Provider Contact Information
KEYES HOUSE (Community Based Residential Facility)
4141 SAVANNAH DRIVE
DEFOREST, WI 53532

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Contact Name: RUTH POLACEK
Telephone Number: (608) 347-0366
Fax Number: (608) 798-0786
Additional Provider Information
Licensure Status
REGULAR
License Number
0015686
Ownership Type
Corporation - Business
Owner Name
FOUNTAINHEAD LIVING INC
Bed Capacity
8
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
SURVEY03/26/2026
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COMPLAINT03/25/2024
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SURVEY02/13/2024
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Additional Resources
Filing a Complaint against a Wisconsin Health or Residential Care Entity
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.
Alzheimer's Association:Choosing Health Care Providers and Facilities (exit DHS)
National Citizens' Coalition for Nursing Home Reform (NCCNHR) - Resources for Long-Term Care Consumers (exit DHS)