RCAC Assisted Living Directory by Facility Name (PDF)

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					Wisconsin Department                                         Division of Quality Assurance                                               Directory Updated 06/02/2011
of Health Services                                                                                                                                   Page 1
                                                                  CENTRAL OFFICE

                                                              Public Directory
                                                                 By County, Facility Name
                                                                 For Facility Type RCAC

Facility Name and Address                     Licensee Name and Phone
Phone Number / Contact Person                 Mailing Address                                                                          Specialty Programs


BARRON MEMORIAL MED CNTR MAYO HEALT (00116   BARRON MEMORIAL MED CNTR-MAYO HEALTH                     Type:              RCAC
1222 E WOODLAND AVE                          (715) 537-3186                                           Class:             REGISTERED
BARRON WI 54812                              KELLI HELGOE                      Gender - Total Apartments:                M/F - 36
(715) 537-3186 KELLI HELGOE                  1222 E WOODLAND AVE                              Low/High rate:             791/1,066
County: BARRON                               BARRON WI 54812                          Initial Registration:              08/11/2006

BRENTWOOD SENIOR COMMUNITIES (0011336)       DAVID BARTA                                                         Type:  RCAC
633 CAMERON RD                               (715) 537-3393                                                     Class:  CERTIFIED
RICE LAKE WI 54868                           DAVID BARTA                                  Gender - Total Apartments: M/F - 5
(715) 736-7400 DEREN WILDER                  P O BOX 155                                                 Low/High rate: 2,995/3,950

County: BARRON                               BARRON WI 54812                                     Initial Certification: 03/03/2006


PELICAN PLACE APARTMENTS (0013402)           CITY OF CHETEK                                                      Type:  RCAC
708 TAINTER ST                               (715) 924-4838                                                     Class:  CERTIFIED
CHETEK WI 54728                              DAVID WEST                                   Gender - Total Apartments: M/F - 14
(715) 924-4891 DAVID WEST                    725 KNAPP ST                                                Low/High rate: 930/1,130

County: BARRON                               CHETEK WI 54728                                     Initial Certification: 07/21/2010


THOMAS LANDING (0012946)                     WELCOME HOME HEALTH CARE INC                                        Type:  RCAC
950 BEAR PAW AVENUE                          (320) 587-0005                                                     Class:  CERTIFIED
RICE LAKE WI 54868                           DEAN BLOEMKE                                 Gender - Total Apartments: M/F - 38
(715) 736-6060 SUZANNE KANZENBACH            950 BEAR PAW AVENUE                                         Low/High rate: 2,500/3,450

County: BARRON                               RICE LAKE WI 54868                                  Initial Certification: 09/01/2009


CHEQUAMEGON AREA ASSISTED LIVING (0013599)   MARTINSEN CARE FACILITIES LLC                                           RCAC
                                                                                                                 Type:

320 SUPERIOR                                 (715) 682-9009                                                          REGISTERED
                                                                                                                Class:

WASHBURN WI 54891                            RICHARD CARBON                               Gender - Total Apartments: M/F - 12
(715) 292-9451 RICHARD CARBON                224-22ND AVE W                                             Low/High rate:

County: BAYFIELD                             ASHLAND WI 54806                                    Initial Registration:   12/07/2010

BELLEVUE (0012798)                           FOUR CITIES-CRL SERVICES LLC                                        Type:  RCAC
1660 HOFFMAN RD                              (312) 794-8400                                                     Class:  REGISTERED
GREEN BAY WI 54311                           DOUGLAS CAMERON                              Gender - Total Apartments: M/F - 126
(920) 337-0771 MICHAEL MUNTER                875 N MICHIGAN AVE STE 3740                                 Low/High rate: 2,975/3,950

County: BROWN                                CHICAGO IL 60611                                    Initial Registration: 04/15/2009


BROOKVIEW MEADOWS (0012536)                  BROOKVIEW MEADOWS, LLC                                              Type:  RCAC
1740 CONDOR LN STE A                         (920) 434-1200                                                     Class:  REGISTERED
GREEN BAY WI 54313                           PEGGY BESAW                                  Gender - Total Apartments: M/F - 77
(920) 434-1200 PEGGY BESAW                   1740 CONDOR LN STE A                                        Low/High rate: 1,225/1,765

County: BROWN                                GREEN BAY WI 54313                                  Initial Registration: 09/11/2008


CREEKSIDE SENIOR LIVING (0012934)            ELDER INNOVATIONS LLC                                               Type:  RCAC
246 BERGER ST                                (608) 256-4242                                                     Class:  CERTIFIED
GREEN BAY WI 54302                           DOUG HENNIG                                  Gender - Total Apartments: M/F - 59
(920) 468-9174 JENNIFER FABRY                5976 EXECUTIVE DR STE B                                     Low/High rate: 1,576/3,026

County: BROWN                                MADISON WI 53719                                    Initial Certification: 08/04/2009


MORAINE RIDGE (0013688)                      MORAINE RIDGE LLC DBA MORAINE RIDGE SE                      Type:           RCAC          PUBLIC FUNDING
2929 SAINT ANTHONY DR                        (608) 216-9213                                              Class:          CERTIFIED
GREEN BAY WI 54311                           DOUG HENNIG                         Gender - Total Apartments:              M/F - 30
(920) 468-3111 CARYN FORREST                 5976 EXECUTIVE DR STE B                            Low/High rate:

County: BROWN                                MADISON WI 53719                           Initial Certification:           03/29/2011

REBEKAH HAVEN (0010347)                      ODD FELLOW REBEKAH HOME ASSOCIATION                       Type:             RCAC          PUBLIC FUNDING
826 GRIGNON ST                               (920) 437-6523                                            Class:            CERTIFIED
GREEN BAY WI 54301                           TRUDEY PETERSON                   Gender - Total Apartments:                M/F - 20
(920) 435-4810 CASSANDRA STREMER             822 GRIGNON ST                                   Low/High rate:             2,775/4,350
County: BROWN                                GREEN BAY WI 54301                       Initial Certification:             02/01/1998

RENAISSANCE - DE PERE (THE) (0010372)        RENNES ASSISTED LIVING CORP                                         Type:  RCAC
250 SOUTH 9TH STREET                                                                                            Class:  REGISTERED
DE PERE WI 54115                             NANCY GERING-GRALEWSKI                       Gender - Total Apartments: 71
(920) 983-5100 NANCY GERING-GRALEWSKI        250 SOUTH 9TH STREET                                        Low/High rate: 2,050/2,900

County: BROWN                                DE PERE WI 54115                                    Initial Registration: 06/15/1998
Wisconsin Department                                           Division of Quality Assurance                                             Directory Updated 06/02/2011
of Health Services                                                                                                                                   Page 2
                                                                    CENTRAL OFFICE

                                                                Public Directory
                                                                   By County, Facility Name
                                                                   For Facility Type RCAC

Facility Name and Address                        Licensee Name and Phone
Phone Number / Contact Person                    Mailing Address                                                                       Specialty Programs


WAYSIDE PARKVIEW ESTATES (0010376)              WAYSIDE PARKVIEW ESTATES LLC                                    Type:    RCAC
3838 CHURCH VIEW CT                             (920) 864-2702                                                  Class:   REGISTERED
GREENLEAF WI 54126                              ANNE ZASTROW                               Gender - Total Apartments: 18
(920) 864-2702 NEAL ZASTROW                     3838 CHURCH VIEW CT                                       Low/High rate: 1,345/2,745

County: BROWN                                   GREENLEAF WI 54126                                Initial Registration: 09/08/2003


HOMEPLACE OF MONDOVI LLC (THE) (0010250)        HOMEPLACE OF MONDOVI LLC (THE)                                  Type:    RCAC          PUBLIC FUNDING
158 EAST MAIN STREET                            (715) 644-2136                                                  Class:   CERTIFIED
MONDOVI WI 54755                                JILL TALLMAN                               Gender - Total Apartments: 21
(715) 926-4777 JILL TALLMAN                     225 E 4TH AVENUE                                          Low/High rate: 410/440

County: BUFFALO                                 STANLEY WI 54768                                  Initial Certification: 06/01/1999


CHIPPEWA MANOR RETIREMENT CENTER (0010254)      CHIPPEWA MANOR HOME HEALTH CARE CORP                     Type:           RCAC
756 IRVINE STREET                               (715) 726-2123                                           Class:          REGISTERED
CHIPPEWA FALLS WI 54729                         KAREN DAVIS-ROBINSON              Gender - Total Apartments:             95
(715) 726-2123 KAREN DAVIS-ROBINSON             756 IRVINE STREET                                Low/High rate:          1,482/1,669
County: CHIPPEWA                                CHIPPEWA FALLS WI 54729                  Initial Registration:           06/20/1997

COMFORTS OF HOME - CHIPPEWA FALLS R (0011498)   CHIPPEWA FALLS RCAC LLC                                         Type:    RCAC          PUBLIC FUNDING
1224 PUMPHOUSE RD                               (651) 287-0265                                                  Class:   CERTIFIED
CHIPPEWA FALLS WI 54729                         RHONDA SCHILLINGER                         Gender - Total Apartments: M/F - 21
(715) 726-2527 JACKIE JUAN                      720 MAIN ST STE 205                                       Low/High rate: 2,525/4,979

County: CHIPPEWA                                MENDOTA HEIGHTS MN 55118                          Initial Certification: 07/01/2006


HOMEPLACE OF STANLEY LLC (THE) (0011165)        JILL TALLMAN                                                    Type:    RCAC          PUBLIC FUNDING
225 E FOURTH AVE                                (715) 644-2137                                                  Class:   CERTIFIED
STANLEY WI 54768                                JILL/JAMES TALLMAN                         Gender - Total Apartments: 36
(715) 644-2136 FAYE AMBROSE                     225 E FOURTH AVE                                          Low/High rate: 660/880

County: CHIPPEWA                                STANLEY WI 54768                                  Initial Certification: 11/04/2005


ROSE GARDEN (0013502)                           ROSE GARDEN ASSISTED LIVING LLC                                 Type:    RCAC
1900 PRIDDY ST                                  (715) 568-2503                                                  Class:   REGISTERED
BLOOMER WI 54724                                RACHEL BEE                                 Gender - Total Apartments: M/F - 18
(715) 568-2503 MOSHE ORLINSKY                   1900 PRIDDY ST                                            Low/High rate: 2,759/3,689

County: CHIPPEWA                                BLOOMER WI 54724                                  Initial Registration: 12/13/2010


WISSOTA SPRINGS (0011409)                       ALC OPERATING LLC                                               Type:    RCAC
2801 CTY HWY I                                  (262) 250-4500                                                  Class:   REGISTERED
CHIPPEWA FALLS WI 54729                         MARY NEWMAN                                Gender - Total Apartments: 70
(715) 720-9710 MARY NEWMAN                      2801 CTY HWY I                                            Low/High rate: 905/2,200

County: CHIPPEWA                                CHIPPEWA FALLS WI 54729                           Initial Registration: 02/24/2006


COLBY RETIREMENT COMMUNITY (0011896)            MIDWEST SENIOR LIVING                                           Type:    RCAC          PUBLIC FUNDING
510 W WAUSAU ST                                 (608) 316-1291                                                  Class:   CERTIFIED
COLBY WI 54421                                  CHET BRADEEN                               Gender - Total Apartments: M/F - 24
(715) 223-1612 LEANNE OELRICH                   5900 MONONA DR                                            Low/High rate: 2,885/2,885

County: CLARK                                   MADISON WI 53716                                  Initial Certification: 03/22/2007


NEILLSVILLE RETIREMENT COMMUNITY (0011895)      MIDWEST SENIOR LIVING                                           Type:    RCAC          PUBLIC FUNDING
1211 LLOYD ST                                   (608) 316-1291                                                  Class:   CERTIFIED
NEILLSVILLE WI 54456                            CHET BRADEEN                               Gender - Total Apartments: M/F - 24
(715) 743-6700 SUE PETERSON                     5900 MONONA DR                                            Low/High rate: 2,860/2,860

County: CLARK                                   MADISON WI 53716                                  Initial Certification: 03/22/2007


TRADITIONS ASSISTED LIVING (0013002)            B K ANDERSON LLC                                                Type:    RCAC
418 E STANLEY STREET                            (715) 669-3844                                                  Class:   REGISTERED
THORP WI 54771                                  JASON HAZUGA                               Gender - Total Apartments: M/F - 12
(715) 456-4269 JASON HAZUGA                     418 E STANLEY STREET                                      Low/High rate: 2,200/2,750

County: CLARK                                   THORP WI 54771                                    Initial Registration: 01/20/2010


HERITAGE HOUSE RCAC (0012398)                   HEARTLAND PRESTON INC                                           Type:    RCAC          PUBLIC FUNDING
2685 AIRPORT RD                                 (920) 570-1766                                                  Class:   CERTIFIED
PORTAGE WI 53901                                DONALD GROTHE                              Gender - Total Apartments: M/F - 66
(608) 745-3312 DONALD GROTHE                    668 W CUMMINGS RD                                         Low/High rate: 1,900/3,400

County: COLUMBIA                                WAUTOMA WI 54982                                  Initial Certification: 05/31/2008
Wisconsin Department                                        Division of Quality Assurance                                              Directory Updated 06/02/2011
of Health Services                                                                                                                                 Page 3
                                                                  CENTRAL OFFICE

                                                             Public Directory
                                                                By County, Facility Name
                                                                For Facility Type RCAC

Facility Name and Address                     Licensee Name and Phone
Phone Number / Contact Person                 Mailing Address                                                                        Specialty Programs


MEADOWS OF FALL RIVER (THE) (0013097)        THE MEADOWS OF FALL RIVER, LLC                                  Type:    RCAC           PUBLIC FUNDING
101 HOMETOWN AVE                             (608) 317-6384                                                  Class:   CERTIFIED
FALL RIVER WI 53932                                                                     Gender - Total Apartments: M/F - 38
(608) 318-1180 ROBERT SIMONSON               PO BOX 1255                                               Low/High rate: 2,600/3,150

County: COLUMBIA                             SUN PRAIRIE WI 53590                              Initial Certification: 01/01/2010


OUR HOUSE SENIOR LIVING (0013662)            KSMS OUR HOUSE                                                  Type:    RCAC           PUBLIC FUNDING
215 NORTHRIDGE DR                             (317) 280-8455                                                 Class:   CERTIFIED
PORTAGE WI 53901                              PATTI KING                                Gender - Total Apartments: M/F - 32
(608) 575-6495 ANGIE HILDEBRANT              3965 AIRPORT DR                                           Low/High rate: 1,945/3,200

County: COLUMBIA                             INDIANAPOLIS IN 46254-5845                        Initial Certification: 04/15/2011


RESIDENCE AT BLUFF HAVEN (0012866)           COMMUNITY HEALTH SERVICES CORPORATIO                      Type:          RCAC           PUBLIC FUNDING
720 S FREMONT ST                             (608) 326-3200                                            Class:         CERTIFIED
PRAIRIE DU CHIEN WI 53821                    ALESHA ERDENBERGER                Gender - Total Apartments:             M/F - 24
(608) 326-3200 ALESHA ERDENBERGER            720 S FREMONT ST                                 Low/High rate:          1,950/3,525
County: CRAWFORD                             PRAIRIE DU CHIEN WI 53821                Initial Certification:          08/03/2009

ANGELUS RETIREMENT COMMUNITY ARROWW (0012    ASHFORD MARTIN & RAND CORPORATION                               Type:    RCAC           PUBLIC FUNDING
139 E REYNOLDS ST                            (920) 832-8094                                                  Class:   CERTIFIED
COTTAGE GROVE WI 53527                       PATRICIA M MARTIN                          Gender - Total Apartments: M/F - 49
(920) 839-8085 PATRICIA M MARTIN             1500 N CASALOMA DR SUITE 300                              Low/High rate: 1,450/3,588

County: DANE                                 APPLETON WI 54913                                 Initial Certification: 01/08/2008


ATTIC ANGEL PLACE (0012985)                  ATTIC ANGEL PLACE INC                                           Type:    RCAC           PUBLIC FUNDING
8301 OLD SAUK RD                             (608) 662-8842                                                  Class:   CERTIFIED
MIDDLETON WI 53562                           MARY ANN DRESCHER                          Gender - Total Apartments: M/F - 110
(608) 662-8842 MARY ANN DRESCHER             8301 OLD SAUK RD                                          Low/High rate: 2,029/17,187

County: DANE                                 MIDDLETON WI 53562                                Initial Certification: 09/09/2009


AVALON ASSISTED LIVING COMMUNITY (0012841)   MADISON ASSISTED LIVING, LLC                                    Type:    RCAC           PUBLIC FUNDING
2879 FISH HATCHERY RD                        (541) 686-1119                                                  Class:   CERTIFIED
MADISON WI 53713                             CARRIE GALLAHAN                            Gender - Total Apartments: M/F - 42
(608) 274-4350 CARRIE GALLAHAN               2879 FISH HATCHERY RD                                     Low/High rate: 2,495/2,995

County: DANE                                 MADISON WI 53713                                  Initial Certification: 06/10/2009


CAPITOL LAKES (0010301)                      CAPITOL LAKES INC                                               Type:    RCAC
333 W MAIN ST                                (608) 283-2000                                                  Class:   REGISTERED
MADISON WI 53703                             KATHY GROTH                                Gender - Total Apartments: M/F - 187
(608) 283-2137 KATHY GROTH                   333 W MAIN ST                                             Low/High rate: 1,150/2,716

County: DANE                                 MADISON WI 53703                                  Initial Registration: 03/01/2002


CHAPEL VALLEY II (0010287)                   CHAPEL VALLEY HOUSING II LLC                                    Type:    RCAC
5781 CHAPEL VALLEY ROAD                      (608) 277-8887                                                  Class:   REGISTERED
FITCHBURG WI 53711                                                                      Gender - Total Apartments: 24
(608) 276-3449                               5781 CHAPEL VALLEY ROAD                                   Low/High rate: 655/1,025

County: DANE                                 FITCHBURG WI 53711                                Initial Registration: 06/01/2000


GARDENS (THE) (0013225)                      INDEPENDENT LIVING INC                                          Type:    RCAC
602 N SEGOE RD                               (608) 274-7900                                                  Class:   REGISTERED
MADISON WI 53705                             RITA GIOVANNONI                            Gender - Total Apartments: M/F - 20
(608) 274-7900 RITA GIOVANNONI               815 FORWARD DR                                            Low/High rate: 920/2,005

County: DANE                                 MADISON WI 53705                                  Initial Registration: 02/26/2010


HERITAGE MONONA RCAC (0012892)               HERITAGE 9 LLC                                                  Type:    RCAC           PUBLIC FUNDING
111 OWEN RD                                  (952) 351-4541                                                  Class:   CERTIFIED
MONONA WI 53716                              CINDY PAULSON                              Gender - Total Apartments: M/F - 49
(608) 441-2400 KATHY LINDEN                  3585 S 147TH ST                                           Low/High rate: 400/1,550

County: DANE                                 NEW BERLIN WI 53151                               Initial Certification: 11/17/2009


HYLAND PARK COMMUNITY (0013054)              HYLAND PARK COMMUNITY LLC                                       Type:    RCAC           PUBLIC FUNDING
5440 CADDIS BEND                             (608) 318-1180                                                  Class:   CERTIFIED
FITCHBURG WI 53711                           ROBERT SIMONSON                            Gender - Total Apartments: M/F - 71
(602) 318-1180 ROBERT SIMONSON               PO BOX 1255                                               Low/High rate: 2,800/2,800

County: DANE                                 SUN PRAIRIE WI 53590                              Initial Certification: 12/01/2009
Wisconsin Department                                           Division of Quality Assurance                                               Directory Updated 06/02/2011
of Health Services                                                                                                                                     Page 4
                                                                     CENTRAL OFFICE

                                                                Public Directory
                                                                   By County, Facility Name
                                                                   For Facility Type RCAC

Facility Name and Address                        Licensee Name and Phone
Phone Number / Contact Person                    Mailing Address                                                                         Specialty Programs


HYLAND PARK EAST LLC (0013255)                  HYLAND PARK EAST LLC                                               Type:  RCAC           PUBLIC FUNDING
881 LIBERTY BLVD                                (608) 834-2073                                                    Class:  CERTIFIED
SUN PRAIRIE WI 53590                            ROBERT SIMONSON                             Gender - Total Apartments: M/F - 48
(608) 318-1180 ROBERT SIMONSON                  PO BOX 1255                                                Low/High rate: 2,800/3,100

County: DANE                                    SUN PRAIRIE WI 53590                               Initial Certification: 06/16/2010


INGLEWOOD ASSISTED LIVING APARTMENT (0010289)   INGLESIDE INC                                                      Type:  RCAC
405 NORTH 8TH STREET                            (608) 437-5511                                                    Class:  REGISTERED
MT HOREB WI 53572                               MICHAEL ROCK                                Gender - Total Apartments: 24
(608) 437-5511 MICHAEL ROCK                     405 NORTH 8TH STREET BOX 159                               Low/High rate: 2,100/2,600

County: DANE                                    MT HOREB WI 53572                                  Initial Registration: 04/01/2001


