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Provider Contact Information
BIRCH HAVEN SENIOR LIVING BEARS HOLLOW (Community Based Residential Facility)
1019 15TH AVE W
ASHLAND, WI 54806

Directions? Map It

Contact Name: JESSICA POLENCHECK
Telephone Number: (715) 682-2534
Fax Number: (715) 682-2532
Closure Date: 09/21/2026
Additional Provider Information
Licensure Status
CLOSED
License Number
0015012
Ownership Type
Corporation - Business
Owner Name
KELM ENTERPRISES INC
Bed Capacity
17
Client Groups Served
ADVANCED AGED, PHYSICALLY DISABLED, IRREVERSIBLE DEMENTIA/ALZHEIMER'S, EMOTIONALLY DISTURBED/MENTAL ILLNESS, TRAUMATIC BRAIN INJURY
HCBS Compliance / Public Funding Status
Compliant
Survey History

• For more information on the survey history, consult the Division of Quality Assurance survey information web site.

Survey TypeExit DateEnforcementStatement of DeficiencyPlan of Correction
COMPLAINT07/28/2025
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VERIFICATION VISIT03/06/2025
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COMPLAINT/SELF REPORT/VV09/23/2024
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COMPLAINT11/09/2023
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Additional Resources
Filing a Complaint against a Wisconsin Health or Residential Care Entity
Consumer Guide to Health Care (includes provider directories)
Wisconsin Assisted Living Directories and Facility Profiles - Listed by county and by the type of assisted living provider type, then by facility name.
Guide to use when evaluating prospective facilities: Choosing an Assisted Living Facility (P-60579) (PDF, 124 KB)
Wisconsin Long Term Care and Support Services web page provides links to services and resources.
Wisconsin Alzheimer's Institute (exit DHS).
Alzheimer's Association:Choosing Health Care Providers and Facilities (exit DHS)
Wisconsin Board on Aging and Long Term Care Ombudsman Program (exit DHS)
Your Rights to Direct Your Future Health Care Needs (Advance Directives)
Wisconsin Client Rights
National Citizens' Coalition for Nursing Home Reform (NCCNHR) - Resources for Long-Term Care Consumers (exit DHS)
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