Wisconsin
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.
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.
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.
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.
Wisconsin
Wisconsin National Guard troops return after yearlong deployment in Middle East
APPLETON, Wis. — More than 200 Wisconsin National Guard troops are back home this weekend.
The troops based out of Appleton returned on Friday after a deployment throughout the Middle East for more than a year.
Members of the Wisconsin National Guard’s 2nd Battalion, 127th Infantry Regiment were treated to a warm welcome home by family and friends at Appleton Flight Center.
Staff Sgt. Ryan Hayes said seeing his family again after being gone for so long was amazing. He said it was especially emotional reuniting with his daughters and his 3-year-old son.
“It was kind of… honestly, kind of tear-jerking a little bit. I was trying to hold… It was hard to hold it back, you know? It’s hard to watch him grow through a phone, you know?” Hayes said.
Major General Matt Strub, Wisconsin’s adjutant general, said troops’ mission included conducting security operations in nine different countries.
He said they also took part in the largest transfer of enemy prisoners of war in Central Command history.
“How long they serve depends on the individual. But this was just a normal one-year rotation into the Middle East to just provide that security that the U.S. needs in the region. During the time they were gone, Operation Epic Fury kicked off. Their mission changed slightly, but still to provide security for the region,” he said.
Gov. Tony Evers was on hand to welcome the troops back to Wisconsin.
Strub said the celebration on Friday was well-earned and well-deserved.
“When they see the fire cannons, the water cannons, when they see the families with the balloons and signs, it’s truly… The joy swells up. The emotion of being gone wells up. You really just feel like you’ve… You’re welcomed home in a positive way,” he said.
Hayes said he felt blessed to be back home with his family.
“I feel really good to be home, be with my kids, another deployment under my belt. That just puts everything into perspective, like how lucky we are back here in the United States to have what we have and be able to have this,” he said.
This group of soldiers worked as part of the U.S. Central Command Area of Responsibility. They worked alongside NATO partners before wrapping up their deployment.
Wisconsin
Apprenticeship meant to ease Wisconsin’s teacher shortage ‘stalling’
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Matthew Jacobson found his calling in middle school history class.
As a sixth grader at St. John Vianney Catholic School in Brookfield, he voluntarily completed additional research projects and jumped at the chance to present to his classmates. He never saw the extra assignments as work — he was having fun. When Jacobson’s teacher told him he’d make a great educator himself, he set his sights on the profession. In high school, he participated in Elmbrook School District’s future teachers program and planned to enroll in university for his teaching degree.
But life had other plans. Several weeks before his high school graduation, Jacobson was forced to move out on his own. He picked up a cooking job to “pay the bills and survive.” The gig didn’t leave extra money or time for college.
“I didn’t really know how to get back into college and go meet my dream,” Jacobson said.
Two years later, he heard about a novel apprenticeship program, where future teachers earn money working in schools as they obtain their education and certifications.
“I was like, ‘That’s my way back in,’” he said.
State officials launched the program in 2024 to ease the educator shortage by offering students an alternative route to the profession — one where they don’t have to put their careers on pause while racking up student debt. Jacobson is one of the first eight teacher apprentices.
Today, Jacobson has returned to Elmbrook to serve as a classroom aide. In two years, he’ll have the proper training for the district to hire him as an elementary or middle school teacher.
But as participants reach the program’s halfway point, its future beyond this initial “pilot” phase is unclear — raising questions about whether apprenticeships will become a viable solution to Wisconsin’s struggle to find and keep educators.
While the route has been life-changing for students like Jacobson, program leaders are having trouble enticing school districts to take on more apprentices. Enrollment has ground to a halt; the two technical colleges involved don’t have any new students signed up to begin in the fall.
Wisconsin Department of Workforce Development officials say whether the program continues or grows depends on if districts get on board and sponsor trainees to join up. But district leaders say a major hurdle is the cost — a key appeal of an apprenticeship is the employer paying them for the time they spend learning, but many public schools are already strapped for cash. Some want more funding tied to the program.
“(It’s) stalling a little bit,” said Trent Sorensen, a Fox Valley Technical College dean. “We don’t have any (students) coming in for the fall. … There’s plenty of time, but it’s not taking off like it did in other states, and it’s simply because of the funding.”
A new way to train teachers
Wisconsin schools struggle to find enough teachers needed to lead classrooms — a problem largely fueled by poor retention and new workers moving to other states after graduating.
In 2024, Congress came through with some assistance: $570,000 in federal funds earmarked for establishing a teacher apprenticeship program in Wisconsin.
Officials from DWD, the Department of Public Instruction, the Wisconsin Technical College System, and two universities teamed up to debut the pilot in January 2024. They praised the “earn-while-you-learn” approach to establishing a pipeline of workers: Districts could guarantee they’d have future teachers, while also filling lower-skilled jobs in the meantime.
Typically, aspiring teachers work a shorter classroom internship while studying for their bachelor’s degree and then complete a semester of student teaching after graduating. The apprenticeship is “taking that entire approach and flipping it on its head,” said Nick Abbott, senior program and policy analyst at the Bureau of Apprenticeship Standards — creating a potentially more accessible path to the profession.
“Traditional educator preparation programs can be expensive, as they often require unpaid student teaching, which might not be feasible for low-income students, nontraditional students or individuals looking to change careers,” Gov. Tony Evers said when the program launched. “The new teacher apprenticeship pilot program will help address issues in turnover and retention, reduce barriers and encourage young people to enter the field.”
Apprenticeships are becoming more common in Wisconsin in fields ranging from plumbing to nursing. Participation has hit record highs for the last four years. These gigs are far more common for hands-on jobs in the skilled trades than fields like education and health care, but that’s changing with initiatives like the teacher apprenticeship program.