KINDREDHEARTS OF SUN PRAIRIE (0011225)          PARTNERS IN COMMUNITY ELDERCARE LLC                        Type:           RCAC          PUBLIC FUNDING
605 CHASE BLVD                                  (608) 442-8005                                             Class:          CERTIFIED
SUN PRAIRIE WI 53590                            SARAH MCLEAN                       Gender - Total Apartments:              M/F - 50
(608) 837-2124 SARAH MCLEAN                     605 CHASE BLVD                                    Low/High rate:           1,900/2,600
County: DANE                                    SUN PRAIRIE WI 53590                      Initial Certification:           01/02/2006

MEADOWMERE OF MADISON (0012218)                 FIVE STAR QUALITY CARE-WI- LLC                                     Type:  RCAC           PUBLIC FUNDING
5601 BURKE RD                                   (617) 796-8387                                                    Class:  CERTIFIED
MADISON WI 53718                                MICHAEL BANGS                               Gender - Total Apartments: M/F - 60
(608) 268-9100 MICHAEL BANGS                    5601 BURKE RD                                              Low/High rate: 3,025/3,825

County: DANE                                    MADISON WI 53718                                   Initial Certification: 01/01/2008


OAK PARK PLACE THE GROVE I (0011402)            JUPITER DRIVE INVESTORS LLC                                        Type:  RCAC
702 JUPITER DR                                  (608) 251-1010                                                    Class:  REGISTERED
MADISON WI 53718                                TONI CARRUTHERS                             Gender - Total Apartments: M/F - 32
(608) 251-1010 KRISTIN DUNLAP                   719 JUPITER DRIVE                                          Low/High rate: 2,850/4,500

County: DANE                                    MADISON WI 53718                                   Initial Registration: 06/01/2006


OAK PARK PLACE THE GROVE II (0012509)           OAK PARK PLACE OF MADISON LLC                                          RCAC
                                                                                                                   Type:

719 JUPITER DR                                  (608) 686-8700                                                         REGISTERED
                                                                                                                  Class:

MADISON WI 53718                                TONI CARRUTHERS                             Gender - Total Apartments: M/F - 34
(608) 663-8600 TONI CARRUTHERS                  719 JUPITER DR                                            Low/High rate:

County: DANE                                    MADISON WI 53718                                   Initial Registration:   11/19/2008

OAKWOOD VILLAGE APTS INC (0012187)              OAKWOOD VILLAGE APTS INC                                           Type:  RCAC           PUBLIC FUNDING
6209 MINERAL POINT RD                           (608) 230-4510                                                    Class:  CERTIFIED
MADISON WI 53705                                MICHELLE GODFREY                            Gender - Total Apartments: M/F - 415
(608) 230-4250 MICHELLE GODFREY                 6209 MINERAL POINT RD                                      Low/High rate: 606/2,285

County: DANE                                    MADISON WI 53705                                   Initial Certification: 12/01/2007


OAKWOOD VILLAGE EAST (0011192)                  OAKWOOD VILLAGE EAST APARTMENT HOME                       Type:            RCAC          PUBLIC FUNDING
5555 TANCHO DR                                  (608) 230-4510                                            Class:           CERTIFIED
MADISON WI 53718                                SUSAN LUX                         Gender - Total Apartments:               M/F - 206
(608) 230-4510 SUSAN LUX                        5565 TANCHO DR                                   Low/High rate:            661/754
County: DANE                                    MADISON WI 53718                         Initial Certification:            12/01/2005

PARKSIDE ASSISTED LIVING (0012840)              FOUR CITIES - CRL SERVICES LLC                                     Type:  RCAC           PUBLIC FUNDING
6902 PARKSIDE CIRCLE                            (312) 794-8400                                                    Class:  CERTIFIED
DEFOREST WI 53532                               DOUGLAS CAMERON                             Gender - Total Apartments: M/F - 40
(608) 846-2101 KAREN SCHACHT                    875 N MICHIGAN AVE SUITE 3740                              Low/High rate: 3,195/3,775

County: DANE                                    CHICAGO IL 60611                                   Initial Certification: 06/15/2009


SUN PRAIRIE HEALTH CARE CENTER (0011727)        SUN PRAIRIE ASSOCIATES                                             Type:  RCAC
228 W MAIN ST                                   (608) 837-5959                                                    Class:  REGISTERED
SUN PRAIRIE WI 53590                            CAROL HEIMERL                               Gender - Total Apartments: M/F - 28
(608) 251-1171 JANE KJELLSTROM                  228 W MAIN ST                                              Low/High rate: 90/1,800

County: DANE                                    SUN PRAIRIE WI 53590                               Initial Registration: 02/07/2007


WAUNAKEE MANOR RCAC (0010280)                   WAUNAKEE MANOR HEALTH CARE CENTER I                     Type:              RCAC
800 HOLIDAY DRIVE                               (608) 849-5016                                          Class:             REGISTERED
WAUNAKEE WI 53597                               EDWIN KRUCHTEN                   Gender - Total Apartments:                62
(608) 849-5016 EDWIN KRUCHTEN                   800 HOLIDAY DRIVE                               Low/High rate:             900/1,500
County: DANE                                    WAUNAKEE WI 53597                       Initial Registration:              06/10/1999
Wisconsin Department                                           Division of Quality Assurance                                              Directory Updated 06/02/2011
of Health Services                                                                                                                                    Page 5
                                                                     CENTRAL OFFICE

                                                                Public Directory
                                                                   By County, Facility Name
                                                                   For Facility Type RCAC

Facility Name and Address                        Licensee Name and Phone
Phone Number / Contact Person                    Mailing Address                                                                        Specialty Programs


WILLOW POINTE ASSISTED LIVING (0010298)         SENIOR SOLUTIONS INC                                             Type:    RCAC
1125 NORTH EDGE TRAIL                           (608) 224-1666                                                   Class:   REGISTERED
VERONA WI 53593                                 ED MEIER                                    Gender - Total Apartments: 48
(608) 847-5701 KATIE RASMUSSEN                  6400 GISHOLT DR #206                                       Low/High rate: 550/900

County: DANE                                    MADISON WI 53713                                   Initial Registration: 11/01/2001


CHARLESTON HOUSE LLC (0010427)                  CHARLESTON HOUSE LLC                                             Type:    RCAC
104 FAKES CT                                    (920) 356-9818                                                   Class:   REGISTERED
BEAVER DAM WI 53916                             GAIL FAKES                                  Gender - Total Apartments: M/F - 80
(920) 356-9818 GAIL FAKES                       104 FAKES CT                                               Low/High rate: 1,795/2,325

County: DODGE                                   BEAVER DAM WI 53916                                Initial Registration: 11/01/2003


CHRISTIAN HOME ASSISTED LIVING CENT (0010292)   CHRISTIAN HOME AND REHABILITATION CENTE                    Type:          RCAC
331 BLY STREET                                  (920) 324-9051                                             Class:         REGISTERED
WAUPUN WI 53963                                 BONNIE SCHMIT                       Gender - Total Apartments:            24
(920) 324-9051 JANICE NEWTON                    331 BLY STREET                                     Low/High rate:         1,650/2,775
County: DODGE                                   WAUPUN WI 53963                            Initial Registration:          10/01/2000

CONTINENTAL MANOR (0010278)                     COMMERCIAL MANAGEMENT INC                                        Type:    RCAC
502 SOUTH HIGH STREET                           (800) 666-9996                                                   Class:   REGISTERED
RANDOLPH WI 53956                               DAVID BANKS                                 Gender - Total Apartments: - 24
(920) 326-3171 DAVID BANKS                      502 SOUTH HIGH STREET                                      Low/High rate: 2,000/2,000

County: DODGE                                   RANDOLPH WI 53956                                  Initial Registration: 05/17/1999


HIGHLAND VILLAGE APARTMENTS II (0010598)        WATERTOWN MEMORIAL HOSPITAL                                      Type:    RCAC          ADVANCED AGED
1408 MEMORIAL DR                                (920) 261-4210                                                   Class:   CERTIFIED     PUBLIC FUNDING
WATERTOWN WI 53098                              GERALD ROCHE                                Gender - Total Apartments: M/F - 9
(920) 261-6808 JUDY BEAR                        125 HOSPITAL DR                                            Low/High rate: 635/850

County: DODGE                                   WATERTOWN WI 53098                                 Initial Certification: 06/01/2004


HOPE SENIOR LIVING INC (0011836)                HOPE SENIOR LIVING INC                                           Type:    RCAC
475 GROVE ST                                    (920) 269-4386                                                   Class:   REGISTERED
LOMIRA WI 53048                                 KAREN DONOHOO                               Gender - Total Apartments: M/F - 14
(920) 269-4386 KAREN DONOHOO                    PO BOX 280                                                 Low/High rate: 2,400/2,600

County: DODGE                                   LOMIRA WI 53048                                    Initial Registration: 04/01/2007


PRAIRIE RIDGE ASSISTED LIVING (0010669)         BDW HOLDINGS                                                     Type:    RCAC          PUBLIC FUNDING
819 WILCOX ST                                   (920) 623-5621                                                   Class:   CERTIFIED
WAUPUN WI 53963                                 MICHAEL EISENGA                             Gender - Total Apartments: M/F - 27
(920) 324-9810 NICOLE TER BEEST                 819 WILCOX ST                                              Low/High rate: 2,200/2,600

County: DODGE                                   WAUPUN WI 53963                                    Initial Certification: 08/01/2004


STONE TERRACE RETIREMENT LIV CTR (0011956)      BEAVER DAM COMMUNITY HOSPITALS INC                               Type:    RCAC
819 S UNVERSITY AVE                             (920) 887-5902                                                   Class:   REGISTERED
BEAVER DAM WI 53916                             JOHN E LEY                                  Gender - Total Apartments: M/F - 30
(920) 887-6693 SUE LINDE                        707 S UNIVERSITY AVE                                       Low/High rate: 804/1,458

County: DODGE                                   BEAVER DAM WI 53916                                Initial Registration: 01/01/2007


WINCHESTER PLACE (0011921)                      CRESTWOOD HEALTHCARE MANAGEMENT LL                      Type:             RCAC          PUBLIC FUNDING
713 HORICON ST                                  (360) 450-3000                                          Class:            CERTIFIED
HORICON WI 53032                                DEBRA WUDTKE                    Gender - Total Apartments:                M/F - 30
(920) 485-4602 CYNTHIA GREENWALD                11818 SE MILLPLAIN BLVD STE403                 Low/High rate:             2,891/5,270
County: DODGE                                   VANCOUVER WA 98684                     Initial Certification:             05/02/2007

GOOD SAMARITAN SOCIETY-SCANDIA VILL (0012463)   EVANGELICAL LUTHERAN GOOD SAMARITAN S                    Type:            RCAC
10554 APPLEWOOD RD                              (605) 362-3100                                           Class:           REGISTERED
SISTER BAY WI 54235                             DAVID BOOCK                       Gender - Total Apartments:              M/F - 58
(920) 854-2317 LYNN MATTKE                      10560 APPLEWOOD RD                               Low/High rate:           875/1,430
County: DOOR                                    SISTER BAY WI 54234                      Initial Registration:            08/19/2008

PINE CREST VILLAGE LLC (0010344)                PAPKE                                                            Type:    RCAC          PUBLIC FUNDING
1241 N 18TH AVE                                 (920) 746-1280                                                   Class:   CERTIFIED
STURGEON BAY WI 54235                           AMBER PAPKE                                 Gender - Total Apartments: M/F - 43
(920) 746-1280 AMBER PAPKE                      1241 N 18TH AVE                                            Low/High rate: 2,503/3,442

County: DOOR                                    STURGEON BAY WI 54235                              Initial Certification: 12/10/1999
Wisconsin Department                                           Division of Quality Assurance                                             Directory Updated 06/02/2011
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                                                                Public Directory
                                                                   By County, Facility Name
                                                                   For Facility Type RCAC

Facility Name and Address                        Licensee Name and Phone
Phone Number / Contact Person                    Mailing Address                                                                       Specialty Programs


LIGHT HOUSE OF SUPERIOR RCAC (0013517)          SUPERIOR OPS LLC                                                Type:    RCAC
1915 N 34TH ST                                  (612) 308-8369                                                  Class:   CERTIFIED
SUPERIOR WI 54880                               SCOTT MCCUTCHEON                           Gender - Total Apartments: M/F - 44
(218) 721-2800 BRIAN PATTERSON                  4920 LINCOLN DR                                           Low/High rate: 2,550/4,050

County: DOUGLAS                                 EDINA MN 55436                                    Initial Certification: 11/11/2010


AUTUMN VILLAGE (0013043)                        AMERICAN LUTHERAN COMMUNITY SERVICES I                    Type:          RCAC          PUBLIC FUNDING
915 ELM AVENUE E                                (715) 235-3697                                            Class:         CERTIFIED
MENOMONIE WI 54751                              MIKE CHRISTENSEN                  Gender - Total Apartments:             M/F - 40
(715) 235-3697 PEGGY HUSBY                      P O BOX 287                                      Low/High rate:          2,700/3,925
County: DUNN                                    EAU CLAIRE WI 54702-0287                 Initial Certification:          11/19/2009

COMFORTS OF HOME - MENOMONIE RCAC (0012102)     COMFORTS OF HOME-MENOMONIE RCAC LLC                      Type:           RCAC          PUBLIC FUNDING
917 22ND AVE NE                                 (651) 287-0265                                           Class:          CERTIFIED
MENOMONIE WI 54751                              RHONDA SCHILLINGER               Gender - Total Apartments:              M/F - 41
(715) 231-4980 SARAH REIMER                     720 MAIN ST STE 205                             Low/High rate:           1,925/3,525
County: DUNN                                    MENDOTA HEIGHTS MN 55118                Initial Certification:           09/24/2007

GRACE WILLOWBROOK (0012799)                     GRACE LUTHERAN FOUNDATION                                       Type:    RCAC
4868 OTTESON LANE                               (715) 832-3003                                                  Class:   CERTIFIED
EAU CLAIRE WI 54701                             MIKE CHRISTENSEN                           Gender - Total Apartments: M/F - 36
(715) 835-0429 PEGGY HUSBY                      P O BOX 287                                               Low/High rate: 3,040/3,240

County: EAU CLAIRE                              EAU CLAIRE WI 54702                               Initial Certification: 06/01/2009


HEATHER WOOD LLC (0010276)                      HEATHERWOOD LLC                                                 Type:    RCAC
4510 GATEWAY DRIVE                              (715) 552-5511                                                  Class:   CERTIFIED
EAU CLAIRE WI 54701                             WILLIAM SMITH                              Gender - Total Apartments: 5
(715) 552-5511 WILLIAM SMITH                    4510 GATEWAY DR                                           Low/High rate: 1,460/2,145

County: EAU CLAIRE                              EAU CLAIRE WI 54701                               Initial Certification: 03/26/2003


HERITAGE-I LLC (0012506)                        MSP REAL ESTATE INC                                             Type:    RCAC          PUBLIC FUNDING
3706 DAMON ST                                   (952) 351-4542                                                  Class:   CERTIFIED
EAU CLAIRE WI 54701                             CINDY PAULSON                              Gender - Total Apartments: M/F - 39
(715) 831-9118 ASHLEY KELLY                     3585 S 147TH ST                                           Low/High rate: 1,470/2,500

County: EAU CLAIRE                              NEW BERLIN WI 53151                               Initial Certification: 09/01/2008


MILESTONE SENIOR LIVING-WESTRIDGE R (0013348)   MILESTONE SENIOR LIVING LLC                                     Type:    RCAC
5512 RENEE DR                                   (608) 819-2200                                                  Class:   CERTIFIED
EAU CLAIRE WI 54703                             JULIE HEIL                                 Gender - Total Apartments: M/F - 32
(715) 874-4250 KELLY RIVARD                     1574 W BROADWAY STE 200                                   Low/High rate: 3,100/3,800

County: EAU CLAIRE                              MADISON WI 53713                                  Initial Certification: 06/07/2010


OAK GARDENS (0011408)                           ALC OPERATING LLC                                               Type:    RCAC
342 TWIN OAK DRIVE                              (262) 250-4500                                                  Class:   REGISTERED
ALTOONA WI 54720                                MARY LUND                                  Gender - Total Apartments: 40
(715) 839-8000 MARY LUND                        342 TWIN OAK DRIVE                                        Low/High rate: 22,202,885/

County: EAU CLAIRE                              ALTOONA WI 54720                                  Initial Registration: 02/24/2006


LAKE VIEW ESTATES (0011387)                     ALC OPERATING LLC                                               Type:    RCAC
517 LUCO RD                                     (262) 250-4500                                                  Class:   REGISTERED
FOND DU LAC WI 53495                            MARY T ZAK-KOWALCZYK                       Gender - Total Apartments: M/F - 90
(920) 926-1100 CATHERINE HALFMANN               W140N8981 LILLY RD                                        Low/High rate: 1,315/2,650

County: FOND DU LAC                             MENOMONEE FALLS WI 53051-2325                     Initial Registration: 04/01/2006


MAPLECREST MANOR (0010341)                      MAPLECREST MANOR INC                                            Type:    RCAC          PUBLIC FUNDING
150 N DOUGLAS ST                                (262) 369-8342                                                  Class:   CERTIFIED
RIPON WI 54971                                  DELBERT VANSTONE                           Gender - Total Apartments: M/F - 42
(920) 748-7300 LORI PAMENTER                    W304 N1860 MAPLE AVE                                      Low/High rate: 795/4,300

County: FOND DU LAC                             PEWAUKEE WI 53072-4709                            Initial Certification: 05/09/2003


PRAIRIE PLACE RCAC (0013528)                    HEARTLAND-PRESTON INC                                           Type:    RCAC          PUBLIC FUNDING
749 E OSHKOSH ST                                (920) 787-5817                                                  Class:   CERTIFIED
RIPON WI 54971                                  JOSIAH GROTHE                              Gender - Total Apartments: M/F - 42
(920) 570-1120 JOSIAH GROTHE                    749 E OSHKOSH ST                                          Low/High rate: 1,900/2,200

County: FOND DU LAC                             RIPON WI 54971                                    Initial Certification: 10/01/2010
Wisconsin Department                                       Division of Quality Assurance                                              Directory Updated 06/02/2011
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                                                               By County, Facility Name
                                                               For Facility Type RCAC

Facility Name and Address                    Licensee Name and Phone
Phone Number / Contact Person                Mailing Address                                                                        Specialty Programs


ST FRANCIS TERRACE (0010373)                ST FRANCIS HOME INC                                              Type:    RCAC
345 E FIRST ST                              (920) 923-7980                                                   Class:   REGISTERED
FOND DU LAC WI 54935                        DOUGLAS TROST                               Gender - Total Apartments: 55
(920) 923-7980 SISTER IRENE KOHNE           33 EVERETT ST                                              Low/High rate: 2,007/2,020

County: FOND DU LAC                         FOND DU LAC WI 54935                               Initial Registration: 11/19/1998


ST PETERS PLACE (0012846)                   ST PETERS PLACE LLC                                              Type:    RCAC          PUBLIC FUNDING
50 E FIRST ST                               (920) 921-9520                                                   Class:   CERTIFIED
FOND DU LAC WI 54935                        JULIE ZULEGER                               Gender - Total Apartments: M/F - 46
(920) 921-9520 JULIE ZULEGER                244 N MACY ST                                              Low/High rate: 480/650

County: FOND DU LAC                         FOND DU LAC WI 54935                               Initial Certification: 08/31/2009


VILLA ROSA ASSISTED LIVING (0011286)        CONGREGATION SISTER SERVANTS CHRIST T                     Type:           RCAC          PUBLIC FUNDING
N8120 CTY RD WW                             (920) 753-3211                                            Class:          CERTIFIED
MT CALVARY WI 53057                         LYNN SCHMITZ                      Gender - Total Apartments:              M/F - 20
(920) 753-3015 SANDRA K RANDALL             N8120 CTY RD WW                                  Low/High rate:           2,900/3,167
County: FOND DU LAC                         MT CALVARY WI 53057                      Initial Certification:           01/18/2006

WALNUT GROVE FOND DU LAC I (0012640)        AC MANAGEMENT LLC                                                Type:    RCAC          PUBLIC FUNDING
597 KINGSWOOD AVE                           (608) 663-8600                                                   Class:   CERTIFIED
FOND DU LAC WI 54935                        SCOTT FRANK                                 Gender - Total Apartments: M/F - 40
(920) 924-5715 TONI CARRUTHERS              719 JUPITER DR                                             Low/High rate: 2,950/3,150

County: FOND DU LAC                         MADISON WI 53718                                   Initial Certification: 11/19/2008


WOODLANDS SENIOR PARK (0010355)             HENDRICKSON                                                      Type:    RCAC          ADVANCED AGED
77 WISCONSIN AMERICAN DR                    (920) 922-8770                                                   Class:   CERTIFIED     PUBLIC FUNDING
FOND DU LAC WI 54935                        SAM HENDRICKSON                             Gender - Total Apartments: M/F - 26
(920) 922-8770 SUE HENDRICKSON              77 WISCONSIN AMERICAN DR                                   Low/High rate: 2,430/3,005

County: FOND DU LAC                         FOND DU LAC WI 54935                               Initial Certification: 09/17/2003


ANGELUS RETIREMENT COMMUNITY MONROE (0012   ASHFORD MARTIN & RAND CORPORATION                                Type:    RCAC          PUBLIC FUNDING
616 8TH AVE                                 (920) 832-8094                                                   Class:   CERTIFIED
MONROE WI 53566                             PATRICIA M MARTIN                           Gender - Total Apartments: M/F - 62
(608) 328-2339 PATRICIA M MARTIN            1500 N CASALOMA DR SUITE 300                               Low/High rate: 2,650/3,275

