Starfile

Starfile / Wisconsin

LINDENGROVE NEW BERLIN

13755 W FIELDPOINTE DR, NEW BERLIN, WI 53151 · CCN 525064

Ratings

Overall
★☆☆☆☆ 1
Health inspection
★☆☆☆☆ 1
Quality measures
★★★★☆ 4
Staffing
★★★★☆ 4

Facility

Ownership type
Non profit - Church related
Certified beds
110
Avg residents/day
79.1
Phone
2627963660

Inspection history vs Wisconsin & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

CycleInspection dateThis facilityWisconsin avgNational avgvs state
12025-01-21139.89.5+3.2 worse
22023-11-07109.29.8+0.8 worse
32022-08-10278.39.3+18.7 worse

Cycle 1 deficiencies by category

CategoryDeficiencies
Abuse, neglect, exploitation2
Quality of life and care5
Resident rights3
Nutrition and dietary1
Pharmacy service1
Infection control1

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)3.7043.6%
RN staffing (reported)0.6733.3%
Total nurse staffing (adjusted)3.88

Fines & penalties

Total fines
$125,115
Number of fines
2
Number of penalties
3
Payment denials
1

Inspection citations (50)2 immediate jeopardy4 actual harm

  1. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-09-08 · Health · corrected 2025-10-03

    Potential for more than minimal harm

  2. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-09-08 · Health · corrected 2025-10-03

    Potential for more than minimal harm

  3. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-09-08 · Health · corrected 2025-10-03

    Actual harm

  4. DF0610Respond appropriately to all alleged violations.2025-06-26 · Health · corrected 2025-07-25

    Potential for more than minimal harm

  5. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-06-26 · Health · corrected 2025-07-25

    Actual harm

  6. DF0554Allow residents to self-administer drugs if determined clinically appropriate.2025-01-21 · Health · corrected 2025-03-04

    Potential for more than minimal harm

  7. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2025-01-21 · Health · corrected 2025-03-04

    Potential for more than minimal harm

  8. DF0625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.2025-01-21 · Health · corrected 2025-03-04

    Potential for more than minimal harm

  9. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-01-21 · Health · corrected 2025-03-05

    Actual harm

  10. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2025-01-21 · Health · corrected 2025-03-04

    Potential for more than minimal harm

  11. 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.2025-01-21 · Health · corrected 2025-03-04

    Potential for more than minimal harm

  12. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-01-21 · Health · corrected 2025-03-04

    Potential for more than minimal harm

  13. FF0880Provide and implement an infection prevention and control program.2025-01-21 · Health · corrected 2025-03-04

    Potential for more than minimal harm

  14. DF0558Reasonably accommodate the needs and preferences of each resident.2024-11-14 · Health · corrected 2024-12-13

    Potential for more than minimal harm

  15. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-11-14 · Health · corrected 2024-12-13

    Potential for more than minimal harm

  16. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-11-14 · Health · corrected 2024-12-13

    Potential for more than minimal harm

  17. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-11-14 · Health · corrected 2024-12-13

    Potential for more than minimal harm

  18. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2023-11-07 · Health · corrected 2023-12-07

    Potential for more than minimal harm

  19. DF0625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.2023-11-07 · Health · corrected 2023-12-07

    Potential for more than minimal harm

  20. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-11-07 · Health · corrected 2023-12-07

    Potential for more than minimal harm

  21. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-11-07 · Health · corrected 2023-12-07

    Potential for more than minimal harm

  22. 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.2023-11-07 · Health · corrected 2023-12-07

    Potential for more than minimal harm

  23. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-11-07 · Health · corrected 2023-12-07

    Potential for more than minimal harm

  24. DF0563Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.2023-05-23 · Health · corrected 2023-06-21

    Potential for more than minimal harm

  25. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2023-05-23 · Health · corrected 2023-06-21

    Potential for more than minimal harm

  26. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-05-23 · Health · corrected 2023-06-21

