Lindengrove Waukesha
Waukesha, Wisconsin
Skilled nursing facility in Waukesha, WI with 61 certified beds and a 1-star CMS overall rating.
Lindengrove Waukesha is a skilled nursing facility in Waukesha, Wisconsin (Waukesha County), with 61 Medicare/Medicaid-certified beds.
Address: 425 N University Dr, Waukesha, WI 53188. Phone: (262) 524-6400.
Ownership: Non profit - Corporation. Certified for Medicare. Part of a continuing care retirement community. Automatic sprinkler systems in all required areas. Has a resident council.
CMS Five-Star ratings (source: Medicare Care Compare): overall 1 of 5, health inspections 1, staffing 3, quality measures 1.
Levels of care
- Skilled nursing
Facility details
- Street address
- 425 N University Dr
- City
- Waukesha
- State
- Wisconsin
- ZIP code
- 53188
- Phone
- (262) 524-6400
- Levels of care
- Skilled nursing
- Payment options accepted
- Medicare
- Cms Ccn
- 525422
- County
- Waukesha
- Ownership Type
- Non profit - Corporation
- Provider Type
- Medicare
- Certified Beds
- 61
- Avg Daily Residents
- 56.7
- Continuing Care Community
- Yes
- Resident Family Council
- Resident
- Sprinklers All Areas
- Yes
- Medicare Medicaid Approved Date
- 1989-02-24
- Overall Rating
- 1
- Health Inspection Rating
- 1
- Staffing Rating
- 3
- Quality Measure Rating
- 1
- Total Nurse Hours Per Resident Day
- 3.97801
- Rn Hours Per Resident Day
- 0.93274
- Latitude
- 43.0181
- Longitude
- -88.269
Medicare & Medicaid quality data
Published by the Centers for Medicare & Medicaid Services (CMS) [1] , data as of October 1, 2026. CMS ID 525422. Ratings compare this home with other nursing homes; they are not a pass or fail.
How does it compare in Waukesha? · Lowest-rated in Wisconsin
CMS overall rating
1 / 5
Much below average- Certified beds
- 61
- Residents per day
- 55
- Ownership
- Non profit - Corporation
- Health citations (latest)
- 14
- Fines
- 2 ($204,321)
Star ratings
CMS rates every certified nursing home from 1 to 5 stars in three areas and combines them into an overall rating. The ratings compare homes with each other: 5 is much above average, 3 is average, 1 is much below average.
Overall rating
Much below averageThe headline score, from 1 to 5 stars.
✗ Worse than the state average. State 3.1 · National 3.0
How is this scored?
Three steps: start with the health inspection stars; add one star if staffing is 5 stars (subtract one if it is 1 star); then add one star if quality measures are 5 stars (subtract one if 1 star). It never goes above 5 or below 1, and a home with 1 health inspection star can gain at most one star from the other two. It compares homes with each other; it is not a pass/fail grade. [11]
Health inspections
Much below averageHow the home did in recent state inspections and complaint investigations.
✗ Worse than the state average. State 2.8 · National 2.8
How is this scored?
Based on the two most recent annual inspections plus 36 months of complaint and infection-control inspections, and on how many revisits were needed to confirm fixes. Each citation is weighted by scope and severity. Homes are then ranked within their own state: the best 10% (lowest scores) earn 5 stars, the middle 70% earn 2, 3 or 4 stars in equal shares, and the worst 20% earn 1 star. [11]
Staffing
AverageHow many nurses care for each resident, and how stable the nursing team is.
✗ Worse than the state average. State 3.7 · National 3.0
How is this scored?
Six measures: three of staffing level (total nurse, registered nurse and weekend nurse hours per resident per day, adjusted for how much care residents need) and three of turnover (nursing staff, RNs and administrators). The hours come from payroll records submitted to CMS each quarter; turnover uses six quarters of that data. [11]
Quality measures
Much below averageHow residents are actually doing.
✗ Worse than the state average. State 3.2 · National 3.7
How is this scored?
Scores 15 quality measures drawn from resident assessments (the Minimum Data Set) and Medicare claims, such as falls with major injury, pressure ulcers, rehospitalizations and medication use. Long-stay and short-stay residents are rated separately and combined. [11]
This home State average National average
- Long-stay quality
- Residents who live in the home: outcomes such as falls, pressure ulcers and medication use.