County: GREEN                               APPLETON WI 54913                                  Initial Certification: 01/08/2008


GLARNER LODGE RCAC (0013266)                NEW GLARUS HOME INC                                              Type:    RCAC          PUBLIC FUNDING
900 GLARNER DR                              (608) 527-2126                                                   Class:   CERTIFIED
NEW GLARUS WI 53574                         SHARON PAULSON                              Gender - Total Apartments: M/F - 26
(608) 527-2126 SHARON PAULSON               900 GLARNER DR                                             Low/High rate: 2,700/3,800

County: GREEN                               NEW GLARUS WI 53574                                Initial Certification: 09/13/2010


ST CLARE FRIEDENSHEIM (0010297)             MONROE JOINT VENTURE                                             Type:    RCAC          PUBLIC FUNDING
2003 4TH ST                                 (608) 329-3601                                                   Class:   CERTIFIED
MONROE WI 53566                             CHERI RIDDLE                                Gender - Total Apartments: M - 50
(608) 329-3601 SHARON PAULSON               2003 4TH ST                                                Low/High rate: 2,630/2,780

County: GREEN                               MONROE WI 53566                                    Initial Certification: 04/18/2000


AMERICAN HOUSE OF BERLIN (0010330)          SENIOR AMERICAN HOUSING INC                                      Type:    RCAC          PUBLIC FUNDING
123 S PEARL ST                              (920) 295-6200                                                   Class:   CERTIFIED
BERLIN WI 54923                             LAURENCE TROTTER                            Gender - Total Apartments: M/F - 26
(920) 361-3111 LAURENCE TROTTER             PO BOX 424                                                 Low/High rate: 1,825/3,900

County: GREEN LAKE                          PRINCETON WI 54968-0424                            Initial Certification: 04/28/1997


KINDREDHEARTS GREEN LAKE (0011583)          PARTNERS IN COMMUNITY ELDERCARE LLC                        Type:          RCAC          PUBLIC FUNDING
850 SUNNYSIDE RD                            (608) 442-8005                                             Class:         CERTIFIED
GREEN LAKE WI 54941                         LISA NELSON                        Gender - Total Apartments:             M/F - 25
(920) 294-1000 LISA NELSON                  850 SUNNYSIDE RD                                  Low/High rate:          1,420/2,565
County: GREEN LAKE                          GREEN LAKE WI 54941                       Initial Certification:          09/01/2006

NORTH TERRACE ASSISTED LIVING (0012685)     MARKESAN RESIDENT HOME INC                                       Type:    RCAC          PUBLIC FUNDING
1130 N MARGARET ST                          (920) 398-2751                                                   Class:   CERTIFIED
MARKESAN WI 53946-8516                      MIRIAM OWNBY                                Gender - Total Apartments: M/F - 32
(920) 398-2751 MIRIAM OWNBY                 1130 N MARGARET ST                                         Low/High rate: 1,710/3,640

County: GREEN LAKE                          MARKESAN WI 53946-8516                             Initial Certification: 01/26/2009
Wisconsin Department                                       Division of Quality Assurance                                              Directory Updated 06/02/2011
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                                                               By County, Facility Name
                                                               For Facility Type RCAC

Facility Name and Address                    Licensee Name and Phone
Phone Number / Contact Person                Mailing Address                                                                        Specialty Programs


PATRIOT PLACE RCAC (0012637)                HEARTLAND-PRESTON INC                                            Type:    RCAC          PUBLIC FUNDING
609 BROADWAY                                (920) 787-5817                                                   Class:   CERTIFIED
BERLIN WI 54923                             DONALD GROTHE                               Gender - Total Apartments: M/F - 26
(920) 570-1766 RUTH ROWE                    668 W CUMMINGS RD                                          Low/High rate: 2,000/3,375

County: GREEN LAKE                          WAUTOMA WI 54982                                   Initial Certification: 01/02/2009


SAMUELS GROVE (0010350)                     BARRETT HOUSE INC                                                Type:    RCAC          PUBLIC FUNDING
183 E JOHN ST                               (920) 398-2989                                                   Class:   CERTIFIED
MARKESAN WI 53946                           THOMAS & BARB REIF                          Gender - Total Apartments: M/F - 8
(920) 398-2989 BARBARA REIF                 185 E JOHN ST                                              Low/High rate: 2,200/2,900

County: GREEN LAKE                          MARKESAN WI 53946                                  Initial Certification: 06/05/2003


STONEFIELD APARTMENT HOMES (0013621)        AFFORDABLE LIVING & HOUSING SERVICES LL                    Type:          RCAC
407 E MADISON ST                            (608) 935-0051                                             Class:         REGISTERED
DODGEVILLE WI 53533                         JAMES CURRAN                        Gender - Total Apartments:            M/F - 52
(920) 674-6600 JAMES CURRAN                 407 E MADISON ST                                   Low/High rate:

County: IOWA                                DODGEVILLE WI 53533                        Initial Registration:          02/20/2011

PINE VIEW TERRACE (0011906)                 JACKSON PINE VIEW HEALTHCARE LLC                                 Type:    RCAC
404 COUNTY RD R                             (608) 242-5024                                                   Class:   CERTIFIED
BLACK RIVER FALLS WI 54615                  DIANE GILBERG                               Gender - Total Apartments: M/F - 36
(715) 284-7077 DIANE GILBERG                404 COUNTY RD R                                            Low/High rate: 1,189/2,905

County: JACKSON                             BLACK RIVER FALLS WI 54615                         Initial Certification: 03/29/2007


HIGHLAND HOUSE (0010320)                    WATERTOWN REGIONAL MEDICAL CENTER                         Type:           RCAC          PUBLIC FUNDING
161 GOEHL RD                                (920) 261-4210                                            Class:          CERTIFIED
WATERLOO WI 53594                           JERRY ROCHE                       Gender - Total Apartments:              M/F - 20
(920) 478-4193 JERRY ROCHE                  161 GOEHL RD                                     Low/High rate:           2,967/5,092
County: JEFFERSON                           WATERLOO WI 53594                        Initial Certification:           06/18/1998

RIVERWOOD ASSISTED LIVING (0012824)         HEALTH DIMENSIONS GROUP                                          Type:    RCAC          PUBLIC FUNDING
1301 E MAIN ST                              (763) 257-6745                                                   Class:   CERTIFIED
WATERTOWN WI 53094                          HEIDI STEWART                               Gender - Total Apartments: M/F - 49
(920) 567-0100 HEIDI STEWART                1301 E MAIN ST                                             Low/High rate: 1,895/2,895

County: JEFFERSON                           WATERTOWN WI 53094                                 Initial Certification: 07/27/2009


OAK GROVE ASSISTED CARE LLC (0010959)       OAK GROVE ASSISTED CARE LLC                                      Type:    RCAC          PUBLIC FUNDING
200 6TH ST                                  (608) 318-1180                                                   Class:   CERTIFIED
NECEDAH WI 54646                             OAK GROVE LLC                              Gender - Total Apartments: M/F - 40
(608) 565-3990 MARY MIGALA                  PO BOX 1255                                                Low/High rate: 1,425/1,800

County: JUNEAU                              SUN PRAIRIE WI 53590                               Initial Certification: 04/01/2005


MEADOWMERE SOUTHPORT (0012244)              FIVE STAR QUALITY CARE WI LLC                                    Type:    RCAC          PUBLIC FUNDING
8351 SHERIDAN RD                            (617) 796-8387                                                   Class:   CERTIFIED
KENOSHA WI 53143                            CORINNE PARKER                              Gender - Total Apartments: M/F - 63
(262) 948-1100 CORINNE PARKER               8351 SHERIDAN RD                                           Low/High rate: 2,450/3,500

County: KENOSHA                             KENOSHA WI 53143                                   Initial Certification: 01/18/2008


REGENT MANOR (0010734)                      REGENT MANOR LLC                                                 Type:    RCAC          PUBLIC FUNDING
7905 36TH AVE                               (847) 656-8781                                                   Class:   CERTIFIED
KENOSHA WI 53142                            DONALD BODEL                                Gender - Total Apartments: M/F - 26
(262) 697-8560 JUDY HOTAVIS                 827 TURNBERRY LN                                           Low/High rate: 2,750/3,560

County: KENOSHA                             NORTHBROOK IL 60062                                Initial Certification: 01/10/2005


PARADISE ESTATES LLC (0012735)              PARADISE ESTATES LLC                                             Type:    RCAC
625 4TH ST                                  (920) 388-0201                                                   Class:   REGISTERED
KEWAUNEE WI 54216                           MIKE PARAL                                  Gender - Total Apartments: M/F - 20
(920) 388-0201 MIKE PARAL                   625 4TH ST                                                 Low/High rate: 2,300/3,500

County: KEWAUNEE                            KEWAUNEE WI 54216                                  Initial Registration: 02/11/2009


BETHANY HEIGHTS ASSISTED LIVING (0011373)   BETHANY LUTHERAN HOMES INC                                       Type:    RCAC          PUBLIC FUNDING
112 JUNIPER LANE                            (608) 775-8278                                                   Class:   CERTIFIED
HOLMEN WI 54636                             BETSY OLSON                                 Gender - Total Apartments: M/F - 16
(608) 526-2635 JESSICA WISE                 2555 S 7TH ST                                              Low/High rate: 2,000/2,550

County: LACROSSE                            LACROSSE WI 54601                                  Initial Certification: 06/20/2006
Wisconsin Department                                           Division of Quality Assurance                                              Directory Updated 06/02/2011
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                                                                   By County, Facility Name
                                                                   For Facility Type RCAC

Facility Name and Address                        Licensee Name and Phone
Phone Number / Contact Person                    Mailing Address                                                                        Specialty Programs


BETHANY ON CASS (0010447)                       BETHANY LUTHERAN HOMES INC                                       Type:    RCAC          PUBLIC FUNDING
1315 CASS STREET                                (608) 775-8278                                                   Class:   CERTIFIED
LACROSSE WI 54601                               BETSY OLSON                                 Gender - Total Apartments: M/F - 46
(608) 796-1091 KELLY SCHNEIDER                  2555 S 7TH ST                                              Low/High rate: 1,883/4,132

County: LACROSSE                                LACROSSE WI 54601                                  Initial Certification: 11/04/2003


EAGLE CREST ASSISTED LIVING (0012206)           BETHANY LUTHERAN HOMES INC                                       Type:    RCAC
351 MASON STREET                                (608) 775-9907                                                   Class:   CERTIFIED
ONALASKA WI 54650                               TODD WILSON                                 Gender - Total Apartments: M/F - 42
(608) 779-1700 LORI/SARA HOESLEY/STONER         2575 SOUTH 7TH ST                                          Low/High rate: 2,160/4,070

County: LACROSSE                                LACROSSE WI 54601                                  Initial Certification: 01/04/2008


EAGLE CREST SENIOR LIVING COMMUNITY (0012207)   BETHANY LUTHERAN HOMES INC                                       Type:    RCAC
351 MASON ST                                    (608) 775-8200                                                   Class:   REGISTERED
ONALASKA WI 54650                               TODD WILSON                                 Gender - Total Apartments: M/F - 70
(608) 779-1700 LORI/SARA HOESLEY/STONER         2575 SOUTH 7TH ST                                          Low/High rate: 1,010/2,315

County: LACROSSE                                LACROSSE WI 54601                                  Initial Registration: 10/25/2007


LAUREL MANOR (0010274)                          BETHANY ST JOSEPH CORPORATION                                    Type:    RCAC
108 17TH AVENUE SOURTH                          (608) 788-5700                                                   Class:   REGISTERED
ONALASKA WI 54650                                                                           Gender - Total Apartments: 12
(608) 783-1815                                  108 17TH AVENUE SOUTH                                      Low/High rate: 485/785

County: LACROSSE                                ONALASKA WI 54650                                  Initial Registration: 11/01/2002


MEADOW WOOD ASSISTED LIVING (0010258)           CATHOLIC RESIDENTIAL SERVICES INC                                Type:    RCAC
2904 EAST AVENUE SOUTH                          (608) 784-5323                                                   Class:   REGISTERED
LA CROSSE WI 54601                              DEANNA DICKINSON                            Gender - Total Apartments: 45
(608) 788-7489 DEANNA DICKINSON                 2904 EAST AVENUE SOUTH                                     Low/High rate: 1,500/2,500

County: LACROSSE                                LA CROSSE WI 54601                                 Initial Registration: 11/24/1998


PRAIRIE HOME (0011629)                          BETHANY ST JOSEPH CORP                                           Type:    RCAC          PUBLIC FUNDING
620 MALIN COURT                                 (608) 788-5700                                                   Class:   CERTIFIED
HOLMEN WI 54636                                 PRAIRIE HOME DIRECTOR                       Gender - Total Apartments: M/F - 37
(608) 526-4850 KAREN SEPICH                     1126 MAIN ST                                               Low/High rate: 685/875

County: LACROSSE                                ONALASKA WI 54650                                  Initial Certification: 10/01/2006


SALEM TERRACE (0012008)                         BETHANY ST JOSEPH CORP                                           Type:    RCAC          PUBLIC FUNDING
104 LEWIS ST                                    (608) 788-5700                                                   Class:   CERTIFIED
WEST SALEM WI 54669                              SUPERVISOR                                 Gender - Total Apartments: M/F - 26
(608) 786-2440 KAREN SEPICH                     2501 SHELBY RD                                             Low/High rate: 1,674/2,009

County: LACROSSE                                LACROSSE WI 54601                                  Initial Certification: 07/01/2007


SHELBY TERRACE (0012093)                        BETHANY ST JOSEPH CORPORATION                                    Type:    RCAC          PUBLIC FUNDING
2525 SHELBY ROAD                                (608) 788-5700                                                   Class:   CERTIFIED
LACROSSE WI 54601                               SUPERVISOR SUPERVISOR                       Gender - Total Apartments: M/F - 25
(608) 788-4477 KAREN SEPICH                     2501 SHELBY RD                                             Low/High rate: 1,329/1,612

County: LACROSSE                                LACROSSE WI 54601                                  Initial Certification: 09/10/2007


SPRINGBROOK COMMUNITY ASSISTED LIVI (0011819)   SPRINGBROOK COMMUNITY ASSISTED LIVING I                    Type:          RCAC
861 CRITTER COURT                               (608) 783-2292                                             Class:         CERTIFIED
ONALASKA WI 54650                                SPRINGBROOK                       Gender - Total Apartments:             M/F - 64
(608) 783-2292 ROBERT SIMONSON                  861 CRITTER COURT                                 Low/High rate:          2,550/3,250
County: LACROSSE                                ONALASKA WI 54650                         Initial Certification:          06/15/2007

VILLAGE APARTMENTS ON CASS (0010253)            FRANCISCAN SKEMP HEALTHCARE                                      Type:    RCAC          PUBLIC FUNDING
225 SOUTH 24TH STREET                           (608) 785-0940                                                   Class:   CERTIFIED
LA CROSSE WI 54601                              HEATHER PINTZ                               Gender - Total Apartments: 31
(608) 392-9486 HEATHER PINTZ                    225 SOUTH 24TH STREET                                      Low/High rate: 581/725

County: LACROSSE                                LA CROSSE WI 54601                                 Initial Certification: 07/20/1998


VILLAS OF LACROSSE (0012328)                    BROOKDALE SENIOR LIVING COMMUNITIES IN                     Type:          RCAC
3141 EAST AVE S                                 (414) 918-5000                                             Class:         CERTIFIED
LACROSSE WI 54601                               JENNIFER HAGEN                     Gender - Total Apartments:             M/F - 20
(608) 788-1964 JENNIFER HAGEN                   3141 EAST AVE S                                   Low/High rate:          2,950/3,570
County: LACROSSE                                LACROSSE WI 54601                         Initial Certification:          07/01/2008
Wisconsin Department                                           Division of Quality Assurance                                           Directory Updated 06/02/2011
of Health Services                                                                                                                                 Page 10
                                                                     CENTRAL OFFICE

                                                                Public Directory
                                                                  By County, Facility Name
                                                                  For Facility Type RCAC

Facility Name and Address                        Licensee Name and Phone
Phone Number / Contact Person                    Mailing Address                                                                     Specialty Programs


WHISPERING PINES (0012020)                      LAKEVIEW HEALTH CENTER                                         Type:  RCAC           PUBLIC FUNDING
780 EAST AVENUE                                 (608) 786-1400                                                 Class: CERTIFIED
WEST SALEM WI 54669                             WANDA PLACHECKI                         Gender - Total Apartments: M/F - 12
(608) 786-1400 WANDA PLACHECKI                  902 E GARLAND ST                                       Low/High rate: 489/1,036

County: LACROSSE                                WEST SALEM WI 54669                            Initial Certification: 09/01/2007


WILLOWS (THE) (0010267)                         BETHANY LUTHERAN HOMES INC                                     Type:  RCAC
2555 SOUTH 7TH STREET                           (608) 775-8278                                                 Class: REGISTERED
LA CROSSE WI 54601                              BARB CHASE                              Gender - Total Apartments: 28
(608) 775-8280 BARB CHASE                       2555 S 7TH ST                                          Low/High rate: 1,195/2,195

County: LACROSSE                                LA CROSSE WI 54601                             Initial Registration: 12/01/1998


PINE MEADOW (0013458)                           LANGLADE HOSPITAL                                              Type:  RCAC
525 FLIGHT RD                                   (715) 623-2331                                                 Class: REGISTERED
ANTIGO WI 54409                                 JENNY RENFRO                            Gender - Total Apartments: M/F - 40
(715) 627-2613 JENNY RENFRO                     519 FLIGHT RD                                          Low/High rate: 916/1,184

County: LANGLADE                                ANTIGO WI 54409                                Initial Registration: 07/23/2010


LAUREL GROVE ASSISTED LIVING CENTER (0010367)   SHADY LANE INC                                                 Type:  RCAC
1308 S 22ND ST                                  (920) 682-8254                                                 Class: REGISTERED
MANITOWOC WI 54220                              TODD MEERDINK                           Gender - Total Apartments: 10
(920) 682-8254 TODD MEERDINK                    1308 S 22ND ST                                         Low/High rate: 1,000/1,500

County: MANITOWOC                               MANITOWOC WI 54220                             Initial Registration: 04/19/1999


NORTHLAND LODGE (0011648)                       TR HOUSING LLC                                                 Type:  RCAC
2500 GARFIELD ST                                (920) 991-9072                                                 Class: REGISTERED
TWO RIVERS WI 54241                             VICKY HRDINA                            Gender - Total Apartments: M/F - 39
(920) 794-6922 VICKY HRDINA                     2500 GARFIELD ST                                       Low/High rate: 1,400/3,000

County: MANITOWOC                               TWO RIVER WI 54241                             Initial Registration: 09/12/2006


RIVER WOOD ESTATES (0011388)                    ALC OPERATING LLC                                              Type:  RCAC
950 S RAPIDS RD                                 (262) 250-4500                                                 Class: REGISTERED
MANITOWOC WI 54220                              MARY T ZAK-KOWALCZYK                    Gender - Total Apartments: M/F - 60
(920) 684-3996 ELIZABETH PANKRATZ               W140N8981 LILLY RD                                     Low/High rate: 1,895/3,400

County: MANITOWOC                               MENOMONEE FALLS WI 53051-2325                  Initial Registration: 04/01/2006


SACRED HEART COURT (0010348)                    ST MARYS HOME FOR THE AGED                                     Type:  RCAC           PUBLIC FUNDING
1903 DIVISION ST                                (920) 684-7171                                                 Class: CERTIFIED
MANITOWOC WI 54220                              RANDALL KRENTZ                          Gender - Total Apartments: M/F - 48
(920) 684-7171 BARB FRICKE                      1635 S 21ST ST                                         Low/High rate: 1,985/3,410

County: MANITOWOC                               MANITOWOC WI 54220                             Initial Certification: 07/15/1998


ACORN HILL SENIOR LIVING COMMUNITY (0012330)    ROSE BORON                                                         RCAC
                                                                                                               Type:                 PUBLIC FUNDING
430 ORBITING DRIVE                              (715) 212-1548                                                     CERTIFIED
                                                                                                               Class:

MOSINEE WI 54455                                ROSE BORON                              Gender - Total Apartments: M/F - 29
(715) 693-8844 ROSE BORON                       430 ORBITING DRIVE                                    Low/High rate:

County: MARATHON                                MOSINEE WI 54455                               Initial Certification:   09/30/2008

APPLEGATE TERRACE (0012108)                     EHF WAUSAU AL OP LLC                                           Type:  RCAC
3001 WESTHILL DRIVE                             (414) 908-8000                                                 Class: REGISTERED
WAUSAU WI 54401                                 SHELLY KAFKA                            Gender - Total Apartments: M/F - 53
(715) 849-1514 KELSY KOCH                       3001 WESTHILL DRIVE                                    Low/High rate: 2,182/2,775

County: MARATHON                                WAUSAU WI 54401                                Initial Registration: 12/01/2007


GARDENS APARTMENTS (THE) (0010381)              HOMME HEIGHTS INC                                              Type:  RCAC           PUBLIC FUNDING
801 PARCHER STREET                              (715) 845-1214                                                 Class: CERTIFIED
WAUSAU WI 54403                                 AMY FORST                               Gender - Total Apartments: 26
(715) 845-1214 AMY FORST                        801 PARCHER STREET                                     Low/High rate: 645/830

