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Lindengrove Waukesha

0.00 reviews · 0 verifiedWAUKESHA, WILic. 525422
Signals
JKLRecent citation with immediate-jeopardy / high severity (J/K/L)Source: CMS Health Citations
VBP-SLow SNF VBP readmission measure score (0.0)Source: CMS SNF VBP (PDC)
VBP-RElevated VBP readmission rate (24.9%)Source: CMS SNF VBP (PDC)
FINECMS fine: $39,621Source: CMS Penalties
VBPLower SNF VBP program ranking (#12,702)Source: CMS SNF VBP (PDC)
VBP-THigh nursing staff turnover in VBP period (83%)Source: CMS SNF VBP (PDC)
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About

Lindengrove Waukesha offers a supportive environment for residents with a focus on personalized care. The facility features spacious private rooms and a therapy gym for short-term rehabilitation, along with 24/7 resident assistance and nursing support. Residents in assisted living and memory care programs enjoy cozy studio apartments and memory care suites, complemented by cafe-style meals, laundry, housekeeping, and medication management. The community also provides access to various medical services, including physician and dental care, and offers recreational programs tailored to individual interests.

Amenities
DiningRestaurant-Style Dining
Housekeeping & MaintenanceHousekeeping ServicesLaundry Services
TherapiesOn-Site Rehabilitation Services
Inside AmenitiesSwimming Pool
Safety & SecuritySecured Memory Care Unit
CMS Care CompareView on Medicare.gov →
Medicare overall
1/5Medicare.gov Care Compare stars are shown for context only. They are never part of the Unbeatable composite score.
Staffing (PBJ)
3.51 total HPRDRN 0.86 · weekend 91%Oct 2025 – Dec 2025
Survey history
9 inspections74 deficiencies on record
Federal IDs
CCN 525422

Overall: 1/5 · Health: 1/5 · Staffing: 3/5 · QM: 1/5

Unbeatable ratings come only from verified family, staff, and professional reviews on this site. CMS stars, staffing, and citations are public regulatory signals — useful for context, not blended into our score.

Recent inspections
Health surveyJan 2026 · CMS1 deficiencies
  • F-628SS DProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Health surveySep 2025 · CMS13 deficiencies
  • F-552SS DEnsure that residents are fully informed and understand their health status, care and treatments.
  • F-609SS DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
  • F-628SS EProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
  • F-656SS DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  • F-684SS DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
  • F-686SS DProvide appropriate pressure ulcer care and prevent new ulcers from developing.
  • F-689SS JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-756SS DEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
  • F-759SS DEnsure medication error rates are not 5 percent or greater.
  • F-849SS DArrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
  • F-941SS EDevelop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
  • F-944SS EConduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
  • F-946SS EProvide training in compliance and ethics.
Fire safetySep 2025 · STATE FIRE MARSHAL6 deficiencies
  • E-39SS FConduct testing and exercise requirements.
  • K-353SS EInspect, test, and maintain automatic sprinkler systems.
  • K-372SS EEnsure smoke barriers are constructed to a 1 hour fire resistance rating.
  • K-712SS FHave simulated fire drills held at unexpected times.
  • K-753SS DHave restrictions on the use of highly flammable decorations.
  • K-781SS DHave restrictions on the use of portable space heaters.
Health surveyMay 2025 · CMS3 deficiencies
  • F-684SS DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
  • F-686SS DProvide appropriate pressure ulcer care and prevent new ulcers from developing.
  • F-755SS DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Health surveyJun 2024 · CMS20 deficiencies
  • F-552SS DEnsure that residents are fully informed and understand their health status, care and treatments.
  • F-554SS DAllow residents to self-administer drugs if determined clinically appropriate.
  • F-576SS EEnsure residents have reasonable access to and privacy in their use of communication methods.
  • F-580SS DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
  • F-584SS DHonor 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.
  • F-655SS DCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
  • F-656SS DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  • F-677SS DProvide care and assistance to perform activities of daily living for any resident who is unable.
  • F-679SS DProvide activities to meet all resident's needs.
  • F-686SS JProvide appropriate pressure ulcer care and prevent new ulcers from developing.
  • F-689SS DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-690SS DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
  • F-695SS DProvide safe and appropriate respiratory care for a resident when needed.
  • F-732SS CPost nurse staffing information every day.
  • F-755SS DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
  • F-758SS DImplement 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.
  • F-759SS DEnsure medication error rates are not 5 percent or greater.
  • F-760SS DEnsure that residents are free from significant medication errors.
  • F-761SS DEnsure 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.
  • F-812SS FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Fire safetyJun 2024 · STATE FIRE MARSHAL5 deficiencies
  • E-9SS FInclude a process for Emergency Preparedness collaboration.
  • K-372SS EEnsure smoke barriers are constructed to a 1 hour fire resistance rating.
  • K-511SS DHave properly installed electrical wiring and gas equipment.
  • K-712SS FHave simulated fire drills held at unexpected times.
  • K-920SS DEnsure proper usage of power strips and extension cords.
Health surveyMar 2024 · CMS5 deficiencies
  • F-578SS DHonor 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.
  • F-686SS DProvide appropriate pressure ulcer care and prevent new ulcers from developing.
  • F-689SS DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-690SS DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
  • F-880SS DProvide and implement an infection prevention and control program.
Health surveyFeb 2023 · CMS5 deficiencies
  • F-580SS DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
  • F-656SS DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  • F-684SS DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
  • F-758SS DImplement 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.
  • F-880SS EProvide and implement an infection prevention and control program.
Fire safetyFeb 2023 · STATE FIRE MARSHAL16 deficiencies
  • E-39SS FConduct testing and exercise requirements.
  • K-132SS EMeet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction.
  • K-161SS EUse approved construction type or materials.
  • K-271SS EHave exits that are accessible at all times.
  • K-324SS DProvide properly protected cooking facilities.
  • K-341SS FInstall a fire alarm system that can be heard throughout the facility.
  • K-345SS FHave approved installation, maintenance and testing program for fire alarm systems.
  • K-353SS EInspect, test, and maintain automatic sprinkler systems.
  • K-355SS DProperly select, install, inspect, or maintain portable fire extinguishes.
  • K-362SS DEnsure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
  • K-374SS EInstall smoke barrier doors that can resist smoke for at least 20 minutes.
  • K-521SS FEnsure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
  • K-711SS FProvide a written emergency evacuation plan.
  • K-712SS FHave simulated fire drills held at unexpected times.
  • K-920SS DEnsure proper usage of power strips and extension cords.
  • K-923SS DHave proper medical gas storage and administration areas.
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Ownership

Operated by Unverified operator (CMS) (privately held) since 1989.

  1. Mar 2023
    operator transition — MARQUARDT VILLAGE INC
    5% OR GREATER INDIRECT OWNERSHIP INTEREST (100%) — MARQUARDT VILLAGE INC
Contact

425 N UNIVERSITY DR
WAUKESHA, WI 53188

2625246400illuminus.us/communities/lindengrove-waukesha
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