Wisconsin › Dodge County › Beaver Dam
Hillside Manor
803 S University Ave, Beaver Dam, WI 53916
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.
Hillside Manor is a Non-profit, corporation nursing home in Beaver Dam, Wisconsin, certified for 115 beds and caring for about 56 residents a day.
CMS gives it 2 of 5 stars overall, below the Wisconsin median of 3; the health inspection rating is 2, staffing 4 and quality measures 3.
Inspectors recorded 29 health deficiencies across the three most recent survey cycles (9, 17, 3 by cycle, most recent first), 3 of them at the actual-harm or immediate-jeopardy level. That is 25.2 per 100 beds, fewer than the state median of 31.8.
CMS lists 3 penalties in the period covered: fines totalling $193K and 1 payment denial.
Reported nurse staffing is 3.9 hours per resident per day (1.1 RN), close to the Wisconsin median of 4.0; nursing staff turnover is 50.0%.
Compared with county, state and nation
| Measure | This facility | Dodge Co. median | Wisconsin median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 29 | 27 | 21 | 28.7 |
| Citations per 100 beds | 25.2 | 32.9 | 31.8 | 26.8 |
| Total nurse hours per resident day | 3.9 | 3.9 | 4.0 | 3.9 |
| RN hours per resident day | 1.1 | 1.1 | 0.9 | 0.7 |
| Nursing staff turnover | 50.0% | 45.2% | 46.2% | 45.8% |
| Fines listed | $193,352 | $26,706 | $0 | — |
County and state figures are medians across facilities (10 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: 12 Mar 2026, 14 Nov 2024.
Severity mix: J ×1 G ×2 D ×20 E ×2 F ×4
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 |
|---|---|---|---|---|---|
| 12 Mar 2026 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Standard survey | 4 Apr 2026 |
| 12 Mar 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 4 Apr 2026 |
| 12 Mar 2026 | F0759 | Ensure medication error rates are not 5 percent or greater. | E | Standard survey | 4 Apr 2026 |
| 12 Mar 2026 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard survey | 4 Apr 2026 |
| 12 Mar 2026 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 4 Apr 2026 |
| 12 Mar 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 4 Apr 2026 |
| 12 Mar 2026 | F0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | Standard survey | 4 Apr 2026 |
| 12 Mar 2026 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | Standard survey | 4 Apr 2026 |
| 12 Mar 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 4 Apr 2026 |
| 21 Jul 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | Complaint investigation | 22 Jul 2025 |
| 21 Jul 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 22 Jul 2025 |
| 21 Jul 2025 | F0712 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. | D | Complaint investigation | 24 Jul 2025 |
| 24 Jun 2025 | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | Complaint investigation | 24 Jul 2025 |
| 24 Jun 2025 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 24 Jul 2025 |
| 14 Nov 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 31 Dec 2024 |
| 14 Nov 2024 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | F | Standard survey | 31 Dec 2024 |
| 14 Nov 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 | 31 Dec 2024 |
| 14 Nov 2024 | F0851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | F | Standard survey | 31 Dec 2024 |
| 14 Nov 2024 | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | Standard survey | 31 Dec 2024 |
| 14 Nov 2024 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 31 Dec 2024 |
| 14 Nov 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 | 31 Dec 2024 |
| 14 Nov 2024 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 31 Dec 2024 |
| 14 Nov 2024 | 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 | 31 Dec 2024 |
| 14 Nov 2024 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 31 Dec 2024 |
| 14 Nov 2024 | F0761 | 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. | D | Standard survey | 31 Dec 2024 |
| 14 Nov 2024 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Standard survey | 31 Dec 2024 |
| 7 Sep 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 28 Sep 2023 |
| 7 Sep 2023 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 19 Sep 2023 |
| 7 Sep 2023 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 7 Oct 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 12 Mar 2026 | Fine | $45,220 | |
| 24 Jun 2025 | Fine | $148,132 | |
| 14 Nov 2024 | Payment denial | — | 20 days |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Wisconsin average. Turnover: nursing staff 50.0%, RNs 66.7%; 1 administrator 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 | 11.3% | 15.4% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 2.1% | 1.5% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 5.4% | 2.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.2% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.5% | 0.9% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 11.3% | 16.8% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.1% | 4.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 4.3% | 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, corporation. Legal business name: Beaver Dam Community Hospitals Inc.. Chain: Sanford Health (4 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Mchs Hospitals Inc | 5% or greater direct ownership interest | 100% | 05/01/2019 |
| Marshfield Clinic Health System Inc | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 05/01/2019 |
| Sanford | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 01/01/2025 |
| Mchs Hospitals Inc | Operational/managerial control | NOT APPLICABLE | 05/01/2019 |
| Marshfield Clinic Health System Inc | Adp of the snf | NOT APPLICABLE | 05/01/2019 |
| Mchs Hospitals Inc | Adp of the snf | NOT APPLICABLE | 05/01/2019 |
| Sanford | Adp of the snf | NOT APPLICABLE | 01/01/2025 |
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 Dodge County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Clearview | Juneau | 40 | 5 | 4 | 5 | 9 | 22.5 | $9K | 7 Aug 2025 |
| Clearview Brain Injury Center | Juneau | 30 | 5 | 5 | 5 | 1 | 3.3 | — | 8 May 2024 |
| Hope Health and Rehab | Lomira | 38 | 5 | 4 | 5 | 14 | 36.8 | — | 18 Jun 2026 |
| Avina of Mayville | Mayville | 80 | 3 | 3 | 3 | 27 | 33.8 | $19K | 17 Jun 2026 |
| Randolph Health Services | Randolph | 84 | 3 | 3 | 4 | 13 | 15.5 | $50K | 12 Mar 2026 |
| Complete Care At Christian Home LLC | Waupun | 50 | 2 | 2 | 4 | 12 | 24.0 | — | 15 Apr 2026 |
| Marquardt Memorial Manor | Watertown | 140 | 2 | 2 | 2 | 46 | 32.9 | $27K | 1 Jul 2026 |
| Beaver Dam Health Care Centerabuse iconSFF Candidate | Beaver Dam | 90 | 1 | 1 | 3 | 110 | 122.2 | $96K | 19 May 2026 |
All 10 facilities in Dodge County
Questions and answers
How many deficiencies has Hillside Manor been cited for?
29 health deficiencies across the three most recent survey cycles, 3 at the actual-harm or immediate-jeopardy level. The Wisconsin median is 21 per facility.
Has Hillside Manor been fined?
Yes. CMS lists fines totalling $193K in the period covered, plus 1 payment denial.
How does staffing at Hillside Manor compare?
Reported total nurse staffing is 3.9 hours per resident per day against a Wisconsin median of 4.0 and a national average of 3.9.
Who operates Hillside Manor?
It is part of the Sanford Health chain. Ownership type is non-profit, corporation. Organisations in the CMS ownership record include Mchs Hospitals Inc, Marshfield Clinic Health System Inc and Sanford. Individual owners and managers are not listed on this site.
When was Hillside Manor last inspected?
The most recent survey or investigation in the CMS record is dated 12 Mar 2026; the most recent standard health survey was 12 Mar 2026.
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.