County: MARATHON                                WAUSAU WI 54403                                Initial Certification: 06/01/1998


HARMONY TERRACE COMMONS RCAC (0010849)          HARMONY LIVING CENTERS LLC                                     Type:  RCAC           PUBLIC FUNDING
3312 TERRACE COURT                              (262) 255-3606                                                 Class: CERTIFIED
WAUSAU WI 54401                                 DEE THIEME                              Gender - Total Apartments: 41
(715) 843-5230 CYNTHIA MATTESON                 N94 W17900 APPLETON AV STE 101                         Low/High rate: 2,243/4,275

County: MARATHON                                MENOMONEE FALLS WI 53051                       Initial Certification: 03/09/2005
Wisconsin Department                                           Division of Quality Assurance                                              Directory Updated 06/02/2011
of Health Services                                                                                                                                    Page 11
                                                                     CENTRAL OFFICE

                                                                Public Directory
                                                                   By County, Facility Name
                                                                   For Facility Type RCAC

Facility Name and Address                        Licensee Name and Phone
Phone Number / Contact Person                    Mailing Address                                                                        Specialty Programs


RENAISSANCE WESTON (0013025)                    RENNES ASSISTED LIVING                                            Type:  RCAC           PUBLIC FUNDING
4602 BARBIAN AVENUE                             (715) 582-2200                                                   Class:  CERTIFIED
WESTON WI 54476                                 SHAREE POWERS                              Gender - Total Apartments: M/F - 80
(715) 393-0400 SHAREE POWERS                    4602 BARBICAN AVENUE                                      Low/High rate: 2,400/3,300

County: MARATHON                                WESTON WI 54476                                   Initial Certification: 11/03/2009


RIVERVIEW TERRACE (0010394)                     COMMUNITY DEVELOPMENT AUTHORITY                                   Type:  RCAC           PUBLIC FUNDING
540 EAST THOMAS STREET                          (715) 845-4144                                                   Class:  CERTIFIED
WAUSAU WI 54403                                 BETTY NOEL                                 Gender - Total Apartments: M/F - 36
(715) 845-4144 BETTY NOEL                       540 EAST THOMAS STREET                                    Low/High rate: 459/459

County: MARATHON                                WAUSAU WI 54403                                   Initial Certification: 09/01/2003


TERRACE COURT ASSISTED LIVING (0010384)         AMERICOR MANAGEMENT SERVICES LLC                                  Type:  RCAC
3402 TERRACE CT                                 (262) 255-3606                                                   Class:  REGISTERED
WAUSAU WI 54401                                  MUSOMBWA                                  Gender - Total Apartments: 10
(715) 843-5230 HEIDI MUSOMBWA                   3402 TERRACE CT                                           Low/High rate: 1,745/1,945

County: MARATHON                                WAUSAU WI 54401                                   Initial Registration: 03/14/1997


THARENS PLACE (0011887)                         OPPORTUNITY INC                                                   Type:  RCAC           DEVELOPMENTALLY DISABLED
1813 MILWAUKEE AVENUE                           (715) 842-8700                                                   Class:  CERTIFIED      PHYSICALLY DISABLED
WAUSAU WI 54403                                 JON POTTER                                 Gender - Total Apartments: M/F - 4
                                                                                                                                        PUBLIC FUNDING
(715) 298-1211 JON POTTER                       740 N THIRD STREET                                        Low/High rate: 5,678/7,301
                                                                                                  Initial Certification: 05/16/2007
                                                                                                                                        TRAUMATIC BRAIN INJURY
County: MARATHON                                WAUSAU WI 54403

WAUSAU RETIREMENT LLC (0012757)                 WAUSAU RETIREMENT LLC                                             Type:  RCAC
2100 TOWNLINE ROAD                              (715) 842-1818                                                   Class:  REGISTERED
WAUSAU WI 54403                                 ZOEY SOLIN                                 Gender - Total Apartments: M/F - 68
(715) 842-1818 ZOEY SOLIN                       2100 TOWNLINE ROAD                                        Low/High rate: 2,995/3,195

County: MARATHON                                WAUSAU WI 54403                                   Initial Registration: 06/16/2009


RENAISSANCE (THE) (0010371)                     RENNES ASSISTED LIVING CORP                                       Type:  RCAC
2909 SHORE DRIVE                                                                                                 Class:  REGISTERED
MARINETTE WI 54143                              CHARLENE EVERETT                           Gender - Total Apartments: 55
(715) 735-2100 CHARLENE EVERETT                 2909 SHORE DRIVE                                          Low/High rate: 2,000/3,100

County: MARINETTE                               MARINETTE WI 54143                                Initial Registration: 08/01/1999


APARTMENTS AT ELIZABETH RESIDENCE ( (0012474)   RJJG LLC                                                              RCAC
                                                                                                                  Type:

9279 N PORT WASHINGTON RD                       (414) 540-4141                                                        REGISTERED
                                                                                                                 Class:

BAYSIDE WI 53217                                RICHARD F COURY                            Gender - Total Apartments: M/F - 40
(414) 540-4141 RICHARD F COURY                  6430 N GREEN BAY AVE                                     Low/High rate:

County: MILWAUKEE                               GLENDALE WI 53209                                 Initial Registration:   10/21/2008

ASSISTED LIVING AT THE MILW CATHOLI (0010299)   MILWAUKEE CATHOLIC HOME INC                                       Type:  RCAC
2330 NORTH PROSPECT AVE                         (414) 224-9700                                                   Class:  REGISTERED
MILWAUKEE WI 53211                              PAUL CONNOLLY                              Gender - Total Apartments: 29
(414) 224-9700 PAUL CONNOLLY                    2330 NORTH PROSPECT AVE                                   Low/High rate: 2,625/2,820

County: MILWAUKEE                               MILWAUKEE WI 53211                                Initial Registration: 08/01/1997


BRADFORD TERRACE (0010308)                      MILWAUKEE PROTESTANT HOME FOR THE AGE                    Type:            RCAC
2429 E BRADFORD AVE                             (414) 332-8610                                           Class:           REGISTERED
MILWAUKEE WI 53211                              JOAN COLLINS                      Gender - Total Apartments:              36
(414) 963-8471 JOAN COLLINS                     2429 E BRADFORD AVE                              Low/High rate:           1,000/1,855
County: MILWAUKEE                               MILWAUKEE WI 53211                       Initial Registration:            03/25/1997

CHAI POINT (0010313)                            PROSPECT CONGREGATE HOUSING                                       Type:  RCAC           PUBLIC FUNDING
1400 N PROSPECT AVE                             (414) 289-9600                                                   Class:  CERTIFIED
MILWAUKEE WI 53202                              DEBBIE ZEMEL                               Gender - Total Apartments: 41
(414) 289-9600 DEBBIE ZEMEL                     1400 N PROSPECT AVE                                       Low/High rate: 660/4,563

County: MILWAUKEE                               MILWAUKEE WI 53202                                Initial Certification: 10/01/2002


CLARKE SQUARE TERRACE (0012814)                 ANEW MANAGEMENT LLC                                               Type:  RCAC           PUBLIC FUNDING
1740 W PIERCE ST                                (414) 475-7788                                                   Class:  CERTIFIED
MILWAUKEE WI 53204                              RUTH RYSHKE                                Gender - Total Apartments: M/F - 50
(414) 257-4350 RUTH RYSHKE                      7425 HARWOOD AVE                                          Low/High rate: 465/702

County: MILWAUKEE                               WAUWATOSA WI 53213                                Initial Certification: 05/26/2009
Wisconsin Department                                            Division of Quality Assurance                                              Directory Updated 06/02/2011
of Health Services                                                                                                                                     Page 12
                                                                     CENTRAL OFFICE

                                                                 Public Directory
                                                                    By County, Facility Name
                                                                    For Facility Type RCAC

Facility Name and Address                        Licensee Name and Phone
Phone Number / Contact Person                    Mailing Address                                                                         Specialty Programs


CLEMENT MANOR RETIREMENT COMMUNITY (00103       VILLA CLEMENT INC                                                 Type:    RCAC
9339 W HOWARD AVE                               (414) 321-1800                                                    Class:   REGISTERED
GREENFIELD WI 53228                             GREG SZPAK                                   Gender - Total Apartments: 85
(414) 321-1800 GREG SZPAK                       9339 W HOWARD AVE                                           Low/High rate: 1,996/2,728

County: MILWAUKEE                               GREENFIELD WI 53228                                 Initial Registration: 07/01/1997


CONCORD AT THE HARBOUR VILLAGE (THE (0012468)   SL HARBOUR VILLAGE LLC                                            Type:    RCAC
5700 MOCKINGBIRD LN                             (312) 673-4387                                                    Class:   REGISTERED
GREENDALE WI 53129                              STEPHEN J LEVY                               Gender - Total Apartments: M/F - 24
(414) 433-9302 KRISTA MCCOOK                    111 E WACKER DR SUITE 2200                                  Low/High rate: 1,700/3,700

County: MILWAUKEE                               CHICAGO IL 60601                                    Initial Registration: 09/18/2008


CORNERSTONE OF OAK CREEK (THE) (0010316)        CORNERSTONE OF OAK CREEK LLC (THE)                                Type:    RCAC          PUBLIC FUNDING
155 W SUNNYVIEW DR                              (414) 570-9755                                                    Class:   CERTIFIED
OAK CREEK WI 53154                              KATHLEEN HOWLETT DESPOT                      Gender - Total Apartments: 36
(414) 570-9755 KATHELEEN HOWLETT DESPOT         155 W SUNNYVIEW DR                                          Low/High rate: 2,700/3,180

County: MILWAUKEE                               OAK CREEK WI 53154                                  Initial Certification: 01/19/2001


DEERWOOD CROSSING SENIOR RESIDENCE (0013351)    JFS HOUSING INC                                                   Type:    RCAC
4195 W BRADLEY RD                               (414) 550-4798                                                    Class:   CERTIFIED
BROWN DEER WI 53209                             LESHIA DONALDSON                             Gender - Total Apartments: M/F - 66
(414) 550-4798 LESHIA DONALDSON                 4195 W BRADLEY RD                                           Low/High rate: 352/1,020

County: MILWAUKEE                               BROWN DEER WI 53209                                 Initial Certification: 08/23/2010


FOREST RIDGE LLC (0010542)                      FOREST RIDGE LLC                                                  Type:    RCAC
11077 W FOREST HOME AVE                         (414) 529-3900                                                    Class:   REGISTERED
HALES CORNERS WI 53130                          GREG NORVIK                                  Gender - Total Apartments: M/F - 24
(414) 425-1148 PATTI FROST                      5300 S 108TH ST SUITE 1                                     Low/High rate: 890/990

County: MILWAUKEE                               HALES CORNERS WI 53130                              Initial Registration: 03/09/2004


FRANCISCAN COURTS (0010317)                     FRANCISCAN VILLA OF SOUTH MILWAUKEE IN                      Type:          RCAC          PUBLIC FUNDING
1010 WILLIAMS AVE                               (414) 764-4100                                              Class:         CERTIFIED
SOUTH MILWAUKEE WI 53172                        CHRYSTAL ROSSO                      Gender - Total Apartments:             39
(414) 764-4100 CHRYSTAL ROSSO                   1010 WILLIAMS AVE                                  Low/High rate:          3,900/4,400
County: MILWAUKEE                               SOUTH MILWAUKEE WI 53172                   Initial Certification:          03/01/2002

GARDEN PLACE (0011078)                          GARDEN PLACE HOUSING LLC                                          Type:    RCAC          PUBLIC FUNDING
8425 N 107TH ST                                 (414) 354-7989                                                    Class:   CERTIFIED
MILWAUKEE WI 53224                              RUTH RYSHKE                                  Gender - Total Apartments: M/F - 50
(414) 257-4350 RUTH RYSHKE                      7425 HARWOOD AVE                                            Low/High rate: 352/910

County: MILWAUKEE                               WAUWATOSA WI 53213-2626                             Initial Certification: 10/13/2005


GARDEN TERRACE (0012588)                        ANEW MANAGEMENT LLC                                               Type:    RCAC          PUBLIC FUNDING
10851 W DONNA DR                                (414) 257-4350                                                    Class:   CERTIFIED
MILWAUKEE WI 53224                              RUTH RYSHKE                                  Gender - Total Apartments: M/F - 50
(414) 257-4350 RUTH RYSHKE                      7425 HARWOOD AVE                                            Low/High rate: 542/794

County: MILWAUKEE                               WAUWATOSA WI 53213-2626                             Initial Certification: 12/22/2008


HART PARK SQUARE (0010859)                      HART PARK SQUARE V LLC                                            Type:    RCAC          PUBLIC FUNDING
6600 W RIVER PKWY                               (262) 548-5965                                                    Class:   CERTIFIED
WAUWATOSA WI 53213                              BETH ANDERSON                                Gender - Total Apartments: 44
(414) 476-8787 KATHY BELTMANN                   1805 KENSINGTON DR                                          Low/High rate: 2,710/3,720

County: MILWAUKEE                               WAUKESHA WI 53188                                   Initial Certification: 07/22/2005


HARWOOD PLACE (0011422)                         LUTHERAN HOME INC (THE)                                           Type:    RCAC
8220 HARWOOD AVE                                (414) 258-6170                                                    Class:   REGISTERED
WAUWATOSA WI 53213                              LIVERMORE KERRI                              Gender - Total Apartments: M/F - 173
(414) 258-6170 EILEEN HAYES                     8220 HARWOOD AVE                                            Low/High rate: 969/2,028

County: MILWAUKEE                               WAUWATOSA WI 53213                                  Initial Registration: 04/25/2006


HERITAGE WEST ALLIS HERITAGE 6 LLC (0012759)    HERITAGE 6 LLC                                                    Type:    RCAC
7901 W NATIONAL AVE                                                                                               Class:   REGISTERED
WEST ALLIS WI 53214                             CINDY PAULSON                                Gender - Total Apartments: M/F - 40
(414) 302-9700 JOSEPH TOMASINO                  3585 S 147TH ST                                             Low/High rate: 2,850/3,800

County: MILWAUKEE                               NEW BERLIN WI 53151                                 Initial Registration: 09/15/2009
Wisconsin Department                                           Division of Quality Assurance                                              Directory Updated 06/02/2011
of Health Services                                                                                                                                    Page 13
                                                                     CENTRAL OFFICE

                                                                Public Directory
                                                                   By County, Facility Name
                                                                   For Facility Type RCAC

Facility Name and Address                        Licensee Name and Phone
Phone Number / Contact Person                    Mailing Address                                                                        Specialty Programs


HICKORY PARK (0012790)                          FOUR CITIES CRL SERVICES LLC                                      Type:  RCAC
3933 S PRAIRIE HILL LN                          (920) 254-0675                                                    Class: CERTIFIED
GREENFIELD WI 53228                             DOUGLAS CAMERON                            Gender - Total Apartments: M/F - 56
(414) 327-2800 MICHAEL MUNTER                   875 N MICHIGAN AVE STE 3740                               Low/High rate: 3,135/4,165

County: MILWAUKEE                               CHICAGO IL 60611                                  Initial Certification: 04/24/2009


HOWARD VILLAGE (0010322)                        HOWARD VILLAGE V LLC                                              Type:  RCAC           PUBLIC FUNDING
2500 E HOWARD AVE                               (262) 548-5965                                                    Class: CERTIFIED
ST FRANCIS WI 53235                             BETH ANDERSON                              Gender - Total Apartments: 55
(414) 489-1400 COLLEEN MEYER                    1805 KENSINGTON DR                                        Low/High rate: 2,443/3,350

County: MILWAUKEE                               WAUKESHA WI 53188                                 Initial Certification: 07/26/2001


LAUREL OAKS (0010326)                           LAUREL OAKS V LLC                                                 Type:  RCAC           PUBLIC FUNDING
1700 W BENDER RD                                (262) 548-5965                                                    Class: CERTIFIED
GLENDALE WI 53209                               BETH ANDERSON                              Gender - Total Apartments: 85
(414) 351-0505 BETTE HANEL                      1805 KENSINGTON DR                                        Low/High rate: 2,965/4,570

County: MILWAUKEE                               WAUKESHA WI 53188                                 Initial Certification: 10/01/2001


LAYTON TERRACE V LLC (0010327)                  LAYTON TERRACE V LLC                                              Type:  RCAC           PUBLIC FUNDING
9200 W LAYTON AVE                               (262) 548-5965                                                    Class: CERTIFIED
GREENFIELD WI 53228                             BETH ANDERSON                              Gender - Total Apartments: 40
(414) 425-5600 PATRICIA DOLINK                  1805 KENSINGTON DR                                        Low/High rate: 2,540/4,205

County: MILWAUKEE                               WAUKESHA WI 53188                                 Initial Certification: 07/01/1999


LEXINGTON HERITAGE (0010328)                    MSP REAL ESTATE                                                   Type:  RCAC
5020 S 107TH ST                                 (952) 351-4541                                                    Class: REGISTERED
GREENFIELD WI 53228                             CINDY REED                                 Gender - Total Apartments: 20
(414) 425-9551 CINDY REED                       5020 S 107TH ST                                           Low/High rate: 1,050/1,950

County: MILWAUKEE                               GREENFIELD WI 53228                               Initial Registration: 06/01/2000


LEXINGTON HERITAGE-HERITAGE ASSISTE (0012864)   MSP REAL ESTATE INC                                                   RCAC
                                                                                                                  Type:

5020 S 107TH ST                                 (262) 789-6600                                                        CERTIFIED
                                                                                                                  Class:

GREENFIELD WI 53228                             CINDY PAULSON                              Gender - Total Apartments: M/F - 20
(414) 425-9551 JUDY JONES                       3585 S 147TH ST                                          Low/High rate:

County: MILWAUKEE                               NEW BERLIN WI 53151                               Initial Certification:   10/16/2009

LIBRARY SQUARE (0010329)                        LAUREATE HOUSING LLC                                              Type:  RCAC           PUBLIC FUNDING
1820 SOUTH 75TH ST                              (262) 548-5965                                                    Class: CERTIFIED
WEST ALLIS WI 53214                             BETH ANDERSON                              Gender - Total Apartments: 58
(414) 774-4411 CONNIE KNAPP                     1805 KENSINGTON DR                                        Low/High rate: 2,505/3,765

County: MILWAUKEE                               WAUKESHA WI 53188                                 Initial Certification: 05/01/2003


LUTHER HAVEN (0011597)                          WISCONSIN LUTHERAN RETIREMENT COMMUN                     Type:             RCAC
8949 N 97TH ST                                  (414) 354-4600                                           Class:            REGISTERED
MILWAUKEE WI 53224                              DAVID E TANCK                     Gender - Total Apartments:               M/F - 60
(414) 354-4600 AMY TAGLIENTI                    8949 N 97TH ST                                   Low/High rate:            594/1,922
County: MILWAUKEE                               MILWAUKEE WI 53224                       Initial Registration:             09/27/2006

LUTHER MANOR (0011107)                          UNITED LUTHERAN PROGRAM FOR THE AGING                     Type:            RCAC
4545 N 92ND ST                                  (414) 464-3880                                            Class:           REGISTERED
WAUWATOSA WI 53225                              LINDA LEE KATT                     Gender - Total Apartments:              M/F - 50
(414) 464-3880 LINDA LEE KATT                   4545 N 92ND ST                                    Low/High rate:           636/2,254
County: MILWAUKEE                               WAUWATOSA WI 53225                        Initial Registration:            01/20/2006

MANORPOINTE APARTMENTS (0012259)                FIVE STAR QUALITY CARE WI LLC                                     Type:  RCAC
700 E STONEGATE DR                              (617) 796-8387                                                    Class: REGISTERED
OAK CREEK WI 53154                              LAURIE JARVIS                              Gender - Total Apartments: M/F - 20
(414) 766-2100 LAURIE JARVIS                    701 E PUETZ RD                                            Low/High rate: 895/1,485

County: MILWAUKEE                               OAK CREEK WI 53154                                Initial Registration: 01/18/2008


MEADOWMERE OAK CREEK (0012243)                  FIVE STAR QUALITY CARE WI LLC                                     Type:  RCAC           PUBLIC FUNDING
701 E PUETZ RD                                  (617) 796-8387                                                    Class: CERTIFIED
OAK CREEK WI 53154                              LAURIE JARVIS                              Gender - Total Apartments: M/F - 60
(414) 766-2100 LAURIE JARVIS                    701 E PUETZ RD                                            Low/High rate: 2,350/3,600

County: MILWAUKEE                               OAK CREEK WI 53154                                Initial Certification: 01/18/2008
Wisconsin Department                                            Division of Quality Assurance                                               Directory Updated 06/02/2011
of Health Services                                                                                                                                      Page 14
                                                                      CENTRAL OFFICE

                                                                 Public Directory
                                                                    By County, Facility Name
                                                                    For Facility Type RCAC

Facility Name and Address                        Licensee Name and Phone
Phone Number / Contact Person                    Mailing Address                                                                          Specialty Programs


MEADOWMERE WEST ALLIS (0012241)                 FIVE STAR QUALITY CARE WI LLC                                      Type:    RCAC          PUBLIC FUNDING
2330 S 54TH ST                                  (617) 796-8387                                                     Class:   CERTIFIED
WEST ALLIS WI 53219                             FRANCESCA LOCICERO                            Gender - Total Apartments: M/F - 101
(414) 615-7200 FRANCESCA LOCICERO               5301 W LINCOLN AVE                                           Low/High rate: 3,093/4,050