- Short-stay quality
- Residents staying for rehab or recovery: outcomes such as rehospitalization and regaining function.
Flags CMS attaches to this home
- ⚑ Retirement community. Part of a continuing care retirement community, offering several levels of care on one campus. [11]
How to read the numbers on this page
- Star ratings — 1 to 5 (no stars = not rated)
- 5 is much above average and 1 is much below average, compared with other nursing homes. A home with too little data may have no rating.
- Health inspection score — 0 and up, lower is better
- Points added up from citations (see the scope and severity grid) and revisits. 0 means a clean record; the state table shows which scores earn which stars.
- Quality measure percentages — 0 to 100%
- The share of residents with an outcome, such as a fall with major injury. For most measures a lower percentage is better; for vaccination measures a higher percentage is better.
- Nurse hours per resident per day — Hours, higher is better
- Paid nursing time divided by residents. For example 4.0 means each resident gets about four hours of nursing care a day, shared across all shifts.
- Staff turnover — 0 to 100%, lower is better
- The share of nursing staff who left during the year. High turnover can mean less continuity of care.
- Case-mix index — Around 1.0 is typical
- How much care the residents need. Above 1 means sicker or more dependent residents who need more staff time.
- Fines — Dollars; payment denials in days
- Penalties CMS imposed for serious or repeated problems. A payment denial stops Medicare/Medicaid payment for new admissions.
Sources: Nursing Home Provider Information [1] ; Nursing Home State & National Averages [9] ; Design for Care Compare Nursing Home Five-Star Quality Rating System: Technical Users' Guide [11]
Staffing & turnover
More nursing time per resident and a steadier team are both signs of better care. Hours come from payroll records the home submits to CMS each quarter.
Nurse hours per resident per day, by role
A resident's day is 24 hours; this is how much paid nursing time each resident gets, shared across all shifts.
RN 0.80 · LPN 0.44 · Nurse aide 2.77. What the home's payroll records show.
RN 0.63 · LPN 0.78 · Nurse aide 2.12. What CMS predicts a home with these residents' needs would staff.
RN 0.88 · LPN 0.48 · Nurse aide 3.04. The reported hours rescaled so homes with sicker or healthier residents can be compared fairly.
Compared with WI and the nation
This home State average National average
- Total nurse hours (hrs/resident/day, higher is better)
- 4.02
✗ Worse than the state average. State 4.25 · National 3.90
- Registered nurse (RN) hours (hrs/resident/day, higher is better)
- 0.80
✗ Worse than the state average. State 0.98 · National 0.69
- Licensed nurse hours (RN + LPN) (hrs/resident/day, higher is better)
- 1.25
✗ Worse than the state average. State 1.63 · National 1.55
- Nurse aide hours (hrs/resident/day, higher is better)
- 2.77
✓ Better than the state average. State 2.61 · National 2.35
- Weekend total nurse hours (hrs/resident/day, higher is better)
- 3.47
✗ Worse than the state average. State 3.75 · National 3.43
- Weekend RN hours (hrs/resident/day, higher is better)
- 0.56
✗ Worse than the state average. State 0.66 · National 0.48
- Physical therapist hours (hrs/resident/day, higher is better)
- 0.07
✓ Better than the state average. State 0.05 · National 0.07
- Nursing staff turnover (%, lower is better)
- 68.1%
✗ Worse than the state average. State 46.7% · National 45.3%
- RN turnover (%, lower is better)
- 70.6%
✗ Worse than the state average. State 40.1% · National 42.5%
- Administrators who left (people, lower is better)
- 1
✗ Worse than the state average. State 1 · National 1
- Nursing case-mix index (index)
- 1.27
State 1.39 · National 1.41
Turnover is the share of nursing staff who left over the year. The case-mix index shows how much care residents need: about 1.0 is typical, higher means more dependent residents.
Sources: Nursing Home Provider Information [1] ; Nursing Home State & National Averages [9] ; Design for Care Compare Nursing Home Five-Star Quality Rating System: Technical Users' Guide [11]
Inspections
State inspectors visit each home about once a year and investigate complaints. Every problem they cite is a deficiency, lettered A to L by how serious and how widespread it was.
