LINDENGROVE MENOMONEE FALLS
W180 N8071 TOWN HALL RD, MENOMONEE FALLS, WI 53051 · CCN 525421
Ratings
- Overall
- ★☆☆☆☆ 1
- Health inspection
- ★☆☆☆☆ 1
- Quality measures
- ★★★☆☆ 3
- Staffing
- ★★★☆☆ 3
Facility
- Ownership type
- Non profit - Corporation
- Certified beds
- 73
- Avg residents/day
- 48.0
- Phone
- 2622532700
Inspection history vs Wisconsin & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Wisconsin avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-03-03 | 37 | 9.8 | 9.5 | +27.2 worse |
| 2 | 2024-01-17 | 10 | 9.2 | 9.8 | +0.8 worse |
| 3 | 2022-09-15 | 7 | 8.3 | 9.3 | -1.3 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 4 |
| Quality of life and care | 13 |
| Resident assessment and care planning | 3 |
| Nursing and physician services | 3 |
| Resident rights | 6 |
| Nutrition and dietary | 2 |
| Pharmacy service | 3 |
| Administration | 1 |
| Infection control | 2 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.95 | 65.3% |
| RN staffing (reported) | 0.59 | 62.5% |
| Total nurse staffing (adjusted) | 4.36 | — |
Fines & penalties
- Total fines
- $142,393
- Number of fines
- 2
- Number of penalties
- 3
- Payment denials
- 1
Inspection citations (54)3 immediate jeopardy3 actual harm
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2025-11-11 · Health · corrected 2025-12-08
Potential for more than minimal harm
- EF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-11-11 · Health · corrected 2025-12-08
Potential for more than minimal harm
- EF0610Respond appropriately to all alleged violations.2025-11-11 · Health · corrected 2025-12-06
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-11-11 · Health · corrected 2025-12-08
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-11-11 · Health · corrected 2025-12-08
Potential for more than minimal harm
- JF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-11-11 · Health · corrected 2025-12-12
Immediate jeopardy
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-11-11 · Health · corrected 2025-12-08
Actual harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-11-11 · Health · corrected 2025-12-08
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-11-11 · Health · corrected 2025-12-08
Potential for more than minimal harm
- EF0944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.2025-11-11 · Health · corrected 2025-12-08
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-08-19 · Health · corrected 2025-09-19
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2025-08-19 · Health · corrected 2025-09-19
Potential for more than minimal harm
- DF0553Allow resident to participate in the development and implementation of his or her person-centered plan of care.2025-07-15 · Health · corrected 2025-08-15
Potential for more than minimal harm
- DF0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.2025-07-15 · Health · corrected 2025-08-15
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-07-15 · Health · corrected 2025-08-15
Potential for more than minimal harm
- DF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2025-07-15 · Health · corrected 2025-08-15
Potential for more than minimal harm
- DF0825Provide or get specialized rehabilitative services as required for a resident.2025-07-15 · Health · corrected 2025-08-15
Potential for more than minimal harm
- DF0554Allow residents to self-administer drugs if determined clinically appropriate.2025-03-03 · Health · corrected 2025-04-02
Potential for more than minimal harm
- EF0558Reasonably accommodate the needs and preferences of each resident.2025-03-03 · Health · corrected 2025-04-02
Potential for more than minimal harm
- EF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.2025-03-03 · Health
Potential for more than minimal harm
- DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2025-03-03 · Health · corrected 2025-04-02
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-03-03 · Health · corrected 2025-04-02
Potential for more than minimal harm
- GF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-03-03 · Health · corrected 2025-04-02
Actual harm
- JF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-03-03 · Health · corrected 2025-04-02
Immediate jeopardy
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-03-03 · Health · corrected 2025-04-02
Actual harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2025-03-03 · Health · corrected 2025-04-02
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-03-03 · Health · corrected 2025-04-02
Potential for more than minimal harm
- DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2025-03-03 · Health · corrected 2025-04-02
Potential for more than minimal harm
- FF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2025-03-03 · Health · corrected 2025-04-02