County: MILWAUKEE                               WEST ALLIS WI 53219                                  Initial Certification: 01/18/2008


POLONAISE AT WILSON COMMONS (THE) (0010715)     WILSON PARK LLC                                                    Type:    RCAC          PUBLIC FUNDING
1500 W SONATA DR                                (262) 798-1224                                                     Class:   CERTIFIED
MILWAUKEE WI 53221                              LINDA SMITH                                   Gender - Total Apartments: M/F - 75
(414) 281-3400 LINDA SMITH                      1500 W SONATA DR                                             Low/High rate: 600/1,275

County: MILWAUKEE                               MILWAUKEE WI 53221                                   Initial Certification: 11/18/2004


SAINT JOHNS ON THE LAKE NORTH RESID (0010770)   ST JOHNS COMMUNITIES INC                                           Type:    RCAC
1840 N PROSPECT AVE                             (414) 272-2022                                                     Class:   REGISTERED
MILWAUKEE WI 53202                              KATHY AHLSTEDT                                Gender - Total Apartments: M/F - 100
(414) 272-2022 KATHY AHLSTEDT                   1840 N PROSPECT AVE                                          Low/High rate: 400/4,525

County: MILWAUKEE                               MILWAUKEE WI 53202                                   Initial Registration: 09/20/2004


ST CLARE TERRACE (0010944)                      FRANCISCAN SISTERS OF ST CLARE                                     Type:    RCAC          PUBLIC FUNDING
3553 S 41ST ST                                  (414) 421-8257                                                     Class:   CERTIFIED
MILWAUKEE WI 53221                              MARGO O MALLEY                                Gender - Total Apartments: 59
(414) 649-0730 MARGO O MALLEY                   3553 S 41 STREET                                             Low/High rate: 14/19

County: MILWAUKEE                               MILWAUKEE WI 53221                                   Initial Certification: 06/05/2003


TIVOLI TERRACE AT ST ANNES SALVATOR (0010362)   ST ANNES HOME FOR THE ELDERLY INC                                  Type:    RCAC          PUBLIC FUNDING
3800 N 92ND ST                                  (414) 463-7570                                                     Class:   CERTIFIED
MILWAUKEE WI 53222-2589                         LYNN VOGT                                     Gender - Total Apartments: 43
(414) 463-7570 LYNN VOGT                        3800 N 92ND ST                                               Low/High rate: 2,350/3,950

County: MILWAUKEE                               MILWAUKEE WI 53222-2589                              Initial Certification: 01/25/2001


TRINITY VILLAGE ASSISTED LIVING (0010742)       TRINITY HEALTH SERVICES INC                                        Type:    RCAC          PUBLIC FUNDING
7300 W DEAN RD                                  (414) 371-7300                                                     Class:   CERTIFIED
MILWAUKEE WI 53223                              CEDRIC ADDISON                                Gender - Total Apartments: M/F - 80
(414) 371-7300 CEDRIC ADDISON                   7300 W DEAN RD                                               Low/High rate: 1,000/2,200

County: MILWAUKEE                               MILWAUKEE WI 53223                                   Initial Certification: 12/01/2004


WATERTOWER ASSISTED LIVING (0010377)            MILWAUKEE PROTESTANT HOME FOR THE AGE                    Type:              RCAC
2425 N LAKE DR                                  (414) 332-8610                                           Class:             REGISTERED
MILWAUKEE WI 53211                              MARY LU KARABEN                   Gender - Total Apartments:                52
(414) 332-8610 MARY LU KARABEN                  2524 N LAKE DR                                   Low/High rate:             2,700/3,900
County: MILWAUKEE                               MILWAUKEE WI 53211                       Initial Registration:              12/01/2000

A TOUCH OF HOME (0010271)                       STEPHEN AND ROBERTA DIETZMAN                                       Type:    RCAC
1211 MARK AVENUE                                (708) 374-2435                                                     Class:   REGISTERED
TOMAH WI 54660                                  ROBERTA DIETZMAN                              Gender - Total Apartments: 24
(608) 372-5454 ROBERTA DIETZMAN                 1211 MARK AVENUE                                             Low/High rate: 2,670/2,670

County: MONROE                                  TOMAH WI 54660                                       Initial Registration: 01/01/2002


CLOSE TO HOME (0010255)                         CLOSE TO HOME INC                                                  Type:    RCAC
1206 MARK AVENUE                                (608) 372-2696                                                     Class:   REGISTERED
TOMAH WI 54660                                  ROBERTA DEITZMAN                              Gender - Total Apartments: 8
(608) 372-2696 ROBERTA DEITZMAN                 ROUTE 2 BOX 3478                                             Low/High rate: 750/750

County: MONROE                                  TOMAH WI 54660                                       Initial Registration: 02/01/1998


HOMESTEAD APARTMENTS (0011308)                  MORROW MEMORIAL HOME & APARTMENTS                        Type:              RCAC
331 S WATER ST                                  (608) 269-3168                                           Class:             CERTIFIED
SPARTA WI 54656                                 MICHAEL BONELLO                  Gender - Total Apartments:                 M/F - 24
(608) 269-3168 MICHAEL BONELLO                  331 S WATER ST                                  Low/High rate:              560/610
County: MONROE                                  SPARTA WI 54656                         Initial Certification:              01/20/2006

LIBERTY VILLAGE ASSISTED LIVING (0012805)       LIBERTY VILLAGE ASSISTED LIVING OF TOMAH                      Type:         RCAC          PUBLIC FUNDING
200 LIBERTY PLACE                               (608) 387-9691                                                Class:        CERTIFIED
TOMAH WI 54660                                  KRISTA WITT                           Gender - Total Apartments:            M/F - 40
(608) 374-5005 KRISTA WITT                      200 LIBERTY PLACE                                    Low/High rate:         2,395/2,895
County: MONROE                                  TOMAH WI 54660                               Initial Certification:         06/01/2009
Wisconsin Department                                            Division of Quality Assurance                                               Directory Updated 06/02/2011
of Health Services                                                                                                                                      Page 15
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                                                                    By County, Facility Name
                                                                    For Facility Type RCAC

Facility Name and Address                        Licensee Name and Phone
Phone Number / Contact Person                    Mailing Address                                                                          Specialty Programs


MARYCREST ASSISTED LIVING (0011029)             MORROW MEMORIAL HOME                                                Type:  RCAC
401 S WATER ST                                  (608) 269-3168                                                     Class:  REGISTERED
SPARTA WI 54656                                 MICHAEL BONELLO                              Gender - Total Apartments: M/F - 24
(608) 269-3168 MICHAEL BONELLO                  331 S WATER ST                                              Low/High rate: 1,576/2,076

County: MONROE                                  SPARTA WI 54656                                     Initial Registration:


MEADOWLANDS (0010343)                           MEADOWLANDS OF OCONTO FALLS LLC                                     Type:  RCAC
751 EAST HIGHLAND DRIVE                         (920) 746-1280                                                     Class:  CERTIFIED
OCONTO FALLS WI 54154                           PAMELA LEMORANDE                             Gender - Total Apartments: M/F - 25
(920) 848-3458 PAMELA LEMORANDE                 751 EAST HIGHLAND DRIVE                                     Low/High rate: 2,880/3,316

County: OCONTO                                  OCONTO FALLS WI 54154                               Initial Certification: 05/01/2003


GRACE LODGE ASSISTED LIVING (0010393)           PETERSEN COMMUNITY SERVICES MGMT LLC                     Type:              RCAC
1000 DAY STREET                                 (715) 365-6900                                           Class:             REGISTERED
RHINELANDER WI 54501                            MAUREEN O'MELIA                   Gender - Total Apartments:                33
(715) 365-1234 MAUREEN O'MELIA                  1000 DAY STREET                                  Low/High rate:             500/1,010
County: ONEIDA                                  RHINELANDER WI 54501                     Initial Registration:              08/05/2003

MILESTONE SENIOR APARTMENTS (0012217)           MILESTONE SENIOR LIVING LLC                                         Type:  RCAC           PUBLIC FUNDING
4686 NORTH SHORE DRIVE                          (608) 819-2200                                                     Class:  CERTIFIED
RHINELANDER WI 54501                            JULIE HEIL                                   Gender - Total Apartments: M/F - 22
(715) 891-4181 NIKKI REED                       1574 W BROADWAY STE 200                                     Low/High rate: 3,000/3,495

County: ONEIDA                                  MADISON WI 53713                                    Initial Certification: 02/07/2008


ONE PENNY PLACE (0010388)                       NORTHWOODS HOUSING PARTNERS                                         Type:  RCAC           PUBLIC FUNDING
820 3RD AVENUE                                  (715) 358-5541                                                     Class:  CERTIFIED
WOODRUFF WI 54568                               LAURIE OUNGST                                Gender - Total Apartments: M/F - 51
(715) 358-5541 KATHY MC CAUGHN                  820 3RD AVENUE                                              Low/High rate: 460/929

County: ONEIDA                                  WOODRUFF WI 54568                                   Initial Certification: 10/01/2001


APPLETON RETIREMENT COMMUNITY (0013149)         MIDWEST SENIOR LIVING LLC                                           Type:  RCAC           PUBLIC FUNDING
200 W PACKARD ST                                (608) 316-1291                                                     Class:  CERTIFIED
APPLETON WI 54911                               CHET BRADEEN                                 Gender - Total Apartments: M/F - 104
(920) 954-9990 BILL PARKER                      5900 MONONA DR STE 206                                      Low/High rate: 2,055/4,000

County: OUTAGAMIE                               MADISON WI 53716                                    Initial Certification: 03/09/2010


GOOD SHEPHERD MEADOW WOOD RCAC (0010364)        GOOD SHEPHERD SERVICES LTD                                          Type:  RCAC
605 BRONSON RD                                  (920) 833-6856                                                     Class:  REGISTERED
SEYMOUR WI 54165                                KAREN CAELWAERTS                             Gender - Total Apartments: 36
(920) 833-1566 KAREN CAELWAERTS                 605 BRONSON RD                                              Low/High rate: 1,422/2,222

County: OUTAGAMIE                               SEYMOUR WI 54165                                    Initial Registration: 02/10/1999


RENAISSANCE APPLETON (0013364)                  RENNES ASSISTED LIVING CORP                                         Type:  RCAC
301 E FLORIDA ST                                (715) 582-2200                                                     Class:  CERTIFIED
APPLETON WI 54911                               NICOLE RIESTERER                             Gender - Total Apartments: M/F - 71
(920) 380-1100 NICOLE RIESTERER                 301 E FLORIDA                                               Low/High rate: 2,425/3,375

County: OUTAGAMIE                               APPLETON WI 54911                                   Initial Certification: 06/21/2010


ST PAUL VILLA (0010352)                         ST PAUL ELDER SERVICES INC                                          Type:  RCAC           PUBLIC FUNDING
312 E 14TH ST                                   (920) 766-6020                                                     Class:  CERTIFIED
KAUKAUNA WI 54130                               MARGARET WITTMANN                            Gender - Total Apartments: M/F - 89
(920) 766-6189 MARGARET WITTMANN                312 E 14TH ST                                               Low/High rate: 2,400/3,900

County: OUTAGAMIE                               KAUKAUNA WI 54130                                   Initial Certification: 02/02/2000


FIVE STAR NORTHSHORE LLC D/B/A MEAD (0013000)   FIVE STAR NORTHSHORE LLC D/B/A MEADOWM                      Type:           RCAC
10803 N PORT WASHINGTON RD                      (262) 478-2200                                              Class:          CERTIFIED
MEQUON WI 53092                                 CHERYL WIRNSBERGER                  Gender - Total Apartments:              M/F - 60
(262) 478-2200 CHERYL WIRNSBERGER               10803 N PORT WASHINGTON RD                         Low/High rate:           2,964/3,900
County: OZAUKEE                                 MEQUON WI 53092                            Initial Certification:           10/01/2009

HARBOR CLUB RCAC LLC (0013061)                  HARBOR CLUB LLC                                                     Type:  RCAC
333 W WALTERS ST                                (262) 268-1800                                                     Class:  REGISTERED
PORT WASHINGTON WI 53074                        SUSAN SIERACKI                               Gender - Total Apartments: M/F - 20
(262) 268-1800 SUSAN SIERACKI                   333 W WALTERS ST                                            Low/High rate: 717/1,320

County: OZAUKEE                                 PORT WASHINGTON WI 53074                            Initial Registration: 05/12/2010
Wisconsin Department                                          Division of Quality Assurance                                           Directory Updated 06/02/2011
of Health Services                                                                                                                                Page 16
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                                                               Public Directory
                                                                 By County, Facility Name
                                                                 For Facility Type RCAC

Facility Name and Address                       Licensee Name and Phone
Phone Number / Contact Person                   Mailing Address                                                                     Specialty Programs


HIGHLANDS AT NEWCASTLE PLACE (THE) (0010321)   NEWCASTLE PLACE INC                                            Type:  RCAC
12600 N PORT WASHINGTON RD                     (262) 387-8800                                                 Class: REGISTERED
MEQUON WI 53092                                MAJORIE GOZDOWIAK                       Gender - Total Apartments: 36
(262) 387-8800 MARJORIE GOZDOWIAK              12600 N PORT WASHINGTON RD                             Low/High rate: 3,395/3,995

County: OZAUKEE                                MEQUON WI 53092                                Initial Registration: 03/20/2003


LASATA CROSSINGS ASSISTED LIVING (0013268)     OZAUKEE COUNTY                                                 Type:  RCAC           PUBLIC FUNDING
W76 N673 WAUWATOSA RD                          (262) 377-5060                                                 Class: CERTIFIED
CEDARBURG WI 53012                             KRISTEN SONNENBERG                      Gender - Total Apartments: M/F - 60
(262) 512-2808 KRISTEN SONNENBERG              W76 N673 WAUWATOSA RD                                  Low/High rate: 1,100/1,500

County: OZAUKEE                                CEDARBURG WI 53012                             Initial Certification: 06/15/2010


SARAH CHUDNOW CAMPUS (0010817)                 MEQUON JEWISH CAMPUS                                           Type:  RCAC
10995 N MARKET ST                              (262) 478-1501                                                 Class: REGISTERED
MEQUON WI 53092                                IPHRA WIGLEY                            Gender - Total Apartments: M/F - 45
(262) 478-1500 IPHRA WIGLEY                    10995 N MARKET ST                                      Low/High rate: 3,304/4,354

County: OZAUKEE                                OZAUKEE WI 53092                               Initial Registration: 03/02/2005


WILLOWBROOK PLACE LLC (0013509)                WILLOWBROOK PLACE LLC                                          Type:  RCAC           PUBLIC FUNDING
205 GREEN BAY RD                               (888) 804-4541                                                 Class: CERTIFIED
THIENSVILLE WI 53092                           ROBERT SIMONSON                         Gender - Total Apartments: M/F - 27
(608) 318-1180 ROBERT SIMONSON                 PO BOX 1255                                            Low/High rate: 3,200/3,800

County: OZAUKEE                                SUN PRAIRIE WI 53590                           Initial Certification: 10/07/2010


HOMEPLACE OF DURAND LLC (THE) (0011507)        HOME PLACE OF DURAND LLC (THE)                                     RCAC
                                                                                                              Type:                 PUBLIC FUNDING
315 COUNTRY LANE                               (715) 644-2136                                                     CERTIFIED
                                                                                                              Class:

DURAND WI 54736                                JILL TALLMAN                            Gender - Total Apartments: 13
(715) 672-4813 JILL TALLMAN                    225 E FOURTH AVE                                      Low/High rate:

County: PEPIN                                  STANLEY WI 54768                               Initial Certification:   06/08/2006

COMFORTS OF HOME RIVER FALLS GRAND (0012562)   RIVER FALLS TOWNHOME RCAC LLC                                  Type:  RCAC
2306 2310 2314 2318 AURORA CIR                 (651) 287-0265                                                 Class: CERTIFIED
RIVER FALLS WI 54022                           RHONDA SCHILLINGER                      Gender - Total Apartments: M/F - 20
(715) 497-0967 JULIE KUSILEK                   720 MAIN ST STE 205                                    Low/High rate: 1,900/2,900

County: PIERCE                                 MENDOTA HEIGHTS MN 55118                       Initial Certification: 04/21/2009


COMFORTS OF HOME-RIVER FALLS RCAC (0012053)    RIVER FALLS RCAC LLC                                           Type:  RCAC           ADVANCED AGED
2348 AURORA CIRCLE                             (651) 287-0265                                                 Class: CERTIFIED      PUBLIC FUNDING
RIVER FALLS WI 54022                           RHONDA SCHILLINGER                      Gender - Total Apartments: M/F - 43
(715) 426-4924 JULIE KUSILEK                   720 MAIN ST STE 205                                    Low/High rate: 1,925/3,525

County: PIERCE                                 MENDOTA HEIGHTS MN 55118                       Initial Certification: 08/13/2007


VALLEY VILLAS ASSISTED LIVING (0013449)        VALLEY VILLAS ASSISTED LIVING                                  Type:  RCAC
S820 WESTLAND DR                               (715) 778-5535                                                 Class: CERTIFIED
SPRING VALLEY WI 54767                         KEVIN LARSON                            Gender - Total Apartments: M/F - 20
(715) 778-5535 AMY LUTHER                      S820 WESTLAND DR                                       Low/High rate: 454/1,020

County: PIERCE                                 SPRING VALLEY WI 54767                         Initial Certification: 08/16/2010


WELCOME HOME ASSISTED LIVING INC (0012458)     WELCOME HOME ASSISTED LIVING INC                               Type:  RCAC
1121 INDUSTRIAL RD                             (715) 639-3400                                                 Class: CERTIFIED
ELMWOOD WI 54740                               MELISSA/DAWN SCHOEDER                   Gender - Total Apartments: M/F - 26
(715) 639-3400 MELISSA/DAWN SCHOEDER           N6695 STATE RD 72                                      Low/High rate: 1,925/2,725

County: PIERCE                                 ELMWOOD WI 54740                               Initial Certification: 08/19/2008


AMERY ASSTD LIV -RIVER BEND (0011001)          AMERY ASSISTED LIVING LLC                                      Type:  RCAC
475 GOLF VIEW LANE                             (715) 268-8171                                                 Class: REGISTERED
AMERY WI 54001                                 CONNIE DUCKLOW                          Gender - Total Apartments: M/F - 26
(715) 268-9949 DENISE OLSON                    400 DERONDA ST                                         Low/High rate: 1,990/3,025

County: POLK                                   AMERY WI 54001                                 Initial Registration: 05/09/2005


EVERGREEN VILLAGE (0010556)                    GOLDEN AGE MANOR POLK COUNTY                                   Type:  RCAC
611 HARRIMAN AVE S                             (715) 268-7107                                                 Class: CERTIFIED
AMERY WI 54001                                 GARY TAXDAHL                            Gender - Total Apartments: 8
(715) 268-7107 GARY TAXDAHL                    220 SCHOLL CT                                          Low/High rate: 870/1,245

County: POLK                                   AMERY WI 54001                                 Initial Certification: 06/01/2004
Wisconsin Department                                            Division of Quality Assurance                                               Directory Updated 06/02/2011
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                                                                 Public Directory
                                                                    By County, Facility Name
                                                                    For Facility Type RCAC

Facility Name and Address                        Licensee Name and Phone
Phone Number / Contact Person                    Mailing Address                                                                          Specialty Programs


ROYAL OAKS INC (THE) (0012793)                  ROYAL OAKS INC (THE)                                                    RCAC
                                                                                                                    Type:

304 EIGHTH AVE E                                (715) 294-1600                                                          CERTIFIED
                                                                                                                    Class:

OSCEOLA WI 54020                                NANCY DEROSIER                               Gender - Total Apartments: M/F - 32
(715) 294-1600 NANCY DEROSIER                   304 EIGHTH AVE E                                           Low/High rate:

County: POLK                                    OSCEOLA WI 54020                                    Initial Certification:   05/05/2009

ST CROIX VALLEY GOOD SAM APT COMPLE (0011008)   EVANGELICAL LUTHERAN GOOD SAM SOCIET                      Type:              RCAC
750 LOUISANNA E                                 (605) 362-3100                                            Class:             CERTIFIED
ST CROIX FALLS WI 54024                         WADE REDDY                        Gender - Total Apartments:                 M/F - 8
(715) 483-2717 WADE REDDY                       750 LOUISANNA E                                  Low/High rate:              600/1,950
County: POLK                                    ST CROIX FALLS WI 54024                  Initial Certification:              11/09/2006

HARMONY COMMONS RCAC (0012716)                  HARMONY LIVING CENTERS LLC                                          Type:  RCAC           PUBLIC FUNDING
1801 LILAC LANE                                 (262) 255-3606                                                      Class: CERTIFIED
STEVENS POINT WI 54481                          LAURA NOLAN                                  Gender - Total Apartments: M/F - 36
(715) 343-9530 JULIE MOUW                       N94 W17900 APPLETON AVENUE                                  Low/High rate: 1,165/5,020

County: PORTAGE                                 MENOMONEE FALLS WI 53051                            Initial Certification: 03/03/2009


LODGE AT WHISPERING PINES (THE) (0012069)       CRYSTAL FOUNTAINS ASSISTED LIVING LLC                        Type:           RCAC         PUBLIC FUNDING
3450 BRIDLEWOOD DR                              (715) 342-4445                                               Class:          CERTIFIED
PLOVER WI 54467                                 PATRICIA J ARNOLD                    Gender - Total Apartments:              M/F - 48
(715) 342-9100 KAREN TRZEBIATOWSKI              4701 INDUSTRIAL PARK RD                             Low/High rate:           590/3,415
County: PORTAGE                                 STEVENS POINT WI 54481                      Initial Certification:           04/28/2008

