR SENIOR LIVING COMPLEX (0016285)

10/31/2017Certification Fee Due*:

702 JUPITER DRMADISON WI 53718(608) 251-1010 TONI CARRUTHERSCounty: DANE

OAK PARK PLACE OF MADISON LLC

719 JUPITER DRIVEMADISON WI 53718

Type: Class:

Low/High rate:

RCAC(608) 251-1010TONI CARRUTHERS

REGISTERED

2,850/4,500M/F - 32Gender - Total Apartments:

Initial Registration: 06/01/2006

OAK PARK PLACE THE GROVE I (0011402)

06/01/2006Certification Fee Due*:

719 JUPITER DRMADISON WI 53718(608) 729-2981 Mindy PennycookCounty: DANE

OAK PARK II MADISON LLC

719 JUPITER DRMADISON WI 53718

Type: Class:

Low/High rate:

RCAC(608) 686-8700TONI CARRUTHERS

REGISTEREDM/F - 36Gender - Total Apartments:

Initial Registration: 11/19/2008

OAK PARK PLACE THE GROVE II (0012509)

11/19/2008Certification Fee Due*:

719 JUPITER DRMADISON WI 53718(608) 729-2981 Mindy PennycookCounty: DANE

OAK PARK II MADISON LLC

719 JUPITER DRMADISON WI 53718

Type: Class:

Low/High rate:

RCAC(608) 686-8700TONI CARRUTHERS

REGISTEREDM/F - 36Gender - Total Apartments:

Initial Registration: 11/19/2008

OAK PARK PLACE THE GROVE II (0012509)

11/19/2008Certification Fee Due*:

5555 TANCHO DRMADISON WI 53718(608) 230-4510 JEAN JACOBSONCounty: DANE

OAKWOOD VILLAGE EAST APARTMENT HOMES

5565 TANCHO DRMADISON WI 53718

Type: Class:

Low/High rate:

RCAC(608) 230-4510JEAN JACOBSON

REGISTERED

694/1,154M/F - 206Gender - Total Apartments:

Initial Registration: 11/01/2011

OAKWOOD VILLAGE PRAIRIE RIDGE (0013945)

11/01/2011Certification Fee Due*:

Association Approval: LeadingAge Wisconsin

6209 MINERAL POINT RDMADISON WI 53705(608) 230-4435 MICHELLE GODFREYCounty: DANE

OAKWOOD VILLAGE HOMES INC

6209 MINERAL POINT RDMADISON WI 53705

Type: Class:

Low/High rate:

RCAC(608) 230-4250MICHELLE GODFREY

REGISTERED

606/2,285M/F - 415Gender - Total Apartments:

Initial Registration: 11/01/2011

OAKWOOD VILLAGE UNIVERSITY WOODS (0013944)

11/01/2011Certification Fee Due*:

*The Residential Care Apartment Complex (RCAC) directory is updated quarterly. It is possible that a facility's certification fee due date may appear to have passed since the directory was last updated, when in fact that facility's required fee has been paid and its certification has been renewed without this being reflected on the directory.

Division of Quality AssuranceWisconsin Department of Health Services Page 7

04/04/2018Directory U d t d

Facility Name and Address Licensee Name and PhoneMailing Address

By County,Facility Name

Phone Number / Contact Person

Public Directory

Specialty Programs

For Facility Type RCAC

6902 PARKSIDE CIRCLEDEFOREST WI 53532(608) 852-7573 JULIA GILESCounty: DANE

SL DEFOREST, LLC

6902 PARKSIDE CIRCLEDEFOREST WI 53532

Type: Class:

Low/High rate:

RCAC(312) 673-4333JULIA GILES

CERTIFIED

3,775/4,400M/F - 40Gender - Total Apartments:

Initial Certification: 07/10/2013

PARKSIDE ASSISTED LIVING (0014659)

06/30/2018Certification Fee Due*:

228 W MAIN STREETSUN PRAIRIE WI 53590(608) 837-5959 ROCHELLE KRUCHTENCounty: DANE

SUN PRAIRIE HEALTHCARE OPERATIONS LLC

228 W MAIN STREETSUN PRAIRIE WI 53590

Type: Class:

Low/High rate:

RCAC(310) 337-1329ROCHELLE KRUCHTEN

REGISTERED

3,600/4,100M/F - 28Gender - Total Apartments:

Initial Registration: 03/01/2018

SUN PRAIRIE HEALTH CARE CENTER (0017009)

02/28/2019Certification Fee Due*:

605 CHASE BLVDSUN PRAIRIE WI 53590(312) 462-4462 TOM OSTROMCounty: DANE

SHA MSL SUN PRAIRIE LLC

700 N GREEN ST 401CHICAGO IL 60642

Type: Class:

Low/High rate:

RCAC(312) 462-4462TOM OSTROM

CERTIFIED

2,268/4,500M/F - 50Gender - Total Apartments:

Initial Certification: 01/19/2017

TALLGRASS SENIOR LIVING (0016405)

12/31/2018Certification Fee Due*:

5440 CADDIS BENDFITCHBURG WI 53711(608) 270-9200 LISA ZWIERZYNSKICounty: DANE

CSL FITCHBURG MANAGMENT LLC

5440 CADDIS BENDFITCHBURG WI 53711

Type: Class:

Low/High rate:

RCAC(972) 308-8387BRIAN JENNINGS

REGISTERED

798/1,517M/F - 71Gender - Total Apartments:

Initial Registration: 10/23/2013

WATERFORD AT FITCHBURG (THE) (0014814)

11/01/2015Certification Fee Due*:

800 HOLIDAY DRIVEWAUNAKEE WI 53597(608) 849-5016 DAVE KRUCHTENCounty: DANE

WAUNAKEE OPERATIONS LLC

1000 CORPORATE POINTE SUIT 100CULVER CITY CA 90230

Type: Class:

Low/High rate:

RCAC(310) 337-1929ROWAN FARBER

REGISTERED

2,500/4,700M/F - 62Gender - Total Apartments:

Initial Registration: 03/01/2018

WAUNAKEE MANOR RCAC (0017008)

02/28/2019Certification Fee Due*:

1125 N EDGE TRAILVERONA WI 53593(608) 848-5701 NIKKI MOLARO-PULVERCounty: DANE

SNH SE TENANT TRS INC

400 CENTRE STREET -LICENSINGNEWTON MA 02458

Type: Class:

Low/High rate:

RCAC(617) 796-8350LISA NEWCOMB

CERTIFIED

3,162/5,148M/F - 48Gender - Total Apartments:

Initial Certification: 11/01/2013

WILLOW POINTE ASSISTED LIVING (0014804)

10/31/2018Certification Fee Due*:

331 BLY STREETWAUPUN WI 53963(920) 324-9051 BARBARA WIRKUSCounty: DODGE

CHRISTIAN HOME AND REHABILITATION CENTE

331 BLY STREETWAUPUN WI 53963

Type: Class:

Low/High rate:

RCAC(920) 324-9051

REGISTERED

1,650/2,77524Gender - Total Apartments:

Initial Registration: 10/01/2000

CHRISTIAN HOME ASSISTED LIVING CENTER (0010292)

10/01/2000Certification Fee Due*:

500 S HIGH STREETRANDOLPH WI 53956(920) 326-3171 JOANN EVANSCounty: DODGE

NSH RANDOLPH INC

500 S HIGH STREETRANDOLPH WI 53956

Type: Class:

Low/High rate:

RCAC(920) 326-3171JOANN EVANS

REGISTEREDM/F - 24Gender - Total Apartments:

Initial Registration: 12/28/2016

CONTINENTAL MANOR (0016546)

12/31/2018Certification Fee Due*:

475 GROVE STREETLOMIRA WI 53048(920) 269-7667 PATTI WELLSCounty: DODGE

HOPE SENIOR LIVING INC

P O BOX 280LOMIRA WI 53048

Type: Class:

Low/High rate:

RCAC(920) 269-4386STEVEN KURANZ

CERTIFIED

3,275/4,251M/F - 32

PUBLIC FUNDING

Gender - Total Apartments:

Initial Certification: 08/22/2013

HOPE SENIOR LIVING (0014707)

07/31/2018Certification Fee Due*:

475 GROVE STREETLOMIRA WI 53048(920) 269-7667 PATTI WELLSCounty: DODGE

HOPE SENIOR LIVING INC

P O BOX 280LOMIRA WI 53048

Type: Class:

Low/High rate:

RCAC(920) 269-4386STEVEN KURANZ

CERTIFIED

3,275/4,251M/F - 32

PUBLIC FUNDING

Gender - Total Apartments:

Initial Certification: 08/22/2013

HOPE SENIOR LIVING (0014707)

07/31/2018Certification Fee Due*:

Association Approval: WiCAL

*The Residential Care Apartment Complex (RCAC) directory is updated quarterly. It is possible that a facility's certification fee due date may appear to have passed since the directory was last updated, when in fact that facility's required fee has been paid and its certification has been renewed without this being reflected on the directory.

Division of Quality AssuranceWisconsin Department of Health Services Page 8

04/04/2018Directory U d t d

Facility Name and Address Licensee Name and PhoneMailing Address

By County,Facility Name

Phone Number / Contact Person

Public Directory

Specialty Programs

For Facility Type RCAC

104 FAKES COURTBEAVER DAM WI 53916(920) 356-9818 JODY LUECKCounty: DODGE

LANDMARK AT BEAVER DAM LLC

104 FAKES COURTBEAVER DAM WI 53916

Type: Class:

Low/High rate:

RCAC(781) 849-7722JODY LUECK

CERTIFIED

2,995/4,550M/F - 80Gender - Total Apartments:

Initial Certification: 03/15/2013

LANDMARK AT CHARLESTON HOUSE RCAC (0014464)

02/28/2019Certification Fee Due*:

713 HORICON STHORICON WI 53032(312) 623-0884 TANYA PETERSONCounty: DODGE

MATTHEWS SENIOR HOUSING LLC

700 N GREEN ST UNIT 401CHICAGO IL 60642

Type: Class:

Low/High rate:

RCAC(312) 623-0884THOMAS OSTROM

CERTIFIED

3,030/6,500M/F - 30Gender - Total Apartments:

Initial Certification: 06/15/2012

MATTHEWS OF HORICON (0014152)

05/31/2018Certification Fee Due*:

819 WILCOX STWAUPUN WI 53963(920) 324-9810 KIMBERLY LORENZOCounty: DODGE

ADVANTAGE MANAGEMENT WAUPUN LLC

N4365 STATE HWY 73COLUMBUS WI 53925

Type: Class:

Low/High rate:

RCAC(920) 350-6001MICHAEL EISENGA

CERTIFIED

2,650/3,250M/F - 27

PUBLIC FUNDING

Gender - Total Apartments:

Initial Certification: 08/01/2004

PRAIRIE RIDGE ASSISTED LIVING (0010669)

10/31/2018Certification Fee Due*:

819 S UNVERSITY AVEBEAVER DAM WI 53916(920) 887-6693 JENNIFER BOHLIGCounty: DODGE

BEAVER DAM COMMUNITY HOSPITALS INC

707 S UNIVERSITY AVEBEAVER DAM WI 53916

Type: Class:

Low/High rate:

RCAC(920) 887-4135JENNIFER BOHLIG

REGISTERED

804/1,458M/F - 30Gender - Total Apartments:

Initial Registration: 01/01/2007

STONE TERRACE RETIREMENT LIV CTR (0011956)

05/10/2007Certification Fee Due*:

10554 APPLEWOOD RDSISTER BAY WI 54234(920) 854-2317 MICHELE NOTZCounty: DOOR

EVANGELICAL LUTHERAN GOOD SAMARITAN S

10560 APPLEWOOD RDSISTER BAY WI 54234

Type: Class:

Low/High rate:

RCAC(605) 362-3100MICHELE NOTZ

REGISTERED

875/1,430M/F - 58Gender - Total Apartments:

Initial Registration: 08/19/2008

GOOD SAMARITAN SOCIETY-SCANDIA VILLAGE (0012463

08/19/2008Certification Fee Due*:

Association Approval: LeadingAge Wisconsin

1241 N 18TH AVESTURGEON BAY WI 54235(920) 746-1280 AMBER PAPKECounty: DOOR

PAPKE

1241 N 18TH AVESTURGEON BAY WI 54235

Type: Class:

Low/High rate:

RCAC(920) 746-1280AMBER PAPKE

CERTIFIED

3,460/5,965M/F - 43

PUBLIC FUNDING

Gender - Total Apartments:

Initial Certification: 12/10/1999

PINE CREST VILLAGE LLC (0010344)

12/31/2018Certification Fee Due*:

1915 N 34TH STSUPERIOR WI 54880(218) 721-2800 DAVE KELLERCounty: DOUGLAS

SUPERIOR OPS LLC

7625 GOLDEN TRIANGLE DR STE TEDEN PRAIRIE MN 55344

Type: Class:

Low/High rate:

RCAC(612) 308-8369RYAN NOVACZYK

CERTIFIED

2,550/4,050M/F - 76

PUBLIC FUNDING

Gender - Total Apartments:

Initial Certification: 11/11/2010

NEW PERSPECTIVE SUPERIOR (0013517)

03/31/2019Certification Fee Due*:

1915 N 34TH STSUPERIOR WI 54880(218) 721-2800 DAVE KELLERCounty: DOUGLAS

SUPERIOR OPS LLC

7625 GOLDEN TRIANGLE DR STE TEDEN PRAIRIE MN 55344

Type: Class:

Low/High rate:

RCAC(612) 308-8369RYAN NOVACZYK

CERTIFIED

2,550/4,050M/F - 76

PUBLIC FUNDING

Gender - Total Apartments:

Initial Certification: 11/11/2010

NEW PERSPECTIVE SUPERIOR (0013517)

03/31/2019Certification Fee Due*:

1915 N 34TH STSUPERIOR WI 54880(218) 721-2800 DAVE KELLERCounty: DOUGLAS

SUPERIOR OPS LLC

7625 GOLDEN TRIANGLE DR STE TEDEN PRAIRIE MN 55344

Type: Class:

Low/High rate:

RCAC(612) 308-8369RYAN NOVACZYK

CERTIFIED

2,550/4,050M/F - 76

PUBLIC FUNDING

Gender - Total Apartments:

Initial Certification: 11/11/2010

NEW PERSPECTIVE SUPERIOR (0013517)

03/31/2019Certification Fee Due*:

Association Approval: WALA

915 ELM AVENUE EMENOMONIE WI 54751(715) 235-3697 DIANE ROWECounty: DUNN

AMERICAN LUTHERAN COMMUNITY SERVICES

P O BOX 287EAU CLAIRE WI 54702-0287

Type: Class:

Low/High rate:

RCAC(715) 235-3697MIKE CHRISTENSEN

CERTIFIED

3,245/3,770M/F - 40

PUBLIC FUNDING

Gender - Total Apartments:

Initial Certification: 11/19/2009

AUTUMN VILLAGE (0013043)

11/30/2018Certification Fee Due*:

Association Approval: LeadingAge Wisconsin

*The Residential Care Apartment Complex (RCAC) directory is updated quarterly. It is possible that a facility's certification fee due date may appear to have passed since the directory was last updated, when in fact that facility's required fee has been paid and its certification has been renewed without this being reflected on the directory.

Division of Quality AssuranceWisconsin Department of Health Services Page 9

04/04/2018Directory U d t d

Facility Name and Address Licensee Name and PhoneMailing Address

By County,Facility Name

Phone Number / Contact Person

Public Directory

Specialty Programs

For Facility Type RCAC

917 22ND AVE NEMENOMONIE WI 54751(715) 231-4980 KATIE LUNDERVILLECounty: DUNN

COMFORTS OF HOME-MENOMONIE RCAC LLC

750 MAIN STREET STE 200MENDOTA HEIGHTS MN 55188

Type: Class:

Low/High rate:

RCAC(651) 287-0265RHONDA SCHILLINGER

CERTIFIED

3,000/6,460M/F - 41

PUBLIC FUNDING

Gender - Total Apartments:

Initial Certification: 09/24/2007

COMFORTS OF HOME MENOMONIE RCAC (0012102)

09/30/2018Certification Fee Due*:

108 PARK DRIVECOLFAX WI 54730(715) 962-3186 JILL GENGLERCounty: DUNN

COLFAX HEALTH AND REHABILITATION CENTER

110 PARK DRIVECOLFAX WI 54730

Type: Class:

Low/High rate:

RCAC(715) 962-3186JILL GENGLER

CERTIFIED

2,690/4,090M/F - 14Gender - Total Apartments:

Initial Certification: 07/30/2013

SANDY RIDGE ASSISTED LIVING APARTMENTS (0014703

07/31/2018Certification Fee Due*:

2455 SAWGRASS PLACEALTOONA WI 54720(715) 944-6678 GREG SPINDLERCounty: EAU CLAIRE

THE CLASSIC AT HILLCREST GREENS LLC

2455 SAWGRASS PLACEALTOONA WI 54720

Type: Class:

Low/High rate:

RCAC(715) 831-8000GREG SPINDLER

CERTIFIED

2,250/6,900M/F - 63Gender - Total Apartments:

Initial Certification: 07/01/2015

CLASSIC AT HILLCREST GREENS SENIOR LIVING (THE) (

06/30/2018Certification Fee Due*:

4868 OTTESON LANEEAU CLAIRE WI 54701(715) 835-0429 PEGGY HUSBYCounty: EAU CLAIRE

GRACE LUTHERAN FOUNDATION

P O BOX 287EAU CLAIRE WI 54702

Type: Class:

Low/High rate:

RCAC(715) 832-3003MIKE CHRISTENSEN

CERTIFIED

3,700/3,700M/F - 36

PUBLIC FUNDING

Gender - Total Apartments:

Initial Certification: 06/01/2009

GRACE WILLOWBROOK (0012799)

05/31/2018Certification Fee Due*:

Association Approval: LeadingAge Wisconsin

4510 GATEWAY DREAU CLAIRE WI 54701(715) 469-8012 KELLY DEUTSCHERCounty: EAU CLAIRE

CSL EAU CLAIRE LLC

1580 VALLEY RIVER DR STE 260EUGENE OR 97401

Type: Class:

Low/High rate:

RCAC(541) 636-3460WILL FORSYTH

CERTIFIED

3,707/4,460M/F - 28Gender - Total Apartments:

Initial Certification: 04/11/2016

HEATHERWOOD (0016084)

03/31/2019Certification Fee Due*:

3706 DAMON STEAU CLAIRE WI 54701(715) 831-9118 JILL THORNTONCounty: EAU CLAIRE

HERITAGE I LLC

7901 W NATIONAL AVENUEWEST ALLIS WI 53214

Type: Class:

Low/High rate:

RCAC(952) 351-4540VP OF OPERATIONS

CERTIFIED

3,350/6,300M/F - 39Gender - Total Apartments:

Initial Certification: 09/01/2008

HERITAGE OAKWOOD HILLS (0012506)

08/31/2018Certification Fee Due*:

5512 RENEE DREAU CLAIRE WI 54703(715) 874-4250 KELLY ROHWEDDERCounty: EAU CLAIRE

MILESTONE SENIOR LIVING LLC

1574 W BROADWAY STE 200MADISON WI 53713

Type: Class:

Low/High rate:

RCAC(608) 819-2200JULIE HEIL

CERTIFIED

3,700/4,400 - 32

PUBLIC FUNDING

Gender - Total Apartments:

Initial Certification: 06/07/2010

MILESTONE SENIOR LIVING APARTMENTS (0013348)

05/31/2018Certification Fee Due*:

342 TWIN OAK DRALTOONA WI 54720(715) 839-8000 AMANDA HASONCounty: EAU CLAIRE

OAK GARDENS AID OPCO LLC

330 N WABASH AVE STE 3700CHICAGO IL 60611

Type: Class:

Low/High rate:

RCAC(415) 706-9715MATTHEW JAHRAUS

REGISTERED

3,101/4,881M/F - 40Gender - Total Apartments:

Initial Registration: 07/11/2013

OAK GARDENS PLACE (0014670)

06/30/2014Certification Fee Due*:

597 KINGSWOOD AVEFOND DU LAC WI 54935(920) 924-5715 DOROTHY RABENHORSTCounty: FOND DU LAC

MOSAIC MANAGEMENT GROUP LLC

15400 W CAPITOL DR STE 100BROOKFIELD WI 53005

Type: Class:

Low/High rate:

RCAC(262) 754-4800KRISTA MCCOOK

CERTIFIED

3,200/4,600M/F - 40

PUBLIC FUNDING

Gender - Total Apartments:

Initial Certification: 02/01/2013

ARTISAN FOND DU LAC SUITES (THE) (0014420)

01/31/2019Certification Fee Due*:

30 N KAYSER STFOND DU LAC WI 54935(920) 921-6800 ADAM KUSHNIRCounty: FOND DU LAC

GOLDENHIGH LLC

517 E DIVISION STREETFOND DU LAC WI 54935

Type: Class:

Low/High rate:

RCAC(619) 565-3637LORI J GALLIGAN

CERTIFIED

1,700/4,000M/F - 12

PUBLIC FUNDING

Gender - Total Apartments:

Initial Certification: 12/13/2017

GRANPARK TERRACE GRANCARE INC (0016701)

11/30/2018Certification Fee Due*:

*The Residential Care Apartment Complex (RCAC) directory is updated quarterly. It is possible that a facility's certification fee due date may appear to have passed since the directory was last updated, when in fact that facility's required fee has been paid and its certification has been renewed without this being reflected on the directory.

