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Assisted living industry works to provide quality care. Small number highlighted in report.

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Assisted living industry works to provide quality care. Small number highlighted in report.



In 2023 over 72% of assisted living facilities in Wisconsin received zero complaints

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There’s no question that Wisconsin’s aging population will present challenges in the healthcare industry in the coming years, including the state’s assisted living industry, which is experiencing a steady increase in seniors utilizing services at more than 4,000 facilities throughout the state.

According to the Wisconsin’s Department of Health Services, “The state’s population aged 65 and older is expected to grow by 640,000, or 72%, between 2015 and 2040, which is six times higher than the projected overall Wisconsin population growth of 12%.”

Many of those seniors can expect to find quality care in assisted living facilities throughout Wisconsin, which are already serving well over 40,000 individuals with very diverse needs, ranging from relatively independent seniors to those experiencing advanced stages of Alzheimer’s disease and other forms of dementia, developmental and physical disabilities. It’s an important industry and one that is highly regulated.

Journal Sentinel series focused on small percentage of facilities

Providing care to such a vulnerable population warrants government oversight and understandably draws attention from the media and public at-large. A recent series of stories published by the Milwaukee Journal Sentinel focused on challenges facing a small percentage of assisted living facilities in Wisconsin, highlighting some unfortunate and tragic circumstances involving residents.

To be sure, our industry is committed to providing safe and quality care to its residents, and while those situations highlighted in the Journal Sentinel’s coverage should not be downplayed, they are also in the minority. In 2023 over 72% of facilities received zero complaints. And, of the complaints received, over half were unsubstantiated.

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Exceptional investigation on assisted living care forces uncomfortable conversations

Anyone interested in learning more about Wisconsin’s assisted living industry can access  the most recent report from the Department of Health Services Division of Quality Assurance titled the “State of Assisted Living,” it reviews the 4,005 assisted living providers in Wisconsin. Our state has a two-pronged regulatory approach that incorporates unannounced survey visits and investigating complaints.       

In short, the vast majority of Wisconsin’s assisted living providers are doing a tremendous job of providing quality care and services.

It is also important to clarify that assisted living facilities are meant to be an individual’s home that can help provide activities of daily living.  Admission into an assisted living facility requires an assessment that involves input from the resident (or legally authorized individual), and the resident’s physician. The state holds providers accountable to that assessment. 

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The state can grant waivers to allow for additional hours of nursing/specialized care, but approval is on a case-by-case basis. The assessment dictates what and how care services will be provided and staffed. As in other healthcare facilities, failure to follow through would lead to regulatory action from DQA.

Medicaid funding is top challenge for assisted living facilities

The top challenges facing assisted living today are competing in the labor market for quality caregivers and a woefully underfunded state Medicaid long-term care program, i.e., Family Care.  Further, the need for assisted living will grow as Wisconsin’s population continues to age.           

An increasing number of seniors are having to rely on Family Care to obtain their long-term care services. Family Care pays much less than the actual cost of providing care – a situation that puts providers at a further disadvantage of being able to offer competitive wages and benefits compared with the service and light industry sectors. For example, the Family Care program has assumed caregiver wages are $13.02 per hour wherein reality, caregiver wages average $17 per hour. 

The Family Care program was not designed to quickly react to economic market fluctuations compared with other industries that can simply raise prices to offset higher costs. Therefore, it is impossible for assisted living providers to compete with other industries and companies such as warehousing, restaurants, retail, gas/convenience stores, etc. when hiring workers.

Finding hope while friends faced loss. We feared for dad’s life after selling our dairy herd.

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The state needs to continue instituting much needed changes to its Medicaid Family Care program to recognize actual costs, such as caregiver wages and inflation on goodsservices. On Aug. 1, Gov. Tony Evers directed DHS to invest $258 million into the Family Care program. The funding will raise caregiver wage assumptions from $13.02 to $15.75 per hour. This investment is desperately needed and will be a lifeline to assisted living providers who are struggling to make ends meet – and in particular, avoid assisted living facilities from shutting down or exiting the Family Care program.