OAKRIDGE SENIOR LIVING COMMUNITY (0013389)      EMERITUS CORP D/B/A EMERITUS CORP OF W                      Type:            RCAC         PUBLIC FUNDING
5625 SANDPIPER DR                               (206) 298-2909                                              Class:           CERTIFIED
STEVENS POINT WI 54481                          MARCIA MCDONALD                     Gender - Total Apartments:               M/F - 75
(206) 298-2909 MARCIA MCDONALD                  5625 SANDPIPER DR                                  Low/High rate:

County: PORTAGE                                 STEVENS POINT WI 54481                     Initial Certification:            08/05/2010

RIVER VIEW LODGE (0012646)                      SPRVL LLC                                                           Type:  RCAC
1800B SHERMAN AVENUE                            (920) 996-6854                                                      Class: REGISTERED
STEVENS POINT WI 54481                          ROBERT PARKINS                               Gender - Total Apartments: M/F - 51
(920) 996-6854 TINA PILARSKI                    1726 N BALLARD ROAD                                         Low/High rate: 1,875/2,575

County: PORTAGE                                 APPLETON WI 54911                                   Initial Registration: 02/05/2009


ASPIRUS DUROY TERRACE (0012360)                 ASPIRUS EXTENDED SERVICES INC                                       Type:  RCAC           PUBLIC FUNDING
585 PETERSON DRIVE                              (715) 847-2116                                                      Class: CERTIFIED
PHILLIPS WI 54555                               PETER HESSERT                                Gender - Total Apartments: M/F - 20
(715) 339-3113 ERIC JACOBSON                    3000 WESTHILL DRIVE STE 300                                 Low/High rate: 1,235/1,841

County: PRICE                                   WAUSAU WI 54401                                     Initial Certification: 04/01/2008


BAY POINTE AT THE ATRIUM (0010503)              ATRIUM OF RACINE INC                                                Type:  RCAC
3950 N MAIN ST                                  (262) 633-0500                                                      Class: REGISTERED
RACINE WI 53402                                 MARY ANN KEHOE                               Gender - Total Apartments: 45
(262) 639-1100 PAM LIDINGTON                    2000 DOMANIK DR                                             Low/High rate: 2,275/2,850

County: RACINE                                  RACINE WI 53404                                     Initial Registration: 05/26/2004


HARMONY COMMONS RACINE (0010401)                HARMONY LIVING CENTERS LLC                                          Type:  RCAC
8500 CORPORATE DR                               (262) 255-3606                                                      Class: REGISTERED
RACINE WI 53406                                 DEE K THIEME                                 Gender - Total Apartments: 36
(262) 833-0810 SARAH SEARLES                    N94 W17900 APPLETON AVE #101                                Low/High rate: 2,750/2,950

County: RACINE                                  MENOMONEE FALLS WI 53051                            Initial Registration: 10/08/2003


HOME HARBOR (0011173)                           HOME HARBOR OF RACINE LLC                                           Type:  RCAC
1600 OHIO ST                                    (262) 619-0000                                                      Class: CERTIFIED
RACINE WI 53405                                 JENNIFER STRATTON                            Gender - Total Apartments: M/F - 110
(262) 619-0000 JENNIFER STRATTON                1600 OHIO ST                                                Low/High rate: 356/916

County: RACINE                                  RACINE WI 53405                                     Initial Certification: 06/01/2006


PARKVIEW GARDENS (0012712)                      FRESH COAST PARTNERS LLC                                            Type:  RCAC
5321 DOUGLAS AVE                                (262) 782-2770                                                      Class: CERTIFIED
RACINE WI 53402                                 COLLEEN ENDSLEY                              Gender - Total Apartments: M/F - 24
(262) 898-4000 COLLEEN ENDSLEY                  735 N WATER ST SUITE 1200                                   Low/High rate: 548/2,300

County: RACINE                                  MILWAUKEE WI 53202                                  Initial Certification: 03/01/2009
Wisconsin Department                                            Division of Quality Assurance                                              Directory Updated 06/02/2011
of Health Services                                                                                                                                     Page 18
                                                                     CENTRAL OFFICE

                                                                 Public Directory
                                                                    By County, Facility Name
                                                                    For Facility Type RCAC

Facility Name and Address                        Licensee Name and Phone
Phone Number / Contact Person                    Mailing Address                                                                         Specialty Programs


WATERFORD SENIOR LIVING (0012091)               WATERFORD SENIOR LIVING LLC                                       Type:    RCAC
301 S SIXTH ST                                  (608) 755-8100                                                    Class:   CERTIFIED
WATERFORD WI 53185                              SCOTT F SHADEL                               Gender - Total Apartments: M/F - 40
(262) 534-4800 MEGHAN GIESE                     PO BOX 8100                                                 Low/High rate: 2,850/3,450

County: RACINE                                  JANESVILLE WI 53547-8100                            Initial Certification: 10/10/2007


WISCONSIN VETERANS HOME GATES HALL (0010666)    STATE OF WISCONSIN DEPT OF VETERANS AF                      Type:          RCAC
21425 SPRING ST #E                              (608) 266-1315                                              Class:         CERTIFIED
UNION GROVE WI 53182                            PATRICK SHAUGHNESSY                 Gender - Total Apartments:             M/F - 42
(262) 878-6752 PATRICK SHAUGHNESSY              21425 SPRING ST BOLAND HALL                        Low/High rate:          3,424/3,424
County: RACINE                                  UNION GROVE WI 53182                       Initial Certification:          08/23/2004

OUR HOUSE SENIOR APARTMENTS (0013386)           KSMS OUR HOUSE                                                    Type:    RCAC          PUBLIC FUNDING
250 N ORANGE ST                                  (317) 280-8455                                                   Class:   CERTIFIED
RICHLAND CENTER WI 53581                         PATTI KING                                  Gender - Total Apartments: M/F - 20
(608) 647-4500 COREY TREMBATH                   3965 AIRPORT DR                                             Low/High rate: 2,550/3,100

County: RICHLAND                                INDIANAPOLIS IN 46254                               Initial Certification: 09/30/2010


SCHMITT WOODLAND HILLS APARTMENT CO (0010284)   SCHMITT WOODLAND HILLS INC                                        Type:    RCAC
1400 WEST SEMINARY STREET                       (608) 647-8931                                                    Class:   REGISTERED
RICHLAND CENTER WI 53581                        BONNIE RICHARDSON                            Gender - Total Apartments: 38
(608) 647-8931 BONNIE RICHARDSON                1400 WEST SEMINARY STREET                                   Low/High rate: 704/1,670

County: RICHLAND                                RICHLAND CENTER WI 53581                            Initial Registration: 02/01/1998


CEDAR CREST WATERFORD PLACE APARTME (00103      CEDAR CREST INC                                                   Type:    RCAC
1702 SOUTH RIVER RD                             (608) 756-0344                                                    Class:   REGISTERED
JANESVILLE WI 53546                             MARION WOZNIAK                               Gender - Total Apartments: 107
(608) 373-6301 MARION WOZNIAK                   1702 SOUTH RIVER RD                                         Low/High rate: 465/1,195

County: ROCK                                    JANESVILLE WI 53546                                 Initial Registration: 07/01/2002


HEIGHTS AT EVANSVILLE MANOR (THE) (0012587)     THE HEIGHTS ASSISTED LIVING APARTMENTS                      Type:          RCAC
201 N 4TH ST                                    (608) 882-9995                                              Class:         CERTIFIED
EVANSVILLE WI 53536                             JENNY SCHMIDT                       Gender - Total Apartments:             M/F - 25
(608) 882-9995 JENNY SCHMIDT                    201 N 4TH ST                                       Low/High rate:          2,850/3,250
County: ROCK                                    EVANSVILLE WI 53536                        Initial Certification:          12/10/2008

HUNTINGTON (THE) (0013343)                      FIVE STAR QUALITY CARE - NS OPERATOR LLC                    Type:          RCAC
3801 N WRIGHT RD                                (617) 796-8181                                              Class:         REGISTERED
JANESVILLE WI 53546                             DOUGLAS HOOD                         Gender - Total Apartments:            M/F - 48
(608) 868-5035 ANNA MCCARTHY                    400 CENTRE STREET                                   Low/High rate:         600/725
County: ROCK                                    NEWTON MA 02458                             Initial Registration:          08/01/2010

KELLY HOUSE ASSISTED LIVING APARTME (0010246)   DIANE AND GIL SKINNER                                             Type:    RCAC          PUBLIC FUNDING
121 SOUTH FIFTH ST                              (608) 882-4191                                                    Class:   CERTIFIED
EVANSVILLE WI 53536                             DIANE SKINNER                                Gender - Total Apartments: M/F - 8
(608) 882-4191 DIANE SKINNER                    121 SOUTH FIFTH ST                                          Low/High rate: 2,000/3,380

County: ROCK                                    EVANSVILLE WI 53536                                 Initial Certification: 07/01/1997


MILTON SENIOR LIVING LLC (0011690)              MIDWEST SENIOR LIVING INC                                         Type:    RCAC
600 W SUNSET DR                                 (608) 755-8100                                                    Class:   REGISTERED
MILTON WI 53563                                 SCOTT F SHADEL                               Gender - Total Apartments: M/F - 53
(608) 868-3000 SCOTT F SHADEL                   PO BOX 8100                                                 Low/High rate: 2,675/3,450

County: ROCK                                    JANESVILLE WI 53547-8100                            Initial Registration: 01/01/2007


RIVERSIDE TERRACE (0010295)                     BELOIT MEMORIAL HOSPITAL                                          Type:    RCAC
3055 RIVERSIDE DRIVE                            (608) 364-5011                                                    Class:   REGISTERED
BELOIT WI 53511                                 FRIEDA PULKOWSKI                             Gender - Total Apartments: 45
(608) 365-7222 FRIEDA PULKOWSKI                 3055 RIVERSIDE DRIVE                                        Low/High rate: 1,610/3,411

County: ROCK                                    BELOIT WI 53511                                     Initial Registration: 06/01/2001


SWIFTHAVEN EDGERTON (0010671)                   EDGERTON SENIOR HOUSING LLC                                       Type:    RCAC          ADVANCED AGED
124 HENRY ST                                    (608) 849-5053                                                    Class:   CERTIFIED     PUBLIC FUNDING
EDGERTON WI 53534                               LUAN HANEWALL                                Gender - Total Apartments: M/F - 30
(608) 884-2828 LUAN HANEWALL                    124 HENRY ST                                                Low/High rate: 2,670/2,920

County: ROCK                                    EDGERTON WI 53534                                   Initial Certification: 11/11/2004
Wisconsin Department                                            Division of Quality Assurance                                                Directory Updated 06/02/2011
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                                                                    By County, Facility Name
                                                                    For Facility Type RCAC

Facility Name and Address                        Licensee Name and Phone
Phone Number / Contact Person                    Mailing Address                                                                           Specialty Programs


GREENWAY TERRACE (0010288)                      RIVER VALLEY NH INC                                                 Type:  RCAC
547 EAST MCKINLEY STREET                        (608) 588-2586                                                      Class: REGISTERED
SPRING GREEN WI 53588                           MARK SCOLES                                  Gender - Total Apartments: 24
(608) 588-2586 MARK SCOLES                      547 E MCKINLEY ST BOX 759                                   Low/High rate: 2,100/2,750

County: SAUK                                    SPRING GREEN WI 53588                               Initial Registration: 11/01/1999


MAPLEWOOD VILLAGE (0010279)                     MAPLEWOOD OF SAUK PRAIRIE INC                                       Type:  RCAC            PUBLIC FUNDING
1425 HEMLOCK STREET                             (608) 643-3383                                                      Class: CERTIFIED
SAUK CITY WI 53583                              TOM GRAVES                                   Gender - Total Apartments: M/F - 24
(608) 643-8494 TOM GRAVES                       1425 HEMLOCK STREET                                         Low/High rate: 3,055/3,255

County: SAUK                                    SAUK CITY WI 53583                                  Initial Certification: 06/01/1999


OAK PARK PLACE THE GROVE (0012768)              OAK PARK PLACE OF BARABOO LLC                                           RCAC
                                                                                                                    Type:                  PUBLIC FUNDING
800 WALDO ST                                    (608) 663-8600                                                          CERTIFIED
                                                                                                                    Class:

BARABOO WI 53913                                TONI CARRUTHERS                              Gender - Total Apartments: M/F - 33
(608) 355-4111 RONALD SENGER                    719 JUPITER DR                                             Low/High rate:

County: SAUK                                    MADISON WI 53913                                    Initial Certification:   04/07/2009

RIDGEVIEW PLACE (0011110)                       REEDSBURG AREA SENIOR CENTER INC                                    Type:  RCAC
2350 NORTH DEWEY AVE                            (608) 524-6487                                                      Class: REGISTERED
REEDSBURG WI 53959                              BRENDA REISDORPH                             Gender - Total Apartments: M/F - 24
(608) 524-6487 DENNIS SCHOMMER                  2350 N DEWEY AVE                                            Low/High rate: 2,900/3,200

County: SAUK                                    REEDSBURG WI 53959                                  Initial Registration: 08/01/2005


WATERS EDGE (0013559)                           MEDICAL SERVICES INC                                                Type:  RCAC
11040 N STATE RD                                (715) 934-4321                                                      Class: REGISTERED
HAYWARD WI 54843                                CANDICE MCCONNELL                            Gender - Total Apartments: M/F - 20
(715) 934-4308 CANDICE MCCONNELL                11040 N STATE RD                                            Low/High rate: 2,870/3,370

County: SAWYER                                  HAYWARD WI 54843                                    Initial Registration: 11/01/2010


COTTAGES ON GOLDEN POND (THE) (0012844)         COTTAGES INVESTMENT GROUP LLC (THE)                         Type:            RCAC
103 MADISON WAY                                 (920) 662-1000                                              Class:           CERTIFIED
SHAWANO WI 54166                                CARA PETERSON                       Gender - Total Apartments:               M/F - 33
(866) 447-3838 CARA PETERSON                    2360 DOUSMAN ST                                    Low/High rate:            950/3,690
County: SHAWANO                                 GREEN BAY WI 54303                         Initial Certification:            06/04/2009

CEDAR BAY AT ELKHART LAKE (0012455)             BENEVOLENT CORPORATION-CEDAR COMMUN                      Type:               RCAC          PUBLIC FUNDING
101 CEDAR LN                                    (262) 306-2100                                           Class:              CERTIFIED
ELKHART LAKE WI 53020                           MONICA SMITH                     Gender - Total Apartments:                  M/F - 27
(920) 876-4050 JAMES G WILLIAMS                 101 CEDAR LN                                    Low/High rate:               2,980/3,875
County: SHEBOYGAN                               ELKHART LAKE WI 53020                   Initial Certification:               09/16/2008

PRAIRIE CROSSING - A PINE HAVEN COM (0012021)   PINE HAVEN CHRISTIAN HOME INC                                       Type:  RCAC
1280 PINE HAVEN LN                              (920) 467-2401                                                      Class: REGISTERED
SHEBOYGAN FALLS WI 53085                        CATHLEEN KELLING                             Gender - Total Apartments: M/F - 40
(920) 467-2401 CATHLEEN KELLING                 1280 PINE HAVEN LN                                          Low/High rate: 2,400/3,500

County: SHEBOYGAN                               SHEBOYGAN FALLS WI 53085                            Initial Registration: 06/28/2007


TERRACE ESTATES (0011389)                       ALC OPERATING LLC                                                   Type:  RCAC
1231 EISNER AVE                                 (262) 250-4500                                                      Class: REGISTERED
SHEBOYGAN WI 53083                              MARY T ZAK-KOWALCZYK                         Gender - Total Apartments: M/F - 122
(920) 457-6399 SUE TESTROETE                    W140N8981 LILLY RD                                          Low/High rate: 2,635/3,875

County: SHEBOYGAN                               MENOMONEE FALLS WI 53051-2325                       Initial Registration: 04/01/2006


BIRCHWOOD APARTMENTS (0010248)                  VILLAGE OF BALDWIN                                                  Type:  RCAC            PUBLIC FUNDING
1600 BIRCHWOOD DRIVE                            (715) 684-3426                                                      Class: CERTIFIED
BALDWIN WI 54002                                LINDA ZEVENBERGEN                            Gender - Total Apartments: 21
(715) 684-4552 EILEEN LAFAVOR                   1600 BIRCHWOOD DRIVE                                        Low/High rate: 875/1,100

County: ST CROIX                                BALDWIN WI 54002                                    Initial Certification: 09/01/1998


DEERFIELD (THE) RCAC (0010249)                  PHM/NEW RICHMOND SENIOR HOUSING                                     Type:  RCAC            PUBLIC FUNDING
1127 WEST EIGHTH STREET                         (651) 631-6000                                                      Class: CERTIFIED
NEW RICHMOND WI 54017                           JOANN WRICH                                  Gender - Total Apartments: 17
(715) 243-3900 JOANN WRICH                      1127 WEST EIGHTH STREET                                     Low/High rate: 2,285/5,035

County: ST CROIX                                NEW RICHMOND WI 54017                               Initial Certification: 09/01/1999
Wisconsin Department                                           Division of Quality Assurance                                              Directory Updated 06/02/2011
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                                                                   By County, Facility Name
                                                                   For Facility Type RCAC

Facility Name and Address                        Licensee Name and Phone
Phone Number / Contact Person                    Mailing Address                                                                        Specialty Programs


DEERFIELD TERRACE (THE) (0013394)               PHM NEW RICHMOND SENIOR HOUSING                                  Type:    RCAC
1127 W 8TH ST                                   (651) 631-6000                                                   Class:   CERTIFIED
NEW RICHMOND WI 54017                           JOANN WRICH                                 Gender - Total Apartments: M/F - 12
(715) 243-3903 JOANN WRICH                      1127 W 8TH ST                                              Low/High rate: 930/1,465

County: ST CROIX                                NEW RICHMOND WI 54017                              Initial Certification: 08/16/2010


HAVENWOOD LLC (0012494)                         HAVENWOOD LLC                                                    Type:    RCAC          PUBLIC FUNDING
614 E OAK ST                                    (715) 265-4140                                                   Class:   CERTIFIED
GLENWOOD CITY WI 54013                          DAVID PRISSEL                               Gender - Total Apartments: M/F - 16
(715) 265-4140 DAVID PRISSEL                    614 E OAK ST                                               Low/High rate: 460/990

County: ST CROIX                                GLENWOOD CITY WI 54013                             Initial Certification: 09/16/2008


HERITAGE COURT APARTMENTS (0010260)             EXTENDICARE HOMES INC                                            Type:    RCAC
425 DAVIS STREET                                (414) 908-8000                                                   Class:   REGISTERED
HAMMOND WI 54015                                JAN REYNOLDS                                Gender - Total Apartments: 17
(715) 796-2218 JAN REYNOLDS                     105 WEST MICHIGAN STREET                                   Low/High rate: 620/805

County: ST CROIX                                MILWAUKEE WI 53203                                 Initial Registration: 03/01/1998


PARK PLACE APARTMENTS (0012432)                 PARK VIEW HOME INC                                               Type:    RCAC
210 LOCKWOOD ST                                 (715) 698-2451                                                   Class:   REGISTERED
WOODVILLE WI 54028                              MELISSA WALTHALL                            Gender - Total Apartments: F - 18
(715) 698-2451 MELISSA WALTHALL                 P O BOX 265                                                Low/High rate: 975/1,150

County: ST CROIX                                WOODVILLE WI 54028                                 Initial Registration: 06/13/2008


PARK PLACE APARTMENTS NORTH (0012429)           PARK VIEW HOME INC                                               Type:    RCAC
220 LOCKWOOD ST                                 (715) 698-2451                                                   Class:   CERTIFIED
WOODVILLE WI 54028                              MELISSA WALTHALL                            Gender - Total Apartments: M/F - 9
(715) 698-2451 MELISSA WALTHALL                 P O BOX 265                                                Low/High rate: 780/1,030

County: ST CROIX                                WOODVILLE WI 54028                                 Initial Certification: 08/04/2008


RED CEDAR CANYON ASSISTED LIVING LL (0013360)   SOUTHVIEW SENIOR LIVING MANAGEMENT                         Type:          RCAC
3001 HANLEY RD                                  (651) 492-6535                                             Class:         CERTIFIED
HUDSON WI 54016                                 LIV MANAGEMENT SOUTHVIEW SENIOR    Gender - Total Apartments:             M/F - 53
(651) 492-6535 KELLY MYERS                      2285 WATERS DR                                    Low/High rate:          2,195/2,795
County: ST CROIX                                MENDOTA HTS MN 55120                      Initial Certification:          06/22/2010

WELLHAVEN SENIOR APARTMENTS LLC (0013453)       LUTHERAN HOME ASSOCIATION (THE)                                  Type:    RCAC
119 UNION ST                                    (952) 873-6000                                                   Class:   CERTIFIED
RIVER FALLS WI 54022                            BETH ANN SCHULTZ                            Gender - Total Apartments: M/F - 57
(715) 425-5353 BETH ANN SCHULTZ                 119 UNION ST                                               Low/High rate: 1,292/2,554