Health inspection score
156.0 points — in WI that earns (Much below average).
Lower is better. The score adds up points for every citation (more for serious, widespread problems) and for revisits needed to confirm fixes, then weights recent inspections most. [11]
Score needed for each star in WI [10]
- 5 ★
- 0.000-11.000
- 4 ★
- 11.001-37.000
- 3 ★
- 37.001-76.000
- 2 ★
- 76.001-130.750
- 1 ★ (this home)
- >130.750
| Period | Inspection | Citations (complaint) | Citation points | Revisits | Revisit points | Total |
|---|---|---|---|---|---|---|
| Most recent cycle | Sep 25, 2025 | 14 (2) | 143 | 1 | 0 | 143 |
| Prior cycles (2 and 3) | Jun 11, 2024 | 28 (10) | 195 | 1 | 0 | 195 |
Health citations per inspection
Sep 25, 2025
Jun 11, 2024
Feb 13, 2023
State average for that cycle. Fewer is better.
Fire-safety citations per inspection
Sep 25, 2025
Jun 11, 2024
Feb 13, 2023
State average for that cycle. Fewer is better.
What the latest health inspection cited
- Administration 4
- Quality of Life and Care 3
- Resident Rights 3
- Pharmacy Service 2
- Freedom from Abuse and Neglect and Exploitation 1
- Resident Assessment and Care Planning 1
- Emergency Preparedness 1
What the latest fire-safety inspection cited
- Miscellaneous 3
- Smoke 2
How serious were the citations?
Each health citation gets a letter. The number in each cell is how many of this home's citations got that letter; the points show what each letter adds to the health inspection score. Citations where care was substandard score higher than shown. [11]
| Isolated (a few residents) | Pattern (some residents) | Widespread (many residents) | |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J · 50 pts 2 | K · 100 pts 0 | L · 150 pts 0 |
| Actual harm, not immediate jeopardy | G · 20 pts 0 | H · 35 pts 0 | I · 45 pts 0 |
| No actual harm, potential for more than minimal harm | D · 4 pts 37 | E · 8 pts 6 | F · 16 pts 1 |
| No actual harm, potential for minimal harm only | A · 0 pts 0 | B · 0 pts 0 | C · 0 pts 1 |
Darker cells mean more citations. Counts cover every health citation CMS lists for this home.
All health citations (47) [2]
Inspection on Jan 21, 2026 · 1 citation
-
D
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
F0628 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Feb 10, 2026) · From a complaint
Inspection on Sep 25, 2025 · 13 citations
-
E
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
F0628 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Oct 23, 2025)
-
D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Oct 23, 2025)
-
D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (Oct 23, 2025) · From a complaint
-
D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Oct 23, 2025)
-
D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
F0756 · Pharmacy Service Deficiencies · Deficient, Provider has date of correction (Oct 23, 2025)
-
E
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
F0944 · Administration Deficiencies · Deficient, Provider has date of correction (Oct 23, 2025)
-
E
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
F0941 · Administration Deficiencies · Deficient, Provider has date of correction (Oct 23, 2025)
-
D
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
F0849 · Administration Deficiencies · Deficient, Provider has date of correction (Oct 23, 2025)
-
J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Oct 23, 2025)
-
D
Ensure medication error rates are not 5 percent or greater.
F0759 · Pharmacy Service Deficiencies · Deficient, Provider has date of correction (Oct 23, 2025)
-
E
Provide training in compliance and ethics.
F0946 · Administration Deficiencies · Deficient, Provider has date of correction (Oct 23, 2025)
-
D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Oct 23, 2025)
-
D
Ensure that residents are fully informed and understand their health status, care and treatments.
F0552 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Oct 23, 2025)
Inspection on May 29, 2025 · 3 citations
-
D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Jun 18, 2025) · From a complaint
-
D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Jun 18, 2025) · From a complaint
-
D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies · Deficient, Provider has date of correction (Jun 18, 2025) · From a complaint
Inspection on Jun 11, 2024 · 20 citations
-
J
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Jul 10, 2024)
-
D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies · Deficient, Provider has date of correction (Jul 10, 2024)
-
D
Ensure that residents are fully informed and understand their health status, care and treatments.