Division of Quality AssuranceWisconsin Department of Health Services Page 10

04/04/2018Directory U d t d

Facility Name and Address Licensee Name and PhoneMailing Address

By County,Facility Name

Phone Number / Contact Person

Public Directory

Specialty Programs

For Facility Type RCAC

517 LUCO RDFOND DU LAC WI 54935(920) 926-1100 DEBORAH DOBYNSCounty: FOND DU LAC

LAKE VIEW AID OPCO LLC

330 N WABASH STE 3700CHICAGO IL 60611

Type: Class:

Low/High rate:

RCAC(415) 706-9715ATTN: POC/LEGAL DEPT

REGISTERED

6,974/7,645M/F - 90Gender - Total Apartments:

Initial Registration: 07/11/2013

LAKE VIEW PLACE (0014655)

06/30/2014Certification Fee Due*:

150 N DOUGLAS STRIPON WI 54971(920) 748-7300 CHAD LIPTOWCounty: FOND DU LAC

MAPLECREST MANOR INC

W304 N1860 MAPLE AVEPEWAUKEE WI 53072-4709

Type: Class:

Low/High rate:

RCAC(920) 748-7300DELBERT VANSTONE

CERTIFIED

1,795/6,000 - 42

PUBLIC FUNDING

Gender - Total Apartments:

Initial Certification: 05/09/2003

MAPLECREST MANOR (0010341)

05/31/2018Certification Fee Due*:

Association Approval: WALA

749 E OSHKOSH STRIPON WI 54971(920) 748-8900 JEREMIAH GROTHECounty: FOND DU LAC

PRAIRIE ASSISTED LIVING INC

749 E OSHKOSH STRIPON WI 54971

Type: Class:

Low/High rate:

RCAC(920) 748-8900JEREMIAH GROTHE

CERTIFIED

2,500/4,000M/F - 42

PUBLIC FUNDING

Gender - Total Apartments:

Initial Certification: 01/23/2013

PRAIRIE PLACE RCAC (0014485)

01/31/2019Certification Fee Due*:

345 E FIRST STFOND DU LAC WI 54935(920) 923-7980 SISTER IRENE KOHNECounty: FOND DU LAC

ST FRANCIS HOME INC

33 EVERETT STFOND DU LAC WI 54935

Type: Class:

Low/High rate:

RCAC(920) 923-7980DOUGLAS TROST

REGISTERED

2,007/2,02055Gender - Total Apartments:

Initial Registration: 11/19/1998

ST FRANCIS TERRACE (0010373)

11/19/1998Certification Fee Due*:

Association Approval: LeadingAge Wisconsin

620 W ROLLING MEADOWS DRFOND DU LAC WI 54937(920) 933-8090 DIANN ROBERTSCounty: FOND DU LAC

ROLLING MEADOWS DEVELOPMENT LLC

620 W ROLLING MEADOWS DRFOND DU LAC WI 54937

Type: Class:

Low/High rate:

RCAC(920) 933-8090TIM BURNS

CERTIFIED

2,450/3,435M/F - 71Gender - Total Apartments:

Initial Certification: 06/22/2016

THE MEADOWS OF FOND DU LAC LLC (0016187)

06/30/2018Certification Fee Due*:

N8120 CTY RD WWMT CALVARY WI 53057(920) 753-3015 JENNA FLOBERGCounty: FOND DU LAC

AGNESIAN HEALTHCARE

N8120 CTY RD WWMT CALVARY WI 53057

Type: Class:

Low/High rate:

RCAC(920) 753-3211BRENDA GUDEX

CERTIFIED

3,460/3,890M/F - 20

PUBLIC FUNDING

Gender - Total Apartments:

Initial Certification: 01/18/2006

VILLA ROSA ASSISTED LIVING (0011286)

01/31/2019Certification Fee Due*:

Association Approval: LeadingAge Wisconsin

77 WISCONSIN AMERICAN DRFOND DU LAC WI 54935(920) 922-8770 SUE HENDRICKSONCounty: FOND DU LAC

HENDRICKSON

77 WISCONSIN AMERICAN DRFOND DU LAC WI 54935

Type: Class:

Low/High rate:

RCAC(920) 922-8770SAM HENDRICKSON

CERTIFIED

3,100/3,850M/F - 26

PUBLIC FUNDING

Gender - Total Apartments:

Initial Certification: 09/17/2003

WOODLANDS SENIOR PARK (0010355)

09/30/2018Certification Fee Due*:

616 8TH AVEMONROE WI 53566(608) 328-2339 AMANDA GERBERCounty: GREEN

ASHFORD MARTIN CORPORATION

1500 N CASALOMA DR STE 300APPLETON WI 54913

Type: Class:

Low/High rate:

RCAC(920) 832-8094PATRICIA M MARTIN

CERTIFIED

3,610/4,610M/F - 62

PUBLIC FUNDING

Gender - Total Apartments:

Initial Certification: 01/08/2008

ASTER ASSISTED LIVING OF MONROE (0012238)

12/31/2018Certification Fee Due*:

900 GLARNER DRNEW GLARUS WI 53574(608) 527-2126 ERIN FRANCOISCounty: GREEN

NEW GLARUS HOME INC

600 2ND AVENEW GLARUS WI 53574

Type: Class:

Low/High rate:

RCAC(608) 527-2126ERIN FRANCOIS

CERTIFIED

2,960/5,000M/F - 27

PUBLIC FUNDING

Gender - Total Apartments:

Initial Certification: 09/01/2016

GLARNER LODGE (0016075)

08/31/2018Certification Fee Due*:

2003 4TH STMONROE WI 53566(608) 329-3601 ERIN FRANCOISCounty: GREEN

MONROE JOINT VENTURE INC

2003 4TH STMONROE WI 53566

Type: Class:

Low/High rate:

RCAC(608) 329-3601ERIN FRANCOIS

CERTIFIED

2,820/2,975M - 50

PUBLIC FUNDING

Gender - Total Apartments:

Initial Certification: 04/18/2000

ST CLARE FRIEDENSHEIM (0010297)

06/30/2018Certification Fee Due*:

*The Residential Care Apartment Complex (RCAC) directory is updated quarterly. It is possible that a facility's certification fee due date may appear to have passed since the directory was last updated, when in fact that facility's required fee has been paid and its certification has been renewed without this being reflected on the directory.

Division of Quality AssuranceWisconsin Department of Health Services Page 11

04/04/2018Directory U d t d

Facility Name and Address Licensee Name and PhoneMailing Address

By County,Facility Name

Phone Number / Contact Person

Public Directory

Specialty Programs

For Facility Type RCAC

123 S PEARL STBERLIN WI 54923(920) 361-3111 NATHAN MAZURCounty: GREEN LAKE

SENIOR AMERICAN HOUSING INC

123 S PEARL STBERLIN WI 54923

Type: Class:

Low/High rate:

RCAC(920) 361-3111NATHAN MAZUR

CERTIFIED

1,920/4,256M/F - 26Gender - Total Apartments:

Initial Certification: 04/28/1997

AMERICAN HOUSE OF BERLIN (0010330)

07/31/2018Certification Fee Due*:

850 SUNNYSIDE RDGREEN LAKE WI 54941(920) 294-1000 RACHEL FOUSTCounty: GREEN LAKE

PARTNERS IN COMMUNITY ELDERCARE LLC

850 SUNNYSIDE RDGREEN LAKE WI 54941

Type: Class:

Low/High rate:

RCAC(608) 442-8005RACHEL FOUST

CERTIFIED

1,636/3,186M/F - 25

PUBLIC FUNDING

Gender - Total Apartments:

Initial Certification: 09/01/2006

KINDREDHEARTS GREEN LAKE (0011583)

08/31/2018Certification Fee Due*:

1130 N MARGARET STMARKESAN WI 53946-8516(920) 398-2751 ROBIN WOLZENBURGCounty: GREEN LAKE

MARKESAN RESIDENT HOME INC

1130 N MARGARET STMARKESAN WI 53946-8516

Type: Class:

Low/High rate:

RCAC(920) 398-2751ROBIN WOLZENBURG

CERTIFIED

2,280/4,725M/F - 32

PUBLIC FUNDING

Gender - Total Apartments:

Initial Certification: 01/26/2009

NORTH TERRACE ASSISTED LIVING (0012685)

01/31/2019Certification Fee Due*:

Association Approval: LeadingAge Wisconsin

609 BROADWAY STREETBERLIN WI 54923(920) 361-3008 LISA RICHARDSONCounty: GREEN LAKE

NBA HOLDINGS LLC

609 BROADWAY STREETBERLIN WI 54923

Type: Class:

Low/High rate:

RCAC(920) 293-1015LISA RICHARDSON

CERTIFIED

2,450/2,800M/F - 57Gender - Total Apartments:

Initial Certification: 01/05/2018

PATRIOT PLACE RCAC (0016746)

12/31/2019Certification Fee Due*:

183 E JOHN STMARKESAN WI 53946(920) 398-2989 BRIDGET VREDEVELDCounty: GREEN LAKE

BARRETT HOUSE OF MARKESAN LLC

185 E JOHN STMARKESAN WI 53946

Type: Class:

Low/High rate:

RCAC(920) 296-8193BRIDGET VREDEVELD

CERTIFIED

1,650/4,500M/F - 8Gender - Total Apartments:

Initial Certification: 09/25/2017

SAMUELS GROVE (0016842)

09/30/2018Certification Fee Due*:

407 E MADISON STDODGEVILLE WI 53533(920) 674-6600 JAMES CURRANCounty: IOWA

AFFORDABLE LIVING & HOUSING SERVICES LLC

407 E MADISON STDODGEVILLE WI 53533

Type: Class:

Low/High rate:

RCAC(608) 935-0051JAMES CURRAN

REGISTEREDM/F - 52Gender - Total Apartments:

Initial Registration: 02/20/2011

STONEFIELD APARTMENT HOMES (0013621)

02/20/2011Certification Fee Due*:

404 COUNTY RD RBLACK RIVER FALLS WI 54615(715) 284-7077 WENDY TRAUTSCHCounty: JACKSON

JACKSON PINE VIEW HEALTHCARE LLC

400 COUNTY RD RBLACK RIVER FALLS WI 54615

Type: Class:

Low/High rate:

RCAC(920) 699-4555WENDY TRAUTSCH

CERTIFIED

1,712/3,913M/F - 36

PUBLIC FUNDING

Gender - Total Apartments:

Initial Certification: 03/29/2007

PINE VIEW TERRACE (0011906)

03/31/2019Certification Fee Due*:

404 COUNTY RD RBLACK RIVER FALLS WI 54615(715) 284-7077 WENDY TRAUTSCHCounty: JACKSON

JACKSON PINE VIEW HEALTHCARE LLC

400 COUNTY RD RBLACK RIVER FALLS WI 54615

Type: Class:

Low/High rate:

RCAC(920) 699-4555WENDY TRAUTSCH

CERTIFIED

1,712/3,913M/F - 36

PUBLIC FUNDING

Gender - Total Apartments:

Initial Certification: 03/29/2007

PINE VIEW TERRACE (0011906)

03/31/2019Certification Fee Due*:

Association Approval: WiCAL

161 GOEHL RDWATERLOO WI 53594(920) 478-4193 DUANE FLOYDCounty: JEFFERSON

WATERTOWN MEDICAL CENTER LLC

125 HOSPITAL DRIVEWATERTOWN WI 53098

Type: Class:

Low/High rate:

RCAC(615) 920-7000DUANE FLOYD

CERTIFIED

2,918/5,310M/F - 20Gender - Total Apartments:

Initial Certification: 09/01/2015

HIGHLAND HOUSE (0015776)

08/31/2018Certification Fee Due*:

737 REENA AVEFORT ATKINSON WI 53538(920) 542-1521 ALLAN BARRCounty: JEFFERSON

ICONICARE OF FORT ATKINSON LLC

901 DEMING WAYMADISON WI 53717

Type: Class:

Low/High rate:

RCAC(608) 664-3500ALLAN BARR

CERTIFIED

1,630/2,720M/F - 60Gender - Total Apartments:

Initial Certification: 05/22/2017

REENA SENIOR LIVING (0016702)

05/31/2018Certification Fee Due*:

*The Residential Care Apartment Complex (RCAC) directory is updated quarterly. It is possible that a facility's certification fee due date may appear to have passed since the directory was last updated, when in fact that facility's required fee has been paid and its certification has been renewed without this being reflected on the directory.

Division of Quality AssuranceWisconsin Department of Health Services Page 12

04/04/2018Directory U d t d

Facility Name and Address Licensee Name and PhoneMailing Address

By County,Facility Name

Phone Number / Contact Person

Public Directory

Specialty Programs

For Facility Type RCAC

1301 E MAIN STWATERTOWN WI 53094(920) 567-0100 SHERYL SCHROEDERCounty: JEFFERSON

RIVER VIEW PLATINUM LLC

18110 W BLUEMOUND RD #4 LOWERBROOKFIELD WI 53045

Type: Class:

Low/High rate:

RCAC(262) 432-8623JOHN TERESINSKI

CERTIFIED

1,988/4,500M/F - 49Gender - Total Apartments:

Initial Certification: 12/23/2011

RIVER VIEW PLATINUM LLC (0013914)

12/31/2018Certification Fee Due*:

1301 E MAIN STWATERTOWN WI 53094(920) 567-0100 SHERYL SCHROEDERCounty: JEFFERSON

RIVER VIEW PLATINUM LLC

18110 W BLUEMOUND RD #4 LOWERBROOKFIELD WI 53045

Type: Class:

Low/High rate:

RCAC(262) 432-8623JOHN TERESINSKI

CERTIFIED

1,988/4,500M/F - 49Gender - Total Apartments:

Initial Certification: 12/23/2011

RIVER VIEW PLATINUM LLC (0013914)

12/31/2018Certification Fee Due*:

Association Approval: WALA

200 W 6TH STNECEDAH WI 54646(608) 565-3990 SANDRA MERCERCounty: JUNEAU

OAK GROVE ASSISTED CARE LLC

200 W 6TH STNECEDAH WI 54646

Type: Class:

Low/High rate:

RCAC(608) 318-1180TENNILLE OSTHOFF

CERTIFIED

749/1,800M/F - 40Gender - Total Apartments:

Initial Certification: 04/01/2005

OAK GROVE ASSISTED CARE LLC (0010959)

03/31/2019Certification Fee Due*:

3508 7TH AVEKENOSHA WI 53140(262) 653-1234 HEATHER RATLIEFFCounty: KENOSHA

ST CATHERINE COMMONS II, LLC

20875 CROSSROADS CIR SUITE 400WAUKESHA WI 53186

Type: Class:

Low/High rate:

RCAC(262) 798-1224GLEN CHOBAN

CERTIFIED

2,900/5,200 - 45

PUBLIC FUNDING

Gender - Total Apartments:

Initial Certification: 02/16/2012

CASA DEL MARE (0012943)

01/31/2019Certification Fee Due*:

Association Approval: WALA

1870 27TH AVEKENOSHA WI 53140(262) 782-2770 COLLEEN ENDSLEYCounty: KENOSHA

FRESH COAST PARTNERS

14585 W FIELDPOINTE DRNEW BERLIN WI 53151

Type: Class:

Low/High rate:

RCAC(262) 782-2770COLLEEN ENDSLEY

CERTIFIED

625/895M/F - 18Gender - Total Apartments:

Initial Certification: 07/01/2012

CELEBRE PLACE (0014239)

06/30/2018Certification Fee Due*:

7905 36TH AVENUEKENOSHA WI 53142(262) 697-7711 COLLEEN ENDSLEYCounty: KENOSHA

SCAL KENOSHA LLC

425 WEST MAIN STREETSUN PRAIRIE WI 53590

Type: Class:

Low/High rate:

RCAC(608) 837-2649MICHAEL COLLINS

CERTIFIED

3,700/4,700M/F - 26Gender - Total Apartments:

Initial Certification: 07/01/2015

LIBRARY TERRACE APARTMENTS (0015730)

06/30/2018Certification Fee Due*:

8351 SHERIDAN RDKENOSHA WI 53143(262) 948-1100 LANESHA BARFIELDCounty: KENOSHA

FIVE STAR QUALITY CARE WI LLC

8351 SHERIDAN RDKENOSHA WI 53143

Type: Class:

Low/High rate:

RCAC(617) 796-8387LANESHA BARFIELD

CERTIFIED

3,571/5,025M/F - 63

PUBLIC FUNDING

Gender - Total Apartments:

Initial Certification: 01/18/2008

MEADOWMERE SOUTHPORT (0012244)

01/31/2019Certification Fee Due*:

625 4TH STKEWAUNEE WI 54216(920) 388-0201 MIKE PARALCounty: KEWAUNEE

PARADISE ESTATES LLC

625 4TH STKEWAUNEE WI 54216

Type: Class:

Low/High rate:

RCAC(920) 388-0201KATHY PARAL

CERTIFIED

805/905M/F - 20

PUBLIC FUNDING

Gender - Total Apartments:

Initial Certification: 07/15/2013

PARADISE ESTATES LLC (0014687)

07/31/2018Certification Fee Due*:

2904 EAST AVENUE SOUTHLACROSSE WI 54601(608) 788-7489 ASHLEY BECKCounty: LACROSSE

CATHOLIC RESIDENTIAL SERVICES INC

2904 EAST AVENUE SOUTHLACROSSE WI 54601

Type: Class:

Low/High rate:

RCAC(608) 784-5323ASHLEY BECK

REGISTERED

1,500/2,50045Gender - Total Apartments:

Initial Registration: 11/24/1998

BENEDICTINE VILLA ASSISTED LIVING (0010258)

11/24/1998Certification Fee Due*:

Association Approval: LeadingAge Wisconsin

112 JUNIPER LANEHOLMEN WI 54636(608) 526-2635 TRACY MONAHANCounty: LACROSSE

BETHANY LUTHERAN HOMES INC

2555 S 7TH STLACROSSE WI 54601

Type: Class:

Low/High rate:

RCAC(608) 406-3978BETSY OLSON

CERTIFIED

2,517/2,837M/F - 16Gender - Total Apartments:

Initial Certification: 06/20/2006

BETHANY HEIGHTS ASSISTED LIVING (0011373)

06/30/2018Certification Fee Due*:

*The Residential Care Apartment Complex (RCAC) directory is updated quarterly. It is possible that a facility's certification fee due date may appear to have passed since the directory was last updated, when in fact that facility's required fee has been paid and its certification has been renewed without this being reflected on the directory.

Division of Quality AssuranceWisconsin Department of Health Services Page 13

04/04/2018Directory U d t d

Facility Name and Address Licensee Name and PhoneMailing Address

By County,Facility Name

Phone Number / Contact Person

Public Directory

Specialty Programs

For Facility Type RCAC

Association Approval: LeadingAge Wisconsin

1315 CASS STREETLACROSSE WI 54601(608) 796-1091 JESSICA SEEBACHCounty: LACROSSE

BETHANY LUTHERAN HOMES INC

2575 S 7TH STLACROSSE WI 54601

Type: Class:

Low/High rate:

RCAC(608) 406-3978BETSY OLSON

CERTIFIED

2,186/3,330M/F - 46

PUBLIC FUNDING

Gender - Total Apartments:

Initial Certification: 11/04/2003

BETHANY ON CASS (0010447)

10/31/2018Certification Fee Due*:

Association Approval: LeadingAge Wisconsin

3141 EAST AVE SLACROSSE WI 54601(608) 788-1964 JENNIFER PETERSONCounty: LACROSSE

BROOKDALE SENIOR LIVING COMMUNITIES INC

3141 EAST AVE SLACROSSE WI 54601

Type: Class:

Low/High rate:

RCAC(414) 918-5000JENNIFER PETERSON

CERTIFIED

3,530/4,393 - 20

PUBLIC FUNDING

Gender - Total Apartments:

Initial Certification: 07/01/2008

BROOKDALE LACROSSE (0012328)

06/30/2018Certification Fee Due*:

351 MASON STREETONALASKA WI 54650(608) 779-1700 TAMMY HAEFSCounty: LACROSSE

BETHANY LUTHERAN HOMES INC

351 MASON STREETONALASKA WI 54650

Type: Class:

Low/High rate:

RCAC(608) 406-3887DEBRA TAYLOR

CERTIFIED

2,765/4,950M/F - 42Gender - Total Apartments:

Initial Certification: 01/04/2008

EAGLE CREST ASSISTED LIVING (0012206)

12/31/2018Certification Fee Due*:

Association Approval: LeadingAge Wisconsin

351 MASON STONALASKA WI 54650(608) 779-1700 TAMMY HAEFSCounty: LACROSSE

BETHANY LUTHERAN HOMES INC

351 MASON STREETONALASKA WI 54650

Type: Class:

Low/High rate:

RCAC(608) 779-1700DEBRA TAYLOR

REGISTERED

1,010/2,315M/F - 70Gender - Total Apartments:

Initial Registration: 10/25/2007

EAGLE CREST SENIOR LIVING COMMUNITY (0012207)

10/25/2007Certification Fee Due*:

Association Approval: LeadingAge Wisconsin

622 BENNORA LEE COURTLACROSSE WI 54601(608) 791-2700 BRENDA ASPENSONCounty: LACROSSE

BETHANY LUTHERAN HOMES, INC

622 BENNORA LEE COURTLACROSSE WI 54601

Type: Class:

Low/High rate:

RCAC(608) 791-2700BRENDA ASPENSON

REGISTERED

1,205/2,830M/F - 80Gender - Total Apartments:

Initial Registration: 06/15/2015

EAGLE CREST SOUTH RCAC (0015684)

06/15/2015Certification Fee Due*:

3503 PARK LNLACROSSE WI 54601(608) 785-5500 KELLY KRAMERCounty: LACROSSE

LACROSSE COUNTY

3503 PARK LN DRLACROSSE WI 54601

Type: Class:

Low/High rate:

RCAC(608) 789-4800JILL MONROE

CERTIFIED

1,900/2,975M/F - 30Gender - Total Apartments:

Initial Certification: 01/05/2012

HILLVIEW TERRACE (0013997)

12/31/2018Certification Fee Due*:

Association Approval: LeadingAge Wisconsin

108 17TH AVENUE SOURTHONALASKA WI 54650(608) 783-1815County: LACROSSE

BETHANY ST JOSEPH CORPORATION

108 17TH AVENUE SOUTHONALASKA WI 54650

Type: Class:

Low/High rate:

RCAC(608) 788-5700 REGISTERED

485/78512Gender - Total Apartments:

Initial Registration: 11/01/2002

LAUREL MANOR (0010274)

11/01/2002Certification Fee Due*:

Association Approval: LeadingAge Wisconsin

840 MILL STWEST SALEM WI 54669(608) 786-2440 KAREN SEPICHCounty: LACROSSE

BETHANY ST JOSEPH CORP

1126 MAIN STONALASKA WI 54650

Type: Class:

Low/High rate:

RCAC(608) 788-5700KAREN SEPICH

CERTIFIED

1,945/2,320M/F - 15

PUBLIC FUNDING

Gender - Total Apartments:

Initial Certification: 06/01/2011

MILL STREET MANOR (0013753)

05/31/2018Certification Fee Due*:

Association Approval: LeadingAge Wisconsin

620 MALIN COURTHOLMEN WI 54636(608) 526-4850 KAREN SEPICHCounty: LACROSSE

BETHANY ST JOSEPH CORP

1126 MAIN STONALASKA WI 54650

Type: Class:

Low/High rate:

RCAC(608) 788-5700PRAIRIE HOME DIRECTOR

CERTIFIED

1,815/2,115M/F - 30

PUBLIC FUNDING

Gender - Total Apartments:

Initial Certification: 10/01/2006

PRAIRIE HOME (0011629)

09/30/2018Certification Fee Due*:

Association Approval: LeadingAge Wisconsin

*The Residential Care Apartment Complex (RCAC) directory is updated quarterly. It is possible that a facility's certification fee due date may appear to have passed since the directory was last updated, when in fact that facility's required fee has been paid and its certification has been renewed without this being reflected on the directory.

