Wisconsin › Waukesha County › Brookfield
Congregational Home, Inc.
13900 W Burleigh Rd, Brookfield, WI 53005
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Congregational Home, Inc., in Brookfield, Wisconsin, is certified for 66 beds under non-profit, church related ownership.
CMS gives it 4 of 5 stars overall, above the Wisconsin median of 3; the health inspection rating is 3, staffing 5 and quality measures 4.
Inspectors recorded 21 health deficiencies across the three most recent survey cycles (5, 9, 7 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 31.8 per 100 beds, about the same as the state median of 31.8.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 6.4 hours per resident per day (1.2 RN), above the Wisconsin median of 4.0; nursing staff turnover is 46.4%.
Compared with county, state and nation
| Measure | This facility | Waukesha Co. median | Wisconsin median | US average |
|---|---|---|---|---|
| Overall star rating | 4 | 1 | 3 | 3.0 |
| Health citations, 3 cycles | 21 | 37 | 21 | 28.7 |
| Citations per 100 beds | 31.8 | 45.5 | 31.8 | 26.8 |
| Total nurse hours per resident day | 6.4 | 4.1 | 4.0 | 3.9 |
| RN hours per resident day | 1.2 | 0.7 | 0.9 | 0.7 |
| Nursing staff turnover | 46.4% | 55.8% | 46.2% | 45.8% |
| Fines listed | $0 | $95,791 | $0 | — |
County and state figures are medians across facilities (17 in the county, 323 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Wisconsin average per facility for the same cycle, as published by CMS. Standard health survey dates: 31 Jul 2025, 1 May 2024.
Severity mix: G ×1 D ×12 E ×5 F ×3
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 31 Jul 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 14 Aug 2025 |
| 31 Jul 2025 | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | E | Standard survey | 15 Aug 2025 |
| 31 Jul 2025 | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | E | Standard survey | 15 Aug 2025 |
| 31 Jul 2025 | F0638 | Assure that each resident’s assessment is updated at least once every 3 months. | D | Standard survey | 15 Aug 2025 |
| 31 Jul 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 15 Aug 2025 |
| 5 Feb 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 6 Feb 2025 |
| 5 Feb 2025 | F0688 | Provide 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. | D | Complaint investigation | 23 Feb 2025 |
| 5 Feb 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 23 Feb 2025 |
| 1 May 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Standard survey | 2 May 2024 |
| 1 May 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 2 May 2024 |
| 1 May 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 2 May 2024 |
| 1 May 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 3 May 2024 |
| 1 May 2024 | F0700 | Try 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. | D | Standard survey | 2 May 2024 |
| 1 May 2024 | F0849 | 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. | D | Standard survey | 2 May 2024 |
| 29 Mar 2023 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 14 Apr 2023 |
| 29 Mar 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 4 Apr 2023 |
| 29 Mar 2023 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Standard survey | 4 Apr 2023 |
| 29 Mar 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 4 Apr 2023 |
| 29 Mar 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 4 Apr 2023 |
| 29 Mar 2023 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 6 Apr 2023 |
| 29 Mar 2023 | F0758 | 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. | D | Standard survey | 4 Apr 2023 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Wisconsin average. Turnover: nursing staff 46.4%, RNs 26.7%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Wisconsin median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 26.7% | 15.4% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 6.6% | 1.5% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 2.2% | 2.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.9% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.3% | 0.9% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 17.2% | 16.8% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.9% | 4.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 3.1% | 14.4% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: non-profit, church related. Legal business name: Congregational Home Inc.
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Baird Trust Company | Operational/managerial control | NOT APPLICABLE | 10/24/2023 |
| Greenfield Rehabilitation Agency, Inc | Operational/managerial control | NOT APPLICABLE | 07/01/2019 |
| Baird Trust Company | Adp of the snf | NOT APPLICABLE | 11/20/2025 |
| Sva Certified Public Accountants, S.C. | Adp of the snf | NOT APPLICABLE | 11/01/2015 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Waukesha County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Masonic Center For Health & Rehab Inc. | Dousman | 50 | 5 | 5 | 5 | 3 | 6.0 | — | 29 Jan 2026 |
| Shorehaven Hlth & Rehab Ctr | Oconomowoc | 88 | 5 | 4 | 5 | 10 | 11.4 | — | 5 Mar 2026 |
| Lake Country Health Services | Oconomowoc | 100 | 2 | 2 | 3 | 42 | 42.0 | $121K | 27 Aug 2025 |
| Lindengrove Mukwonago | Mukwonago | 47 | 2 | 3 | 4 | 25 | 53.2 | — | 10 Dec 2025 |
| Menomonee Falls Health Services | Menomonee Falls | 50 | 2 | 2 | 3 | 46 | 92.0 | $214K | 3 Dec 2025 |
| Muskego Health and Rehabilitation Center | Muskego | 49 | 2 | 2 | 3 | 56 | 114.3 | — | 28 Jan 2026 |
| Tudor Oaks Health Center | Muskego | 50 | 2 | 2 | 3 | 37 | 74.0 | $181K | 5 Dec 2025 |
| Aria of Brookfieldabuse icon | Brookfield | 170 | 1 | 1 | 1 | 109 | 64.1 | $397K | 5 Feb 2026 |
All 17 facilities in Waukesha County
Questions and answers
How many deficiencies has Congregational Home, Inc. been cited for?
21 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Wisconsin median is 21 per facility.
Has Congregational Home, Inc. been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Congregational Home, Inc. compare?
Reported total nurse staffing is 6.4 hours per resident per day against a Wisconsin median of 4.0 and a national average of 3.9.
Who operates Congregational Home, Inc.?
Ownership type is non-profit, church related. Organisations in the CMS ownership record include Baird Trust Company and Greenfield Rehabilitation Agency, Inc. Individual owners and managers are not listed on this site.
When was Congregational Home, Inc. last inspected?
The most recent survey or investigation in the CMS record is dated 31 Jul 2025; the most recent standard health survey was 31 Jul 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.