LINDENGROVE WAUKESHA
425 N UNIVERSITY DR, WAUKESHA, WI 53188 · CCN 525422
Ratings
- Overall
- ★☆☆☆☆ 1
- Health inspection
- ★☆☆☆☆ 1
- Quality measures
- ★☆☆☆☆ 1
- Staffing
- ★★★★☆ 4
Facility
- Ownership type
- Non profit - Corporation
- Certified beds
- 61
- Avg residents/day
- 56.4
- Phone
- 2625246400
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 | 2025-09-25 | 17 | 9.8 | 9.5 | +7.2 worse |
| 2 | 2024-06-11 | 25 | 9.2 | 9.8 | +15.8 worse |
| 3 | 2023-02-13 | 5 | 8.3 | 9.3 | -3.3 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 1 |
| Quality of life and care | 5 |
| Resident assessment and care planning | 1 |
| Resident rights | 3 |
| Pharmacy service | 3 |
| Administration | 4 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 4.14 | 76.1% |
| RN staffing (reported) | 0.89 | 83.3% |
| Total nurse staffing (adjusted) | 4.62 | — |
Fines & penalties
- Total fines
- $39,621
- Number of fines
- 1
- Number of penalties
- 1
- Payment denials
- 0
Inspection citations (47)2 immediate jeopardy
- DF0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.2026-01-21 · Health · corrected 2026-02-10
Potential for more than minimal harm
- DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2025-09-25 · Health · corrected 2025-10-23
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-09-25 · Health · corrected 2025-10-23
Potential for more than minimal harm
- EF0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.2025-09-25 · Health · corrected 2025-10-23
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.2025-09-25 · Health · corrected 2025-10-23
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-09-25 · Health · corrected 2025-10-23
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-09-25 · Health · corrected 2025-10-23
Potential for more than minimal harm
- JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-09-25 · Health · corrected 2025-10-23
Immediate jeopardy
- DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2025-09-25 · Health · corrected 2025-10-23
Potential for more than minimal harm
- DF0759Ensure medication error rates are not 5 percent or greater.2025-09-25 · Health · corrected 2025-10-23
Potential for more than minimal harm
- DF0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.2025-09-25 · Health · corrected 2025-10-23
Potential for more than minimal harm
- EF0941Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.2025-09-25 · Health · corrected 2025-10-23
Potential for more than minimal harm
- EF0944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.2025-09-25 · Health · corrected 2025-10-23
Potential for more than minimal harm
- EF0946Provide training in compliance and ethics.2025-09-25 · Health · corrected 2025-10-23
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-05-29 · Health · corrected 2025-06-18
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-05-29 · Health · corrected 2025-06-18
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.2025-05-29 · Health · corrected 2025-06-18
Potential for more than minimal harm
- DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2024-06-11 · Health · corrected 2024-07-10
Potential for more than minimal harm
- DF0554Allow residents to self-administer drugs if determined clinically appropriate.2024-06-11 · Health · corrected 2024-07-10
Potential for more than minimal harm
- EF0576Ensure residents have reasonable access to and privacy in their use of communication methods.2024-06-11 · Health · corrected 2024-07-10
Potential for more than minimal harm
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-06-11 · Health · corrected 2024-07-10
Potential for more than minimal harm
- DF0584Honor 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.2024-06-11 · Health · corrected 2024-07-10
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 admitted2024-06-11 · Health · corrected 2024-07-10
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.2024-06-11 · Health · corrected 2024-07-10
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-06-11 · Health · corrected 2024-07-10
Potential for more than minimal harm
- DF0679Provide activities to meet all resident's needs.2024-06-11 · Health · corrected 2024-07-10
Potential for more than minimal harm
- JF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-06-11 · Health · corrected 2024-07-10
Immediate jeopardy
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-06-11 · Health · corrected 2024-07-10
Potential for more than minimal 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.2024-06-11 · Health · corrected 2024-07-10
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-06-11 · Health · corrected 2024-07-10
Potential for more than minimal harm
- CF0732Post nurse staffing information every day.2024-06-11 · Health · corrected 2024-07-10
Potential for minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-06-11 · Health · corrected 2024-07-10
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.2024-06-11 · Health · corrected 2024-07-10
Potential for more than minimal harm
- DF0759Ensure medication error rates are not 5 percent or greater.2024-06-11 · Health · corrected 2024-07-10
Potential for more than minimal harm
- DF0760Ensure that residents are free from significant medication errors.2024-06-11 · Health · corrected 2024-07-10
Potential for more than minimal harm
- DF0761Ensure 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.2024-06-11 · Health · corrected 2024-07-10
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.2024-06-11 · Health · corrected 2024-07-10
Potential for more than minimal harm
- DF0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.2024-03-27 · Health · corrected 2024-04-27
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-03-27 · Health · corrected 2024-04-27
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-03-27 · Health · corrected 2024-04-27
Potential for more than minimal 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.2024-03-27 · Health · corrected 2024-04-27
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2024-03-27 · Health · corrected 2024-04-27
Potential for more than minimal harm
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2023-02-13 · Health · corrected 2023-03-13
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.2023-02-13 · Health · corrected 2023-03-20
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-02-13 · Health · corrected 2023-03-17
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.2023-02-13 · Health · corrected 2023-03-09
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2023-02-13 · Health · corrected 2023-03-14
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 |
| LEMBKE, ADAM | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-03-20 |
| MARKS, JULIE | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-06-05 |
| MAUTHE, MATTHEW | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-03-20 |
| SIDHU, SARFRAZ | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2020-11-16 |
| DETTMAN, SCOTT | Individual | CORPORATE DIRECTOR | — | 2020-09-01 |
| 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 | — | 2024-10-01 |
| 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 WAUKESHA
| Name | Overall | Beds |
|---|---|---|
| Complete Care at Kensington | ★☆☆☆☆ | 150 |
| ARIA OF WAUKESHA | ★☆☆☆☆ | 105 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.