Overall, assisted living facilities are committed to providing outstanding quality and compassionate care required to meet the ever-changing needs of Wisconsin’s frail elderly and disabled citizens. While the state’s recent investment in Family Care is greatly needed and appreciated, more work will need to be done to support the growing care and living needs of Wisconsin’s aging population.    

Michael S. Pochowski is president and CEO of the Wisconsin Assisted Living Association.



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Wisconsin

Wisconsin DHS reaffirms childhood vaccine recommendations after CDC changes

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Wisconsin DHS reaffirms childhood vaccine recommendations after CDC changes


The Wisconsin Department of Health Services on Thursday reaffirmed its recommended childhood vaccine schedule after recent changes at the federal level.

Wisconsin vaccine guidance

Local perspective:

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On Monday, the U.S. Centers for Disease Control announced changes to its childhood vaccine schedule. The DHS said those modifications further stray “from alignment with America’s leading medical associations and organizations.”

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At this time, the DHS said it is not making changes to its vaccine recommendations – including no changes to Wisconsin’s school or child care vaccine recommendations.

The DHS said it continues to endorse the American Academy of Pediatrics schedule and has issued guidance to Wisconsin health care providers reaffirming that recommendation.

What they’re saying:

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“The CDC’s new recommendations were based on a brief review of other countries’ practices and not based on data or evidence regarding disease risks to children in the United States,” DHS Secretary Kirsten Johnson said in a statement. “This upends our longstanding, evidence-based approach of protecting our children from the viruses that pose a risk in our country.

“Copying another country’s schedule without its health and social infrastructure will not produce the same health outcomes. It creates chaos and confusion and risks the health of Wisconsin’s youngest and most vulnerable citizens.”

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Big picture view:

The U.S. Department of Health and Human Services said the CDC will continue to recommend that all children are immunized against 10 diseases for which there is international consensus, as well as chickenpox.

The updated schedule is in contrast to the CDC child and adolescent schedule at the end of 2024, which recommended 17 immunizations for all children. On the new schedule, vaccines – such as those for hepatitis A and B, meningitis, rotavirus and seasonal flu – are now more restricted. They are recommended only for those at high risk or after consultation with a health care provider. 

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What they’re saying:

“President Trump directed us to examine how other developed nations protect their children and to take action if they are doing better,” Health Secretary Robert F. Kennedy Jr. said. “After an exhaustive review of the evidence, we are aligning the U.S. childhood vaccine schedule with international consensus while strengthening transparency and informed consent. This decision protects children, respects families, and rebuilds trust in public health.”

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The Source: The Wisconsin DHS released information about its childhood vaccine recommendations. Information about the CDC changes is from LiveNOW from FOX with contributions from The Associated Press.

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Wisconsin man accused of killing parents to fund Trump assassination plot set to enter plea deal

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Wisconsin man accused of killing parents to fund Trump assassination plot set to enter plea deal


MADISON, Wis. (AP) — A Wisconsin man accused of killing his parents and stealing their money to fund a plan to assassinate President Donald Trump is set to enter a plea deal resolving the case Thursday.

Nikita Casap, 18, is expected to agree to the deal during a morning hearing in Waukesha County Circuit Court in suburban Milwaukee. He goes into the hearing facing multiple charges, including two homicide counts, two counts of hiding a corpse and theft, with a trial scheduled to begin March 2.

Online court records did not list the terms of the plea agreement. Harm Venhuizen, a spokesperson for the state public defender’s office, which is representing Casap, said state Supreme Court ethics rules prevent the office from commenting on cases. The Waukesha County District Attorney’s Office did not respond to questions about the deal.

According to a criminal complaint, investigators believe Casap shot his mother, Tatiana Casap, and his stepfather, Donald Mayer, at their home in the village of Waukesha on or around Feb. 11.

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He lived with the decomposing bodies for weeks before fleeing across the country in his stepfather’s SUV with $14,000 in cash, jewelry, passports, his stepfather’s gun and the family dog, according to the complaint. He was eventually arrested during a traffic stop in Kansas on Feb. 28.