Division of Quality AssuranceWisconsin Department of Health Services Page 14

04/04/2018Directory U d t d

Facility Name and Address Licensee Name and PhoneMailing Address

By County,Facility Name

Phone Number / Contact Person

Public Directory

Specialty Programs

For Facility Type RCAC

104 LEWIS STWEST SALEM WI 54669(608) 786-2440 KAREN SEPICHCounty: LACROSSE

BETHANY ST JOSEPH CORP

2501 SHELBY RDLACROSSE WI 54601

Type: Class:

Low/High rate:

RCAC(608) 788-5700KAREN SEPICH

CERTIFIED

1,905/2,285M/F - 35

PUBLIC FUNDING

Gender - Total Apartments:

Initial Certification: 07/01/2007

SALEM TERRACE (0012008)

06/30/2018Certification Fee Due*:

Association Approval: LeadingAge Wisconsin

2525 SHELBY ROADLACROSSE WI 54601(608) 788-4477 KAREN SEPICHCounty: LACROSSE

BETHANY ST JOSEPH CORPORATION

2501 SHELBY RDLACROSSE WI 54601

Type: Class:

Low/High rate:

RCAC(608) 788-5700 DIRECTOR

CERTIFIED

1,540/1,875M/F - 25

PUBLIC FUNDING

Gender - Total Apartments:

Initial Certification: 09/10/2007

SHELBY TERRACE (0012093)

08/31/2018Certification Fee Due*:

Association Approval: LeadingAge Wisconsin

861 CRITTER COURTONALASKA WI 54650(608) 783-2292 MARCIA HITZCounty: LACROSSE

SPRINGBROOK COMMUNITY ASSISTED LIVING I

2850 MONARCH COURTALTOONA WI 54720

Type: Class:

Low/High rate:

RCAC(608) 783-2292ROBERT SIMONSON

CERTIFIED

2,620/3,800 - 62

PUBLIC FUNDING

Gender - Total Apartments:

Initial Certification: 06/15/2007

SPRINGBROOK COMMUNITY ASSISTED LIVING INC (0011

05/31/2019Certification Fee Due*:

2555 SOUTH 7TH STREETLACROSSE WI 54601(608) 406-3978 ELIZABETH OLSONCounty: LACROSSE

BETHANY LUTHERAN HOMES INC

2555 S 7TH STLACROSSE WI 54601

Type: Class:

Low/High rate:

RCAC(608) 406-3978ELIZABETH OLSON

REGISTERED

1,195/2,19528Gender - Total Apartments:

Initial Registration: 12/01/1998

WILLOWS (THE) (0010267)

12/01/1998Certification Fee Due*:

Association Approval: LeadingAge Wisconsin

520 W ESTEY STSHULLSBURG WI 53586(608) 732-4013 GINA LEAHYCounty: LAFAYETTE

WILLOW VALLEY LLC

520 W ESTEY STSHULLSBURG WI 53586-9587

Type: Class:

Low/High rate:

RCAC(608) 732-4013GINA LEAHY

CERTIFIED

3,000/3,000M/F - 16Gender - Total Apartments:

Initial Certification: 10/01/2011

WILLOW VALLEY LLC (0013813)

09/30/2018Certification Fee Due*:

525 FLIGHT RDANTIGO WI 54409(715) 627-2613 JENNY RENFROCounty: LANGLADE

LANGLADE HOSPITAL

519 FLIGHT RDANTIGO WI 54409

Type: Class:

Low/High rate:

RCAC(715) 623-2331JENNY RENFRO

REGISTERED

916/1,184M/F - 40Gender - Total Apartments:

Initial Registration: 07/23/2010

PINE MEADOW (0013458)

07/23/2010Certification Fee Due*:

Association Approval: WALA

314 E LINCOLN AVENUETOMAHAWK WI 54487(715) 224-3747 AMY LEMKECounty: LINCOLN

MILESTONE SENIOR LIVING LLC

1574 W BROADWAY STE 200MADISON WI 53713

Type: Class:

Low/High rate:

RCAC(608) 819-2200JULIE HEIL

CERTIFIED

3,400/3,820 - 20Gender - Total Apartments:

Initial Certification: 08/31/2015

MILESTONE SENIOR LIVING APARTMENTS (0015777)

08/31/2018Certification Fee Due*:

2500 GARFIELD STTWO RIVERS WI 54241(920) 794-6922 CARRIEANNE MOTTCounty: MANITOWOC

TR HOUSING LLC

2500 GARFIELD STTWO RIVERS WI 54241

Type: Class:

Low/High rate:

RCAC(920) 991-9072CARRIEANNE MOTT

REGISTERED

1,400/3,000M/F - 39Gender - Total Apartments:

Initial Registration: 09/12/2006

ATRIUM SENIOR LIVING OF TWO RIVERS AT NORTHLAND

09/12/2006Certification Fee Due*:

2500 GARFIELD STTWO RIVERS WI 54241(920) 794-6922 CARRIEANNE MOTTCounty: MANITOWOC

TR HOUSING LLC

2500 GARFIELD STTWO RIVERS WI 54241

Type: Class:

Low/High rate:

RCAC(920) 991-9072CARRIEANNE MOTT

REGISTERED

1,400/3,000M/F - 39Gender - Total Apartments:

Initial Registration: 09/12/2006

ATRIUM SENIOR LIVING OF TWO RIVERS AT NORTHLAND

09/12/2006Certification Fee Due*:

*The Residential Care Apartment Complex (RCAC) directory is updated quarterly. It is possible that a facility's certification fee due date may appear to have passed since the directory was last updated, when in fact that facility's required fee has been paid and its certification has been renewed without this being reflected on the directory.

Division of Quality AssuranceWisconsin Department of Health Services Page 15

04/04/2018Directory U d t d

Facility Name and Address Licensee Name and PhoneMailing Address

By County,Facility Name

Phone Number / Contact Person

Public Directory

Specialty Programs

For Facility Type RCAC

2500 GARFIELD STTWO RIVERS WI 54241(920) 794-6922 CARRIEANNE MOTTCounty: MANITOWOC

TR HOUSING LLC

2500 GARFIELD STTWO RIVERS WI 54241

Type: Class:

Low/High rate:

RCAC(920) 991-9072CARRIEANNE MOTT

REGISTERED

1,400/3,000M/F - 39Gender - Total Apartments:

Initial Registration: 09/12/2006

ATRIUM SENIOR LIVING OF TWO RIVERS AT NORTHLAND

09/12/2006Certification Fee Due*:

Association Approval: WALA

1308 S 22ND STMANITOWOC WI 54220(920) 682-8254 TODD MEERDINKCounty: MANITOWOC

SHADY LANE INC

1308 S 22ND STMANITOWOC WI 54220

Type: Class:

Low/High rate:

RCAC(920) 682-8254TODD MEERDINK

REGISTERED

1,000/1,50010Gender - Total Apartments:

Initial Registration: 04/19/1999

LAUREL GROVE ASSISTED LIVING CENTER (0010367)

04/19/1999Certification Fee Due*:

Association Approval: LeadingAge Wisconsin

950 S RAPIDS RDMANITOWOC WI 54220(920) 684-3996 JEREMY DENORCounty: MANITOWOC

RIVER WOOD AID OPCO LLC

330 N WASBASH STE 3700CHICAGO IL 60611

Type: Class:

Low/High rate:

RCAC(415) 706-9715ATTN: POC/LEGAL

REGISTERED

2,928/5,837M/F - 60Gender - Total Apartments:

Initial Registration: 07/11/2013

RIVER WOODS PLACE (0014669)

07/11/2013Certification Fee Due*:

1903 DIVISION STMANITOWOC WI 54220(920) 684-7171 LISA VODACounty: MANITOWOC

ST MARYS HOME FOR THE AGED

1903 DIVISION STMANITOWOC WI 54220

Type: Class:

Low/High rate:

RCAC(920) 684-7171LISA VODA

CERTIFIED

2,452/6,559M/F - 48

PUBLIC FUNDING

Gender - Total Apartments:

Initial Certification: 07/15/1998

SACRED HEART COURT (0010348)

07/31/2018Certification Fee Due*:

Association Approval: LeadingAge Wisconsin

430 ORBITING DRMOSINEE WI 54455(715) 693-8844 MARGARET BUDIMLIJACounty: MARATHON

WISTERIA ASSISTED LIVING LLC

430 ORBITING DRMOSINEE WI 54455

Type: Class:

Low/High rate:

RCAC() -MARGARET BUDIMLIJA

CERTIFIED

1,571/4,136M/F - 29Gender - Total Apartments:

Initial Certification: 12/07/2016

ACORN HILL (0016344)

11/30/2018Certification Fee Due*:

3001 WESTHILL DRWAUSAU WI 54401(715) 849-1514 JEFFREY HOEHNCounty: MARATHON

NSH APPLEGATE LLC

5150 N PORT WASHINGTON STE 260GLENDALE WI 53217

Type: Class:

Low/High rate:

RCAC(414) 962-5250JEFFREY HOEHN

REGISTERED

1,537/2,551M/F - 53Gender - Total Apartments:

Initial Registration: 10/01/2017

APPLEGATE TERRACE (0016880)

09/30/2018Certification Fee Due*:

716 CAROLINE STREETATHENS WI 54411(715) 257-2053 LISA YOUNGCounty: MARATHON

ATHENIAN LIVING LLC

716 CAROLINE STREETATHENS WI 54411

Type: Class:

Low/High rate:

RCAC(715) 257-2053LISA YOUNG

CERTIFIED

700/1,700M/F - 14Gender - Total Apartments:

Initial Certification: 05/04/2017

ATHENIAN LIVING RCAC (0016638)

04/30/2019Certification Fee Due*:

801 PARCHER STREETWAUSAU WI 54403(715) 845-1214 AMY FORSTCounty: MARATHON

HOMME HEIGHTS INC

2901 NORTH 7TH STREETWAUSAU WI 54403

Type: Class:

Low/High rate:

RCAC(715) 845-1214AMY FORST

CERTIFIED

645/830M/F - 26

PUBLIC FUNDING

Gender - Total Apartments:

Initial Certification: 06/01/1998

GARDENS APARTMENTS (THE) (0010381)

05/31/2018Certification Fee Due*:

Association Approval: LeadingAge Wisconsin

3312 TERRACE CTWAUSAU WI 54401(715) 848-6258 SHERIDAN PETERSONCounty: MARATHON

TERRACE COURT SENIOR LIVING INC

1600 W. BROADWAY RD, STE #100TEMPE AZ 85282

Type: Class:

Low/High rate:

RCAC(715) 848-6257TANGINA EDWARDS

CERTIFIED

3,400/3,750M/F - 41

PUBLIC FUNDING

Gender - Total Apartments:

Initial Certification: 08/01/2015

MOUNTAIN TERRACE SENIOR LIVING RCAC (0015634)

07/31/2018Certification Fee Due*:

*The Residential Care Apartment Complex (RCAC) directory is updated quarterly. It is possible that a facility's certification fee due date may appear to have passed since the directory was last updated, when in fact that facility's required fee has been paid and its certification has been renewed without this being reflected on the directory.

Division of Quality AssuranceWisconsin Department of Health Services Page 16

04/04/2018Directory U d t d

Facility Name and Address Licensee Name and PhoneMailing Address

By County,Facility Name

Phone Number / Contact Person

Public Directory

Specialty Programs

For Facility Type RCAC

2100 TOWNLINE ROADWAUSAU WI 54403(715) 842-1818 ZOEY VECELLIOCounty: MARATHON

TSMM MANAGEMENT, LLC

PO BOX 1359ABERDEEN SD 57402-1359

Type: Class:

Low/High rate:

RCAC(605) 266-3000MARK MCNEARY

REGISTERED

2,905/3,505 - 68Gender - Total Apartments:

Initial Registration: 07/01/2015

PRIMROSE RETIREMENT COMMUNITY OF WAUSAU (0015

07/01/2015Certification Fee Due*:

2100 TOWNLINE ROADWAUSAU WI 54403(715) 842-1818 ZOEY VECELLIOCounty: MARATHON

TSMM MANAGEMENT, LLC

PO BOX 1359ABERDEEN SD 57402-1359

Type: Class:

Low/High rate:

RCAC(605) 266-3000MARK MCNEARY

REGISTERED

2,905/3,505 - 68Gender - Total Apartments:

Initial Registration: 07/01/2015

PRIMROSE RETIREMENT COMMUNITY OF WAUSAU (0015

07/01/2015Certification Fee Due*:

4602 BARBICAN AVENUEWESTON WI 54476(715) 355-5858 BRENDA WILLIAMSCounty: MARATHON

RENNES ASSISTED LIVING

4602 BARBICAN AVENUEWESTON WI 54476

Type: Class:

Low/High rate:

RCAC(715) 582-2200TERESA STEIBER

CERTIFIED

2,250/4,450M/F - 80Gender - Total Apartments:

Initial Certification: 11/03/2009

RENAISSANCE WESTON (0013025)

10/31/2018Certification Fee Due*:

540 EAST THOMAS STREETWAUSAU WI 54403(715) 261-6687 BETTY NOELCounty: MARATHON

COMMUNITY DEVELOPMENT AUTHORITY

550 EAST THOMAS STREETWAUSAU WI 54403

Type: Class:

Low/High rate:

RCAC(715) 261-6687BETTY NOEL

CERTIFIED

555/555M/F - 36Gender - Total Apartments:

Initial Certification: 09/01/2003

RIVERVIEW TERRACE (0010394)

08/31/2018Certification Fee Due*:

3402 TERRACE COURTWAUSAU WI 54401(715) 843-5230 HEIDI MUSOMBWACounty: MARATHON

AMERICOR MANAGEMENT SERVICES LLC

3402 TERRACE COURTWAUSAU WI 54401

Type: Class:

Low/High rate:

RCAC(262) 255-3606 MUSOMBWA

REGISTERED

1,745/1,94510Gender - Total Apartments:

Initial Registration: 03/14/1997

TERRACE COURT ASSISTED LIVING (0010384)

03/14/1997Certification Fee Due*:

2909 SHORE DRMARINETTE WI 54143(715) 735-2100 DEANNA NASTCounty: MARINETTE

RENNES ASSISTED LIVING INC

2909 SHORE DRMARINETTE WI 54143

Type: Class:

Low/High rate:

RCAC(715) 582-2200DEANNA NAST

CERTIFIED

2,775/3,850M/F - 55

PUBLIC FUNDING

Gender - Total Apartments:

Initial Certification: 03/20/2013

RENAISSANCE MARINETTE (0014498)

03/31/2019Certification Fee Due*:

2502 TAYLOR STMARINETTE WI 54143(715) 732-2550 STEVE GENISOTCounty: MARINETTE

WASHINGTON SQUARE LLC

2502 TAYLOR STMARINETTE WI 54143

Type: Class:

Low/High rate:

RCAC(715) 732-2550STEVE GENISOT

CERTIFIED

2,500/3,500M/F - 16Gender - Total Apartments:

Initial Certification: 07/07/2011

WASHINGTON SQUARE (0013717)

06/30/2018Certification Fee Due*:

9279 N PORT WASHINGTON RDBAYSIDE WI 53217(414) 540-4141 MARK COURYCounty: MILWAUKEE

RJJG LLC

9279 N PORT WASHINGTOBAYSIDE WI 53217

Type: Class:

Low/High rate:

RCAC(414) 540-4141MARK COURY

REGISTEREDM/F - 40Gender - Total Apartments:

Initial Registration: 10/21/2008

APARTMENTS AT ELIZABETH RESIDENCE (THE) (0012474

10/21/2008Certification Fee Due*:

9279 N PORT WASHINGTON RDBAYSIDE WI 53217(414) 540-4141 MARK COURYCounty: MILWAUKEE

RJJG LLC

9279 N PORT WASHINGTOBAYSIDE WI 53217

Type: Class:

Low/High rate:

RCAC(414) 540-4141MARK COURY

REGISTEREDM/F - 40Gender - Total Apartments:

Initial Registration: 10/21/2008

APARTMENTS AT ELIZABETH RESIDENCE (THE) (0012474

10/21/2008Certification Fee Due*:

Association Approval: WALA

1800 W BECHER STMILWAUKEE WI 53215(414) 257-4350 SALLY SPRENGERCounty: MILWAUKEE

ANEW MANAGEMENT LLC

7425 HARWOOD AVEWAUWATOSA WI 53213-2626

Type: Class:

Low/High rate:

RCAC(414) 475-7788SALLY SPRENGER

CERTIFIED

535/690M/F - 45

PUBLIC FUNDING

Gender - Total Apartments:

Initial Certification: 10/27/2011

BECHER TERRACE (0013909)

09/30/2018Certification Fee Due*:

*The Residential Care Apartment Complex (RCAC) directory is updated quarterly. It is possible that a facility's certification fee due date may appear to have passed since the directory was last updated, when in fact that facility's required fee has been paid and its certification has been renewed without this being reflected on the directory.

Division of Quality AssuranceWisconsin Department of Health Services Page 17

04/04/2018Directory U d t d

Facility Name and Address Licensee Name and PhoneMailing Address

By County,Facility Name

Phone Number / Contact Person

Public Directory

Specialty Programs

For Facility Type RCAC

2429 E BRADFORD AVEMILWAUKEE WI 53211(414) 963-8471 MARGE GOZDOWIAKCounty: MILWAUKEE

MILWAUKEE PROTESTANT HOME FOR THE AGE

2505 E BRADFORD AVEMILWAUKEE WI 53211

Type: Class:

Low/High rate:

RCAC(414) 332-8610MARGE GOZDOWIAK

REGISTERED

1,000/1,85536Gender - Total Apartments:

Initial Registration: 03/25/1997

BRADFORD TERRACE (0010308)

03/25/1997Certification Fee Due*:

1400 N PROSPECT AVEMILWAUKEE WI 53202(414) 289-9600 COHN TRISHCounty: MILWAUKEE

PROSPECT CONGREGATE HOUSING INC

1400 N PROSPECT AVEMILWAUKEE WI 53202

Type: Class:

Low/High rate:

RCAC(414) 289-9600TRISH COHN

CERTIFIED

660/4,563 - 41

PUBLIC FUNDING

Gender - Total Apartments:

Initial Certification: 10/01/2002

CHAI POINT (0010313)

09/30/2018Certification Fee Due*:

1740 W PIERCE STREETMILWAUKEE WI 53204(414) 257-4350 ELIZABETH KIRSCHCounty: MILWAUKEE

CLARKE SQUARE TERRACE HOUSING LLC

7425 HARWOOD AVENUEWAUWATOSA WI 53213

Type: Class:

Low/High rate:

RCAC(414) 431-0687ELIZABETH KIRSH

CERTIFIED

497/735M/F - 10Gender - Total Apartments:

Initial Certification: 01/27/2015

CLARKE SQUARE TERRACE (0015209)

01/31/2019Certification Fee Due*:

9339 W HOWARD AVEGREENFIELD WI 53228(414) 321-1800 DENNIS FERGERCounty: MILWAUKEE

VILLA CLEMENT INC

9339 W HOWARD AVEGREENFIELD WI 53228

Type: Class:

Low/High rate:

RCAC(414) 321-1800DENNIS FERGER

REGISTERED

1,996/2,728 - 99Gender - Total Apartments:

Initial Registration: 07/01/1997

CLEMENT MANOR RETIREMENT COMMUNITY (0010314)

07/01/1997Certification Fee Due*:

Association Approval: LeadingAge Wisconsin

5700 MOCKINGBIRD LNGREENDALE WI 53129(414) 433-9302 DEBRA BARTHCounty: MILWAUKEE

SL HARBOUR VILLAGE LLC

303 E WACKER DR SUITE 2400CHICAGO IL 60601

Type: Class:

Low/High rate:

RCAC(312) 673-4387STEPHEN J LEVY

REGISTERED

1,700/3,700M/F - 40Gender - Total Apartments:

Initial Registration: 09/18/2008

CONCORD AT THE HARBOUR VILLAGE (THE) (0012468)

09/18/2008Certification Fee Due*:

155 W SUNNYVIEW DROAK CREEK WI 53154(414) 570-9755 KATHLEEN HOWLETT DESPOTCounty: MILWAUKEE

CORNERSTONE OF OAK CREEK LLC (THE)

155 W SUNNYVIEW DR - OFFICEOAK CREEK WI 53154

Type: Class:

Low/High rate:

RCAC(414) 570-9755KATHLEEN HOWLETT DESPOT

CERTIFIED

3,591/4,121 - 36

PUBLIC FUNDING

Gender - Total Apartments:

Initial Certification: 01/19/2001

CORNERSTONE OF OAK CREEK (THE) (0010316)

01/31/2019Certification Fee Due*:

4195 W BRADLEY RDBROWN DEER WI 53209(414) 354-4700 STACY BLISSCounty: MILWAUKEE

JFS HOUSING INC

4195 W BRADLEY RDBROWN DEER WI 53209

Type: Class:

Low/High rate:

RCAC(414) 354-4700STACY BLISS

CERTIFIED

352/1,020M/F - 66Gender - Total Apartments:

Initial Certification: 08/23/2010

DEERWOOD CROSSING SENIOR RESIDENCE (0013351)

10/31/2018Certification Fee Due*:

11077 W FOREST HOME AVEHALES CORNERS WI 53130(414) 425-1148 ELLEN MUTTERCounty: MILWAUKEE

FOREST RIDGE LLC

5300 S 108TH ST SUITE 1HALES CORNERS WI 53130

Type: Class:

Low/High rate:

RCAC(414) 529-3900JENNIFER ADE

REGISTERED

890/990M/F - 24Gender - Total Apartments:

Initial Registration: 03/09/2004

FOREST RIDGE LLC (0010542)

03/09/2004Certification Fee Due*:

1010 WILLIAMS AVESOUTH MILWAUKEE WI 53172(440) 213-6226 MARY BETH BOUHALLCounty: MILWAUKEE

CHI LIVING COMMUNITIES

5000 PROVIDENCE DRSANDUSKY OH 44870

Type: Class:

Low/High rate:

RCAC(567) 455-0414MARY BETH BOUHALL

CERTIFIED

4,275/4,775M/F - 39Gender - Total Apartments:

Initial Certification: 08/17/2017

FRANCISCAN COURTS (0016763)

08/31/2018Certification Fee Due*:

8425 N 107TH STMILWAUKEE WI 53224(414) 257-4350 SALLY SPRENGERCounty: MILWAUKEE

GARDEN PLACE HOUSING LLC

7425 HARWOOD AVEWAUWATOSA WI 53213-2626

Type: Class:

Low/High rate:

RCAC(414) 354-7989SALLY SPRENGER

CERTIFIED

352/910M/F - 10Gender - Total Apartments:

Initial Certification: 10/13/2005

GARDEN PLACE (0011078)

09/30/2018Certification Fee Due*:

*The Residential Care Apartment Complex (RCAC) directory is updated quarterly. It is possible that a facility's certification fee due date may appear to have passed since the directory was last updated, when in fact that facility's required fee has been paid and its certification has been renewed without this being reflected on the directory.