    Potential for more than minimal harm

  27. DF0610Respond appropriately to all alleged violations.2023-05-23 · Health · corrected 2023-06-21

    Potential for more than minimal harm

  28. DF0641Ensure each resident receives an accurate assessment.2023-05-23 · Health · corrected 2023-06-21

    Potential for more than minimal harm

  29. DF0645PASARR screening for Mental disorders or Intellectual Disabilities2023-05-23 · Health · corrected 2023-06-20

    Potential for more than minimal harm

  30. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2023-05-23 · Health · corrected 2023-06-21

    Potential for more than minimal harm

  31. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-05-23 · Health · corrected 2023-06-21

    Potential for more than minimal harm

  32. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-05-23 · Health · corrected 2023-06-21

    Potential for more than minimal harm

  33. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-05-23 · Health · corrected 2023-06-21

    Potential for more than minimal harm

  34. DF0685Assist a resident in gaining access to vision and hearing services.2023-05-23 · Health · corrected 2023-06-21

    Potential for more than minimal harm

  35. KF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-05-23 · Health · corrected 2023-06-21

    Immediate jeopardy

  36. JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-05-23 · Health · corrected 2023-06-21

    Immediate jeopardy

  37. DF0691Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.2023-05-23 · Health · corrected 2023-06-21

    Potential for more than minimal harm

  38. DF0695Provide safe and appropriate respiratory care for a resident when needed.2023-05-23 · Health · corrected 2023-06-21

    Potential for more than minimal harm

  39. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2023-05-23 · Health · corrected 2023-06-21

    Potential for more than minimal harm

  40. DF0759Ensure medication error rates are not 5 percent or greater.2023-05-23 · Health · corrected 2023-06-21

    Potential for more than minimal harm

  41. DF0880Provide and implement an infection prevention and control program.2023-05-23 · Health · corrected 2023-06-21

    Potential for more than minimal harm

  42. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2022-08-10 · Health · corrected 2022-09-02

    Potential for more than minimal harm

  43. DF0610Respond appropriately to all alleged violations.2022-08-10 · Health · corrected 2022-09-08

    Potential for more than minimal harm

  44. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2022-08-10 · Health · corrected 2022-09-08

    Potential for more than minimal harm

  45. DF0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.2022-08-10 · Health · corrected 2022-09-06

    Potential for more than minimal harm

  46. DF0700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.2022-08-10 · Health · corrected 2022-09-07

    Potential for more than minimal harm

  47. 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.2022-08-10 · Health · corrected 2022-09-08

    Potential for more than minimal harm

  48. GF0760Ensure that residents are free from significant medication errors.2022-08-10 · Health · corrected 2022-09-06

    Actual harm

  49. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-08-10 · Health · corrected 2022-09-08

    Potential for more than minimal harm

  50. EF0880Provide and implement an infection prevention and control program.2022-08-10 · Health · corrected 2022-09-07

    Potential for more than minimal harm

Ownership

OwnerTypeRolePercentSince
THE HILLS AT CORTLAND RIDGE, INC.Organization5% OR GREATER DIRECT OWNERSHIP INTEREST100%2023-01-16
ILLUMINUS INCOrganizationOPERATIONAL/MANAGERIAL CONTROL2023-03-20
CHWALA, NICOLEIndividualOPERATIONAL/MANAGERIAL CONTROL2023-03-20
LIBBY, MICHAELIndividualOPERATIONAL/MANAGERIAL CONTROL2023-03-20
MAUTHE, MATTHEWIndividualOPERATIONAL/MANAGERIAL CONTROL2023-03-20
CHWALA, NICOLEIndividualCORPORATE DIRECTOR2023-03-20
LIBBY, MICHAELIndividualCORPORATE DIRECTOR2023-03-20
MAUTHE, MATTHEWIndividualCORPORATE DIRECTOR2023-03-20

Other facilities in NEW BERLIN

NameOverallBeds

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.