F0552 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Jul 10, 2024)
-
D
Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Jul 10, 2024)
-
D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
F0690 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Jul 10, 2024)
-
D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Jul 10, 2024)
-
D
Provide activities to meet all resident's needs.
F0679 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Jul 10, 2024)
-
F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction (Jul 10, 2024)
-
D
Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Jul 10, 2024)
-
D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Jul 10, 2024)
-
D
Implement 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.
F0758 · Pharmacy Service Deficiencies · Deficient, Provider has date of correction (Jul 10, 2024)
-
D
Ensure medication error rates are not 5 percent or greater.
F0759 · Pharmacy Service Deficiencies · Deficient, Provider has date of correction (Jul 10, 2024)
-
D
Allow residents to self-administer drugs if determined clinically appropriate.
F0554 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Jul 10, 2024) · From a complaint
-
D
Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies · Deficient, Provider has date of correction (Jul 10, 2024)
-
D
Honor 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.
F0584 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Jul 10, 2024)
-
C
Post nurse staffing information every day.
F0732 · Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction (Jul 10, 2024)
-
D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
F0580 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Jul 10, 2024) · From a complaint
-
D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
F0655 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Jul 10, 2024)
-
D
Ensure 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.
F0761 · Pharmacy Service Deficiencies · Deficient, Provider has date of correction (Jul 10, 2024)
-
E
Ensure residents have reasonable access to and privacy in their use of communication methods.
F0576 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Jul 10, 2024)
Inspection on Mar 27, 2024 · 5 citations
-
D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Apr 27, 2024) · From a complaint
-
D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Apr 27, 2024) · From a complaint
-
D
Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · Deficient, Provider has date of correction (Apr 27, 2024) · From a complaint
-
D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
F0690 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Apr 27, 2024) · From a complaint
-
D
Honor 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.
F0578 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Apr 27, 2024) · From a complaint
Inspection on Feb 13, 2023 · 5 citations
-
D
Implement 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.
F0758 · Pharmacy Service Deficiencies · Deficient, Provider has date of correction (Mar 9, 2023)
-
D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
F0580 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Mar 13, 2023)
-
E
Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · Deficient, Provider has date of correction (Mar 14, 2023)
-
D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Mar 17, 2023)
-
D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Mar 20, 2023)
All fire-safety citations (27) [3]
Inspection on Sep 25, 2025 · 6 citations
-
D
Have restrictions on the use of portable space heaters.
K0781 · Miscellaneous Deficiencies · Deficient, Provider has date of correction (Dec 17, 2025)
-
E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
K0372 · Smoke Deficiencies · Deficient, Provider has date of correction (Dec 17, 2025)
-
F
Conduct testing and exercise requirements.
E0039 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (Dec 17, 2025)
-
E
Inspect, test, and maintain automatic sprinkler systems.
K0353 · Smoke Deficiencies · Deficient, Provider has date of correction (Dec 17, 2025)
-
F
Have simulated fire drills held at unexpected times.
K0712 · Miscellaneous Deficiencies · Deficient, Provider has date of correction (Dec 17, 2025)
-
D
Have restrictions on the use of highly flammable decorations.
K0753 · Miscellaneous Deficiencies · Deficient, Provider has date of correction (Dec 17, 2025)
Inspection on Jun 11, 2024 · 5 citations
-
D
Have properly installed electrical wiring and gas equipment.
K0511 · Services Deficiencies · Deficient, Provider has date of correction (Jul 10, 2024)
-
E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
K0372 · Smoke Deficiencies · Deficient, Provider has date of correction (Jul 10, 2024)
-
D
Ensure proper usage of power strips and extension cords.
K0920 · Gas, Vacuum, and Electrical Systems Deficiencies · Deficient, Provider has date of correction (Jul 10, 2024)
-
F
Have simulated fire drills held at unexpected times.
K0712 · Miscellaneous Deficiencies · Deficient, Provider has date of correction (Jul 10, 2024)
-
F
Include a process for Emergency Preparedness collaboration.
E0009 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (Jul 10, 2024)
Inspection on Feb 13, 2023 · 16 citations
-
F
Conduct testing and exercise requirements.
E0039 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (Mar 1, 2023)
-
F
Install a fire alarm system that can be heard throughout the facility.