Division of Quality AssuranceWisconsin Department of Health Services Page 18

04/04/2018Directory U d t d

Facility Name and Address Licensee Name and PhoneMailing Address

By County,Facility Name

Phone Number / Contact Person

Public Directory

Specialty Programs

For Facility Type RCAC

10851 W DONNA DRMILWAUKEE WI 53224(414) 257-4350 SALLY SPRENGERCounty: MILWAUKEE

ANEW MANAGEMENT LLC

7425 HARWOOD AVEWAUWATOSA WI 53213-2626

Type: Class:

Low/High rate:

RCAC(414) 257-4350SALLY SPRENGER

CERTIFIED

542/794M/F - 40Gender - Total Apartments:

Initial Certification: 12/22/2008

GARDEN TERRACE (0012588)

12/31/2018Certification Fee Due*:

1111 E CAPITOL DRSHOREWOOD WI 53211(414) 436-0311 DONNA ADLINGTONCounty: MILWAUKEE

CHP SHOREWOOD WI TENANT CORP

1111 E CAPITOL DRSHOREWOOD WI 53211

Type: Class:

Low/High rate:

RCAC(407) 650-1000CATHLEEN OBRIEN

CERTIFIED

4,495/7,095M/F - 59Gender - Total Apartments:

Initial Certification: 12/08/2015

HARBORCHASE OF SHOREWOOD (0015905)

11/30/2018Certification Fee Due*:

6600 W RIVER PKWYWAUWATOSA WI 53213(414) 476-8787 BETH ANDERSONCounty: MILWAUKEE

HART PARK SQUARE V LLC

1805 KENSINGTON DRWAUKESHA WI 53188

Type: Class:

Low/High rate:

RCAC(262) 548-5965BETH ANDERSON

CERTIFIED

3,580/4,280 - 55Gender - Total Apartments:

Initial Certification: 07/22/2005

HART PARK SQUARE (0010859)

06/30/2018Certification Fee Due*:

8220 W HARWOOD AVWAUWATOSA WI 53213(414) 258-6170 KATHY CAVERSCounty: MILWAUKEE

LUTHERAN HOME INC (THE)

8220 W HARWOOD AVWAUWATOSA WI 53213

Type: Class:

Low/High rate:

RCAC(414) 258-6170LIVERMORE KERRI

REGISTERED

969/2,028M/F - 173Gender - Total Apartments:

Initial Registration: 04/25/2006

HARWOOD PLACE (0011422)

04/25/2006Certification Fee Due*:

Association Approval: LeadingAge Wisconsin

7901 W NATIONALWEST ALLIS WI 53214(414) 302-9700 TAMMY ROTH BOTTONICounty: MILWAUKEE

HERITAGE 6 LLC

1295 NORTHLAND DR STE 270MENDOTA HEIGHTS MN 55118

Type: Class:

Low/High rate:

RCAC(952) 351-4540MILO PINKERTON

CERTIFIED

3,500/4,400M/F - 40Gender - Total Apartments:

Initial Certification: 06/01/2017

HERITAGE 6 LLC (0016238)

05/31/2018Certification Fee Due*:

3933 SOUTH PRAIRIE HILL LANEGREENFIELD WI 53228(312) 673-4333 NOEL PAKULSKICounty: MILWAUKEE

SL GREENFIELD LLC

3933 S. PRAIRIE HILL LNGREENFIELD WI 53228

Type: Class:

Low/High rate:

RCAC(312) 673-4333NOEL PAKULSKI

CERTIFIED

3,460/4,510M/F - 56Gender - Total Apartments:

Initial Certification: 07/10/2013

HICKORY PARK (0014680)

06/30/2018Certification Fee Due*:

2500 E HOWARD AVEST FRANCIS WI 53235(414) 489-1400 BETH ANDERSONCounty: MILWAUKEE

HOWARD VILLAGE V LLC

1805 KENSINGTON DRWAUKESHA WI 53188

Type: Class:

Low/High rate:

RCAC(262) 548-5965BETH ANDERSON

CERTIFIED

3,140/3,655 - 55Gender - Total Apartments:

Initial Certification: 07/26/2001

HOWARD VILLAGE (0010322)

01/31/2019Certification Fee Due*:

1700 W BENDER RDGLENDALE WI 53209(414) 351-0505 BETH ANDERSONCounty: MILWAUKEE

LAUREL OAKS V LLC

1805 KENSINGTON DRWAUKESHA WI 53188

Type: Class:

Low/High rate:

RCAC(262) 548-5965BETH ANDERSON

CERTIFIED

3,825/6,805 - 85Gender - Total Apartments:

Initial Certification: 10/01/2001

LAUREL OAKS (0010326)

09/30/2018Certification Fee Due*:

9200 W LAYTON AVEGREENFIELD WI 53228(414) 425-5600 JENNI SPINELLICounty: MILWAUKEE

LAYTON TERRACE V LLC

1805 KENSINGTON DRWAUKESHA WI 53188

Type: Class:

Low/High rate:

RCAC(262) 548-5965BETH ANDERSON

CERTIFIED

3,315/4,205 - 55

PUBLIC FUNDING

Gender - Total Apartments:

Initial Certification: 07/01/1999

LAYTON TERRACE V LLC (0010327)

10/31/2018Certification Fee Due*:

5020 S 107TH STGREENFIELD WI 53228(414) 425-9551 CARMEN MCELRONECounty: MILWAUKEE

MSP REAL ESTATE INC

5020 S 107TH STREETGREENFILED WI 53228

Type: Class:

Low/High rate:

RCAC(262) 789-6600CARMEN MCELRONE

CERTIFIED

3,500/6,500M/F - 20Gender - Total Apartments:

Initial Certification: 10/16/2009

LEXINGTON HERITAGE HERITAGE ASSISTED LIVING (001

10/31/2018Certification Fee Due*:

*The Residential Care Apartment Complex (RCAC) directory is updated quarterly. It is possible that a facility's certification fee due date may appear to have passed since the directory was last updated, when in fact that facility's required fee has been paid and its certification has been renewed without this being reflected on the directory.

Division of Quality AssuranceWisconsin Department of Health Services Page 19

04/04/2018Directory U d t d

Facility Name and Address Licensee Name and PhoneMailing Address

By County,Facility Name

Phone Number / Contact Person

Public Directory

Specialty Programs

For Facility Type RCAC

1820 S 75TH STWEST ALLIS WI 53214(414) 774-4411 BETH ANDERSONCounty: MILWAUKEE

LIBRARY SQUARE V LLC

1805 KENSINGTON DRWAUKESHA WI 53188

Type: Class:

Low/High rate:

RCAC(262) 548-5965BETH ANDERSON

CERTIFIED

3,375/4,185M/F - 65Gender - Total Apartments:

Initial Certification: 05/01/2003

LIBRARY SQUARE (0010329)

12/31/2018Certification Fee Due*:

8949 N 97TH STREETMILWAUKEE WI 53224(414) 354-4600 JAMES ARYEETEYCounty: MILWAUKEE

LUTHER HAVEN LLC

PO BOX 241613MILWAUKEE WI 53224

Type: Class:

Low/High rate:

RCAC(414) 354-4600JAMES ARYEETEY

CERTIFIED

700/3,890M/F - 60Gender - Total Apartments:

Initial Certification: 01/22/2015

LUTHER HAVEN LLC (0015446)

01/31/2019Certification Fee Due*:

4545 N 92ND STWAUWATOSA WI 53225(414) 464-3880 JACQUELINE JOHNSONCounty: MILWAUKEE

UNITED LUTHERAN PROGRAM FOR THE AGING

4545 N 92ND STWAUWATOSA WI 53225

Type: Class:

Low/High rate:

RCAC(414) 464-3880JULIE JOLITZ

REGISTERED

636/2,254M/F - 50Gender - Total Apartments:

Initial Registration: 01/20/2006

LUTHER MANOR (0011107)

01/20/2006Certification Fee Due*:

Association Approval: LeadingAge Wisconsin

2735 W GREENFIELD AVEMILWAUKEE WI 53215(414) 645-0434 TINA RAWLINSCounty: MILWAUKEE

SCHOOL SISTERS OF ST FRANCIS INC

2735 W GREENFIELD AVEMILWAUKEE WI 53215

Type: Class:

Low/High rate:

RCAC(414) 645-0434TINA RAWLINS

CERTIFIED

1,342/3,452M/F - 36Gender - Total Apartments:

Initial Certification: 08/02/2013

MARIA LINDEN 72 LLC (0014593)

07/31/2019Certification Fee Due*:

2735 W GREENFIELD AVEMILWAUKEE WI 53215(414) 645-0434 TINA RAWLINSCounty: MILWAUKEE

SCHOOL SISTERS OF ST FRANCIS INC

2735 W GREENFIELD AVEMILWAUKEE WI 53215

Type: Class:

Low/High rate:

RCAC(414) 645-0434TINA RAWLINS

CERTIFIED

1,342/3,452M/F - 36Gender - Total Apartments:

Initial Certification: 08/02/2013

MARIA LINDEN 72 LLC (0014593)

07/31/2019Certification Fee Due*:

Association Approval: LeadingAge Wisconsin

701 E PUETZ RDOAK CREEK WI 53154(414) 766-2100 Paige LegateCounty: MILWAUKEE

FIVE STAR QUALITY CARE WI LLC

701 E PUETZ RDOAK CREEK WI 53154

Type: Class:

Low/High rate:

RCAC(617) 796-8387MICHAEL BANGS

CERTIFIED

3,720/4,783M/F - 60

PUBLIC FUNDING

Gender - Total Apartments:

Initial Certification: 01/18/2008

MEADOWMERE OAK CREEK (0012243)

01/31/2019Certification Fee Due*:

2330 S 54TH STWEST ALLIS WI 53219(414) 615-7200 FRANCESCA LOCICEROCounty: MILWAUKEE

FIVE STAR QUALITY CARE WI LLC

5301 W LINCOLN AVEWEST ALLIS WI 53219

Type: Class:

Low/High rate:

RCAC(617) 796-8387Kendra WORDS

CERTIFIED

3,654/4,784M/F - 101

PUBLIC FUNDING

Gender - Total Apartments:

Initial Certification: 01/18/2008

MEADOWMERE WEST ALLIS (0012241)

01/31/2019Certification Fee Due*:

2462 N PROSPECT AVEMILWAUKEE WI 53211(414) 220-3237 BETH BAGLEMANCounty: MILWAUKEE

MILWAUKEE CATHOLIC HOME INC

2462 N PROSPECT AVEMILWAUKEE WI 53211

Type: Class:

Low/High rate:

RCAC() -BONNIE ANDERSON

REGISTERED

1,140/5,570M/F - 118Gender - Total Apartments:

Initial Registration: 02/29/2012

MILWAUKEE CATHOLIC HOME (0014038)

01/31/2013Certification Fee Due*:

8875 N 60TH STBROWN DEER WI 53223(262) 613-2836 JAMIE MAHONEYCounty: MILWAUKEE

BEAVER CREEK OPS LLC

8875 N 60TH STBROWN DEER WI 53223

Type: Class:

Low/High rate:

RCAC(612) 840-3924JENNA RITACCA

CERTIFIED

2,680/4,778M/F - 95Gender - Total Apartments:

Initial Certification: 07/19/2016

NEW PERSPECTIVE NORTH SHORE (0016216)

07/31/2018Certification Fee Due*:

1500 WEST SONATA DRIVEMILWAUKEE WI 53221(414) 281-3400 Ashley ZiegelbauerCounty: MILWAUKEE

CAPRI COMMUNITIES LLC

20875 Crossroads Cir Suite 400WAUKESHA WI 53186

Type: Class:

Low/High rate:

RCAC(262) 798-1224GLEN CHOBAN

CERTIFIED

1,600/1,900 - 75

PUBLIC FUNDING

Gender - Total Apartments:

Initial Certification: 06/22/2015

POLONAISE (THE) (0015584)

06/30/2018Certification Fee Due*:

*The Residential Care Apartment Complex (RCAC) directory is updated quarterly. It is possible that a facility's certification fee due date may appear to have passed since the directory was last updated, when in fact that facility's required fee has been paid and its certification has been renewed without this being reflected on the directory.

Division of Quality AssuranceWisconsin Department of Health Services Page 20

04/04/2018Directory U d t d

Facility Name and Address Licensee Name and PhoneMailing Address

By County,Facility Name

Phone Number / Contact Person

Public Directory

Specialty Programs

For Facility Type RCAC

1840 N PROSPECT AVEMILWAUKEE WI 53202(414) 272-2022 KATHY AHLSTEDTCounty: MILWAUKEE

ST JOHNS COMMUNITIES INC

1840 N PROSPECT AVEMILWAUKEE WI 53202

Type: Class:

Low/High rate:

RCAC(414) 272-2022MARY MILLIREN

REGISTERED

400/4,525M/F - 110Gender - Total Apartments:

Initial Registration: 09/20/2004

SAINT JOHNS ON THE LAKE NORTH RESIDENCE (001077

09/20/2004Certification Fee Due*:

3553 S 41ST STMILWAUKEE WI 53221(414) 649-0730 PAM MAINZCounty: MILWAUKEE

FRANCISCAN SISTERS OF ST CLARE

3553 S 41 STREETMILWAUKEE WI 53221

Type: Class:

Low/High rate:

RCAC(414) 421-8257PAM MAINZ

CERTIFIED

0/0 - 59Gender - Total Apartments:

Initial Certification: 06/05/2003

ST CLARE TERRACE (0010944)

06/30/2018Certification Fee Due*:

1800 N PROSPECT AVEMILWAUKEE WI 53202(414) 831-6880 RENEE ANDERSONCounty: MILWAUKEE

SAINT JOHNS COMMUNITIES, INC

1840 N PROSPECT AVEMILWAUKEE WI 53202

Type: Class:

Low/High rate:

RCAC(414) 831-6710MARY MILLIREN

REGISTERED

1,090/5,020M/F - 90Gender - Total Apartments:

Initial Registration: 08/28/2013

ST JOHNS ON THE LAKE SOUTH RESIDENCE (0014774)

08/28/2015Certification Fee Due*:

3800 N 92ND STMILWAUKEE WI 53222-2589(414) 463-7570 LYNN VOGTCounty: MILWAUKEE

ST ANNES HOME FOR THE ELDERLY INC

3800 N 92ND STMILWAUKEE WI 53222-2589

Type: Class:

Low/High rate:

RCAC(414) 463-7570LYNN VOGT

CERTIFIED

3,840/4,590 - 43Gender - Total Apartments:

Initial Certification: 01/25/2001

TIVOLI TERRACE AT ST ANNES SALVATORIAN CAMPUS (

01/31/2019Certification Fee Due*:

Association Approval: LeadingAge Wisconsin

7300 W DEAN ROADMILWAUKEE WI 53223(414) 371-7300 STEVEN ST. LOUISCounty: MILWAUKEE

TRN MILWAUKEE LLC

6865 N LINCOLN AVELINCOLNWOOD IL 60712

Type: Class:

Low/High rate:

RCAC(847) 933-9200ANZHELIKA SHATROV

CERTIFIED

3,456/5,351M/F - 82

PUBLIC FUNDING

Gender - Total Apartments:

Initial Certification: 05/26/2016

TRINITY VILLAGE ASSISTED LIVING (0016117)

05/31/2018Certification Fee Due*:

2425 N LAKE DRMILWAUKEE WI 53211(414) 332-8610 MARY LU KARABENCounty: MILWAUKEE

MILWAUKEE PROTESTANT HOME FOR THE AGE

2505 E BRADFORD AVENUEMILWAUKEE WI 53211

Type: Class:

Low/High rate:

RCAC(414) 332-8610MARGE GOZDOWIAK

REGISTERED

2,700/3,90052Gender - Total Apartments:

Initial Registration: 12/01/2000

WATERTOWER ASSISTED LIVING (0010377)

12/01/2000Certification Fee Due*:

8621 WEST BELOIT ROADMILWAUKEE WI 53227(414) 371-7316 PEGGY SAVATSKICounty: MILWAUKEE

METHODIST MANOR INC

8621 W BELOIT ROADMILWAUKEE WI 53227

Type: Class:

Low/High rate:

RCAC(414) 607-4100PEGGY SAVATSKI

REGISTERED

815/5,400M/F - 100Gender - Total Apartments:

Initial Registration: 06/26/2013

WESLEY PARK (0014694)

06/26/2013Certification Fee Due*:

1211 MARK AVENUETOMAH WI 54660(608) 372-5454 ROBERTA DIETZMANCounty: MONROE

STEPHEN AND ROBERTA DIETZMAN

1211 MARK AVENUETOMAH WI 54660

Type: Class:

Low/High rate:

RCAC(708) 374-2435ROBERTA DIETZMAN

REGISTERED

2,670/2,67024Gender - Total Apartments:

Initial Registration: 01/01/2002

A TOUCH OF HOME (0010271)

01/01/2002Certification Fee Due*:

1206 MARK AVENUETOMAH WI 54660(608) 372-2696 ROBERTA DEITZMANCounty: MONROE

CLOSE TO HOME INC

1211 MARK AVENUETOMAH WI 54660

Type: Class:

Low/High rate:

RCAC(608) 372-5574ROBERTA DEITZMAN

REGISTERED

750/7508Gender - Total Apartments:

Initial Registration: 02/01/1998

CLOSE TO HOME INC (0010255)

02/01/1998Certification Fee Due*:

331 S WATER STSPARTA WI 54656(608) 366-6298 KARI RUSSELLCounty: MONROE

MORROW MEMORIAL HOME & APARTMENTS

331 S WATER STSPARTA WI 54656

Type: Class:

Low/High rate:

RCAC(608) 269-3168DANIEL MEYER

CERTIFIED

2,312/3,212M/F - 24

PUBLIC FUNDING

Gender - Total Apartments:

Initial Certification: 01/20/2006

HOMESTEAD APARTMENTS (0011308)

01/31/2019Certification Fee Due*:

Association Approval: LeadingAge Wisconsin

*The Residential Care Apartment Complex (RCAC) directory is updated quarterly. It is possible that a facility's certification fee due date may appear to have passed since the directory was last updated, when in fact that facility's required fee has been paid and its certification has been renewed without this being reflected on the directory.

Division of Quality AssuranceWisconsin Department of Health Services Page 21

04/04/2018Directory U d t d

Facility Name and Address Licensee Name and PhoneMailing Address

By County,Facility Name

Phone Number / Contact Person

Public Directory

Specialty Programs

For Facility Type RCAC

200 LIBERTY PLACETOMAH WI 54660(608) 374-5005 KERRY OSWALDCounty: MONROE

LIBERTY VILLAGE LLC

200 LIBERTY PLACETOMAH WI 54660

Type: Class:

Low/High rate:

RCAC(608) 387-9691KERRY OSWALD

CERTIFIED

2,695/3,770M/F - 39

PUBLIC FUNDING

Gender - Total Apartments:

Initial Certification: 06/01/2009

LIBERTY VILLAGE RCAC (0012805)

05/31/2018Certification Fee Due*:

401 S WATER STSPARTA WI 54656(608) 269-3168 KARI RUSSELLCounty: MONROE

MORROW MEMORIAL HOME

331 S WATER STSPARTA WI 54656

Type: Class:

Low/High rate:

RCAC(608) 269-3168DANIEL MEYER

REGISTERED

1,576/2,076M/F - 24Gender - Total Apartments:

Initial Registration: 06/06/2005

MARYCREST ASSISTED LIVING (0011029)

06/06/2005Certification Fee Due*:

Association Approval: LeadingAge Wisconsin

751 E HIGHLAND DROCONTO FALLS WI 54154(920) 848-3458 CARA PETERSONCounty: OCONTO

COTTAGES AT MEADOWLANDS LLC

751 E HIGHLAND DROCONTO FALLS WI 54154

Type: Class:

Low/High rate:

RCAC(920) 617-9122CARA PETERSON

CERTIFIED

2,995/5,085M/F - 25

PUBLIC FUNDING

Gender - Total Apartments:

Initial Certification: 08/06/2014

COTTAGES AT MEADOWLANDS THE (0015137)

07/31/2018Certification Fee Due*:

146 N FRANCIS AVEGILLETT WI 54124(920) 373-1602 TONYA ROSINACounty: OCONTO

SERENITY GARDENS LLC

146 N FRANCIS AVEGILLETT WI 54124

Type: Class:

Low/High rate:

RCAC(920) 855-6385TONYA ROSINA

CERTIFIED

2,995/3,200M/F - 18

PUBLIC FUNDING

Gender - Total Apartments:

Initial Certification: 01/26/2015

SERENITY GARDENS (0015431)

01/31/2019Certification Fee Due*:

1000 DAY STRHINELANDER WI 54501(715) 365-1234 BARRY WALLISCounty: ONEIDA

GRACE LODGE MANAGEMENT INC

1000 DAY STRHINELANDER WI 54501

Type: Class:

Low/High rate:

RCAC(715) 359-8648BARRY WALLIS

CERTIFIED

710/1,410M/F - 33Gender - Total Apartments:

Initial Certification: 07/15/2017

GRACE LODGE ASSISTED LIVING FACILITY (0016771)

07/31/2019Certification Fee Due*:

4686 NORTH SHORE DRIVERHINELANDER WI 54501(715) 361-1100 AMY GRAYCounty: ONEIDA

MILESTONE SENIOR LIVING LLC

560 water aveHillsboro WI 54634

Type: Class:

Low/High rate:

RCAC(608) 819-2200Bobbi Richardson

CERTIFIED

3,050/3,495 - 22Gender - Total Apartments:

Initial Certification: 02/07/2008

MILESTONE SENIOR APARTMENTS (0012217)

01/31/2019Certification Fee Due*:

750 ELM STWOODRUFF WI 54568(715) 439-4024 AMY LEMKECounty: ONEIDA

MILESTONE SENIOR LIVING LLC

560 water aveHillsboro WI 54634

Type: Class:

Low/High rate:

RCAC(608) 819-2200Bobbi Richardson

CERTIFIED

3,125/3,620 - 20Gender - Total Apartments:

Initial Certification: 01/21/2013

MILESTONE SENIOR LIVING APARTMENTS (0014450)

01/31/2019Certification Fee Due*:

820 THIRD AVENUEWOODRUFF WI 54568(715) 358-5541 KATHY MC CAUGHNCounty: ONEIDA

NORTHWOODS HOUSING PARTNERS

820 THIRD AVENUEWOODRUFF WI 54568

Type: Class:

Low/High rate:

RCAC(715) 358-5541KATHY MC CAUGHN

CERTIFIED

460/929M/F - 51Gender - Total Apartments:

Initial Certification: 10/01/2001

ONE PENNY PLACE (0010388)

09/30/2018Certification Fee Due*:

Association Approval: WALA

200 W PACKARD STAPPLETON WI 54911(920) 954-9990 AMIE MISCHLERCounty: OUTAGAMIE

MIDWEST SENIOR LIVING LLC

5900 MONONA DR STE 200MADISON WI 53716

Type: Class:

Low/High rate:

RCAC(608) 316-1291JOAN BARMISH

CERTIFIED

3,200/4,870M/F - 104

PUBLIC FUNDING

Gender - Total Apartments:

Initial Certification: 03/09/2010

APPLETON RETIREMENT COMMUNITY (0013149)

02/28/2019Certification Fee Due*:

825 COBBLESTONE LNKIMBERLY WI 54136(727) 742-3504 DEBORA KILGORECounty: OUTAGAMIE

HSL 14 LLC

7901 W NATIONAL AVEWEST ALLIS WI 53214

Type: Class:

Low/High rate:

RCAC(952) 351-4540PIERRE VERGER

CERTIFIED

588/5,200M/F - 48Gender - Total Apartments:

Initial Certification: 08/08/2017

ASPIRE SENIOR LIVING RCAC (0016637)

07/31/2018Certification Fee Due*:

*The Residential Care Apartment Complex (RCAC) directory is updated quarterly. It is possible that a facility's certification fee due date may appear to have passed since the directory was last updated, when in fact that facility's required fee has been paid and its certification has been renewed without this being reflected on the directory.