County: ST CROIX                                RIVER FALLS WI 54022                               Initial Certification: 01/01/2011


WINTERGREEN (0012819)                           WINTERGREEN APARTMENTS INC                                       Type:    RCAC
1312 WISCONSIN STREET                           (715) 386-9303                                                   Class:   CERTIFIED
HUDSON WI 54016                                 DAN GOODIER                                 Gender - Total Apartments: M/F - 40
(715) 386-9303 DAN GOODIER                      1320 WISCONSIN STREET                                      Low/High rate: 841/1,770

County: ST CROIX                                HUDSON WI 54016                                    Initial Certification: 07/01/2009


COUNTRY GARDENS (0010385)                       MEMORIAL HEALTH CENTER INC                                       Type:    RCAC
635 CEDAR STREET                                (715) 748-8100                                                   Class:   REGISTERED
MEDFORD WI 54451                                JENNIFER VIERGUTZ                           Gender - Total Apartments: 28
(715) 748-8855 JENNIFER VIERGUTZ                635 CEDAR STREET                                           Low/High rate: 2,000/2,800

County: TAYLOR                                  MEDFORD WI 54451                                   Initial Registration: 06/01/2000


BROOKSIDE RCAC (0012596)                        WHITEHALL HOUSING REDEVELOPMENT LLC                       Type:           RCAC
35974 CLAIRE ST                                 (715) 538-2274                                            Class:          CERTIFIED
WHITEHALL WI 54773                              LANA PIENTOK                      Gender - Total Apartments:              M/F - 35
(715) 538-4361 LANA PIENTOK                     18601 LINCOLN ST                                 Low/High rate:           363/412
County: TREMPEALEAU                             WHITEHALL WI 54773                       Initial Certification:           01/01/2009

CLOVER WAY RCAC (0012483)                       TREMPEALEAU COUNTY HEALTH CARE CENTE                      Type:           RCAC          EMOTIONALLY DISTURBED/MENTAL
36125 E END RD                                  (715) 538-4312                                            Class:          CERTIFIED     ILLNESS
INDEPENDENCE WI 54747                           CONNIE KOPACZEWSKI                Gender - Total Apartments:              M/F - 7
(715) 538-4518 CONNIE KOPACZEWSKI               W20298 STATE RD 121                              Low/High rate:           5,800/7,750
County: TREMPEALEAU                             WHITEHALL WI 54773                       Initial Certification:           02/01/2009
Wisconsin Department                                            Division of Quality Assurance                                              Directory Updated 06/02/2011
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                                                                    By County, Facility Name
                                                                    For Facility Type RCAC

Facility Name and Address                        Licensee Name and Phone
Phone Number / Contact Person                    Mailing Address                                                                         Specialty Programs


COUNTRY RIDGE (0010272)                         TREMPEALEAU COUNTY HEALTH CARE CENTE                      Type:            RCAC          PUBLIC FUNDING
13197 CHURCH STREET                             (715) 538-4312                                            Class:           CERTIFIED
PIGEON FALLS WI 54760                           MARY GULLICKSRUD                  Gender - Total Apartments:               8
(715) 983-2293 MARY GULLICKSRUD                 13197 CHURCH STREET BOX 310                      Low/High rate:            475/525
County: TREMPEALEAU                             PIGEON FALLS WI 54760                    Initial Certification:            01/03/2002

LUTHER MIDELFORT OAKRIDGE-MAYO HLTH (0010275)   LUTHER MIDELFORT OAKRIDGE-MAYO HLTH S                     Type:            RCAC          PUBLIC FUNDING
13025 EIGHTH STREET                             (715) 597-3121                                            Class:           CERTIFIED
OSSEO WI 54758                                  MICHAEL RYAN                      Gender - Total Apartments:               14
(715) 597-3121 MICHAEL RYAN                     13025 EIGHTH STREET BOX 70                       Low/High rate:            550/730
County: TREMPEALEAU                             OSSEO WI 54758                           Initial Certification:            03/01/2003

SUNRISE MANOR (0010273)                         TRI-COUNTY MEMORIAL HOSPITAL INC                                  Type:    RCAC          PUBLIC FUNDING
36024 PARK STREET                               (715) 538-4361                                                    Class:   CERTIFIED
WHITEHALL WI 54773                              BRIAN THEILER                                Gender - Total Apartments: 13
(715) 538-4361 BRIAN THEILER                    18601 LINCOLN STREET BOX 65                                 Low/High rate: 740/2,000

County: TREMPEALEAU                             WHITEHALL WI 54773                                  Initial Certification: 11/01/2002


MAPLEWOOD TERRACE (0010251)                     BETHEL HOME & SERVICES INC                                        Type:    RCAC          PUBLIC FUNDING
620 GARFIELD ST                                 (608) 637-2171                                                    Class:   CERTIFIED
VIROQUA WI 54665                                DEBRA STOUT-TEWALT                           Gender - Total Apartments: M/F - 52
(608) 637-6344 DEBRA STOUT-TEWALT               614 SOUTH ROCK AVENUE                                       Low/High rate: 1,723/2,333

County: VERNON                                  VIROQUA WI 54665                                    Initial Certification: 10/01/1999


MILESTONE SENIOR LIVING (0013578)               MILESTONE SENIOR LIVING LLC                                       Type:    RCAC
504 SALSBERY                                    (608) 819-2022                                                    Class:   CERTIFIED
HILLSBORO WI 54634                              JULIE HEIL                                   Gender - Total Apartments: M/F - 24
(608) 489-3930 JULIE HEIL                       1574 W BROADWAY                                             Low/High rate: 2,535/4,075

County: VERNON                                  MADISON WI 53713                                    Initial Certification: 12/01/2010


PLEASANT VALLEY SENIORS (0010263)               PLEASANT VALLEY SENIORS LLC                                       Type:    RCAC          PUBLIC FUNDING
W466 CTH K                                      (608) 318-1180                                                    Class:   CERTIFIED
STODDARD WI 54658                                PLEASANT VALLEY SR                          Gender - Total Apartments: M/F - 13
(608) 787-6384 ROBERT SIMONSON                  P O BOX 1255                                                Low/High rate: 2,275/2,500

County: VERNON                                  SUN PRAIRIE WI 53590                                Initial Certification: 04/10/2001


K CARE ASSISTED LIVING APARTMENTS (0010382)     K CARE ASSISTED LIVING APARTMENTS                                 Type:    RCAC          PUBLIC FUNDING
12440 WARPATH LANE                              (715) 356-2911                                                    Class:   CERTIFIED
MINOCQUA WI 54548                               TIMOTHY KOENIG                               Gender - Total Apartments: 21
(715) 356-2911 TIMOTHY KOENIG                   12440 WARPATH LANE                                          Low/High rate: 1,050/5,200

County: VILAS                                   MINOCQUA WI 54548                                   Initial Certification: 11/01/1996


MILESTONE SENIOR LIVING APARTMENTS (0013615)    MILESTONE SENIOR LIVING LLC                                       Type:    RCAC
2332 RAILROAD ST HWY 45 N                       (608) 819-2200                                                    Class:   CERTIFIED
EAGLE RIVER WI 54521                            JULIE HEIL                                   Gender - Total Apartments: M/F - 16
(715) 479-8018 NIKKI REED                       1574 W BROADWAY                                             Low/High rate: 3,000/4,000

County: VILAS                                   MADISON WI 53713                                    Initial Certification: 02/03/2011


ARBOR VILLAGE OF GENEVA CROSSING (0010290)      LAKE GENEVA ASSISTED LIVING OPERATING C                     Type:          RCAC          PUBLIC FUNDING
201 TOWNLINE RD                                 (608) 258-8289                                              Class:         CERTIFIED
LAKE GENEVA WI 53147                            ANDY KERWIN                         Gender - Total Apartments:             M/F - 36
(262) 248-4558 LAURIE WATROUS                   201 TOWNLINE ROAD                                  Low/High rate:          3,000/4,300
County: WALWORTH                                LAKE GENEVA WI 53147                       Initial Certification:          07/01/2003

BROLEN PARK (0011318)                           MI VIDA BONITA LLC                                                Type:    RCAC          PUBLIC FUNDING
2191 CHURCH ST                                  (262) 375-9929                                                    Class:   CERTIFIED
EAST TROY WI 53120                              MARY READ                                    Gender - Total Apartments: M/F - 20
(262) 642-9955 MARY READ                        2191 CHURCH ST                                              Low/High rate: 2,950/3,150

County: WALWORTH                                EAST TROY WI 53120                                  Initial Certification: 07/27/2006


GOLDEN YEARS RETIREMENT VILLAGE (0013414)       GOLDEN YEARS NURSING HOME INC                                     Type:    RCAC
270 RIDGE RD                                    (262) 275-6103                                                    Class:   REGISTERED
WALWORTH WI 53184                               RICHARD AUSTIN                               Gender - Total Apartments: M/F - 60
(262) 275-6103 TIM SCHNAKE                      270 RIDGE RD                                                Low/High rate: 760/2,142

County: WALWORTH                                WALWORTH WI 53184                                   Initial Registration: 10/18/2010
Wisconsin Department                                           Division of Quality Assurance                                              Directory Updated 06/02/2011
of Health Services                                                                                                                                    Page 22
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                                                                Public Directory
                                                                   By County, Facility Name
                                                                   For Facility Type RCAC

Facility Name and Address                        Licensee Name and Phone
Phone Number / Contact Person                    Mailing Address                                                                        Specialty Programs


INSPIRATION MINISTRIES RCAC (0010323)           CHRISTIAN LEAGUE FOR THE HANDICAPPED I                     Type:          RCAC          PUBLIC FUNDING
N2270 HWY 67                                    (262) 275-6131                                             Class:         CERTIFIED
WALWORTH WI 53184                               MICHELLE LUSSMYER                  Gender - Total Apartments:             M/F - 27
(262) 275-6131 MICHELLE LUSSMYER                PO BOX 948                                        Low/High rate:          1,945/5,300
County: WALWORTH                                WALWORTH WI 53184                         Initial Certification:          02/01/2003

RIDGESTONE COURT INC (0010357)                  RIDGESTONE COURT INC                                             Type:    RCAC          PUBLIC FUNDING
1025 S SECOND ST                                (262) 728-2960                                                   Class:   CERTIFIED
DELAVAN WI 53115                                CANDY BRUNNER                               Gender - Total Apartments: M/F - 37
(262) 728-2960 CANDY BRUNNER                    1025 S SECOND ST                                           Low/High rate: 2,550/3,725

County: WALWORTH                                DELAVAN WI 53115                                   Initial Certification: 07/11/2003


RIDGESTONE TERRACE LLC (0011665)                RIDGE STONE TERRACE LLC                                          Type:    RCAC          PUBLIC FUNDING
291 W EVERGREEN PKWY                            (262) 728-2960                                                   Class:   CERTIFIED
ELKHORN WI 53121                                DIANE M EGAN                                Gender - Total Apartments: M/F - 41
(262) 743-2960 DIANE EGAN                       291 W EVERGREEN PKWY                                       Low/High rate: 2,750/3,975

County: WALWORTH                                ELKHORN WI 53121                                   Initial Certification: 06/01/2007


SHERWOOD LODGE (0013477)                        SHERWOOD LODGE, LLC                                              Type:    RCAC
116 CHERRY ST                                   (920) 991-9072                                                   Class:   REGISTERED
WILLIAMS BAY WI 53191                           ROBERT PARKINS                              Gender - Total Apartments: M/F - 39
(920) 991-9072 DEB HUEBSCHER                    1726 N. BALLARD RD.                                        Low/High rate: 2,650/4,400

County: WALWORTH                                APPLETON WI 54911                                  Initial Registration: 10/11/2010


GLENVIEW (0010257)                              TH INC                                                           Type:    RCAC
201 GLENVIEW LANE                               (715) 468-7292                                                   Class:   REGISTERED
SHELL LAKE WI 54871                             SUSAN WEATHERS                              Gender - Total Apartments: 23
(715) 468-4255 SUSAN WEATHERS                   201 GLENVIEW LANE                                          Low/High rate: 1,250/1,550

County: WASHBURN                                SHELL LAKE WI 54871                                Initial Registration: 01/01/1998


CEDAR BAY EAST (0010311)                        BENEVOLENT CORPORATION CEDAR COMMUN                              Type:    RCAC
5577 HOME DRIVE                                 (262) 306-2150                                                   Class:   REGISTERED
WEST BEND WI 53095                                                                          Gender - Total Apartments: 54
(262) 334-9487                                  5577 HOME DRIVE                                            Low/High rate: 745/1,345

County: WASHINGTON                              WEST BEND WI 53095                                 Initial Registration: 12/04/2002


CEDAR BAY WEST (0010312)                        BENEVOLENT CORPORATION CEDAR COMMUN                      Type:            RCAC          PUBLIC FUNDING
5555 CEDAR BAY DR                               (262) 306-2100                                           Class:           CERTIFIED
WEST BEND WI 53095                              JAMES WILLIAMS                   Gender - Total Apartments:               M/F - 106
(262) 306-2130 LAURA LAUDOLFF                   5595 CTY RD Z                                   Low/High rate:            2,860/3,950
County: WASHINGTON                              WEST BEND WI 53095                      Initial Certification:            10/01/2002

ENGEL HAUS AT THE GABLES OF GERMANT (0012015)   CAPRI COMMUNITIES LLC                                            Type:    RCAC          PUBLIC FUNDING
N109W17110 AVA CIR                                                                                               Class:   CERTIFIED
GERMANTOWN WI 53022                             GLEN CHOBAN                                 Gender - Total Apartments: M/F - 48
(262) 345-1000 ANDY LANGE                       20711 WATERTOWN RD STE A                                   Low/High rate: 1,750/3,400

County: WASHINGTON                              WAUKEHSA WI 53186                                  Initial Certification: 08/08/2008


FIELDS OF WASHINGTON COUNTY (THE) (0011418)     WASHINGTON COUNTY                                                Type:    RCAC          PUBLIC FUNDING
675 E WASHINGTON ST                             (262) 365-6500                                                   Class:   CERTIFIED
WEST BEND WI 53095                              JESSICA TRAPP                               Gender - Total Apartments: M/F - 24
(262) 365-6500 JESSICA TRAPP                    675 E WASHINGTON ST                                        Low/High rate: 550/800

County: WASHINGTON                              WEST BEND WI 53095                                 Initial Certification: 06/19/2006


GARDENS OF HARTFORD THE (0012833)               WISCONSIN LUTHERAN CHILD & FAMILY SERV                     Type:          RCAC
112 PEACE LUTHERAN PKWY                         (414) 353-5005                                             Class:         REGISTERED
HARTFORD WI 53027                               ABBY JANSSEN                        Gender - Total Apartments:            M/F - 48
(414) 322-1311 ABBY JANSSEN                     112 PEACE LUTHERAN PKWY                            Low/High rate:         1,975/4,375
County: WASHINGTON                              HARTFORD WI 53027                          Initial Registration:          06/09/2009

KETTLE MORAINE GARDENS RCAC (0012401)           TINA THULL                                                       Type:    RCAC          PUBLIC FUNDING
1038 FOND DU LAC AVE                            (262) 689-9725                                                   Class:   CERTIFIED
KEWASKUM WI 53040                               TINA THULL                                  Gender - Total Apartments: M/F - 21
(262) 626-4990 TINA THULL                       8735 HWY HH                                                Low/High rate: 2,480/3,720

County: WASHINGTON                              KEWASKUM WI 53040                                  Initial Certification: 05/31/2008
Wisconsin Department                                           Division of Quality Assurance                                            Directory Updated 06/02/2011
of Health Services                                                                                                                                  Page 23
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                                                                Public Directory
                                                                  By County, Facility Name
                                                                  For Facility Type RCAC

Facility Name and Address                        Licensee Name and Phone
Phone Number / Contact Person                    Mailing Address                                                                      Specialty Programs


LAKESHORE @ JACKSON CROSSINGS (THE) (0012397)   COMMUNITY HOMES OF WI INC                                      Type:    RCAC          PUBLIC FUNDING
N168 W22026 MAIN ST                             (262) 993-0755                                                 Class:   CERTIFIED
JACKSON WI 53037                                AMY LLOYD                                 Gender - Total Apartments: M/F - 33
(262) 993-0755 AMY LLOYD                        N168 W22026 MAIN ST                                      Low/High rate: 2,250/4,950

County: WASHINGTON                              JACKSON WI 53037                                 Initial Certification: 09/05/2008


LEGACY OF HARTFORD (THE) (0010872)              GONWA PROPERTIES LLC                                           Type:    RCAC          ADVANCED AGED
1025 BELL AVE                                   (262) 334-7822                                                 Class:   CERTIFIED     PUBLIC FUNDING
HARTFORD WI 53027                               BOBBIE SIECZOWSKI                         Gender - Total Apartments: M/F - 28
(262) 670-9477 BOBBIE SIECZKOWSKI               1025 BELL AVE                                            Low/High rate: 2,500/5,000

County: WASHINGTON                              HARTFORD WI 53027                                Initial Certification: 03/01/2005


APPLEWOOD II NEW BERLIN (0010265)               APPLEWOOD SENIOR LIVING INC                                    Type:    RCAC          PUBLIC FUNDING
2898 S MOORLAND RD                              (262) 784-2550                                                 Class:   CERTIFIED
NEW BERLIN WI 53151                             DEBBIE PETRAUSKI                          Gender - Total Apartments: 20
(262) 784-9550 DEBBIE PETRAUSKI                 2898 S MOORLAND RD                                       Low/High rate: 3,800/4,500

County: WAUKESHA                                NEW BERLIN WI 53151                              Initial Certification: 01/14/2000


ARBORETUM V LLC (THE) (0010296)                 ARBORETUM V LLC (THE)                                          Type:    RCAC          PUBLIC FUNDING
W180 N7890 TOWN HALL RD                         (262) 548-5965                                                 Class:   CERTIFIED
MENOMONEE FALLS WI 53051                        BETH ANDERSON                             Gender - Total Apartments: M/F - 95
(262) 253-0909 CORY MANKOWSKI                   1805 KENSINGTON DR                                       Low/High rate: 2,605/3,810

County: WAUKESHA                                WAUKESHA WI 53188                                Initial Certification: 12/28/2001


AVALON SQUARE (0011712)                         PRESBYTERIAN HOMES & SERVICES                                  Type:    RCAC          PUBLIC FUNDING
222 PARK PL                                     (651) 631-6100                                                 Class:   CERTIFIED
WAUKESHA WI 53186                               KARI AJACK                                Gender - Total Apartments: M/F - 50
(262) 446-9300 KARI AJACK                       222 PARK PL                                              Low/High rate: 2,487/3,581

County: WAUKESHA                                WAUKESHA WI 53186                                Initial Certification: 01/22/2007


CAMBRIDGE HOUSE (0011910)                       CRESTWOOD HEALTH CARE MANAGEMENT L                      Type:           RCAC          PUBLIC FUNDING
300 E NORTH SHORE DR                            (360) 450-3000                                          Class:          CERTIFIED
HARTLAND WI 53029                               DEBRA WUDTKE                    Gender - Total Apartments:              M/F - 20
(262) 369-1870 LESLIE FRITSCHE                  11818 SE MILL PLAIN BLVD #403                  Low/High rate:           3,233/5,611
County: WAUKESHA                                VANCOUVER WA 98684                     Initial Certification:           06/12/2007

CECELIA PLACE (0013487)                         CECELIA SENIOR HOMES, LLC                                      Type:    RCAC          PUBLIC FUNDING
1061 CECELIA DRIVE                              (262) 468-4910                                                 Class:   CERTIFIED
PEWAUKEE WI 53072                               GERALD J. KALLAS                          Gender - Total Apartments: M/F - 57
(414) 322-1434 GERALD J. KALLAS                 1437 N. SUMMIT AVE                                       Low/High rate: 2,670/5,000

County: WAUKESHA                                OCONOMOWOC WI 53066                              Initial Certification: 09/30/2010


COMPASS POINT (0011251)                         WISCONSIN MASONIC HOME INC                                     Type:    RCAC          PUBLIC FUNDING
365 SUNSET DR                                   (262) 965-2111                                                 Class:   CERTIFIED
DOUSMAN WI 53118                                JOEL LAMMERS                              Gender - Total Apartments: M/F - 75
(262) 965-7212 JOEL LAMMERS                     365 SUNSET DR                                            Low/High rate: 2,880/4,660

County: WAUKESHA                                DOUSMAN WI 53118                                 Initial Certification: 03/02/2006


CONGREGATIONAL HOME (0010315)                   CONGREGATIONAL HOME INC                                        Type:    RCAC
3150 LILLY RD                                   (414) 781-0550                                                 Class:   REGISTERED
BROOKFIELD WI 53005                             CHARLES NELSON                            Gender - Total Apartments: 26
(262) 781-0550 CHARLES NELSON                   3150 LILLY RD                                            Low/High rate: 3,380/3,713

County: WAUKESHA                                BROOKFIELD WI 53004                              Initial Registration: 01/15/1998


CONGREGATIONAL HOME (0010760)                   CONGREGATIONAL HOME INC                                        Type:    RCAC
3140 LILLY ROAD                                 (262) 781-0550                                                 Class:   REGISTERED
BROOKFIELD WI 53005                             CHARLES T NELSON                          Gender - Total Apartments: 24
(262) 781-0550 CHARLES T NELSON                 3150 LILLY ROAD                                          Low/High rate: 870/4,995

