Victory Vision Community Living North

Penalties

• — DQA enforcement letter ($10)

Inspection findings

Nursing homes: CMS Care Compare inspections (last three cycles), penalties and ownership. Assisted living: DHS directory data and statements of deficiencies DHS has posted since October 2026; older survey documents are on the DQA Provider Search. An absence of findings here does not mean a clean record.

1. Jul 10, 2026 DQA survey · 3 findings
   • Severity not stated

     N 0396 83.36(1)(a) Adequate Staff To Meet

     Based on observation and interview, the provider did not ensure the facility had 2 grade level or ramped exits to grade. The provider only had 1 emergency exit ramped to grade. This is a repeat deficiency. See Statement of Deficiency (SOD) 217G11, dated 10/10/2025 and SOD 217G12, dated 03/10/2026. Findings include: The provider is a Class CNA (nonambulatory) facility licensed to serve up to 6 residents. On 07/08/2026 at 1:55 p.m., Surveyor toured the provider's facility with Care Coordinator B to observe emergency exits. Surveyor observed the provider's evacuation diagram, which identified a side exit as an emergency exit. Surveyor observed a ramp that was installed from the door to the concrete path. The ramp had a rise of 2.5 inches on the right, a rise of 2 inches on the left and an approximately 7.5-inch length. The ramp was not even and resulted in a drop from the door jamb (Photo 1). {N 631}Continued From page 7{N 631} On 07/08/2026 at 1:57 p.m., Surveyor interviewed Care Coordinator B regarding the ramp. Surveyor shared concern that the ramp did not appear level, had a drop down and did not appear in compliance with the Americans with Disabilities Act's ramp requirements. Ca

     Statement of deficiencies (PDF)

   • Severity not stated

     N 396 83.36(1)(a) Adequate staff to meet resident

     Based on observation, interview and record review, the provider did not ensure staffing was provided in sufficient numbers to meet the needs of residents. The provider, which cared for 1 resident that required 1:1 supervision for 16 hours/day and 5 other residents that required assistance, did not staff with 2 caregivers present for 16 hours/day to meet the needs of residents. This is a repeat deficiency. See Statement of Deficiency (SOD) 65W911, dated 02/09/2021. Findings include: The provider is licensed to serve up to 6 residents with diagnoses including emotionally disturbed/mental illness, physically disabled, traumatic brain injury, developmentally disabled and advanced age. On 07/08/2026 at 11:30 a.m., Surveyor arrived to the provider's facility and observed Caregiver E was the only caregiver present. Five residents (Resident 1, Resident 2, Resident 3, Resident 4 and Resident 5) were present. Caregiver E reported Resident 6 had just left for work. Caregiver E reported s/he had been the only caregiver present since 10:00 a.m. Caregiver E confirmed Resident 1 required 1:1 supervision at the time and that s/he was responsible for Resident 1's supervision as well as the cares of

     Statement of deficiencies (PDF)

   • Severity not stated

     N 399 83.36(2) Maintain current written staffing

     Based on record review and interview, the provider did not ensure a staff schedule that included each employee's full name, job assignment and time worked was maintained. Findings include: On 07/08/2026 at 1:50 p.m., Surveyor reviewed employee schedules, dated 06/08/2026 to 07/05/2026 provided by Licensee C. Surveyor noted the following dates did not identify any caregiver working: - 06/10/2026 8:00 p.m. to 06/11/2026 8:00 a.m. - 06/11/2026 8:00 p.m. to 06/12/2026 10:00 a.m. - 06/12/2026 8:00 p.m. to 06/15/2026 at 8:00 a.m. - 06/19/2026 8:00 a.m. to 4:00 p.m. - 06/19/2026 8:00 p.m. to 06/20/2026 10:00 a.m. - 06/20/2026 6:00 p.m. to 06/21/2026 10:00 a.m. - 06/21/2026 6:00 p.m. to 06/22/2026 10:00 a.m. - 06/23/2026 10:00 a.m. to 12:00 p.m. - 06/24/2026 8:00 p.m. to 06/25/2026 8:00 a.m. - 06/25/2026 8:00 p.m. to 06/26/2026 8:00 a.m. - 06/26/2026 8:00 p.m. to 06/29/2026 8:00 a.m. - 06/30/2026 10:00 a.m. to 12:00 p.m. - 07/01/2026 8:00 p.m. to 07/02/2026 8:00 a.m. - 07/02/2026 8:00 p.m. to 07/03/2026 8:00 a.m. - 07/03/2026 6:00 p.m. through 07/05/2026 11:59 p.m. On 07/08/2026 at approximately 5:00 p.m., Licensee C acknowledged the schedules were incomplete. Licensee C stated the concern

     Statement of deficiencies (PDF)