Division of Quality AssuranceWisconsin Department of Health Services Page 22

04/04/2018Directory U d t d

Facility Name and Address Licensee Name and PhoneMailing Address

By County,Facility Name

Phone Number / Contact Person

Public Directory

Specialty Programs

For Facility Type RCAC

605 BRONSON RDSEYMOUR WI 54165(920) 833-1566 MICHELLE PALUBICKICounty: OUTAGAMIE

GOOD SHEPHERD SERVICES LTD

605 BRONSON RDSEYMOUR WI 54165

Type: Class:

Low/High rate:

RCAC(920) 833-6856DEBORAH CAPTAIN

REGISTERED

1,422/2,22236Gender - Total Apartments:

Initial Registration: 02/10/1999

GOOD SHEPHERD MEADOW WOOD RCAC (0010364)

02/10/1999Certification Fee Due*:

Association Approval: LeadingAge Wisconsin

301 E FLORIDA AVEAPPLETON WI 54911(920) 380-1100 NICOLE RIESTERERCounty: OUTAGAMIE

RENNES ASSISTED LIVING CORP

301 E FLORIDA AVEAPPLETON WI 54911

Type: Class:

Low/High rate:

RCAC(715) 582-2200NICOLE RIESTERER

CERTIFIED

2,825/5,075M/F - 74

PUBLIC FUNDING

Gender - Total Apartments:

Initial Certification: 06/21/2010

RENAISSANCE APPLETON (0013364)

06/30/2018Certification Fee Due*:

312 E 14TH STKAUKAUNA WI 54130(920) 766-6020 TABETHA HORMSENCounty: OUTAGAMIE

ST PAUL ELDER SERVICES INC

312 E 14TH STKAUKAUNA WI 54130

Type: Class:

Low/High rate:

RCAC(920) 766-6020BECKY REICHELT

CERTIFIED

3,295/7,125M/F - 89

PUBLIC FUNDING

Gender - Total Apartments:

Initial Certification: 02/02/2000

ST PAUL VILLA (0010352)

01/31/2019Certification Fee Due*:

Association Approval: LeadingAge Wisconsin

10803 N PORT WASHINGTON RDMEQUON WI 53092(262) 478-2200 CHERYL KAMINSKICounty: OZAUKEE

FIVE STAR NORTHSHORE LLC D/B/A MEADOWM

10803 N PORT WASHINGTON RDMEQUON WI 53092

Type: Class:

Low/High rate:

RCAC(262) 478-2200CHERYL KAMINSKI

CERTIFIED

4,072/5,154M/F - 60

PUBLIC FUNDING

Gender - Total Apartments:

Initial Certification: 10/01/2009

FIVE STAR NORTHSHORE LLC D/B/A MEADOWMERE-NOR

09/30/2018Certification Fee Due*:

333 W WALTERS STPORT WASHINGTON WI 53024(262) 268-1800 PAMELA SCHLENVOGTCounty: OZAUKEE

CAPRI COMMUNITIES LLC

20875 CROSSROADS CIRCLE STE400WAUKESHA WI 53186

Type: Class:

Low/High rate:

RCAC(262) 798-1224GLEN CHOBAN

CERTIFIED

4,000/5,500 - 40

PUBLIC FUNDING

Gender - Total Apartments:

Initial Certification: 03/01/2017

HARBOR CLUB (0016547)

02/28/2019Certification Fee Due*:

12600 NORTH PORT WASHINGTON RDMEQUON WI 53092(262) 387-8861 BLAKE PEEPERCounty: OZAUKEE

NEWCASTLE SENIOR CARE LLC

12600 NORTH PORT WASHINGTON RDMEQUON WI 53092

Type: Class:

Low/High rate:

RCAC(407) 999-2400JULIE BISSONNETTE

REGISTERED

4,775/5,597 - 36Gender - Total Apartments:

Initial Registration: 01/10/2017

HIGHLANDS AT NEWCASTLE PLACE (THE) (0016287)

12/31/2017Certification Fee Due*:

W79N673 WAUWATOSA RDCEDARBURG WI 53012(262) 512-2808 KRISTEN SONNENBERGCounty: OZAUKEE

OZAUKEE COUNTY

W79N673 WAUWATOSA RDCEDARBURG WI 53012

Type: Class:

Low/High rate:

RCAC(262) 377-5060KRISTEN SONNENBERG

CERTIFIED

3,095/5,975M/F - 60Gender - Total Apartments:

Initial Certification: 06/15/2010

LASATA CROSSINGS ASSISTED LIVING (0013268)

06/30/2018Certification Fee Due*:

Association Approval: LeadingAge Wisconsin

1330 W LINCOLN AVEPORT WASHINGTON WI 53074(414) 964-7678 SARA GODFREYCounty: OZAUKEE

HSL 3 LLC

7901 W NATIONAL AVEWEST ALLIS WI 53214

Type: Class:

Low/High rate:

RCAC(952) 351-4542MILO PINKERTON

CERTIFIED

3,600/4,800M/F - 30

PUBLIC FUNDING

Gender - Total Apartments:

Initial Certification: 01/19/2016

LINCOLN VILLAGE (0015963)

01/31/2019Certification Fee Due*:

10995 N MARKET STMEQUON WI 53092(262) 478-1500 IPHRA WIGLEYCounty: OZAUKEE

MEQUON JEWISH CAMPUS

10995 N MARKET STOZAUKEE WI 53092

Type: Class:

Low/High rate:

RCAC(262) 478-1501IPHRA WIGLEY

REGISTERED

3,304/4,354M/F - 68Gender - Total Apartments:

Initial Registration: 03/02/2005

SARAH CHUDNOW CAMPUS (0010817)

03/02/2005Certification Fee Due*:

Association Approval: LeadingAge Wisconsin

*The Residential Care Apartment Complex (RCAC) directory is updated quarterly. It is possible that a facility's certification fee due date may appear to have passed since the directory was last updated, when in fact that facility's required fee has been paid and its certification has been renewed without this being reflected on the directory.

Division of Quality AssuranceWisconsin Department of Health Services Page 23

04/04/2018Directory U d t d

Facility Name and Address Licensee Name and PhoneMailing Address

By County,Facility Name

Phone Number / Contact Person

Public Directory

Specialty Programs

For Facility Type RCAC

101 WALNUT DRGRAFTON WI 53024(262) 387-3148 AMY LLOYDCounty: OZAUKEE

CAPRI COMMUNITES LLC

20875 Crossroads Cir Suite 400WAUKESHA WI 53186

Type: Class:

Low/High rate:

RCAC(262) 798-1224GLEN CHOBAN

CERTIFIED

3,500/5,500 - 45

PUBLIC FUNDING

Gender - Total Apartments:

Initial Certification: 12/01/2016

VILLAGE POINTE COMMONS THE PARAMOUNTE (001628

11/30/2018Certification Fee Due*:

101 WALNUT CIRCLEGRAFTON WI 53024(262) 242-0872 AMY LLOYDCounty: OZAUKEE

CAPRI COMMUNITIES LLC

20875 Crossroads Cir Suite 400WAUKESHA WI 53186

Type: Class:

Low/High rate:

RCAC(262) 798-1224GLEN CHOBAN

CERTIFIED

4,145/5,925M/F - 40Gender - Total Apartments:

Initial Certification: 07/27/2017

VILLAGE POINTE COMMONS THE PINNACLE (0016283)

07/31/2019Certification Fee Due*:

205 GREEN BAY ROADTHIENSVILLE WI 53092(262) 242-2728 EMILY SPRTELCounty: OZAUKEE

MID WEST SENIOR LIVING LLC

5900 MONONA DRIVEMADISON WI 53716

Type: Class:

Low/High rate:

RCAC(608) 316-1291JOAN BARMISH

CERTIFIED

1,313/2,813M/F - 64

PUBLIC FUNDING

Gender - Total Apartments:

Initial Certification: 08/23/2016

WILLOWBROOK PLACE (0016335)

08/31/2018Certification Fee Due*:

315 COUNTRY LANEDURAND WI 54736(715) 672-4813 VICKIE WITTIGCounty: PEPIN

HOME PLACE OF DURAND LLC (THE)

225 E FOURTH AVESTANLEY WI 54768

Type: Class:

Low/High rate:

RCAC(715) 644-2136JASON HAZUGA

CERTIFIED

3,250/6,271 - 14

PUBLIC FUNDING

Gender - Total Apartments:

Initial Certification: 06/08/2006

HOMEPLACE OF DURAND LLC (THE) (0011507)

05/31/2018Certification Fee Due*:

2348 AURORA CIRCLERIVER FALLS WI 54022(715) 426-4924 EMILY SCHOMMERCounty: PIERCE

RIVER FALLS RCAC LLC

750 MAIN ST STE 200MENDOTA HEIGHTS MN 55118

Type: Class:

Low/High rate:

RCAC(651) 287-0265RHONDA SCHILLINGER

CERTIFIED

3,200/5,000M/F - 43

PUBLIC FUNDING

Gender - Total Apartments:

Initial Certification: 08/13/2007

COMFORTS OF HOME RIVER FALLS RCAC (0012053)

07/31/2018Certification Fee Due*:

S820 WESTLAND DRSPRING VALLEY WI 54767(715) 778-5535 AMY LUTHERCounty: PIERCE

VALLEY VILLAS LLC

S820 WESTLAND DRSPRING VALLEY WI 54767

Type: Class:

Low/High rate:

RCAC(715) 778-5535KEVIN LARSON

CERTIFIED

466/1,099M/F - 20Gender - Total Apartments:

Initial Certification: 08/16/2010

VALLEY VILLAS ASSISTED LIVING (0013449)

08/31/2018Certification Fee Due*:

1121 INDUSTRIAL ROADELMWOOD WI 54740(715) 639-3400 MELISSA/DAWN SCHOEDERCounty: PIERCE

WELCOME HOME ASSISTED LIVING INC

1121 INDUSTRIAL ROADELMWOOD WI 54740

Type: Class:

Low/High rate:

RCAC(715) 639-3400MELISSA/DAWN SCHOEDER

CERTIFIED

1,925/2,725M/F - 24Gender - Total Apartments:

Initial Certification: 08/19/2008

WELCOME HOME ASSISTED LIVING INC (0012458)

08/31/2018Certification Fee Due*:

475 GOLF VIEW LANEAMERY WI 54001(715) 268-9949 DENISE OLSONCounty: POLK

AMERY ASSISTED LIVING LLC

400 DERONDA STAMERY WI 54001

Type: Class:

Low/High rate:

RCAC(715) 268-8171CONNIE DUCKLOW

REGISTERED

1,990/3,025M/F - 26Gender - Total Apartments:

Initial Registration: 05/09/2005

AMERY ASSTD LIV -RIVER BEND (0011001)

05/09/2005Certification Fee Due*:

475 GOLF VIEW LANEAMERY WI 54001(715) 268-9949 DENISE OLSONCounty: POLK

AMERY ASSISTED LIVING LLC

400 DERONDA STAMERY WI 54001

Type: Class:

Low/High rate:

RCAC(715) 268-8171CONNIE DUCKLOW

REGISTERED

1,990/3,025M/F - 26Gender - Total Apartments:

Initial Registration: 05/09/2005

AMERY ASSTD LIV -RIVER BEND (0011001)

05/09/2005Certification Fee Due*:

Association Approval: WiCAL

304 EIGHTH AVE EOSCEOLA WI 54020(715) 294-1600 KAYLA WIDELLCounty: POLK

ROYAL OAKS INC (THE)

304 EIGHTH AVE EOSCEOLA WI 54020

Type: Class:

Low/High rate:

RCAC(715) 294-1600HOLLY GETSCHEL

CERTIFIED

2,200/2,600M/F - 18Gender - Total Apartments:

Initial Certification: 05/05/2009

ROYAL OAKS INC (THE) (0012793)

04/30/2019Certification Fee Due*:

*The Residential Care Apartment Complex (RCAC) directory is updated quarterly. It is possible that a facility's certification fee due date may appear to have passed since the directory was last updated, when in fact that facility's required fee has been paid and its certification has been renewed without this being reflected on the directory.

Division of Quality AssuranceWisconsin Department of Health Services Page 24

04/04/2018Directory U d t d

Facility Name and Address Licensee Name and PhoneMailing Address

By County,Facility Name

Phone Number / Contact Person

Public Directory

Specialty Programs

For Facility Type RCAC

1800B SHERMAN AVENUESTEVENS POINT WI 54481(920) 996-6854 JENNIFER SCHULTZCounty: PORTAGE

SPRVL LLC

1726 N BALLARD ROADAPPLETON WI 54911

Type: Class:

Low/High rate:

RCAC(920) 996-6854ROBERT PARKINS

REGISTERED

1,875/2,575M/F - 51Gender - Total Apartments:

Initial Registration: 02/05/2009

ATRIUM SEN LIV OF STEVENS POINT AT RIVER VIEW LOD

02/05/2009Certification Fee Due*:

5625 SANDPIPER DRSTEVENS POINT WI 54481(715) 343-7376 JACQUELINE WILLIAMSCounty: PORTAGE

S-H OPCO OAKRIDGE LLC

6737 W WASHINGTON ST STE 2300MILWAUKEE WI 53214

Type: Class:

Low/High rate:

RCAC(949) 407-0700TYESHA GELY

CERTIFIED

2,265/4,445M/F - 75

PUBLIC FUNDING

Gender - Total Apartments:

Initial Certification: 08/29/2014

BROOKDALE STEVENS POINT (0015136)

08/31/2018Certification Fee Due*:

3450 BRIDLEWOOD DRPLOVER WI 54467(715) 342-9100 KAREN TRZEBIATOWSKICounty: PORTAGE

CRYSTAL FOUNTAINS ASSISTED LIVING LLC

3450 BRIDLEWOOD DRPLOVER WI 54467

Type: Class:

Low/High rate:

RCAC(715) 342-4445KAREN TRZEBIATOWSKI

CERTIFIED

2,500/4,200M/F - 68

PUBLIC FUNDING

Gender - Total Apartments:

Initial Certification: 04/28/2008

LODGE AT WHISPERING PINES (THE) (0012069)

04/30/2018Certification Fee Due*:

1801 LILAC LNSTEVENS POINT WI 54481(715) 343-9530 MATTHEW LINNCounty: PORTAGE

STEVENS POINT SENIOR LIVING INC

1600 W. BROADWAY RD., STE #100TEMPE AZ 85282

Type: Class:

Low/High rate:

RCAC(715) 343-9530TANGINA EDWARDS

CERTIFIED

2,107/4,000M/F - 36

PUBLIC FUNDING

Gender - Total Apartments:

Initial Certification: 08/01/2015

WILLOW BROOKE SENIOR LIVING RCAC (0015633)

07/31/2018Certification Fee Due*:

585 PETERSON DRIVEPHILLIPS WI 54555(715) 339-3113 RHONDA KOZIKCounty: PRICE

ASPIRUS EXTENDED SERVICES INC

595 PETERSON DRIVEPHILLIPS WI 54555

Type: Class:

Low/High rate:

RCAC(715) 847-2116RHONDA KOZIK

CERTIFIED

1,517/2,206M/F - 20

PUBLIC FUNDING

Gender - Total Apartments:

Initial Certification: 04/01/2008

ASPIRUS DUROY TERRACE (0012360)

03/31/2019Certification Fee Due*:

3950 N MAIN STREETRACINE WI 53402(262) 639-1100 MICHAEL LIBBYCounty: RACINE

THE ATRIUM OF RACINE INC

3950 N MAIN STREETRACINE WI 53402

Type: Class:

Low/High rate:

RCAC(262) 639-1100MICHAEL LIBBY

CERTIFIED

3,797/6,935M/F - 40Gender - Total Apartments:

Initial Certification: 07/18/2016

BAY POINTE AT THE ATRIUM (0016136)

07/31/2018Certification Fee Due*:

3950 N MAIN STREETRACINE WI 53402(262) 639-1100 MICHAEL LIBBYCounty: RACINE

THE ATRIUM OF RACINE INC

3950 N MAIN STREETRACINE WI 53402

Type: Class:

Low/High rate:

RCAC(262) 639-1100MICHAEL LIBBY

CERTIFIED

3,797/6,935M/F - 40Gender - Total Apartments:

Initial Certification: 07/18/2016

BAY POINTE AT THE ATRIUM (0016136)

07/31/2018Certification Fee Due*:

5111 WRIGHT AVERACINE WI 53406(414) 540-4141 RICHARD COURYCounty: RACINE

ERAC, LLC

6340 N GREEN BAY AVEGLENDALE WI 53209

Type: Class:

Low/High rate:

RCAC(414) 540-4141RICHARD COURY

CERTIFIED

2,550/4,600M/F - 30

PUBLIC FUNDING

Gender - Total Apartments:

Initial Certification: 04/27/2016

ELIZABETH GARDENS (0016018)

04/30/2020Certification Fee Due*:

1600 OHIO STRACINE WI 53405(262) 619-0000 SUZANNE GITZCounty: RACINE

HOME HARBOR OF RACINE LLC

PO BOX 703PLATTEVILLE WI 53818

Type: Class:

Low/High rate:

RCAC(262) 619-0000SUZANNE GITZ

CERTIFIED

373/960 - 110

PUBLIC FUNDING

Gender - Total Apartments:

Initial Certification: 06/01/2006

HOME HARBOR (0011173)

05/31/2018Certification Fee Due*:

8800 SHANNON LNSTURTEVANT WI 53177(262) 321-0802 ASHLEY URBANCounty: RACINE

CAPRI LIFESTYLES LLC

20875 Crossroads Cir Suite 400Waukesha WI 53186

Type: Class:

Low/High rate:

RCAC(262) 798-1224Glen Choban

CERTIFIED

705/4,120 - 55

PUBLIC FUNDING

Gender - Total Apartments:

Initial Certification: 08/16/2011

KILLARNEY KOURT (0013681)

08/31/2018Certification Fee Due*:

Association Approval: WALA

*The Residential Care Apartment Complex (RCAC) directory is updated quarterly. It is possible that a facility's certification fee due date may appear to have passed since the directory was last updated, when in fact that facility's required fee has been paid and its certification has been renewed without this being reflected on the directory.

Division of Quality AssuranceWisconsin Department of Health Services Page 25

04/04/2018Directory U d t d

Facility Name and Address Licensee Name and PhoneMailing Address

By County,Facility Name

Phone Number / Contact Person

Public Directory

Specialty Programs

For Facility Type RCAC

1700 TEUT RDBURLINGTON WI 53105(608) 279-0378 CHAD BAASCHECounty: RACINE

OAK PARK PLACE OF BURLINGTON LLC

719 JUPITER DRMADISON WI 53718

Type: Class:

Low/High rate:

RCAC(608) 279-0378CHAD BAASCHE

REGISTERED

3,350/5,425 - 40Gender - Total Apartments:

Initial Registration: 03/14/2017

OAK PARK PLACE OF BURLINGTON (0016396)

02/28/2019Certification Fee Due*:

5321 DOUGLAS AVECALEDONIA WI 53402(262) 898-4000 ANDY LANGECounty: RACINE

KORU HEALTH LLC

5321 DOUGLAS AVERACINE WI 53402

Type: Class:

Low/High rate:

RCAC(414) 507-6928ANDY LANGE

CERTIFIED

665/1,400M/F - 47Gender - Total Apartments:

Initial Certification: 12/01/2017

PARKVIEW GARDENS 1 ASSISTED LIVING (0016959)

11/30/2019Certification Fee Due*:

5321 DOUGLAS AVECALEDONIA WI 53402(262) 898-4000 ANDY LANGECounty: RACINE

KORU HEALTH LLC

5321 DOUGLAS AVERACINE WI 53402

Type: Class:

Low/High rate:

RCAC(414) 507-6928ANDY LANGE

CERTIFIED

1,100/2,500M/F - 47Gender - Total Apartments:

Initial Certification: 02/28/2018

PARKVIEW GARDENS III (0016970)

02/28/2019Certification Fee Due*:

1775 N NEWMAN ROADMT PLEASANT WI 53406(262) 886-3333 TRACIE MINORIKCounty: RACINE

RACINE RETIREMENT LLC

815 N 2ND STREET, PO BOX 1359ABERDEEN SD 57402-1359

Type: Class:

Low/High rate:

RCAC(605) 226-3300MARK MCNEARY

REGISTERED

548/3,795M/F - 76Gender - Total Apartments:

Initial Registration: 02/05/2015

PRIMROSE OF MT PLEASANT (0015195)

02/05/2015Certification Fee Due*:

8500 CORPORATE DRRACINE WI 53406(262) 833-0810 ALEXANDER CAUDILLCounty: RACINE

RACINE SENIOR LIVING INC

1600 W BROADWAY RD, STE 100TEMPE AZ 85282

Type: Class:

Low/High rate:

RCAC(262) 833-0810TANGINA EDWARDS

REGISTERED

4,047/4,300M/F - 36Gender - Total Apartments:

Initial Registration: 08/01/2015

RACINE COMMONS ASSISTED LIVING RCAC (0015618)

08/01/2015Certification Fee Due*:

301 S SIXTH STWATERFORD WI 53185(262) 534-4800 MEGHAN GIESECounty: RACINE

WATERFORD SENIOR LIVING LLC

2916 N HAL RDWHITEWATER WI 53190

Type: Class:

Low/High rate:

RCAC(608) 751-1342SCOTT F SHADEL

CERTIFIED

3,750/4,800M/F - 54Gender - Total Apartments:

Initial Certification: 10/10/2007

WATERFORD SENIOR LIVING (0012091)

09/30/2018Certification Fee Due*:

250 N ORANGE STRICHLAND CENTER WI 53581(608) 647-4500 TINA MILLERCounty: RICHLAND

KSMS OUR HOUSE LLC

4350 156th STCHIPPEWA FALLS WI 54729

Type: Class:

Low/High rate:

RCAC(317) 280-8455LORI NARDIN

CERTIFIED

3,000/3,550M/F - 20

PUBLIC FUNDING

Gender - Total Apartments:

Initial Certification: 09/30/2010

OUR HOUSE RICHLAND CENTER RCAC (0013386)

09/30/2018Certification Fee Due*:

1400 WEST SEMINARY STREETRICHLAND CENTER WI 53581(608) 647-8931 JACKIE CARLEYCounty: RICHLAND

SCHMITT WOODLAND HILLS INC

1400 WEST SEMINARY STREETRICHLAND CENTER WI 53581

Type: Class:

Low/High rate:

RCAC(608) 647-8931JACKIE CARLEY

REGISTERED

704/1,67038Gender - Total Apartments:

Initial Registration: 02/01/1998

SCHMITT WOODLAND HILLS APARTMENT COMPLEX (001

02/01/1998Certification Fee Due*:

Association Approval: LeadingAge Wisconsin

2250 W HART RDBELOIT WI 53511(608) 312-2370 MARIANNE DROSTCounty: ROCK

BELOIT SENIOR LIVING LLC

2916 N HALL RDWHITEWATER WI 53190

Type: Class:

Low/High rate:

RCAC(608) 751-1342SCOTT SHADEL

CERTIFIED

4,000/6,400M/F - 42Gender - Total Apartments:

Initial Certification: 11/10/2017

BELOIT SENIOR LIVING (0016888)

10/31/2019Certification Fee Due*:

1702 SOUTH RIVER RDJANESVILLE WI 53546(608) 373-6301 DAVID TANCKCounty: ROCK

CEDAR CREST INC

1702 SOUTH RIVER RDJANESVILLE WI 53546

Type: Class:

Low/High rate:

RCAC(608) 756-0344DAVID TANCK

REGISTERED

465/1,195107Gender - Total Apartments:

Initial Registration: 07/01/2002

CEDAR CREST WATERFORD PLACE APARTMENTS (0010

07/01/2002Certification Fee Due*:

Association Approval: LeadingAge Wisconsin

*The Residential Care Apartment Complex (RCAC) directory is updated quarterly. It is possible that a facility's certification fee due date may appear to have passed since the directory was last updated, when in fact that facility's required fee has been paid and its certification has been renewed without this being reflected on the directory.

