LINDENGROVE WAUKESHA

WAUKESHA, WI · 61 beds · Non profit - Corporation

0 Trust Score
Grade: F CRITICAL Risk → Stable

Red Flags

  • 24 deficiencies — 2.4x the state average
  • 1 citation(s) at the highest severity level — immediate risk to residents
  • 76% total nursing staff turnover

Green Flags

  • 4-star staffing rating

Quick Facts

★☆☆☆☆
CMS Overall
★★☆☆☆
Health Inspection
24
2.4x state avg
Deficiencies
$39,621
Fines (3-yr)
★★★★☆
Staffing

Violation Timeline

September 24, 2025

1 deficiency
F0609 Potential Harm Scope/Severity: D

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

May 28, 2025

3 deficiencyies
F0684 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide appropriate treatment and care according to orders, resident’s preferences and goals.

F0686 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide appropriate pressure ulcer care and prevent new ulcers from developing.

F0755 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

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Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

June 10, 2024

16 deficiencyies
F0552 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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Ensure that residents are fully informed and understand their health status, care and treatments.

F0576 Potential Harm Scope/Severity: E

Resident Rights Deficiencies

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Ensure residents have reasonable access to and privacy in their use of communication methods.

F0584 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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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.

F0655 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

F0656 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

F0677 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide care and assistance to perform activities of daily living for any resident who is unable.

F0679 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide activities to meet all resident's needs.

F0686 Immediate Jeopardy Scope/Severity: J

Quality of Life and Care Deficiencies

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Provide appropriate pressure ulcer care and prevent new ulcers from developing.

F0689 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

F0690 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

F0695 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide safe and appropriate respiratory care for a resident when needed.

F0732 No Harm Scope/Severity: C

Nursing and Physician Services Deficiencies

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Post nurse staffing information every day.

F0755 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

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Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

F0758 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

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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.

F0759 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

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Ensure medication error rates are not 5 percent or greater.

F0760 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

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Ensure that residents are free from significant medication errors.

See full violation history →

Staffing

1.00
RN hrs/res/day
0.53
LPN hrs/res/day
3.09
CNA hrs/res/day
4.36
Weekend hrs/res/day
76%
Total nurse turnover
83%
RN turnover

A nurse checks on each resident roughly every 5.2 hours on average.

Fines & Penalties

  • Fine Jun 10, 2024
    $39,621
Total $39,621

Ownership

Non profit - Corporation Independent (not part of a chain)
  • THE HILLS AT CORTLAND RIDGE, INC.

    5% OR GREATER DIRECT OWNERSHIP INTEREST

    Since since 02/14/2023

    100% Organization
  • MARQUARDT VILLAGE INC

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 03/07/2023

    100% Organization
  • ILLUMINUS INC

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 03/20/2023

    Organization
  • LEMBKE, ADAM

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 03/20/2023

    Individual
  • MARKS, JULIE

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 06/05/2025

    Individual
  • MAUTHE, MATTHEW

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 03/20/2023

    Individual
  • SIDHU, SARFRAZ

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 11/16/2020

    Individual
  • DETTMAN, SCOTT

    CORPORATE DIRECTOR

    Since since 09/01/2020

    Individual
  • FISCHER, TODD

    CORPORATE DIRECTOR

    Since since 03/07/2023

    Individual
  • HEROUX, STEVEN

    CORPORATE DIRECTOR

    Since since 08/01/2024

    Individual
  • KOHLHOFF, KEVIN

    CORPORATE DIRECTOR

    Since since 09/01/2023

    Individual
  • KONKOL, DENNIS

    CORPORATE DIRECTOR

    Since since 10/01/2024

    Individual
  • MEIDENBAUER, ROBERT

    CORPORATE DIRECTOR

    Since since 03/07/2023

    Individual
  • VAN DER LINDEN, KATIE

    CORPORATE DIRECTOR

    Since since 03/07/2023

    Individual
  • WAGNER, LYNNE

    CORPORATE DIRECTOR

    Since since 10/01/2024

    Individual
  • MARKS, JULIE

    CORPORATE OFFICER

    Since since 06/05/2025

    Individual
  • MAUTHE, MATTHEW

    CORPORATE OFFICER

    Since since 03/20/2023

    Individual

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