Federal authorities have accused Casap of planning his parents’ murders, buying a drone and explosives and sharing his plans with others, including a Russian speaker. They said in a federal search warrant that he wrote a manifest calling for Trump’s assassination and was in touch with others about his plan to kill Trump and overthrow the U.S. government.

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“The killing of his parents appeared to be an effort to obtain the financial means and autonomy necessary to carrying out his plan,” that warrant said.

Detectives found several messages on Casap’s cellphone from January 2025 in which Casap asks how long he will have to hide before he is moved to Ukraine. An unknown individual responded in Russian, the complaint said, but the document doesn’t say what that person told Casap. In another message Casap asks: “So while in Ukraine, I’ll be able to live a normal life? Even if it’s found out I did it?”





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Wisconsin bill stirs issue of parental voice, trans youth autonomy

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Wisconsin bill stirs issue of parental voice, trans youth autonomy


A Republican-authored bill would require Wisconsin school boards to adopt a policy that would inform a parent or guardian if a student requests to be called by names and pronouns not aligned with their gender assigned at birth.

The bill would require legal documentation, parental approval and a principal to approve changes to a student’s name and pronouns. The bill makes exceptions for nicknames or students going by their middle names.

Although the bill has no chance of being signed into law by Democratic Gov. Tony Evers, it reflects the continuing political energy of two issues: parental authority in schools, and the treatment of trans youths.

Notably, hundreds of trans-related bills were introduced at multiple levels of government across the country in the last year.

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The lawmakers who introduced the bill, Rep. Barbara Dittrich (R-Oconomowoc) and state Sen. Andre Jacque (R-Franken), said it is about parental rights and transparency. At a Capitol public hearing Jan. 6, Jacque cited a ruling from October 2023 in which a Waukesha judge sided with parents who sued the Kettle Moraine School District after staff at the middle school used a child’s chosen name and pronouns. The parents did not support their child’s transition.

But the Senate Committee on Education hearing grew heated as LGBTQ+ youth, parents of transgender children, Democratic lawmakers and other advocates called the bill unnecessary and potentially violence-inducing. They said it makes life worse for a vulnerable population that makes up less than 1% of Wisconsin pupils.

Jacque argued that without the bill, educators can make decisions about children’s health and well-being in secrecy.

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“Hiding from us important things that are going on in their lives is not only disrespectful to parents, it is harmful to our children and deliberately sabotaging the ability for vital communication to take place,” Jacque said.

Sen. Sarah Keyeski (D-Lodi) questioned why the Legislature should be involved when school boards already have the ability to approve such policies.

“I think it’s interesting how much you lean on local control for certain things, but then all of a sudden, you want government control,” she said.

Abigail Swetz, executive director of Fair Wisconsin, said such a bill would prevent educators from “engaging in the best practice” for using names and pronouns. Swetz, a former middle school teacher who advised a Gender and Sexuality Alliance club, said she’s seen firsthand the positive impact of affirming trans and nonbinary students.

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“The mental health struggles that trans youth face are not a self-fulfilling prophecy. They’re entirely pressured outcomes, and bills like SB120 add to that pressure,” Swetz said.

Jenna Gormal, the public policy director at End Abuse Wisconsin, said forcing students to come out to parents before they’re ready reinforces power and control while stripping students of their autonomy.

Alison Selje, who uses they/them pronouns, spoke of the seismic shift in their well-being and academic performance when someone used their correct pronouns. Selje was a student at Madison West High School at the time. The Madison Metropolitan School District has a policy – which has survived a court challenge – protecting the use of names and pronouns of trans students.

“I remember the first time I heard someone use the right pronoun for me. This was during the pandemic so I was still wearing a mask, but underneath it, I was smiling ear to ear,” Selje said. “The use of my pronouns was a confidence boost, but it was also a lifesaver.”

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Support for the bill came from two women representing Moms for Liberty. Laura Ackman and Amber Infusimo shared stories of parents finding out about their children’s new gender identity through school playbills and yearbooks.

“This bill rightly affirms schools shouldn’t be making significant decisions without parental knowledge or involvement,” Ackman said. “It does not prevent kindness, respect or compassion.”



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