Division of Quality AssuranceWisconsin Department of Health Services Page 26

04/04/2018Directory U d t d

Facility Name and Address Licensee Name and PhoneMailing Address

By County,Facility Name

Phone Number / Contact Person

Public Directory

Specialty Programs

For Facility Type RCAC

201 N 4TH STEVANSVILLE WI 53536(608) 882-9995 SHELLY ANDREWCounty: ROCK

EVH OPERATIONS LLC

517 E DIVISION STFOND DU LAC WI 54935

Type: Class:

Low/High rate:

RCAC(619) 565-3637ADAM KUSHNIR

CERTIFIED

3,100/3,700M/F - 25Gender - Total Apartments:

Initial Certification: 12/01/2017

HEIGHTS AT EVANSVILLE MANOR (THE) (0016956)

11/30/2018Certification Fee Due*:

3801 N WRIGHT RDJANESVILLE WI 53546(608) 868-5035 ANNA HUGHES-PAPICHCounty: ROCK

FVE MW LLC

3801 N WRIGHT RDJANESVILLE WI 53546

Type: Class:

Low/High rate:

RCAC(608) 868-5035ANNA HUGHES-PAPICH

REGISTERED

3,190/4,151M/F - 48Gender - Total Apartments:

Initial Registration: 04/13/2012

HUNTINGTON (THE) (0014099)

04/13/2012Certification Fee Due*:

121 SOUTH FIFTH STEVANSVILLE WI 53536(608) 882-4191 EMILY SHELTONCounty: ROCK

SAEE Inc.

121 SOUTH FIFTH STEVANSVILLE WI 53536

Type: Class:

Low/High rate:

RCAC(608) 882-4191EMILY SHELTON

CERTIFIED

2,660/3,600M/F - 9

PUBLIC FUNDING

Gender - Total Apartments:

Initial Certification: 07/01/1997

KELLY HOUSE ASSISTED LIVING APARTMENTS (0010246

10/31/2018Certification Fee Due*:

600 W SUNSET DRMILTON WI 53563(608) 868-3000 JACQUELINE DAVILACounty: ROCK

MILTON SENIOR LIVING LLC

2916 N HALL RDWHITEWATER WI 53190

Type: Class:

Low/High rate:

RCAC(608) 868-3000SCOTT SHADEL

CERTIFIED

3,775/5,150M/F - 53

PUBLIC FUNDING

Gender - Total Apartments:

Initial Certification: 02/01/2012

MILTON SENIOR LIVING LLC (0013981)

01/31/2019Certification Fee Due*:

600 W SUNSET DRMILTON WI 53563(608) 868-3000 JACQUELINE DAVILACounty: ROCK

MILTON SENIOR LIVING LLC

2916 N HALL RDWHITEWATER WI 53190

Type: Class:

Low/High rate:

RCAC(608) 868-3000SCOTT SHADEL

CERTIFIED

3,775/5,150M/F - 53

PUBLIC FUNDING

Gender - Total Apartments:

Initial Certification: 02/01/2012

MILTON SENIOR LIVING LLC (0013981)

01/31/2019Certification Fee Due*:

600 W SUNSET DRMILTON WI 53563(608) 868-3000 JACQUELINE DAVILACounty: ROCK

MILTON SENIOR LIVING LLC

2916 N HALL RDWHITEWATER WI 53190

Type: Class:

Low/High rate:

RCAC(608) 868-3000SCOTT SHADEL

CERTIFIED

3,775/5,150M/F - 53

PUBLIC FUNDING

Gender - Total Apartments:

Initial Certification: 02/01/2012

MILTON SENIOR LIVING LLC (0013981)

01/31/2019Certification Fee Due*:

Association Approval: WALA

3055 S RIVERSIDE DRIVEBELOIT WI 53511(608) 365-7222 NATASHA WEBERGCounty: ROCK

BELOIT MEMORIAL HOSPITAL

3055 RIVERSIDE DRIVEBELOIT WI 53511

Type: Class:

Low/High rate:

RCAC(608) 364-5011NATASHA WEBERG

REGISTERED

1,610/3,41145Gender - Total Apartments:

Initial Registration: 06/01/2001

RIVERSIDE TERRACE (0010295)

06/01/2001Certification Fee Due*:

124 HENRY STEDGERTON WI 53534(608) 884-2828 ROBERT SIMONSONCounty: ROCK

ESH ENTERPRISES LLC

2850 MONARCH COURTALTOONA WI 54720

Type: Class:

Low/High rate:

RCAC(608) 224-2828ROBERT SIMONSON

CERTIFIED

2,500/3,100M/F - 30Gender - Total Apartments:

Initial Certification: 10/01/2011

SWIFTHAVEN COMMUNITY (0013881)

09/30/2018Certification Fee Due*:

2860 LIBERTY LANEJANESVILLE WI 53545(608) 352-7700 STACEY WOODCounty: ROCK

WILLOWICK ASSISTED LIVING JANESVILLE LLC

2316 MINERAL POINT SUITE 10JANESVILLE WI 53548

Type: Class:

Low/High rate:

RCAC(608) 774-8662FRIEDA PULKOWSKI

CERTIFIED

768/1,276M/F - 32Gender - Total Apartments:

Initial Certification: 08/31/2017

WILLOWICK (0016711)

08/31/2018Certification Fee Due*:

1001 E 11TH STREET NLADYSMITH WI 54848(715) 532-5546 TONYA SWEENEYCounty: RUSK

LEGACY SENIOR LIVING CENTER INC

1001 E 11TH ST NLADYSMITH WI 54848

Type: Class:

Low/High rate:

RCAC(715) 532-5546TONYA SWEENEY

CERTIFIED

3,610/5,095M/F - 20Gender - Total Apartments:

Initial Certification: 07/01/2012

LEGACY SENIOR LIVING CENTER INC (0014245)

06/30/2018Certification Fee Due*:

*The Residential Care Apartment Complex (RCAC) directory is updated quarterly. It is possible that a facility's certification fee due date may appear to have passed since the directory was last updated, when in fact that facility's required fee has been paid and its certification has been renewed without this being reflected on the directory.

Division of Quality AssuranceWisconsin Department of Health Services Page 27

04/04/2018Directory U d t d

Facility Name and Address Licensee Name and PhoneMailing Address

By County,Facility Name

Phone Number / Contact Person

Public Directory

Specialty Programs

For Facility Type RCAC

1350 JEFFERSON STBARABOO WI 53913(608) 356-9213 TARA HEUERCounty: SAUK

GREENBRIAR APARTMENTS LLC

PO BOX 185MANHATTAN BEACH CA 90267-0185

Type: Class:

Low/High rate:

RCAC(818) 748-6269MARGERY PARKER

CERTIFIED

600/1,090M/F - 31Gender - Total Apartments:

Initial Certification: 09/01/2011

GREENBRIAR APARTMENTS LLC (0013806)

08/31/2018Certification Fee Due*:

547 EAST MCKINLEY STREETSPRING GREEN WI 53588(608) 588-2586 MARK SCOLESCounty: SAUK

RIVER VALLEY NH INC

547 E MCKINLEY ST BOX 759SPRING GREEN WI 53588

Type: Class:

Low/High rate:

RCAC(608) 588-2586MARK SCOLES

REGISTERED

2,100/2,75024Gender - Total Apartments:

Initial Registration: 11/01/1999

GREENWAY TERRACE (0010288)

11/01/1999Certification Fee Due*:

1425 HEMLOCK STREETSAUK CITY WI 53583(608) 643-8494 PAUL FISCUSCounty: SAUK

MAPLEWOOD OF SAUK PRAIRIE INC

1425 HEMLOCK STREETSAUK CITY WI 53583

Type: Class:

Low/High rate:

RCAC(608) 643-3383PAUL FISCUS

CERTIFIED

3,565/3,765 - 24

PUBLIC FUNDING

Gender - Total Apartments:

Initial Certification: 06/01/1999

MAPLEWOOD VILLAGE (0010279)

01/31/2019Certification Fee Due*:

800 WALDO STBARABOO WI 53913(608) 355-4111 MARY BREWERCounty: SAUK

OAK PARK PLACE OF BARABOO LLC

719 JUPITER DRMADISON WI 53718

Type: Class:

Low/High rate:

RCAC(608) 663-8600CHAD BASCHE

CERTIFIED

3,851/4,899M/F - 65

PUBLIC FUNDING

Gender - Total Apartments:

Initial Certification: 04/07/2009

OAK PARK PLACE THE GROVE (0012768)

03/31/2019Certification Fee Due*:

2350 NORTH DEWEY AVEREEDSBURG WI 53959(608) 524-6577 RYAN SHEARCounty: SAUK

REEDSBURG AREA SENIOR CENTER INC

2350 N DEWEY AVEREEDSBURG WI 53959

Type: Class:

Low/High rate:

RCAC(608) 524-6487BRENDA REISDORPH

REGISTERED

2,900/3,200M/F - 24Gender - Total Apartments:

Initial Registration: 08/01/2005

RIDGEVIEW PLACE (0011110)

11/01/2005Certification Fee Due*:

11040 N STATE RDHAYWARD WI 54843(715) 934-4308 CANDICE MCCONNELLCounty: SAWYER

MEDICAL SERVICES INC

11040 N STATE RDHAYWARD WI 54843

Type: Class:

Low/High rate:

RCAC(715) 934-4321CANDICE MCCONNELL

REGISTERED

2,870/3,370M/F - 20Gender - Total Apartments:

Initial Registration: 11/01/2010

WATERS EDGE (0013559)

11/02/2010Certification Fee Due*:

Association Approval: LeadingAge Wisconsin

103 MADISON WAYSHAWANO WI 54166(866) 447-3838 CARA PETERSONCounty: SHAWANO

THE COTTAGES INVESTMENT GROUP LLC

2160 VELP AVE STE 101GREEN BAY WI 54303

Type: Class:

Low/High rate:

RCAC(715) 526-5166CARA PETERSON

CERTIFIED

2,995/4,690 - 33

PUBLIC FUNDING

Gender - Total Apartments:

Initial Certification: 06/04/2009

COTTAGES ON GOLDEN POND THE (0012844)

05/31/2019Certification Fee Due*:

Association Approval: WALA

930 E CLIFFORD STPLYMOUTH WI 53073(920) 893-4777 MARY JO PARKINSCounty: SHEBOYGAN

PLYMOUTH HOUSING LLC

930 E CLIFFORD STPLYMOUTH WI 53073

Type: Class:

Low/High rate:

RCAC(920) 364-9711MARY JO PARKINS

CERTIFIED

3,000/3,000M/F - 32Gender - Total Apartments:

Initial Certification: 07/31/2017

ATRIUM SENIOR LIVING OF PLYMOUTH AT SOUTH HORIZ

07/31/2018Certification Fee Due*:

101 CEDAR LNELKHART LAKE WI 53020(920) 876-4050 KATHLYNN SIMPSONCounty: SHEBOYGAN

BENEVOLENT CORPORATION-CEDAR COMMUN

101 CEDAR LNELKHART LAKE WI 53020

Type: Class:

Low/High rate:

RCAC(262) 306-2100AMY MEYER

CERTIFIED

3,550/4,225M/F - 27

PUBLIC FUNDING

Gender - Total Apartments:

Initial Certification: 09/16/2008

CEDAR BAY AT ELKHART LAKE (0012455)

09/30/2018Certification Fee Due*:

Association Approval: LeadingAge Wisconsin

1280 PINE HAVEN LNSHEBOYGAN FALLS WI 53085(920) 550-5602 STEVEN HENDRIKSECounty: SHEBOYGAN

PINE HAVEN CHRISTIAN HOME INC

531 GIDDINGS AVESHEBOYGAN FALLS WI 53085

Type: Class:

Low/High rate:

RCAC(920) 467-2401TAMMY REINHOLZ

CERTIFIED

3,320/4,840M/F - 40

PUBLIC FUNDING

Gender - Total Apartments:

Initial Certification: 03/04/2014

PRAIRIE CROSSING - A PINE HAVEN COMMUNITY (00149

02/28/2019Certification Fee Due*:

*The Residential Care Apartment Complex (RCAC) directory is updated quarterly. It is possible that a facility's certification fee due date may appear to have passed since the directory was last updated, when in fact that facility's required fee has been paid and its certification has been renewed without this being reflected on the directory.

Division of Quality AssuranceWisconsin Department of Health Services Page 28

04/04/2018Directory U d t d

Facility Name and Address Licensee Name and PhoneMailing Address

By County,Facility Name

Phone Number / Contact Person

Public Directory

Specialty Programs

For Facility Type RCAC

Association Approval: LeadingAge Wisconsin

1231 EISNER AVESHEBOYGAN WI 53083(920) 457-6399 JENNI SPINELLICounty: SHEBOYGAN

TERRACE AID OPCO LLC

330 N WABASH STE 3700CHICAGO IL 60611

Type: Class:

Low/High rate:

RCAC(415) 706-9715ATTN: POC/LEGAL DEPT

REGISTERED

10,712/12,889M/F - 122Gender - Total Apartments:

Initial Registration: 07/11/2013

TERRACE PLACE (0014667)

06/30/2014Certification Fee Due*:

1600 BIRCHWOOD DRIVEBALDWIN WI 54002(715) 684-4552 EILEEN LAFAVORCounty: ST CROIX

BALDWIN CARE CENTER IN

1600 BIRCHWOOD DRIVEBALDWIN WI 54002

Type: Class:

Low/High rate:

RCAC(715) 684-3231MIRANDA JAMES

CERTIFIED

1,070/1,540 - 23

PUBLIC FUNDING

Gender - Total Apartments:

Initial Certification: 09/01/1998

BIRCHWOOD APARTMENTS (0010248)

08/31/2018Certification Fee Due*:

Association Approval: LeadingAge Wisconsin

1127 WEST EIGHTH STREETNEW RICHMOND WI 54017(715) 243-3900 JENNIFER ANDERSONCounty: ST CROIX

PHM/NEW RICHMOND SENIOR HOUSING

1127 WEST EIGHTH STREETNEW RICHMOND WI 54017

Type: Class:

Low/High rate:

RCAC(651) 631-6000JENNIFER ANDERSON

CERTIFIED

2,490/3,455 - 17

PUBLIC FUNDING

Gender - Total Apartments:

Initial Certification: 09/01/1999

DEERFIELD (THE) RCAC (0010249)

11/30/2018Certification Fee Due*:

1127 W 8TH STNEW RICHMOND WI 54017(715) 243-3903 JENNIFER ANDERSONCounty: ST CROIX

PHM NEW RICHMOND SENIOR HOUSING

1127 W 8TH STNEW RICHMOND WI 54017

Type: Class:

Low/High rate:

RCAC(651) 631-6000JENNIFER ANDERSON

CERTIFIED

1,155/1,795M/F - 12Gender - Total Apartments:

Initial Certification: 08/16/2010

DEERFIELD TERRACE (THE) (0013394)

08/31/2018Certification Fee Due*:

614 E OAK STGLENWOOD CITY WI 54013(715) 265-4140 DAVID PRISSELCounty: ST CROIX

HAVENWOOD LLC

614 E OAK ST #17GLENWOOD CITY WI 54013

Type: Class:

Low/High rate:

RCAC(715) 265-4140DAVID PRISSEL

CERTIFIED

460/990M/F - 16Gender - Total Apartments:

Initial Certification: 09/16/2008

HAVENWOOD LLC (0012494)

09/30/2018Certification Fee Due*:

425 DAVIS STHAMMOND WI 54015(715) 796-2218 JEFFREY HOEHNCounty: ST CROIX

NSH HERITAGE LLC

5150 N PORT WASH RD STE 260GLENDALE WI 53217

Type: Class:

Low/High rate:

RCAC(414) 962-5250JEFFREY HOEHN

REGISTERED

1,425/1,425M/F - 12Gender - Total Apartments:

Initial Registration: 10/01/2017

HERITAGE COURT (0016879)

09/30/2018Certification Fee Due*:

210 LOCKWOOD STWOODVILLE WI 54028(715) 698-2451 MELISSA WALTHALLCounty: ST CROIX

PARK VIEW HOME INC

P O BOX 265WOODVILLE WI 54028

Type: Class:

Low/High rate:

RCAC(715) 698-2451MELISSA WALTHALL

REGISTERED

975/1,150F - 18Gender - Total Apartments:

Initial Registration: 06/13/2008

PARK PLACE APARTMENTS (0012432)

06/13/2008Certification Fee Due*:

220 LOCKWOOD STWOODVILLE WI 54028(715) 698-2451 MELISSA WALTHALLCounty: ST CROIX

PARK VIEW HOME INC

P O BOX 265WOODVILLE WI 54028

Type: Class:

Low/High rate:

RCAC(715) 698-2451MELISSA WALTHALL

CERTIFIED

1,023/1,344M/F - 9Gender - Total Apartments:

Initial Certification: 08/04/2008

PARK PLACE APARTMENTS NORTH (0012429)

07/31/2018Certification Fee Due*:

3001 HANLEY ROADHUDSON WI 54016(715) 381-7333 NED AMMONSCounty: ST CROIX

RED CEDAR CANYON ASSISTED LIVING LLC

3001 HANLEY ROADHUDSON WI 54016

Type: Class:

Low/High rate:

RCAC(715) 381-7333NED AMMONS

CERTIFIED

3,130/3,650M/F - 53Gender - Total Apartments:

Initial Certification: 04/01/2014

RED CEDAR CANYON ASSISTED LIVING LLC (0014783)

03/31/2019Certification Fee Due*:

119 UNION STRIVER FALLS WI 54022(715) 425-5353 TIFFANY OLSONCounty: ST CROIX

LUTHERAN HOME ASSOCIATION (THE)

119 UNION STRIVER FALLS WI 54022

Type: Class:

Low/High rate:

RCAC(952) 873-6000BETH ANN SCHULTZ

CERTIFIED

3,252/4,291M/F - 60

PUBLIC FUNDING

Gender - Total Apartments:

Initial Certification: 01/01/2011

WELLHAVEN SENIOR APARTMENTS LLC (0013453)

12/31/2018Certification Fee Due*:

*The Residential Care Apartment Complex (RCAC) directory is updated quarterly. It is possible that a facility's certification fee due date may appear to have passed since the directory was last updated, when in fact that facility's required fee has been paid and its certification has been renewed without this being reflected on the directory.

Division of Quality AssuranceWisconsin Department of Health Services Page 29

04/04/2018Directory U d t d

Facility Name and Address Licensee Name and PhoneMailing Address

By County,Facility Name

Phone Number / Contact Person

Public Directory

Specialty Programs

For Facility Type RCAC

1312 WISCONSIN STREETHUDSON WI 54016(715) 386-5088 KATHY OCONNELLCounty: ST CROIX

CHRISTIAN COMMUNITY HOME OF HUDSON INC

1320 WISCONSIN STREETHUDSON WI 54016

Type: Class:

Low/High rate:

RCAC(715) 386-9303DAN GOODIER

CERTIFIED

1,114/2,500M/F - 40

PUBLIC FUNDING

Gender - Total Apartments:

Initial Certification: 07/01/2009

WINTERGREEN (0012819)

06/30/2018Certification Fee Due*:

441 STAGELINE ROADHUDSON WI 54016(715) 716-5200 LAURA COGNETTACounty: ST CROIX

HUDSON SENIOR HOUSING LLC

2845 HAMLINE AVENUE NORTHROSEVILLE MN 55113

Type: Class:

Low/High rate:

RCAC(651) 631-6100MARK MEYER

CERTIFIED

3,150/4,200 - 46Gender - Total Apartments:

Initial Certification: 06/13/2016

WOODLAND HILL (0016011)

05/31/2018Certification Fee Due*:

635 CEDAR STREETMEDFORD WI 54451(715) 748-8855 JENNIFER VIERGUTZCounty: TAYLOR

MEMORIAL HEALTH CENTER INC

635 CEDAR STREETMEDFORD WI 54451

Type: Class:

Low/High rate:

RCAC(715) 748-8100JENNIFER VIERGUTZ

REGISTERED

2,000/2,80028Gender - Total Apartments:

Initial Registration: 06/01/2000

COUNTRY GARDENS (0010385)

06/01/2000Certification Fee Due*:

Association Approval: LeadingAge Wisconsin

36125 E END RDINDEPENDENCE WI 54747(715) 538-4518 LAURA ENGLESBYCounty: TREMPEALEAU

TREMPEALEAU COUNTY HEALTH CARE CENTER

18425 DODGE STREETWHITEHALL WI 54773

Type: Class:

Low/High rate:

RCAC(715) 538-4312LAURA ENGLESBY

CERTIFIED

5,200/6,900 - 7

PUBLIC FUNDING

Gender - Total Apartments:

Initial Certification: 02/01/2009

CLOVER WAY RCAC (0012483)

01/31/2019Certification Fee Due*:

Association Approval: LeadingAge Wisconsin

13197 CHURCH STREETPIGEON FALLS WI 54760(715) 983-2293 ROSEMARIE THESINGCounty: TREMPEALEAU

TREMPEALEAU COUNTY HEALTH CARE CENTER

13197 CHURCH STREET BOX 310PIGEON FALLS WI 54760

Type: Class:

Low/High rate:

RCAC(715) 538-4312ROSEMARIE THESING

CERTIFIED

475/525 - 8

PUBLIC FUNDING

Gender - Total Apartments:

Initial Certification: 01/03/2002

COUNTRY RIDGE (0010272)

12/31/2018Certification Fee Due*:

Association Approval: LeadingAge Wisconsin

51017 RIDGE VIEW RDOSSEO WI 54758(715) 558-1234 JOE MUENCHCounty: TREMPEALEAU

HALCYON SENIOR SERVICES OF OSSEO LLC

51017 RIDGE VIEW RDOSSEO WI 54758

Type: Class:

Low/High rate:

RCAC(715) 558-1234JOE MUENCH

CERTIFIED

373/1,000 - 24Gender - Total Apartments:

Initial Certification: 12/01/2016

DOVE HEALTHCARE - OSSEO (0016457)

11/30/2018Certification Fee Due*:

36024 PARK STREETWHITEHALL WI 54773(715) 538-4361 BRIAN THEILERCounty: TREMPEALEAU

TRI-COUNTY MEMORIAL HOSPITAL INC

18601 LINCOLN STREET BOX 65WHITEHALL WI 54773

Type: Class:

Low/High rate:

RCAC(715) 538-4361JONI OLSON

CERTIFIED

740/2,000M/F - 13

PUBLIC FUNDING

Gender - Total Apartments:

Initial Certification: 11/01/2002

SUNRISE MANOR (0010273)

10/31/2018Certification Fee Due*:

620 GARFIELD STREETVIROQUA WI 54665(608) 637-6344 DEBRA STOUT TEWALTCounty: VERNON

BETHEL HOME & SERVICES INC

614 SOUTH ROCK AVENUEVIROQUA WI 54665

Type: Class:

Low/High rate:

RCAC(608) 637-2171DEBRA STOUT TEWALT

CERTIFIED

2,076/2,812M/F - 52

PUBLIC FUNDING

Gender - Total Apartments:

Initial Certification: 10/01/1999

MAPLEWOOD TERRACE (0010251)

01/31/2019Certification Fee Due*:

Association Approval: LeadingAge Wisconsin

504 SALSBERYHILLSBORO WI 54634(608) 489-3930 BRIDGET PHILLIPS RNCounty: VERNON

MILESTONE SENIOR LIVING LLC

1574 W BROADWAY, SUITE 200MADISON WI 53713

Type: Class:

Low/High rate:

RCAC(608) 819-2022JULIE HEIL

CERTIFIED

3,300/3,750 - 24

PUBLIC FUNDING

Gender - Total Apartments:

Initial Certification: 12/01/2010

MILESTONE SENIOR LIVING APARTMENTS (0013578)

11/30/2018Certification Fee Due*:

*The Residential Care Apartment Complex (RCAC) directory is updated quarterly. It is possible that a facility's certification fee due date may appear to have passed since the directory was last updated, when in fact that facility's required fee has been paid and its certification has been renewed without this being reflected on the directory.

