Residents' Rights
Complaint Report
PDF Version
of BQA 98-029 (PDF, 5 KB)
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Date: May 29, 1998 DSL-BQA 98-029
To: Community Based Residential Facilities CBRF-11
From: Judy Fryback, Director, Bureau of Quality Assurance
Section 50.09 of the Wisconsin Statutes establishes the right of residents
in nursing homes and community based residential facilities and requires all facilities to
establish a system of reviewing complaints and allegations of violations of
residents’ rights under section 50.09(6), Wis. Stats. The Statute requires the
facility to summarize complaints or allegations of violations of residents’ rights
and to report this information to the Department of Health and Family Services in a
biennial report. See biennial report requirements in section 50.03(4)(c), Wis. Stats.
Attached to this memo is an explanation of the information required for the Residents’ Rights Complaint Report and a
sample Residents’ Rights Complaint Report form
(PDF, 21 KB) [both combined on same document]. Your
facility may duplicate this form or develop a similar form containing all of the
information required in section 50.09(6)(d), Wis. Stats.
If you have any questions, please contact your Regional Field Operations
Director [via Regional
Offices, ask for Assisted Living Supervisor].
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