K0341 · Smoke Deficiencies · Deficient, Provider has date of correction (Apr 25, 2023)
-
E
Install smoke barrier doors that can resist smoke for at least 20 minutes.
K0374 · Smoke Deficiencies · Deficient, Provider has date of correction (Feb 10, 2023)
-
F
Provide a written emergency evacuation plan.
K0711 · Miscellaneous Deficiencies · Deficient, Provider has date of correction (Feb 11, 2023)
-
D
Properly select, install, inspect, or maintain portable fire extinguishes.
K0355 · Smoke Deficiencies · Deficient, Provider has date of correction (Feb 9, 2023)
-
E
Use approved construction type or materials.
K0161 · Construction Deficiencies · Deficient, Provider has date of correction (Mar 24, 2023)
-
E
Have exits that are accessible at all times.
K0271 · Egress Deficiencies · Deficient, Provider has date of correction (Apr 25, 2023)
-
D
Provide properly protected cooking facilities.
K0324 · Smoke Deficiencies · Deficient, Provider has date of correction (Apr 25, 2023)
-
F
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
K0521 · Services Deficiencies · Deficient, Provider has date of correction (Mar 31, 2023)
-
E
Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction.
K0132 · Construction Deficiencies · Deficient, Provider has date of correction (Mar 24, 2023)
-
F
Have approved installation, maintenance and testing program for fire alarm systems.
K0345 · Smoke Deficiencies · Deficient, Provider has date of correction (Feb 24, 2023)
-
F
Have simulated fire drills held at unexpected times.
K0712 · Miscellaneous Deficiencies · Deficient, Provider has date of correction (Mar 6, 2023)
-
D
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
K0362 · Smoke Deficiencies · Deficient, Provider has date of correction (Mar 7, 2023)
-
E
Inspect, test, and maintain automatic sprinkler systems.
K0353 · Smoke Deficiencies · Deficient, Provider has date of correction (Feb 10, 2023)
-
D
Have proper medical gas storage and administration areas.
K0923 · Gas, Vacuum, and Electrical Systems Deficiencies · Deficient, Provider has date of correction (Feb 10, 2023)
-
D
Ensure proper usage of power strips and extension cords.
K0920 · Gas, Vacuum, and Electrical Systems Deficiencies · Deficient, Provider has date of correction (Feb 10, 2023)
Sources: Nursing Home Provider Information [1] ; Nursing Home Survey Summary [4] ; Nursing Home Health Deficiencies [2] ; Nursing Home Fire Safety Deficiencies [3] ; Nursing Home Health Inspection Cut Points [10] ; Design for Care Compare Nursing Home Five-Star Quality Rating System: Technical Users' Guide [11]
Fines & penalties
CMS can fine a home or stop Medicare and Medicaid payments for new admissions when problems are serious or keep recurring. Most homes have none.
- Fines
- 2 State avg 0.9 · National 0.9
- Total fined
- $204,321 State avg 48,278 · National 30,351
- Payment denials
- 0 Periods with no Medicare/Medicaid payment for new admissions
Fines by year
| Date | Type | Amount | Payment denial |
|---|---|---|---|
| Sep 25, 2025 | Fine | $164,700 | — |
| Jun 11, 2024 | Fine | $39,621 | — |
Sources: Nursing Home Provider Information [1] ; Nursing Home Penalties [5] ; Nursing Home State & National Averages [9]
Resident quality measures
These measure what actually happens to residents, as a percentage from 0 to 100 (or events per 1,000 resident days). For almost all of them a lower number is better; the vaccination measures are the exception and are marked. A star means the measure counts toward the quality star rating.
This home State average National average
Long-stay residents (14) [7]
Residents who live in the home. From their regular health assessments (the Minimum Data Set), averaged over four quarters. Period: 2025Q3-2026Q2.
- Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Higher is better
- 82.4
✗ Worse than the state average. State 96.0 · National 93.7
- Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Higher is better
- 88.2
✗ Worse than the state average. State 95.6 · National 95.3
- Percentage of long-stay residents experiencing one or more falls with major injury ★ Lower is better
- 7.7
✗ Worse than the state average. State 3.3 · National 3.2
- Percentage of long-stay residents who have depressive symptoms Lower is better
- 0.0
✓ Better than the state average. State 6.0 · National 13.5
- Percentage of long-stay residents who lose too much weight Lower is better
- 6.9
✗ Worse than the state average. State 4.9 · National 5.1
- Percentage of long-stay residents who received an antianxiety or hypnotic medication Lower is better
- 11.5
✓ Better than the state average. State 16.8 · National 19.5
- Percentage of long-stay residents who received an antipsychotic medication ★ Lower is better
- 14.0
✓ Better than the state average. State 15.9 · National 15.4
- Percentage of long-stay residents who were physically restrained Lower is better
- 0.0
✓ Better than the state average. State 0.1 · National 0.1
- Percentage of long-stay residents whose ability to walk independently worsened ★ Lower is better
- 20.9
✗ Worse than the state average. State 17.0 · National 12.7
- Percentage of long-stay residents whose need for help with daily activities has increased ★ Lower is better
- 19.7
✗ Worse than the state average. State 15.8 · National 13.5
- Percentage of long-stay residents with a catheter inserted and left in their bladder ★ Lower is better
- 8.0
✗ Worse than the state average. State 1.9 · National 0.7
- Percentage of long-stay residents with a urinary tract infection ★ Lower is better
- 6.7
✗ Worse than the state average. State 2.7 · National 1.5
- Percentage of long-stay residents with new or worsened bowel or bladder incontinence Lower is better
- 34.3
✗ Worse than the state average. State 23.6 · National 18.3
- Percentage of long-stay residents with pressure ulcers ★ Lower is better
- 7.9
✗ Worse than the state average. State 4.9 · National 4.5
Short-stay residents (3) [7]
Residents staying for rehab or recovery. From their health assessments, averaged over four quarters. Period: 2025Q3-2026Q2.
- Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Higher is better
- 75.9
✗ Worse than the state average. State 86.9 · National 82.3
- Percentage of short-stay residents who newly received an antipsychotic medication ★ Lower is better
- 0.5
✓ Better than the state average. State 1.2 · National 1.5
- Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Higher is better
- 56.7
✗ Worse than the state average. State 82.2 · National 80.1
Long-stay residents: hospital use (2) [8]
Hospital stays and emergency visits found in Medicare claims, adjusted for how sick residents were. Period: 20250401-20260331.
Short-stay residents: hospital use (2) [8]
Rehospitalizations and emergency visits after admission, found in Medicare claims and adjusted for how sick residents were. Period: 20250401-20260331.
- Percentage of short-stay residents who had an outpatient emergency department visit ★ Lower is better · Expected for these residents: 11.5
- 29.6
✗ Worse than the state average. State 15.6 · National 11.8
- Percentage of short-stay residents who were rehospitalized after a nursing home admission ★ Lower is better · Expected for these residents: 22.9
- 26.3
✗ Worse than the state average. State 22.5 · National 23.4
Sources: Nursing Home MDS Quality Measures [7] ; Nursing Home Medicare Claims Quality Measures [8] ; Nursing Home State & National Averages [9] ; Design for Care Compare Nursing Home Five-Star Quality Rating System: Technical Users' Guide [11]
Ownership & operator
Who owns and runs a home can matter: for-profit, non-profit and chain-owned homes tend to differ on staffing and inspection results.