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04/04/2018Directory U d t d

Facility Name and Address Licensee Name and PhoneMailing Address

By County,Facility Name

Phone Number / Contact Person

Public Directory

Specialty Programs

For Facility Type RCAC

W466 CTY RD KSTODDARD WI 54658(608) 787-6384 JANICE VANEVENHOVENCounty: VERNON

PLEASANT VALLEY SENIORS LLC

W466 CTY RD KSTODDARD WI 54658

Type: Class:

Low/High rate:

RCAC(714) 842-3185JANICE VANEVENHOVEN

CERTIFIED

1,699/2,321M/F - 13

PUBLIC FUNDING

Gender - Total Apartments:

Initial Certification: 04/10/2001

PLEASANT VALLEY SENIORS (0010263)

03/31/2019Certification Fee Due*:

12440 WARPATH LNMINOCQUA WI 54548(715) 356-2911 TYLER PALZKILLCounty: VILAS

LAKE SHORE ASSISTED LIVING LLC

12440 WARPATH LNMINOCQUA WI 54548

Type: Class:

Low/High rate:

RCAC(715) 331-9148TYLER PALZKILL

CERTIFIED

2,500/4,500M/F - 21

PUBLIC FUNDING

Gender - Total Apartments:

Initial Certification: 01/06/2017

LAKE SHORE CEDAR LODGE (0016374)

12/31/2018Certification Fee Due*:

2332 RAILROAD ST HWY 45 NEAGLE RIVER WI 54521(715) 479-8018 TARA TRAUDTCounty: VILAS

MILESTONE SENIOR LIVING LLC

560 water aveHillsboro WI 54634

Type: Class:

Low/High rate:

RCAC(608) 819-2200Bobbi Richardson

CERTIFIED

3,000/4,000 - 16Gender - Total Apartments:

Initial Certification: 02/03/2011

MILESTONE SENIOR LIVING APARTMENTS (0013615)

01/31/2019Certification Fee Due*:

201 TOWNLINE RDLAKE GENEVA WI 53147(262) 248-4558 LAURIE WATROUSCounty: WALWORTH

LAKE GENEVA ASSISTED LIVING OPERATING CO

201 TOWNLINE ROADLAKE GENEVA WI 53147

Type: Class:

Low/High rate:

RCAC(262) 248-4558ANDY KERWIN

CERTIFIED

4,100/5,600M/F - 36Gender - Total Apartments:

Initial Certification: 07/01/2003

ARBOR VILLAGE OF GENEVA CROSSING (0010290)

06/30/2018Certification Fee Due*:

116 CHERRY STWILLIAMS BAY WI 53191(920) 991-9072 DEB HUEBSCHERCounty: WALWORTH

SHERWOOD LODGE LLC

1726 N BALLARD RDAPPLETON WI 54911

Type: Class:

Low/High rate:

RCAC(920) 991-9072ROBERT PARKINS

REGISTERED

2,650/4,400M/F - 39Gender - Total Apartments:

Initial Registration: 10/11/2010

ATRIUM SEN LIV OF WILLIAMS BAY AT SHERWOOD LODG

08/29/2011Certification Fee Due*:

2191 CHURCH STEAST TROY WI 53120(262) 642-9955 MARY READCounty: WALWORTH

MI VIDA BONITA LLC

2191 CHURCH STEAST TROY WI 53120

Type: Class:

Low/High rate:

RCAC(262) 375-9929MARY READ

CERTIFIED

2,950/3,150M/F - 20Gender - Total Apartments:

Initial Certification: 07/27/2006

BROLEN PARK (0011318)

07/31/2018Certification Fee Due*:

270 RIDGE RDWALWORTH WI 53184(262) 275-6103 TIM SCHNAKECounty: WALWORTH

GOLDEN YEARS NURSING HOME INC

270 RIDGE RDWALWORTH WI 53184

Type: Class:

Low/High rate:

RCAC(262) 275-6103RICHARD AUSTIN

REGISTERED

760/2,142M/F - 60Gender - Total Apartments:

Initial Registration: 10/18/2010

GOLDEN YEARS RETIREMENT VILLAGE (0013414)

10/18/2010Certification Fee Due*:

N2270 HWY 67WALWORTH WI 53184(262) 275-6131 JILL SNYDERCounty: WALWORTH

CHRISTIAN LEAGUE FOR THE HANDICAPPED IN

PO BOX 948WALWORTH WI 53184

Type: Class:

Low/High rate:

RCAC(262) 275-6131CRAIG PAPE

CERTIFIED

2,200/6,121M/F - 27Gender - Total Apartments:

Initial Certification: 02/01/2003

INSPIRATION MINISTRIES RCAC (0010323)

01/31/2019Certification Fee Due*:

1255 W MAIN STREETWHITEWATER WI 53190(262) 473-4515 CHAD MURPHYCounty: WALWORTH

CAPRI LIFESTYLES LLC

20875 CROSSROADS CIR SUITE 400WAUKESHA WI 53186

Type: Class:

Low/High rate:

RCAC(262) 798-1224GLEN CHOBAN

CERTIFIED

900/3,500 - 32

PUBLIC FUNDING

Gender - Total Apartments:

Initial Certification: 07/18/2014

MULBERRY GLEN (0015127)

07/31/2018Certification Fee Due*:

Association Approval: WALA

1025 S SECOND STDELAVAN WI 53115(262) 728-2960 CHRISTINA KIESELCounty: WALWORTH

RIDGESTONE COURT RCAC LLC

1025 S SECOND STDELAVAN WI 53115

Type: Class:

Low/High rate:

RCAC(262) 728-2960CHRISTINA KIESEL

CERTIFIED

3,400/4,100M/F - 37Gender - Total Apartments:

Initial Certification: 07/11/2003

RIDGESTONE COURT RCAC LLC (0010357)

07/31/2018Certification Fee Due*:

*The Residential Care Apartment Complex (RCAC) directory is updated quarterly. It is possible that a facility's certification fee due date may appear to have passed since the directory was last updated, when in fact that facility's required fee has been paid and its certification has been renewed without this being reflected on the directory.

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04/04/2018Directory U d t d

Facility Name and Address Licensee Name and PhoneMailing Address

By County,Facility Name

Phone Number / Contact Person

Public Directory

Specialty Programs

For Facility Type RCAC

291 W EVERGREEN PKWYELKHORN WI 53121(262) 743-2960 CHRISTINA KIESELCounty: WALWORTH

RIDGESTONE TERRACE LLC

291 W EVERGREEN PKWYELKHORN WI 53121

Type: Class:

Low/High rate:

RCAC(262) 728-2960CHRISTINA KIESEL

CERTIFIED

3,350/4,000M/F - 41Gender - Total Apartments:

Initial Certification: 06/01/2007

RIDGESTONE TERRACE LLC (0011665)

05/31/2018Certification Fee Due*:

201 GLENVIEW LANESHELL LAKE WI 54871(715) 468-4255 SUSAN WEATHERSCounty: WASHBURN

TH INC

201 GLENVIEW LANESHELL LAKE WI 54871

Type: Class:

Low/High rate:

RCAC(715) 468-7292SUSAN WEATHERS

REGISTERED

1,250/1,55023Gender - Total Apartments:

Initial Registration: 01/01/1998

GLENVIEW (0010257)

01/01/1998Certification Fee Due*:

5577 HOME DRIVEWEST BEND WI 53095(262) 306-2100 JIM WILLIAMSCounty: WASHINGTON

BENEVOLENT CORPORATION CEDAR COMMUN

5577 HOME DRIVEWEST BEND WI 53095

Type: Class:

Low/High rate:

RCAC(262) 306-2100JIM WILLIAMS

REGISTERED

745/1,34554Gender - Total Apartments:

Initial Registration: 12/04/2002

CEDAR BAY EAST (0010311)

12/04/2002Certification Fee Due*:

Association Approval: LeadingAge Wisconsin

5555 CEDAR BAY DRWEST BEND WI 53095(262) 306-2130 AMY MEYERCounty: WASHINGTON

BENEVOLENT CORPORATION CEDAR COMMUN

5555 CEDAR BAY DRWEST BEND WI 53095

Type: Class:

Low/High rate:

RCAC(262) 306-2100AMY MEYER

CERTIFIED

3,625/5,400M/F - 91

PUBLIC FUNDING

Gender - Total Apartments:

Initial Certification: 10/01/2002

CEDAR BAY WEST (0010312)

09/30/2018Certification Fee Due*:

Association Approval: LeadingAge Wisconsin

N109W17110 AVA CIRGERMANTOWN WI 53022(262) 345-1025 MEGAN PRADOCounty: WASHINGTON

CAPRI COMMUNITIES LLC

20875 Crossroads Cir Suite 400WAUKESHA WI 53186

Type: Class:

Low/High rate:

RCAC(262) 798-1224GLEN CHOBAN

CERTIFIED

3,300/4,600 - 48

PUBLIC FUNDING

Gender - Total Apartments:

Initial Certification: 08/08/2008

ENGEL HAUS AT THE GABLES OF GERMANTOWN (THE) (

07/31/2018Certification Fee Due*:

Association Approval: WALA

675 E WASHINGTON STWEST BEND WI 53095(262) 365-6500 JESSICA TRAPPCounty: WASHINGTON

WASHINGTON COUNTY

675 E WASHINGTON STWEST BEND WI 53095

Type: Class:

Low/High rate:

RCAC(262) 365-6500JESSICA TRAPP

CERTIFIED

3,542/4,527M/F - 24

PUBLIC FUNDING

Gender - Total Apartments:

Initial Certification: 06/19/2006

FIELDS OF WASHINGTON COUNTY THE (0011418)

06/30/2018Certification Fee Due*:

Association Approval: LeadingAge Wisconsin

112 PEACE LUTHERAN PKWYHARTFORD WI 53027(262) 345-5590 CHARMAINE KNOLLCounty: WASHINGTON

WISCONSIN LUTHERAN CHILD & FAMILY SERVIC

112 PEACE LUTHERAN PKWYHARTFORD WI 53027

Type: Class:

Low/High rate:

RCAC(262) 345-5530CHARMAINE KNOLL

CERTIFIED

2,125/4,700M/F - 48

PUBLIC FUNDING

Gender - Total Apartments:

Initial Certification: 07/07/2011

GARDENS OF HARTFORD (THE) (0013733)

06/30/2018Certification Fee Due*:

Association Approval: LeadingAge Wisconsin

1038 FOND DU LAC AVEKEWASKUM WI 53040(262) 626-4070 TINA THULLCounty: WASHINGTON

TINA THULL

8735 HWY HHKEWASKUM WI 53040

Type: Class:

Low/High rate:

RCAC(262) 689-9725TINA THULL

CERTIFIED

2,480/3,720M/F - 30Gender - Total Apartments:

Initial Certification: 05/31/2008

KETTLE MORAINE GARDENS RCAC (0012401)

05/31/2018Certification Fee Due*:

N168 W22026 MAIN STJACKSON WI 53037(262) 677-3615 JACKIE CONTRERASCounty: WASHINGTON

SNH SE TENANT TRS INC

400 CENTRE STNEWTON MA 02458

Type: Class:

Low/High rate:

RCAC(617) 796-8350LISA NEWCOMB

CERTIFIED

2,985/6,427M/F - 32

PUBLIC FUNDING

Gender - Total Apartments:

Initial Certification: 12/01/2014

LAKESHORE AT JACKSON CROSSINGS (THE) (0015326)

11/30/2018Certification Fee Due*:

*The Residential Care Apartment Complex (RCAC) directory is updated quarterly. It is possible that a facility's certification fee due date may appear to have passed since the directory was last updated, when in fact that facility's required fee has been paid and its certification has been renewed without this being reflected on the directory.

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Facility Name and Address Licensee Name and PhoneMailing Address

By County,Facility Name

Phone Number / Contact Person

Public Directory

Specialty Programs

For Facility Type RCAC

2130 CONTINENTAL DRWEST BEND WI 53095(262) 438-5801 JOHN WIMANCounty: WASHINGTON

WEST BEND OPS LLC

2130 CONTINENTAL DRWEST BEND WI 53095

Type: Class:

Low/High rate:

RCAC(218) 721-2800JOHN WIMAN

CERTIFIED

2,500/2,500M/F - 105

PUBLIC FUNDING

Gender - Total Apartments:

Initial Certification: 10/20/2011

NEW PERSPECTIVE-WEST BEND (0013626)

10/31/2018Certification Fee Due*:

Association Approval: WALA

1025 BELL AVEHARTFORD WI 53027(920) 378-5839 ANDREA WENDORFCounty: WASHINGTON

CSL HARTFORD LLC

5440 CADDIS BENDFITCHBURG WI 53711

Type: Class:

Low/High rate:

RCAC(972) 308-8387BRIAN JENNINGS

CERTIFIED

3,100/5,200M/F - 28Gender - Total Apartments:

Initial Certification: 05/21/2015

WATERFORD AT HARTFORD (THE) (0015654)

05/31/2018Certification Fee Due*:

W180 N7890 TOWN HALL RDMENOMONEE FALLS WI 53051(262) 253-0909 MARIE D'AMICOCounty: WAUKESHA

ARBORETUM V LLC (THE)

1805 KENSINGTON DRWAUKESHA WI 53188

Type: Class:

Low/High rate:

RCAC(262) 548-5965BETH ANDERSON

CERTIFIED

3,460/4,055M/F - 95

PUBLIC FUNDING

Gender - Total Apartments:

Initial Certification: 12/28/2001

ARBORETUM V LLC (THE) (0010296)

12/31/2018Certification Fee Due*:

222 PARK PLWAUKESHA WI 53186(262) 446-9300 LISA FLECKENSTEINCounty: WAUKESHA

PRESBYTERIAN HOMES & SERVICES

222 PARK PLWAUKESHA WI 53186

Type: Class:

Low/High rate:

RCAC(651) 631-6100LISA FLECKENSTEIN

CERTIFIED

2,895/4,140M/F - 50

PUBLIC FUNDING

Gender - Total Apartments:

Initial Certification: 01/22/2007

AVALON SQUARE (0011712)

01/31/2019Certification Fee Due*:

1061 CECELIA DRPEWAUKEE WI 53072(262) 695-6408 MICHAEL POSTONCounty: WAUKESHA

CECELIA SENIOR HOMES OF WEST ALLIS INC

1437 N SUMMIT AVEOCONOMOWOC WI 53066

Type: Class:

Low/High rate:

RCAC(262) 695-6408GERALD KALLAS

REGISTERED

1,085/1,890M/F - 57Gender - Total Apartments:

Initial Registration: 04/01/2018

CECELIA PLACE ASSISTED LIVING (0017007)

03/31/2019Certification Fee Due*:

365 SUNSET DRDOUSMAN WI 53118(262) 965-7212 DAVE RADEMACHERCounty: WAUKESHA

WISCONSIN MASONIC HOME INC

365 SUNSET DRDOUSMAN WI 53118

Type: Class:

Low/High rate:

RCAC(262) 965-2111DAVE RADEMACHER

CERTIFIED

3,650/5,900M/F - 75

PUBLIC FUNDING

Gender - Total Apartments:

Initial Certification: 03/02/2006

COMPASS POINT (0011251)

02/28/2019Certification Fee Due*:

Association Approval: LeadingAge Wisconsin

13900 W BURLEIGHBROOKFIELD WI 53005(262) 781-0550 CHARLES NELSONCounty: WAUKESHA

CONGREGATIONAL HOME INC

13900 W BURLEIGHBROOKFIELD WI 53004

Type: Class:

Low/High rate:

RCAC(414) 781-0550CHARLES NELSON

REGISTERED

3,380/3,713 - 29Gender - Total Apartments:

Initial Registration: 01/15/1998

CONGREGATIONAL HOME (0010315)

01/15/1998Certification Fee Due*:

3140 LILLY ROADBROOKFIELD WI 53005(262) 781-0550 CHARLES T NELSONCounty: WAUKESHA

CONGREGATIONAL HOME INC

13900 W BURLEIGHBROOKFIELD WI 53005

Type: Class:

Low/High rate:

RCAC(262) 781-0550CHARLES T NELSON

REGISTERED

870/4,995 - 28Gender - Total Apartments:

Initial Registration: 10/04/2004

CONGREGATIONAL HOME (0010760)

10/04/2004Certification Fee Due*:

W156 N4881 PILGRIM RDMENOMONEE FALLS WI 53051(262) 599-8301 KARI AJACKCounty: WAUKESHA

PHW MENOMONEE FALLS INC

W156 N4881 PILGRIM RDMENOMONEE FALLS WI 53051

Type: Class:

Low/High rate:

RCAC(262) 599-8301KARI AJACK

REGISTERED

2,950/4,195M/F - 42Gender - Total Apartments:

Initial Registration: 04/28/2016

DICKSON HOLLOW (0016050)

04/28/2016Certification Fee Due*:

3585 S 147TH STNEW BERLIN WI 53151(262) 789-6600 CONNIE KNAPPCounty: WAUKESHA

HERITAGE-2 LLC

7901 W NATIONAL AVEWEST ALLIS WI 53214

Type: Class:

Low/High rate:

RCAC(414) 302-9700PIERRE VERGER

CERTIFIED

3,200/4,500M/F - 43

PUBLIC FUNDING

Gender - Total Apartments:

Initial Certification: 01/15/2011

HERITAGE AT DEER CREEK (0013469)

01/31/2019Certification Fee Due*:

*The Residential Care Apartment Complex (RCAC) directory is updated quarterly. It is possible that a facility's certification fee due date may appear to have passed since the directory was last updated, when in fact that facility's required fee has been paid and its certification has been renewed without this being reflected on the directory.

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04/04/2018Directory U d t d

Facility Name and Address Licensee Name and PhoneMailing Address

By County,Facility Name

Phone Number / Contact Person

Public Directory

Specialty Programs

For Facility Type RCAC

800 WALL STELM GROVE WI 53122(262) 786-5800 DIANA GASTCounty: WAUKESHA

HERITAGE ASSISTED LIVING LLC

7901 W NATIONAL AVEWEST ALLIS WI 53214

Type: Class:

Low/High rate:

RCAC(952) 351-4540PIERRE VERGER

CERTIFIED

3,500/6,400M/F - 20Gender - Total Apartments:

Initial Certification: 06/05/2014

HERITAGE ELM GROVE H12 (0015093)

05/31/2018Certification Fee Due*:

2975 VILLAGE SQUARE DRHARTLAND WI 53029(262) 367-2975 MICHELLE BURNETTCounty: WAUKESHA

HSL 15 LLC

7901 W NATIONAL AVEWEST ALLIS WI 53214

Type: Class:

Low/High rate:

RCAC(952) 351-4540PIERRE VERGER

CERTIFIED

3,550/6,000M/F - 46Gender - Total Apartments:

Initial Certification: 05/01/2017

HERITAGE LAKE COUNTRY (0016505)

04/30/2018Certification Fee Due*:

17560 WEST NORTH AVEBROOKFIELD WI 53045(262) 782-1948 ELIZABETH RUNDLECounty: WAUKESHA

CAPRI LIFESTYLES LLC

20875 CROSSROADS CIRCLE 400WAUKESHA WI 53186

Type: Class:

Low/High rate:

RCAC(262) 798-1224GLEN CHOBAN

CERTIFIED

1,000/1,625M/F - 50Gender - Total Apartments:

Initial Certification: 09/01/2017

HERITAGE PLACE (0016784)

08/31/2019Certification Fee Due*:

700 QUINLAN DRPEWAUKEE WI 53072(262) 695-5800 SUSAN SEEGERTCounty: WAUKESHA

PRESBYTERIAN HOMES PARTNERS

700 QUINLAN DRPEWAUKEE WI 53072

Type: Class:

Low/High rate:

RCAC(651) 631-6100SUSAN SEEGERT

CERTIFIED

3,265/4,360M/F - 40Gender - Total Apartments:

Initial Certification: 12/01/2002

KIRKLAND CROSSINGS RCAC (0010324)

11/30/2018Certification Fee Due*:

2255 N STONEHEDGE TRLSUMMIT WI 53066(262) 567-4912 JEFFREY HOEHNCounty: WAUKESHA

NSH OCONOMOWOC LLC

5150 N PORT WASHINGTON STE 260GLENDALE WI 53217

Type: Class:

Low/High rate:

RCAC(414) 952-5280JEFFREY HOEHN

CERTIFIEDM/F - 60Gender - Total Apartments:

Initial Certification: 10/01/2017

LAKE COUNTRY LANDING (0016878)

09/30/2018Certification Fee Due*:

1340 WEST WISCONSIN AVENUEOCONOMOWOC WI 53066(262) 560-6913 LISA RECHTCounty: WAUKESHA

LUTHERAN HOMES OF OCONOMOWOC INC

1305 WEST WISCONSIN AVENUEOCONOMOWOC WI 53066

Type: Class:

Low/High rate:

RCAC(262) 560-6913ED SOMERS

CERTIFIED

1,900/3,800M/F - 30

PUBLIC FUNDING

Gender - Total Apartments:

Initial Certification: 09/01/2017

LAKE TERRACE APARTMENTS EAST (0016646)

08/31/2018Certification Fee Due*:

427 N UNIVERSITY DRWAUKESHA WI 53188(262) 524-6400 SUZANNE WHITTYCounty: WAUKESHA

LINDENGROVE INC

425 N UNIVERSITY DRWAUKESHA WI 53188

Type: Class:

Low/High rate:

RCAC(262) 797-4600SUZANNE WHITTY

CERTIFIED

2,895/3,830M/F - 60

PUBLIC FUNDING

Gender - Total Apartments:

Initial Certification: 01/10/2011

LINDENHEIGHTS RCAC (0013325)

12/31/2018Certification Fee Due*:

Association Approval: LeadingAge Wisconsin

841 E VETERANS WAYMUKWONAGO WI 53149(262) 363-6830 JEANNE PICCIONECounty: WAUKESHA

LINDENGROVE INC

841 HWY NN EMUKWONAGO WI 53149

Type: Class:

Low/High rate:

RCAC(262) 797-4600JEANNE PICCIONE

CERTIFIED

3,060/3,775M/F - 57Gender - Total Apartments:

Initial Certification: 07/01/2003

LINDENRIDGE (0010336)

06/30/2018Certification Fee Due*:

Association Approval: LeadingAge Wisconsin

300 E NORTH SHORE DRHARTLAND WI 53029(312) 623-0884 ROXANNE STUTZCounty: WAUKESHA

MATTHEWS SENIOR HOUSING LLC

700 N GREEN ST UNIT 401CHICAGO IL 60642

Type: Class:

Low/High rate:

RCAC(312) 623-0884THOMAS OSTROM

CERTIFIED

3,450/7,000M/F - 20Gender - Total Apartments:

Initial Certification: 06/15/2012

MATTHEWS OF HARTLAND (0014155)

05/31/2018Certification Fee Due*:

1109 CECELIA DRPEWAUKEE WI 53072(262) 695-6413 LESLIE FRITSCHECounty: WAUKESHA

MATTHEWS SENIOR HOUSING LLC

700 N GREEN ST UNIT 401CHICAGO IL 60642

Type: Class:

Low/High rate:

RCAC(312) 462-4462THOMAS OSTROM

CERTIFIED

3,270/6,014M/F - 26Gender - Total Apartments:

Initial Certification: 06/15/2012

MATTHEWS OF PEWAUKEE RCAC (0014153)

05/31/2018Certification Fee Due*:

*The Residential Care Apartment Complex (RCAC) directory is updated quarterly. It is possible that a facility's certification fee due date may appear to have passed since the directory was last updated, when in fact that facility's required fee has been paid and its certification has been renewed without this being reflected on the directory.