Here’s how it works: A school district hires an apprentice, who enrolls at Fox Valley Technical College or Waukesha County Technical College for two years to complete a Foundations of Teacher Education associate’s degree. When finished, the student transfers to Lakeland University or the University of Wisconsin-Whitewater at Rock County to finish a bachelor’s degree.
Throughout those roughly four years of schooling, the apprentice works inside the classroom as an assistant for 32 hours each week and spends eight hours a week learning at college. The school district the person works for pays an hourly wage for those 40 total hours. When apprentices finish the training, they’re qualified to work as a classroom teacher.
“Nothing prepares you for doing this job, other than doing the job,” Jacobson said. “Being at a school working with kids is easily 10 times more important than any of the classes I’ve taken, and I get way better experience and much more value out of just doing it and learning through failure.”
As a way of incentivizing the program during its infancy, the eight students get half of their tuition costs reimbursed with federal grant funds.
Four districts participate in the pilot: Wauwatosa, Greendale, Elmbrook and Appleton. The districts are not required to pay for the remainder of the apprentice’s tuition — Elmbrook, a relativelywealthy district, was the only one that did.
State leaders also hope the apprenticeships might help with teacher retention. Teachers will start with four years of classroom management experience already under their belt, far more than usual.Plus, other teachers mentor them on the job. That essentially eliminates the difficult experience of being a first-year teacher, said Appleton Area School District Chief Human Resources Officer Julie King.
“Managing a classroom and the curriculum and all the demands of the job is very overwhelming after having maybe 18 weeks of student teaching experience,” King said. “To learn alongside a professional that has been in the career, knows all the ins and outs, has skill sets and strategies to work with students – to have that benefit of working alongside somebody like that for four years, you’re much, much better prepared.”
Given these promises, teacher apprenticeships have recently exploded nationwide — 45 states have brought programs online in the last few years. They vary widely in their funding approaches and in the costs to districts and students. States have often looked to Tennessee, the country’s first program, as a standout model. The state’s program, launched in 2020, now helps fund 600 new teacher trainees annually at no cost to the apprentices.
Enticing schools a challenge
In his Foundations of Reading class last fall, Jacobson learned about phonological and phonemic awareness, or the ability to recognize distinct parts of a word — a key skill for learning how to read. Using what he learned, he started running his own reading support group for students needing extra help.
“The second you learn something, I don’t have to wait two years before I actually apply that knowledge to my job,” Jacobson said. “No, I’m applying it that same day or the next day, which then makes it stick a lot more.”
The program gets high marks from trainees and schools. So why aren’t more signing up?
Money. Both school districts and apprentices are struggling to afford it.
The four districts that already have apprentices are waiting until their current students graduate to decide whether to add more, Abbott said.
“I want to stress that the apprenticeship model itself remains available to all school employers in the state who wish to adopt it,” Abbott said. “It comes down to finding partners.”
But getting more of Wisconsin’s 400-plus districts to bite has been difficult.
Sorensen, the Fox Valley Tech dean, said the college isn’t seeing interest from districts because many are contending with too-tight budgets. School leaders have long argued the state’s funding system hasn’t kept up with rising costs, which, as Wisconsin Watch recently reported, has resulted in a recent wave of school closures, layoffs and budget cuts.
That’s made it hard for districts to pay for the hours when trainees are in college, and not working in the classroom.
“It’s challenging for school districts to be able to build in that release time. We did hear that, and that’s really understandable,” said Dena Constantineau, Waukesha County Tech’s associate dean of education and human services. “I mean, they really rely on their people, and so they need them in the classroom.”
Even with the discount from the federal grant, tuition can be costly. For example, the average annual tuition costs at least $5,900 for the technical college portion and about $6,000 for UW-Whitewater at Rock County. That means the leftover cost to apprentices could still be upwards of $12,000.
Plus, the federal funds that helped launch the pilot run out next March, so there could be even less tuition assistance for future apprentices.
The Appleton Area School District would love to put more students into the program, “if there was funding” to entice participants, King said. The district couldn’t afford to give students more tuition assistance, which hampered participation.
“The unknown for us moving forward is there is no state funding. If there’s other opportunities for that tuition relief for the individual, that’s really what entices people to engage in that program,” King said.
“The question on the future really is, ‘Where is the funding and the structures going to be in the future to make sure that it’s a viable option moving forward?’” King said. “‘That it reduces the financial barrier? That it’s accessible?’”
Miranda Dunlap reports on pathways to success in northeast Wisconsin, working in partnership with Open Campus. Find her on Instagram and Twitter, or send her an email at mdunlap@wisconsinwatch.org.
Wisconsin
Wisconsin DOT announces revocation of licenses for wholesale dealers throughout the state
MADISON, Wis. (WMTV) – The Wisconsin Department of Transportation Division of Motor Vehicles announced on Thursday it revoked the licenses for eight wholesale dealers throughout Wisconsin.
The DMV Dealer and Agent Section determined that the dealers violated state law when they failed to maintain a dealer bond.
The following dealers had their licenses revoked:
Located at 101 Skyline Drive #1 Arlington:
- Alpha Motorworks Inc.
- Slick One Auto Sales LLC.
Located at 1645 North Spring Street #210 in Beaver Dam:
- Point B Auto LLC
- Aurum Lane Auto Group LLC
- Turbo Motor Vehicles LLC
Located at N5876 US Highway #12 in Elkhorn:
- Empire General Motors Inc.
- Culture Motorsports LLC
Located at 6830 West Villard Avenue #170 in Milwaukee
The decision to revoke these licenses was confirmed by hearing examiner on April 17.
Following a 30-day appeal period, the revocations became final on May 17.
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