- Ownership type
- Non profit - Corporation
- Legal business name
- LINDENGROVE COMMUNITIES LLC
- Certified for
- Medicare
- Certified beds
- 61
- Residents per day (average)
- 55
- In Medicare/Medicaid since
- Feb 24, 1989
- Resident and family council
- Resident
- Sprinklers in all required areas
- Yes
- County
- Waukesha
- Located in a hospital
- No
Company profiles: Illuminus Inc (11 homes, average 1.8 stars), Marquardt Village Inc (6 homes, average 1.5 stars)
Owners, officers and managers (22) [6]
Corporate Director
- DETTMAN, SCOTT (individual, NOT APPLICABLE, since 09/01/2020)
- FISCHER, TODD (individual, NOT APPLICABLE, since 03/07/2023)
- HEROUX, STEVEN (individual, NOT APPLICABLE, since 08/01/2024)
- KOHLHOFF, KEVIN (individual, NOT APPLICABLE, since 09/01/2023)
- KONKOL, DENNIS (individual, NOT APPLICABLE, since 10/01/2024)
- MEIDENBAUER, ROBERT (individual, NOT APPLICABLE, since 03/07/2023)
- VAN DER LINDEN, KATIE (individual, NOT APPLICABLE, since 03/07/2023)
- WAGNER, LYNNE (individual, NOT APPLICABLE, since 10/01/2024)
Managing Control - Governing Body
- FISCHER, TODD (individual, NOT APPLICABLE, since 03/07/2023)
Adp Of The Snf
- ILLUMINUS INC (organization, NOT APPLICABLE, since 07/14/2025)
- LEMBKE, ADAM (individual, NOT APPLICABLE, since 04/28/2025)
- MARKS, JULIE (individual, NOT APPLICABLE, since 06/05/2025)
- MAUTHE, MATTHEW (individual, NOT APPLICABLE, since 03/20/2023)
- SIDHU, SARFRAZ (individual, NOT APPLICABLE, since 11/16/2020)
Operational/Managerial Control
- ILLUMINUS INC (organization, NOT APPLICABLE, since 03/20/2023)
- LEMBKE, ADAM (individual, NOT APPLICABLE, since 03/20/2023)
- MARKS, JULIE (individual, NOT APPLICABLE, since 06/05/2025)
- MAUTHE, MATTHEW (individual, NOT APPLICABLE, since 03/20/2023)
- SIDHU, SARFRAZ (individual, NOT APPLICABLE, since 11/16/2020)
Corporate Officer
- MARKS, JULIE (individual, NOT APPLICABLE, since 06/05/2025)
- MAUTHE, MATTHEW (individual, NOT APPLICABLE, since 03/20/2023)
5% Or Greater Indirect Ownership Interest
- MARQUARDT VILLAGE INC (organization, 100%, since 03/07/2023)
Sources: Nursing Home Provider Information [1] ; Nursing Home Ownership [6]
Sources
All figures on this page come from the U.S. government's published nursing home data, as of October 1, 2026. We reproduce them without change except for rounding and layout; ratings, scores and flags are CMS's, not ours. Averages and comparisons use the state and national figures CMS publishes in the same release.
- 1. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home Provider Information. Star ratings, staffing, turnover, inspection scores, fines, chain and flag data. https://data.cms.gov/provider-data/dataset/4pq5-n9py
- 2. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home Health Deficiencies. Each health deficiency cited, with scope and severity. https://data.cms.gov/provider-data/dataset/r5ix-sfxw
- 3. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home Fire Safety Deficiencies. Each fire-safety deficiency cited. https://data.cms.gov/provider-data/dataset/ifjz-ge4w
- 4. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home Survey Summary. Deficiency totals by inspection cycle and category. https://data.cms.gov/provider-data/dataset/tbry-pc2d
- 5. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home Penalties. Fines and payment denials. https://data.cms.gov/provider-data/dataset/g6vv-u9sr
- 6. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home Ownership. Owners, officers, directors and managers. https://data.cms.gov/provider-data/dataset/y2hd-n93e
- 7. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home MDS Quality Measures. Quarterly quality measure scores from resident assessments. https://data.cms.gov/provider-data/dataset/djen-97ju
- 8. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home Medicare Claims Quality Measures. Risk-adjusted quality measures from Medicare claims. https://data.cms.gov/provider-data/dataset/ijh5-nb2v
- 9. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home State & National Averages. State and national averages used for comparison. https://data.cms.gov/provider-data/dataset/xcdc-v8bm
- 10. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home Health Inspection Cut Points. Score ranges that earn each health inspection star in a state. https://data.cms.gov/provider-data/dataset/hicp-9999
- 11. Centers for Medicare & Medicaid Services. Design for Care Compare Nursing Home Five-Star Quality Rating System: Technical Users' Guide. How the star ratings, scope and severity points, and abuse and Special Focus flags are defined. https://www.cms.gov/medicare/provider-enrollment-and-certification/certificationandcomplianc/downloads/usersguide.pdf
- 12. Centers for Medicare & Medicaid Services. Medicare Care Compare. CMS's own consumer site, with the latest figures. https://www.medicare.gov/care-compare/
Attendant Homes is not affiliated with or endorsed by CMS. The data describes past inspections and reported figures and can be out of date or contain errors; it is not a recommendation. Confirm current information with the facility and on Medicare Care Compare [12] .
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