Division of Quality AssuranceWisconsin Department of Health Services Page 34

04/04/2018Directory U d t d

Facility Name and Address Licensee Name and PhoneMailing Address

By County,Facility Name

Phone Number / Contact Person

Public Directory

Specialty Programs

For Facility Type RCAC

N84 W17147 MENOMONEE AVEMENOMONEE FALLS WI 53051(262) 255-4441 MARCIA HELLMERCounty: WAUKESHA

TAMARACK AID OPCO LLC

330 N. Wabash, Suite 3700Chicago IL 60611

Type: Class:

Low/High rate:

RCAC(415) 706-9715ATTN: POC/LEGAL

REGISTERED

7,440/10,458M/F - 84Gender - Total Apartments:

Initial Registration: 07/11/2013

MENOMONEE PLACE (0014673)

06/30/2014Certification Fee Due*:

1805 KENSINGTON DRWAUKESHA WI 53188(262) 548-1457 ROBERT BESTCounty: WAUKESHA

OAK HILL TERRACE V LLC

1805 KENSINGTON DRWAUKESHA WI 53188

Type: Class:

Low/High rate:

RCAC(262) 548-5965BETH ANDERSON

CERTIFIED

3,220/3,900M/F - 35Gender - Total Apartments:

Initial Certification: 03/01/2003

OAK HILL TERRACE RCAC (0010356)

02/28/2019Certification Fee Due*:

13750 W NATIONAL AVENEW BERLIN WI 53151(262) 789-1699 STACEY CHENEYCounty: WAUKESHA

PRO HEALTH CARE INC

13750 W NATIONAL AVENEW BERLIN WI 53151

Type: Class:

Low/High rate:

RCAC(262) 544-2249STACEY CHENEY

CERTIFIED

3,465/5,140M/F - 128Gender - Total Apartments:

Initial Certification: 09/30/1998

PRO HEALTH CARE REGENCY SENIOR COM NEW BERLIN

09/30/2018Certification Fee Due*:

W181 S8540 LODGE BLVDMUSKEGO WI 53150(262) 679-0888 NANCY EVANSCounty: WAUKESHA

PRO HEALTH CARE REGENCY SENIOR COMMUN

W181 S8540 LODGE BLVDMUSKEGO WI 53150

Type: Class:

Low/High rate:

RCAC(262) 789-1699NANCY EVANS

CERTIFIED

3,725/5,315M/F - 96

PUBLIC FUNDING

Gender - Total Apartments:

Initial Certification: 02/01/2003

PRO HEALTH CARE REGENCY SENIOR COMM MUSKEGO

01/31/2019Certification Fee Due*:

777 N BROOKFIELD RDBROOKFIELD WI 53045(262) 780-0321 KATHY PEGELOWCounty: WAUKESHA

PRO HEALTH CARE INC

777 N BROOKFIELD RDBROOKFIELD WI 53045

Type: Class:

Low/High rate:

RCAC(262) 544-2249KATHY PEGELOW

CERTIFIED

2,730/5,160M/F - 94

PUBLIC FUNDING

Gender - Total Apartments:

Initial Certification: 07/01/2003

PRO HEALTH CARE REGENCY SENIOR COMMUNITIES (0

06/30/2018Certification Fee Due*:

1305 W WISCONSIN AVEOCONOMOWOC WI 53066(262) 567-8341 LISA RECHTCounty: WAUKESHA

LUTHERAN HOMES OF OCONOMOWOC INC

1305 W WISCONSIN AVEOCONOMOWOC WI 53066

Type: Class:

Low/High rate:

RCAC(262) 567-8341LISA RECHT

CERTIFIED

2,426/5,336M/F - 66

PUBLIC FUNDING

Gender - Total Apartments:

Initial Certification: 11/01/2002

SHOREHAVEN TOWER (0010358)

10/31/2018Certification Fee Due*:

Association Approval: LeadingAge Wisconsin

2501 SUMMIT AVEWAUKESHA WI 53188(262) 521-1388 MARY HARTMANNCounty: WAUKESHA

CAPRI LIFESTYLES LLC

20875 Crossroads Cir Suite 400Waukesha WI 53186

Type: Class:

Low/High rate:

RCAC(262) 798-1224GLEN CHOBAN

CERTIFIED

750/3,300 - 52

PUBLIC FUNDING

Gender - Total Apartments:

Initial Certification: 08/01/2011

SUMMIT WOODS (0013805)

07/31/2018Certification Fee Due*:

Association Approval: WALA

S77 W12929 MCSHANE DRMUSKEGO WI 53150(414) 529-0100 SHANNA ECKBERGCounty: WAUKESHA

AMERICAN BAPTIST HOMES OF THE MIDWEST

S77 W12929 MCSHANE DRMUSKEGO WI 53150

Type: Class:

Low/High rate:

RCAC(800) 536-3175SHANNA ECKBER

REGISTERED

1,025/1,85340Gender - Total Apartments:

Initial Registration: 07/15/2004

TUDOR OAKS (0010499)

07/15/2004Certification Fee Due*:

S77 W12929 MCSHANE DRMUSKEGO WI 53150(414) 529-0100 DIANE JAHNKECounty: WAUKESHA

AMERICAN BAPTIST HOMES OF THE MIDWEST

S77 W12929 MCSHANE DRMUSKEGO WI 53150

Type: Class:

Low/High rate:

RCAC(800) 536-3175DIANE JAHNKE

CERTIFIED

3,679/6,973M/F - 28

PUBLIC FUNDING

Gender - Total Apartments:

Initial Certification: 08/30/2012

TUDOR OAKS WINDSOR HOUSE (0014206)

08/31/2018Certification Fee Due*:

S77 W12929 MCSHANE DRMUSKEGO WI 53150(414) 529-0100 DIANE JAHNKECounty: WAUKESHA

AMERICAN BAPTIST HOMES OF THE MIDWEST

S77 W12929 MCSHANE DRMUSKEGO WI 53150

Type: Class:

Low/High rate:

RCAC(800) 536-3175DIANE JAHNKE

CERTIFIED

3,679/6,973M/F - 15

PUBLIC FUNDING

Gender - Total Apartments:

Initial Certification: 08/30/2012

TUDOR OAKS WINDSOR MANOR (0014205)

08/31/2018Certification Fee Due*:

*The Residential Care Apartment Complex (RCAC) directory is updated quarterly. It is possible that a facility's certification fee due date may appear to have passed since the directory was last updated, when in fact that facility's required fee has been paid and its certification has been renewed without this being reflected on the directory.

Division of Quality AssuranceWisconsin Department of Health Services Page 35

04/04/2018Directory U d t d

Facility Name and Address Licensee Name and PhoneMailing Address

By County,Facility Name

Phone Number / Contact Person

Public Directory

Specialty Programs

For Facility Type RCAC

999 EAST SUMMIT AVEOCONOMOWOC WI 53066(262) 567-1166 JEAN WARNERCounty: WAUKESHA

WILKINSON WOODS V LLC

1805 KENSINGTON DRWAUKESHA WI 53188

Type: Class:

Low/High rate:

RCAC(262) 548-5965BETH ANDERSON

CERTIFIED

3,865/4,590M/F - 51Gender - Total Apartments:

Initial Certification: 02/01/2003

WILKINSON WOODS V LLC (0010378)

01/31/2019Certification Fee Due*:

38 N MAIN STCLINTONVILLE WI 54929(715) 823-4344 DEBRA ROTHCounty: WAUPACA

ASHFORD MARTIN CORPORATION

1500 N CASALOMA DR STE 300APPLETON WI 54913

Type: Class:

Low/High rate:

RCAC(920) 832-8094PATRICIA MARTIN

CERTIFIED

3,125/5,245M/F - 63Gender - Total Apartments:

Initial Certification: 12/02/2014

ASTER ASSISTED LIVING OF CLINTONVILLE (0015337)

11/30/2018Certification Fee Due*:

50 SHADOW WOODS LANEWAUPACA WI 54981(715) 258-5521 PAULINE DARLINGCounty: WAUPACA

BETHANY HOME INC

50 SHADOW WOODS LANEWAUPACA WI 54981

Type: Class:

Low/High rate:

RCAC(715) 258-5521PAULINE DARLING

REGISTERED

717/1,797 - 40Gender - Total Apartments:

Initial Registration: 02/01/1998

BETHANY PINES (0010360)

02/01/1998Certification Fee Due*:

Association Approval: LeadingAge Wisconsin

505 WEST IOLA STREETIOLA WI 54945(715) 445-4440 TANYA PEOTTERCounty: WAUPACA

IOLA LIVING ASSISTANCE INC

505 WEST IOLA STREETIOLA WI 54945

Type: Class:

Low/High rate:

RCAC(715) 445-2412TANYA PEOTTER

CERTIFIED

2,550/3,604M/F - 24

PUBLIC FUNDING

Gender - Total Apartments:

Initial Certification: 09/19/2007

LIVING OAKS (0011839)

08/31/2018Certification Fee Due*:

Association Approval: LeadingAge Wisconsin

950 COUNTY RD QQWAUPACA WI 54981(715) 256-1390 KELLEY ROBINSONCounty: WAUPACA

PARK VISTA SENIOR HOUSING MANAGEMENT L

132 6TH AVENUE SOUTHCLINTON IA 52732

Type: Class:

Low/High rate:

RCAC(215) 913-5334KELLEY ROBINSON

CERTIFIED

1,924/3,354M/F - 88

PUBLIC FUNDING

Gender - Total Apartments:

Initial Certification: 09/10/2014

PARK VISTA RETIREMENT LIVING WAUPACA (0015200)

08/31/2018Certification Fee Due*:

500 W WASHINGTON STNEW LONDON WI 54961(920) 982-5354 GIDGET BLANKCounty: WAUPACA

ST JOSEPH RESIDENCE THE WASHINGTON CEN

500 W WASHINGTON STNEW LONDON WI 54961

Type: Class:

Low/High rate:

RCAC(920) 982-5354GIDGET BLANK

CERTIFIED

2,555/3,055M/F - 33

PUBLIC FUNDING

Gender - Total Apartments:

Initial Certification: 03/22/2006

WASHINGTON CENTER THE (0011417)

03/31/2019Certification Fee Due*:

Association Approval: LeadingAge Wisconsin

668 W CUMMINGS RDWAUTOMA WI 54982(920) 787-2467 BEVERLY WALKERCounty: WAUSHARA

HEARTLAND HOUSE INC

668 W CUMMINGS RDWAUTOMA WI 54982

Type: Class:

Low/High rate:

RCAC(920) 787-5817JOSIAH GROTHE

CERTIFIED

2,350/4,500M/F - 41

PUBLIC FUNDING

Gender - Total Apartments:

Initial Certification: 01/17/2013

HEARTLAND HOUSE RCAC (0014478)

01/31/2019Certification Fee Due*:

401 PRESTON LNREDGRANITE WI 54970(920) 566-0790 DAWN WILSONCounty: WAUSHARA

PRESTON PLACE INC

401 PRESTON LNREDGRANITE WI 54970

Type: Class:

Low/High rate:

RCAC(920) 566-0790DAWN WILSON

CERTIFIED

2,000/3,350M/F - 40

PUBLIC FUNDING

Gender - Total Apartments:

Initial Certification: 06/10/2013

PRESTON PLACE RCAC (0014633)

05/31/2018Certification Fee Due*:

N2641 17TH LANEWAUTOMA WI 54982(920) 787-7141 RUTH ROWECounty: WAUSHARA

SILVER LAKE MANOR LLC

PO BOX 1267WAUTOMA WI 54982

Type: Class:

Low/High rate:

RCAC(920) 787-7141RICHARD GOHLKE

CERTIFIED

550/550M/F - 12Gender - Total Apartments:

Initial Certification: 06/03/2008

SILVER LAKE MANOR RCAC (0012407)

05/31/2018Certification Fee Due*:

1537 LYON DRIVENEENAH WI 54956(920) 727-5544 THERESA PICHELMEYERCounty: WINNEBAGO

VNA APARTMENTS INC

1537 LYON DRIVENEENAH WI 54956

Type: Class:

Low/High rate:

RCAC(920) 727-5555THERESA PICHELMEYER

REGISTERED

2,200/3,00032Gender - Total Apartments:

Initial Registration: 10/02/2002

ALEXANDRITE MANOR VNA APARTMENTS (0010359)

10/02/2002Certification Fee Due*:

*The Residential Care Apartment Complex (RCAC) directory is updated quarterly. It is possible that a facility's certification fee due date may appear to have passed since the directory was last updated, when in fact that facility's required fee has been paid and its certification has been renewed without this being reflected on the directory.

Division of Quality AssuranceWisconsin Department of Health Services Page 36

04/04/2018Directory U d t d

Facility Name and Address Licensee Name and PhoneMailing Address

By County,Facility Name

Phone Number / Contact Person

Public Directory

Specialty Programs

For Facility Type RCAC

631 HAZEL STOSHKOSH WI 54901(920) 233-6667 BECKI KIEFERCounty: WINNEBAGO

SL HAZEL OSHKOSH LLC

631 HAZEL STOSHKOSH WI 54901

Type: Class:

Low/High rate:

RCAC(312) 673-4333BECKI KIEFER

CERTIFIED

2,140/4,680M/F - 96

PUBLIC FUNDING

Gender - Total Apartments:

Initial Certification: 07/10/2013

BELLA VISTA (0014668)

06/30/2018Certification Fee Due*:

130 BYRD AVENEENAH WI 54956(920) 378-5839 NIKITA FLORESCounty: WINNEBAGO

EMERALD RIDGE ASSISTED LIVING LLC

3232 N BALLARD RD SUITE 202APPLETON WI 54911

Type: Class:

Low/High rate:

RCAC(920) 378-5839KATHERINE TEGEN

CERTIFIED

2,700/4,000M/F - 45Gender - Total Apartments:

Initial Certification: 02/01/2016

EMERALD RIDGE ASSISTED LIVING LLC (0016035)

01/31/2019Certification Fee Due*:

1130 NORTH WESTFIELD STREETOSHKOSH WI 54901(920) 426-7366 STACEY LICTENSTEIGERCounty: WINNEBAGO

EVERGREEN RETIREMENT COMMUNITY INC

1130 NORTH WESTFIELD STREETOSHKOSH WI 54901

Type: Class:

Low/High rate:

RCAC(920) 233-2340STACEY LICTENSTEIGER

REGISTERED

921/921M/F - 20Gender - Total Apartments:

Initial Registration: 09/25/1998

EVERGREEN GARDEN PLACE (0010361)

09/25/1998Certification Fee Due*:

Association Approval: LeadingAge Wisconsin

215 N WESTFIELD STOSHKOSH WI 54902(920) 236-0700 KIM BAUERCounty: WINNEBAGO

LUTHERAN HOMES OF OSHKOSH INC

215 N WESTFIELD STOSHKOSH WI 54902

Type: Class:

Low/High rate:

RCAC(920) 235-3454KIM BAUER

REGISTERED

2,010/2,70039Gender - Total Apartments:

Initial Registration: 03/14/1997

GABRIELS VILLA (0010363)

03/14/1997Certification Fee Due*:

Association Approval: LeadingAge Wisconsin

2600 S HERITAGE WOODS DRAPPLETON WI 54915(920) 738-3000 DONNA SCHOENCounty: WINNEBAGO

THEDACARE INC

2600 S HERITAGE WOODS DRAPPLETON WI 54915

Type: Class:

Low/High rate:

RCAC(920) 735-5560DONNA SCHOEN

REGISTERED

1,016/2,031 - 137Gender - Total Apartments:

Initial Registration: 06/08/2001

HERITAGE ASSISTED LIVING (0010366)

06/08/2001Certification Fee Due*:

Association Approval: LeadingAge Wisconsin

131 E NORTH WATER STNEENAH WI 54956(920) 980-4055 LISA OLEJNICZAKCounty: WINNEBAGO

SL NEENAH LLC

131 E NORTH WATER STNEENAH WI 54956

Type: Class:

Low/High rate:

RCAC(312) 673-4333LISA OLEJNICZAK

CERTIFIED

2,600/5,000M/F - 101

PUBLIC FUNDING

Gender - Total Apartments:

Initial Certification: 07/10/2013

ISLAND SHORES (0014664)

06/30/2018Certification Fee Due*:

2601 TOUCHMARK DRAPPLETON WI 54914(920) 832-9100 BARB PANDOLFOCounty: WINNEBAGO

TOUCHMARK LIVING CENTERS

2601 TOUCHMARK DRAPPLETON WI 54914

Type: Class:

Low/High rate:

RCAC(503) 646-5186BARB PANDOLFO

REGISTERED

2,325/3,29576Gender - Total Apartments:

Initial Registration: 06/27/2001

TOUCHMARK ON WEST PROSPECT (0010375)

06/27/2001Certification Fee Due*:

1175 BLUE IRIS CTWISCONSIN RAPIDS WI 54494(715) 712-1299 KARLA BLENKERCounty: WOOD

CRYSTAL FOUNTAINS ASSISTED LIVING LLC

3450 BRIDLEWOOD DRIVEPLOVER WI 54467

Type: Class:

Low/High rate:

RCAC(715) 342-9100PATRICIA J ARNOLD

CERTIFIED

3,100/4,115M/F - 48

PUBLIC FUNDING

Gender - Total Apartments:

Initial Certification: 12/22/2008

ARBORWOOD LODGE (0012659)

12/31/2018Certification Fee Due*:

1400 RIVER RUN DRWISCONSIN RAPIDS WI 54494(715) 421-1400 MELISSA KOWALESKICounty: WOOD

WISCONSIN RAPIDS HOUSING LLC

930 E CLIFFORD STPLYMOUTH WI 53073

Type: Class:

Low/High rate:

RCAC(715) 421-1400LISA GERING

REGISTERED

2,850/3,775M/F - 39Gender - Total Apartments:

Initial Registration: 12/08/2014

ATRIUM SENIOR LIVING OF WIS RAPIDS AT RIVER RUN (0

12/08/2014Certification Fee Due*:

1400 24TH ST SWISCONSIN RAPIDS WI 54494(715) 423-7400 ANITA WHETSTONECounty: WOOD

HILLTOP GRAND VILLAGE INC

1400 24TH ST SWISCONSIN RAPIDS WI 54494

Type: Class:

Low/High rate:

RCAC(715) 423-7400ANITA WHETSTONE

CERTIFIED

3,650/4,750M/F - 40Gender - Total Apartments:

Initial Certification: 04/11/2017

HILLTOP GRAND VILLAGE INC (0016627)

03/31/2019Certification Fee Due*:

*The Residential Care Apartment Complex (RCAC) directory is updated quarterly. It is possible that a facility's certification fee due date may appear to have passed since the directory was last updated, when in fact that facility's required fee has been paid and its certification has been renewed without this being reflected on the directory.

Division of Quality AssuranceWisconsin Department of Health Services Page 37

04/04/2018Directory U d t d

Facility Name and Address Licensee Name and PhoneMailing Address

By County,Facility Name

Phone Number / Contact Person

Public Directory

Specialty Programs

For Facility Type RCAC

145 N CEDAR STNEKOOSA WI 54457(715) 886-5353 JEFFREY HOEHNCounty: WOOD

NSH NEKOOSA LLC

5150 N PORT WASHINGTON STE 260GLENDALE WI 53217

Type: Class:

Low/High rate:

RCAC(414) 962-5250JEFFREY HOEHN

CERTIFIED

1,153/6,111M/F - 56Gender - Total Apartments:

Initial Certification: 10/01/2017

NEKOOSA COURT (0016877)

09/30/2018Certification Fee Due*:

1500 PEPPER AVEWISCONSIN RAPIDS WI 54494(715) 424-6500 LINDA WEINZINGERCounty: WOOD

RENNES ASSISTED LIVING CORP

1500 PEPPER AVEWISCONSIN RAPIDS WI 54494

Type: Class:

Low/High rate:

RCAC(715) 582-2200LINDA WEINZINGER

CERTIFIED

2,800/3,975M/F - 79

PUBLIC FUNDING

Gender - Total Apartments:

Initial Certification: 10/27/2009

RENAISSANCE (THE) (0013051)

10/31/2018Certification Fee Due*:

*The Residential Care Apartment Complex (RCAC) directory is updated quarterly. It is possible that a facility's certification fee due date may appear to have passed since the directory was last updated, when in fact that facility's required fee has been paid and its certification has been renewed without this being reflected on the directory.