Potential for more than minimal harm
- FF0727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.2025-03-03 · Health · corrected 2025-04-02
Potential for more than minimal harm
- CF0732Post nurse staffing information every day.2025-03-03 · Health · corrected 2025-04-02
Potential for minimal harm
- DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2025-03-03 · Health · corrected 2025-04-02
Potential for more than minimal harm
- DF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.2025-03-03 · Health · corrected 2025-04-02
Potential for more than minimal harm
- DF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2025-03-03 · Health · corrected 2025-04-02
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-03-03 · Health · corrected 2025-04-02
Potential for more than minimal harm
- FF0880Provide and implement an infection prevention and control program.2025-03-03 · Health · corrected 2025-04-02
Potential for more than minimal harm
- DF0881Implement a program that monitors antibiotic use.2025-03-03 · Health · corrected 2025-04-02
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-08-30 · Health · corrected 2024-09-25
Potential for more than minimal harm
- DF0697Provide safe, appropriate pain management for a resident who requires such services.2024-08-30 · Health · corrected 2024-09-25
Potential for more than minimal harm
- EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-01-17 · Health · corrected 2024-02-16
Potential for more than minimal harm
- DF0661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.2024-01-17 · Health · corrected 2024-02-16
Potential for more than minimal harm
- JF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-01-17 · Health · corrected 2024-02-16
Immediate jeopardy
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-01-17 · Health · corrected 2024-02-16
Potential for more than minimal harm
- EF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.2024-01-17 · Health · corrected 2024-02-16
Potential for more than minimal harm
- CF0814Dispose of garbage and refuse properly.2024-01-17 · Health · corrected 2024-02-16
Potential for minimal harm
- FF0880Provide and implement an infection prevention and control program.2024-01-17 · Health · corrected 2024-02-16
Potential for more than minimal harm
- DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2024-01-17 · Health · corrected 2024-02-16
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-04-07 · Health · corrected 2023-05-07
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-04-07 · Health · corrected 2023-05-07
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-04-07 · Health · corrected 2023-05-07
Potential for more than minimal harm
- FF0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.2023-04-07 · Health · corrected 2023-05-07
Potential for more than minimal harm
- DF0949Provide behavior health training consistent with the requirements and as determined by a facility assessment.2023-04-07 · Health · corrected 2023-05-07
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2022-09-15 · Health · corrected 2022-10-15
Potential for more than minimal harm
- DF0759Ensure medication error rates are not 5 percent or greater.2022-09-15 · Health · corrected 2022-10-15
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| THE HILLS AT CORTLAND RIDGE, INC. | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2023-02-14 |
| MARQUARDT VILLAGE INC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2023-03-07 |
| ILLUMINUS INC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-03-20 |
| KOZLOWSKI, MICHELLE | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-10-03 |
| MARKS, JULIE | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-06-05 |
| MAUTHE, MATTHEW | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-03-20 |
| QURYSHI, MIR ISMAIL | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2020-06-01 |
| DETTMAN, SCOTT | Individual | CORPORATE DIRECTOR | — | 2023-03-07 |
| FISCHER, TODD | Individual | CORPORATE DIRECTOR | — | 2023-03-07 |
| HEROUX, STEVEN | Individual | CORPORATE DIRECTOR | — | 2024-08-01 |
| KOHLHOFF, KEVIN | Individual | CORPORATE DIRECTOR | — | 2023-09-01 |
| KONKOL, DENNIS | Individual | CORPORATE DIRECTOR | — | 2024-08-01 |
| MEIDENBAUER, ROBERT | Individual | CORPORATE DIRECTOR | — | 2023-03-07 |
| VAN DER LINDEN, KATIE | Individual | CORPORATE DIRECTOR | — | 2023-03-07 |
| WAGNER, LYNNE | Individual | CORPORATE DIRECTOR | — | 2024-10-01 |
| MARKS, JULIE | Individual | CORPORATE OFFICER | — | 2025-06-05 |
| MAUTHE, MATTHEW | Individual | CORPORATE OFFICER | — | 2023-03-20 |
Other facilities in MENOMONEE FALLS
| Name | Overall | Beds |
|---|---|---|
| MENOMONEE FALLS HEALTH SERVICES | ★☆☆☆☆ | 50 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.