Provider Contact Information
PATRIOT PLACE CBRF (Community Based Residential Facility)
609 BROADWAY STREET
BERLIN, WI 54923

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Contact Name: Tina Nelson
Telephone Number: (920) 361-3008
Fax Number: (920) 361-3022
Additional Provider Information
Licensure Status
REGULAR
License Number
0016752
Ownership Type
Limited Liability Company
Owner Name
NBA HOLDINGS LLC
Bed Capacity
20
Client Groups Served
ADVANCED AGED, DEVELOPMENTALLY DISABLED, IRREVERSIBLE DEMENTIA/ALZHEIMER'S
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
SURVEY/COMPLAINT05/05/2026
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COMPLAINT/VV10/11/2024
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VERIFICATION VISIT02/14/2024
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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)