County: WAUKESHA                                BROOKFIELD WI 53005                              Initial Registration: 10/04/2004


HERITAGE DEER CREEK H2 LLC (0013469)            HERITAGE DEER CREEK H2 LLC                                     Type:    RCAC
3585 S 147TH ST                                 (414) 302-9700                                                 Class:   CERTIFIED
NEW BERLIN WI 53151                             KIMBERLY LANE                             Gender - Total Apartments: M/F - 43
(262) 957-4241 CINDY PAULSON                    3585 S 147TH ST                                          Low/High rate: 1,625/2,520

County: WAUKESHA                                NEW BERLIN WI 53151                              Initial Certification: 01/15/2011
Wisconsin Department                                          Division of Quality Assurance                                             Directory Updated 06/02/2011
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                                                               Public Directory
                                                                  By County, Facility Name
                                                                  For Facility Type RCAC

Facility Name and Address                       Licensee Name and Phone
Phone Number / Contact Person                   Mailing Address                                                                       Specialty Programs


KIRKLAND CROSSINGS RCAC (0010324)              PRESBYTERIAN HOMES PARTNERS                                     Type:    RCAC
700 QUINLAN DR                                 (651) 631-6100                                                  Class:   CERTIFIED
PEWAUKEE WI 53072                              JOHN CROSSWAITE                            Gender - Total Apartments: M/F - 40
(262) 695-5800 JOHN CROSSWAITE                 700 QUINLAN DR                                            Low/High rate: 2,860/3,790

County: WAUKESHA                               PEWAUKEE WI 53072                                 Initial Certification: 12/01/2002


LAKE COUNTRY LANDING (0012932)                 EHF LAKE COUNTRY AL OP LLC                                      Type:    RCAC
2255 NORTH STONE HEDGE TRAIL                   (414) 908-8000                                                  Class:   REGISTERED
OCONOMOWOC WI 53066                            KONNIE NORRIS                              Gender - Total Apartments: M/F - 60
(262) 567-4912 KONNIE NORRIS                   2255 NORTH STONE HEDGE TRAIL                              Low/High rate: 3,760/4,600

County: WAUKESHA                               OCONOMOWOC WI 53066                               Initial Registration: 10/26/2009


LINDEN RIDGE (0010336)                         LINDENGROVE INC                                                 Type:    RCAC          PUBLIC FUNDING
841 HWY NN E                                   (262) 797-4600                                                  Class:   CERTIFIED
MUKWONAGO WI 53149                             KAREN LACH                                 Gender - Total Apartments: 57
(262) 363-6830 KAREN LACH                      841 HWY NN E                                              Low/High rate: 450/850

County: WAUKESHA                               MUKWONAGO WI 53149                                Initial Certification: 07/01/2003


LINDENHEIGHTS RCAC (0013325)                   LINDENGROVE INC                                                 Type:    RCAC          PUBLIC FUNDING
427 N UNIVERSITY AVE                           (262) 797-4600                                                  Class:   CERTIFIED
WAUKESHA WI 53188                              KAREN DAERING                              Gender - Total Apartments: M/F - 60
(262) 524-6400 JULIE JOLITZ                    427 N UNIVERSITY DR                                       Low/High rate: 2,525/3,365

County: WAUKESHA                               WAUKESHA WI 53188                                 Initial Certification: 01/10/2011


OAK HILL TERRACE RCAC (0010356)                OAK HILL TERRACE V LLC                                          Type:    RCAC          PUBLIC FUNDING
1805 KENSINGTON DR                             (262) 548-5965                                                  Class:   CERTIFIED
WAUKESHA WI 53188                              BETH ANDERSON                              Gender - Total Apartments: M/F - 35
(262) 548-1457 ROBERT BEST                     1805 KENSINGTON DR                                        Low/High rate: 2,385/3,725

County: WAUKESHA                               WAUKESHA WI 53188                                 Initial Certification: 03/01/2003


PRO HEALTH CARE REGENCY SENIOR COM (0010354)   PRO HEALTH CARE INC                                             Type:    RCAC          PUBLIC FUNDING
13750 W NATIONAL AVE                           (262) 544-2249                                                  Class:   CERTIFIED
NEW BERLIN WI 53151                            KAY BRAATEN                                Gender - Total Apartments: 128
(262) 789-1699 KAY BRAATEN                     13750 W NATIONAL AVE                                      Low/High rate: 2,860/4,200

County: WAUKESHA                               NEW BERLIN WI 53151                               Initial Certification: 09/30/1998


PRO HEALTH CARE REGENCY SENIOR COMM (00103     PRO HEALTH CARE INC                                             Type:    RCAC          PUBLIC FUNDING
W181 S8540 LODGE BLVD                          (262) 928-1000                                                  Class:   CERTIFIED
MUSKEGO WI 53150                               SANDRA MARENO                              Gender - Total Apartments: 96
(262) 679-0888 SANDRA MARENO                   W181 S8540 LODGE BLVD                                     Low/High rate: 2,015/4,510

County: WAUKESHA                               MUSKEGO WI 53150                                  Initial Certification: 02/01/2003


PRO HEALTH CARE REGENCY SENIOR COMM (00103     PRO HEALTH CARE INC                                             Type:    RCAC          PUBLIC FUNDING
777 N BROOKFIELD RD                            (262) 544-2249                                                  Class:   CERTIFIED
BROOKFIELD WI 53045                            CHRISTINE CATALANO                         Gender - Total Apartments: M/F - 94
(262) 780-0321 CHRISTINE CATALANO              777 N BROOKFIELD RD                                       Low/High rate: 2,127/5,720

County: WAUKESHA                               BROOKFIELD WI 53045                               Initial Certification: 07/01/2003


SHOREHAVEN TOWER (0010358)                     LUTHERAN HOMES OF OCONOMOWOC INC                         Type:           RCAC
1305 W WISCONSIN AVE                           (262) 567-8341                                           Class:          CERTIFIED
OCONOMOWOC WI 53066                            LORNA GARTZKE                    Gender - Total Apartments:              75
(262) 567-1415 LORNA GARTZKE                   1305 W WISCONSIN AVE                            Low/High rate:           1,493/3,202
County: WAUKESHA                               OCONOMOWOC WI 53066                     Initial Certification:           11/01/2002

TAMARACK PLACE (0011360)                       ALC OPERATING LLC                                               Type:    RCAC
N84 W17147 MENOMONEE AVE                       (262) 250-4500                                                  Class:   REGISTERED
MENOMONEE FALLS WI 53051                       CONNIE KNAPP                               Gender - Total Apartments: M/F - 84
(262) 255-4441 CONNIE KNAPP                    N84 W17147 MENOMONEE AVE                                  Low/High rate: 1,850/2,800

County: WAUKESHA                               MENOMONEE FALLS WI 53051                          Initial Registration: 04/01/2006


TUDOR OAKS (0010499)                           AMERICAN BAPTIST HOMES OF THE MIDWEST                     Type:          RCAC
S77 W12929 MCSHANE DR                          (800) 536-3175                                            Class:         REGISTERED
MUSKEGO WI 53150                               CHUCK LAMSON                       Gender - Total Apartments:            76
(414) 529-0100 CHUCK LAMSON                    S77 W12929 MCSHANE DR                             Low/High rate:         1,025/1,853
County: WAUKESHA                               MUSKEGO WI 53150                          Initial Registration:          07/15/2004
Wisconsin Department                                           Division of Quality Assurance                                              Directory Updated 06/02/2011
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                                                                   By County, Facility Name
                                                                   For Facility Type RCAC

Facility Name and Address                        Licensee Name and Phone
Phone Number / Contact Person                    Mailing Address                                                                        Specialty Programs


WILKINSON WOODS V LLC (0010378)                 WILKINSON WOODS V LLC                                            Type:    RCAC          PUBLIC FUNDING
999 EAST SUMMIT AVE                             (262) 548-5965                                                   Class:   CERTIFIED
OCONOMOWOC WI 53066                             BETH ANDERSON                               Gender - Total Apartments: M/F - 51
(262) 567-1166 BETH ANDERSON                    1805 KENSINGTON DR                                         Low/High rate: 3,105/4,200

County: WAUKESHA                                WAUKESHA WI 53188                                  Initial Certification: 02/01/2003


WYNDHAM HOUSE PEWAUKEE (0011908)                CRESTWOOD HEALTH CARE MANAGEMENT L                      Type:             RCAC          PUBLIC FUNDING
1109 CECILIA DR                                 (360) 450-3003                                          Class:            CERTIFIED
PEWAUKEE WI 53072                               DEBRA WUDTKE                    Gender - Total Apartments:                M/F - 26
(262) 695-6413 KIMMAREE LEWIS                   11818 SE MILL PLAIN BLVD #403                  Low/High rate:             3,650/5,859
County: WAUKESHA                                VANCOUVER WA 98684                     Initial Certification:             06/12/2007

ANGELUS RETIREMENT COMMUNITY OF CLI (0012239)   ASHFORD, MARTIN & RAND CORPORATION                         Type:          RCAC          PUBLIC FUNDING
38 N MAIN STREET                                (920) 832-8094                                             Class:         CERTIFIED
CLINTONVILLE WI 54929                           KATHLEEN SMITH                     Gender - Total Apartments:             M/F - 63
(715) 823-4344 KATHLEEN SMITH                   1500 N CASALOMA DR. STE 300                       Low/High rate:          1,300/3,525
County: WAUPACA                                 APPLETON WI 54913                         Initial Certification:          01/07/2008

BETHANY PINES (0010360)                         BETHANY HOME INC                                                 Type:    RCAC
50 SHADOW WOODS LANE                            (715) 258-5521                                                   Class:   REGISTERED
WAUPACA WI 54981                                PAULINE DARLING                             Gender - Total Apartments: 20
(715) 258-5521 PAULINE DARLING                  50 SHADOW WOODS LANE                                       Low/High rate: 717/1,797

County: WAUPACA                                 WAUPACA WI 54981                                   Initial Registration: 02/01/1998


CHATHAM APARTMENTS AT THE WASHINGTO (00114      ST JOSEPH RESIDENCE AT THE WASHINGTON C                    Type:          RCAC          PUBLIC FUNDING
500 W WASHINGTON ST                             (920) 982-5354                                             Class:         CERTIFIED
NEW LONDON WI 54961                             ROBERT FIETSCH                     Gender - Total Apartments:             M/F - 33
(920) 982-5354 ROBERT FIETSCH                   500 W WASHINGTON ST                               Low/High rate:          2,399/2,894
County: WAUPACA                                 NEW LONDON WI 54961                       Initial Certification:          03/22/2006

LIVING OAKS (0011839)                           IOLA LIVING ASSISTANCE INC                                       Type:    RCAC          PUBLIC FUNDING
505 WEST IOLA STREET                             (715) 445-2412                                                  Class:   CERTIFIED
IOLA WI 54945                                    TANYA PEOTTER                              Gender - Total Apartments: M/F - 24
(715) 445-2412 TANYA PEOTTER                    505 WEST IOLA STREET                                       Low/High rate: 416/1,631

County: WAUPACA                                 IOLA WI 54945                                      Initial Certification: 09/19/2007


PARK VISTA WAUPACA (0012130)                    PARK VISTA SENIOR HOUSING MANAGEMENT                      Type:           RCAC          PUBLIC FUNDING
950 HIGHWAY QQ                                  (612) 414-1571                                            Class:          CERTIFIED
WAUPACA WI 54981                                JULIE LONERGAN                    Gender - Total Apartments:              M/F - 94
(715) 256-0100 TERRI VAUGHN                     PO BOX 1711                                      Low/High rate:           2,310/3,820
County: WAUPACA                                 CLINTON IA 52733                         Initial Certification:           10/01/2007

HEARTLAND HOUSE RCAC (0010337)                  HEARTLAND-PRESTON INC                                            Type:    RCAC          PUBLIC FUNDING
668 W CUMMINGS RD                               (920) 787-5817                                                   Class:   CERTIFIED
WAUTOMA WI 54982                                DONALD GROTHE                               Gender - Total Apartments: M/F - 41
(920) 787-5817 BEVERLY WALKER                   668 W CUMMINGS RD                                          Low/High rate: 1,225/2,550

County: WAUSHARA                                WAUTOMA WI 54982                                   Initial Certification: 01/01/2003


PRESTON PLACE (0010346)                         HEARTLAND-PRESTON INC                                            Type:    RCAC          PUBLIC FUNDING
401 PRESTON LANE                                (920) 787-5817                                                   Class:   CERTIFIED
REDGRANITE WI 54970                             DONALD GROTHE                               Gender - Total Apartments: M/F - 40
(920) 566-0790 SHARON KOLODZIK                  401 PRESTON LANE                                           Low/High rate: 1,295/2,925

County: WAUSHARA                                REDGRANITE WI 54970                                Initial Certification: 12/31/2002


SILVER LAKE MANOR RCAC (0012407)                SILVER LAKE MANOR LLC                                            Type:    RCAC          PUBLIC FUNDING
N2641 17TH LANE                                 (920) 787-7141                                                   Class:   CERTIFIED
WAUTOMA WI 54982                                RICHARD GOHLKE                              Gender - Total Apartments: M/F - 12
(920) 787-7141 LINDA ZIMMERMAN                  PO BOX 1267                                                Low/High rate: 550/550

County: WAUSHARA                                WAUTOMA WI 54982                                   Initial Certification: 06/03/2008


ALEXANDRITE MANOR VNA APARTMENTS (0010359)      VNA APARTMENTS INC                                               Type:    RCAC
1537 LYON DRIVE                                 (920) 727-5555                                                   Class:   REGISTERED
NEENAH WI 54956                                 THERESA PICHELMEYER                         Gender - Total Apartments: 32
(920) 727-5544 THERESA PICHELMEYER              1537 LYON DRIVE                                            Low/High rate: 2,200/3,000

County: WINNEBAGO                               NEENAH WI 54956                                    Initial Registration: 10/02/2002
Wisconsin Department                                         Division of Quality Assurance                                              Directory Updated 06/02/2011
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                                                              Public Directory
                                                                 By County, Facility Name
                                                                 For Facility Type RCAC

Facility Name and Address                     Licensee Name and Phone
Phone Number / Contact Person                 Mailing Address                                                                         Specialty Programs


BELLA VISTA (0013150)                        BELLA VISTA-CRL LLC                                               Type:    RCAC          PUBLIC FUNDING
631 HAZEL ST                                 (312) 794-8420                                                    Class:   CERTIFIED
OSHKOSH WI 54901                             DOUGLAS CAMERON                              Gender - Total Apartments: M/F - 96
(920) 254-0675 TODD GREENEWAY                875 N MICHIGAN AVE STE 3740                                 Low/High rate: 1,800/3,975

County: WINNEBAGO                            CHICAGO IL 60611                                    Initial Certification: 12/29/2009


EVERGREEN GARDEN PLACE (0010361)             EVERGREEN RETIREMENT COMMUNITY INC                       Type:             RCAC
1130 NORTH WESTFIELD STREET                  (920) 233-2340                                           Class:            REGISTERED
OSHKOSH WI 54901                             VICTORIA VAN ASTEN                Gender - Total Apartments:               10
(920) 426-7366 VICTORIA VAN ASTEN            1130 NORTH WESTFIELD STREET                      Low/High rate:            921/921
County: WINNEBAGO                            OSHKOSH WI 54901                         Initial Registration:             09/25/1998

GABRIELS VILLA (0010363)                     LUTHERAN HOMES OF OSHKOSH INC                                     Type:    RCAC
215 N WESTFIELD ST                           (920) 235-3454                                                    Class:   REGISTERED
OSHKOSH WI 54902                             JULIE ZULEGER                                Gender - Total Apartments: 39
(920) 236-0700 JULIE ZULEGER                 215 N WESTFIELD ST                                          Low/High rate: 2,010/2,700

County: WINNEBAGO                            OSHKOSH WI 54902                                    Initial Registration: 03/14/1997


HERITAGE ASSISTED LIVING (0010366)           THEDACARE INC                                                     Type:    RCAC
2600 S HERITAGE WOODS DR                     (920) 735-5560                                                    Class:   REGISTERED
APPLETON WI 54915                            DONNA SCHOEN                                 Gender - Total Apartments: - 137
(920) 738-3000 DONNA SCHOEN                  2600 S HERITAGE WOODS DR                                    Low/High rate: 1,016/2,031

County: WINNEBAGO                            APPLETON WI 54915                                   Initial Registration: 06/08/2001


IRISH VILLA (0012279)                        CRESTWOOD HEALTHCARE MANAGEMENT LL                      Type:              RCAC          PUBLIC FUNDING
1760 IRISH ROAD                              (360) 450-3000                                          Class:             CERTIFIED
NEENAH WI 54956                              CHM DEB WUDTKE                  Gender - Total Apartments:                 5
(920) 727-3898 DEANA MCKENZIE                11818 SE MILL PLAIN BLVD #403                  Low/High rate:              3,480/4,898
County: WINNEBAGO                            VANCOUVER WA 98684                     Initial Certification:              01/23/2008

ISLAND SHORES (0013323)                      ISLAND SHORES-CRL SERVICES LLC                                    Type:    RCAC          PUBLIC FUNDING
131 E NORTH WATER ST                         (312) 794-8420                                                    Class:   CERTIFIED
NEENAH WI 54956                              DOUGLAS CAMERON                              Gender - Total Apartments: M/F - 101
(920) 725-7110 KAREN CAIN                    875 N MICHIGAN AVE STE 3740                                 Low/High rate: 1,622/4,488

County: WINNEBAGO                            CHICAGO IL 60611                                    Initial Certification: 05/05/2010


TOUCHMARK ON WEST PROSPECT (0010375)         TOUCHMARK LIVING CENTERS                                          Type:    RCAC
2601 TOUCHMARK DR                            (503) 646-5186                                                    Class:   REGISTERED
APPLETON WI 54914                            AMY JO POWERS                                Gender - Total Apartments: 51
(920) 832-9100 AMY JO POWERS                 2601 TOUCHMARK DR                                           Low/High rate: 2,325/3,295

County: WINNEBAGO                            APPLETON WI 54914                                   Initial Registration: 06/27/2001


VILLA SAINT CLARE (0010353)                  FRANCISCAN MINISTRIES INC                                         Type:    RCAC          PUBLIC FUNDING
130 BRYD AVE                                 (630) 462-9271                                                    Class:   CERTIFIED
NEENAH WI 54956                              STEVE KUKLIN                                 Gender - Total Apartments: M/F - 45
(920) 722-5100 BLYTHE A FOSTER               130 BRYD AVE                                                Low/High rate: 1,977/2,215

County: WINNEBAGO                            NEENAH WI 54956                                     Initial Certification: 03/01/2002


ANGELUS RETIREMENT COMMUNITY OF MAR (00122   ASHFORD, MARTIN & RAND CORPORATION                         Type:           RCAC          PUBLIC FUNDING
305 S CHESTNUT AVENUE                        (920) 832-8094                                             Class:          CERTIFIED
MARSHFIELD WI 54449                          PATRICIA MARTIN                    Gender - Total Apartments:              M/F - 53
(715) 384-6611 JUDI TRUDEN                   1500 N CASALOMA DR. STE 300                       Low/High rate:           1,225/3,300
County: WOOD                                 APPLETON WI 54913                         Initial Certification:           01/07/2008

ARBORWOOD LODGE (0012659)                    CRYSTAL FOUNTAINS ASSISTED LIVING LLC                        Type:         RCAC          PUBLIC FUNDING
1331 WHITROCK AVENUE                         (715) 342-9100                                               Class:        CERTIFIED
WISCONSIN RAPIDS WI 54494                    PATRICIA J ARNOLD                    Gender - Total Apartments:            M/F - 48
(715) 712-1299 LISA BECHARD                  4701 INDUSTRIAL PARK RD                             Low/High rate:         750/1,050
County: WOOD                                 STEVENS POINT WI 54481                      Initial Certification:         12/22/2008

RENAISSANCE (THE) (0013051)                  RENNES ASSISTED LIVING CORP                                       Type:    RCAC          PUBLIC FUNDING
1500 PEPPER AVE                              (715) 582-2200                                                    Class:   CERTIFIED
WISCONSIN RAPIDS WI 54494                    GINNIE FLETCHER                              Gender - Total Apartments: M/F - 79
(715) 424-6500 GINNIE FLETCHER               1500 PEPPER AVE                                             Low/High rate: 2,425/3,600

County: WOOD                                 WISCONSIN RAPIDS WI 54494                           Initial Certification: 10/27/2009
Wisconsin Department                                       Division of Quality Assurance                                          Directory Updated 06/02/2011
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                                                                CENTRAL OFFICE

                                                            Public Directory
                                                              By County, Facility Name
                                                              For Facility Type RCAC

Facility Name and Address                    Licensee Name and Phone
Phone Number / Contact Person                Mailing Address                                                                    Specialty Programs


RETIREMENT COMMUNITY OF NEKOOSA (0012041)   EXTENDICARE NEKOOSA RE LLC                                   Type:    RCAC
145 NORTH CEDAR STREET                      (414) 908-8000                                               Class:   CERTIFIED
NEKOOSA WI 54457                            LISA GULDAN                             Gender - Total Apartments: M/F - 48
(715) 886-5353 LISA GULDAN                  145 NORTH CEDAR STREET                                 Low/High rate: 1,400/2,450

County: WOOD                                NEKOOSA WI 54457                               Initial Certification: 08/01/2007