Elder Care Record

Wisconsin › Waukesha County › Menomonee Falls

Lindengrove Menomonee Falls

W180 N8071 Town Hall Rd, Menomonee Falls, WI 53051

CCN 525421 · Non-profit, corporation · 73 certified beds

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

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.

Lindengrove Menomonee Falls, in Menomonee Falls, Wisconsin, is certified for 73 beds under non-profit, corporation ownership.

CMS gives it 1 of 5 stars overall, below the Wisconsin median of 3; the health inspection rating is 1, staffing 3 and quality measures 2.

Inspectors recorded 54 health deficiencies across the three most recent survey cycles (37, 15, 2 by cycle, most recent first), 6 of them at the actual-harm or immediate-jeopardy level. That is 74.0 per 100 beds, more than the state median of 31.8.

CMS lists 5 penalties in the period covered: fines totalling $194K and 2 payment denials.

Reported nurse staffing is 4.2 hours per resident per day (0.6 RN), close to the Wisconsin median of 4.0; nursing staff turnover is 61.8%.

54health deficiencies, 3 survey cycles6 at actual harm or worse
$194Kfines listed by CMS5 penalties in period
4.2nurse hours per resident per daystate median 4.0
67%occupancy (residents ÷ beds)49 residents a day

Compared with county, state and nation

MeasureThis facilityWaukesha Co. medianWisconsin medianUS average
Overall star rating1133.0
Health citations, 3 cycles54372128.7
Citations per 100 beds74.045.531.826.8
Total nurse hours per resident day4.24.14.03.9
RN hours per resident day0.60.70.90.7
Nursing staff turnover61.8%55.8%46.2%45.8%
Fines listed$193,798$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

Cycle 1 (latest)37
Cycle 215
Cycle 32

Dark bar: this facility. Grey bar: Wisconsin average per facility for the same cycle, as published by CMS. Standard health survey dates: 3 Mar 2025, 17 Jan 2024.

Severity mix: J ×3 G ×3 D ×31 E ×10 F ×5 C ×2

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)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
15 Apr 2026F0565Honor the resident's right to organize and participate in resident/family groups in the facility.EComplaint investigation14 May 2026
15 Apr 2026F0584Honor 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.EComplaint investigation14 May 2026
15 Apr 2026F0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.EComplaint investigation14 May 2026
15 Apr 2026F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation14 May 2026
15 Apr 2026F0610Respond appropriately to all alleged violations.DComplaint investigation14 May 2026
11 Nov 2025F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.JComplaint investigation12 Dec 2025
11 Nov 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint investigation8 Dec 2025
11 Nov 2025F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.EComplaint investigation8 Dec 2025
11 Nov 2025F0610Respond appropriately to all alleged violations.EComplaint investigation6 Dec 2025
11 Nov 2025F0944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.EComplaint investigation8 Dec 2025
11 Nov 2025F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint investigation8 Dec 2025
11 Nov 2025F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint investigation8 Dec 2025
11 Nov 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation8 Dec 2025
11 Nov 2025F0695Provide safe and appropriate respiratory care for a resident when needed.DComplaint investigation8 Dec 2025
11 Nov 2025F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint investigation8 Dec 2025
19 Aug 2025F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation19 Sep 2025
19 Aug 2025F0610Respond appropriately to all alleged violations.DComplaint investigation19 Sep 2025
15 Jul 2025F0553Allow resident to participate in the development and implementation of his or her person-centered plan of care.DComplaint investigation15 Aug 2025
15 Jul 2025F0585Honor 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.DComplaint investigation15 Aug 2025
15 Jul 2025F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint investigation15 Aug 2025
15 Jul 2025F0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.DComplaint investigation15 Aug 2025
15 Jul 2025F0825Provide or get specialized rehabilitative services as required for a resident.DComplaint investigation15 Aug 2025
3 Mar 2025F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.JComplaint investigation2 Apr 2025
3 Mar 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GComplaint investigation2 Apr 2025
3 Mar 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint investigation2 Apr 2025
3 Mar 2025F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.FComplaint investigation2 Apr 2025
3 Mar 2025F0727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.FStandard survey2 Apr 2025
3 Mar 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FComplaint investigation2 Apr 2025
3 Mar 2025F0880Provide and implement an infection prevention and control program.FStandard survey2 Apr 2025
3 Mar 2025F0558Reasonably accommodate the needs and preferences of each resident.EStandard survey2 Apr 2025
3 Mar 2025F0584Honor 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.EStandard surveyDeficient, Provider has no plan of correction
3 Mar 2025F0554Allow residents to self-administer drugs if determined clinically appropriate.DStandard survey2 Apr 2025
3 Mar 2025F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard survey2 Apr 2025
3 Mar 2025F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint investigation2 Apr 2025
3 Mar 2025F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard survey2 Apr 2025
3 Mar 2025F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey2 Apr 2025
3 Mar 2025F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard survey2 Apr 2025
3 Mar 2025F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard survey2 Apr 2025
3 Mar 2025F0758Implement 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.DStandard survey2 Apr 2025
3 Mar 2025F0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.DStandard survey2 Apr 2025
3 Mar 2025F0881Implement a program that monitors antibiotic use.DStandard survey2 Apr 2025
3 Mar 2025F0732Post nurse staffing information every day.CStandard survey2 Apr 2025
30 Aug 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation25 Sep 2024
30 Aug 2024F0697Provide safe, appropriate pain management for a resident who requires such services.DComplaint investigation25 Sep 2024
17 Jan 2024F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.JComplaint investigation16 Feb 2024
17 Jan 2024F0880Provide and implement an infection prevention and control program.FComplaint investigation16 Feb 2024
17 Jan 2024F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EComplaint investigation16 Feb 2024
17 Jan 2024F0761Ensure 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.EStandard survey16 Feb 2024
17 Jan 2024F0661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.DComplaint investigation16 Feb 2024
17 Jan 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation16 Feb 2024
17 Jan 2024F0883Develop and implement policies and procedures for flu and pneumonia vaccinations.DStandard survey16 Feb 2024
17 Jan 2024F0814Dispose of garbage and refuse properly.CStandard survey16 Feb 2024
15 Sep 2022F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard survey15 Oct 2022
15 Sep 2022F0759Ensure medication error rates are not 5 percent or greater.DStandard survey15 Oct 2022

Penalties

DateTypeAmountDetail
11 Nov 2025Payment denial—2 days
11 Nov 2025Fine$51,405
3 Mar 2025Fine$78,813
17 Jan 2024Payment denial—2 days
17 Jan 2024Fine$63,580

Staffing

Total nursing4.17 h
Nurse aides2.51 h
LPN1.07 h
RN0.59 h
Weekend total3.82 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Wisconsin average. Turnover: nursing staff 61.8%, RNs 55.6%; — administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityWisconsin medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay24.1%15.4%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay3.0%1.5%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay1.0%2.3%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay4.9%3.0%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay1.4%0.9%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay46.6%16.8%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay0.0%4.4%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay1.4%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: Lindengrove Communities Llc.

OrganisationRole in the CMS recordInterestSince
Marquardt Village Inc5% or greater indirect ownership interest100%03/07/2023
Illuminus IncOperational/managerial controlNOT APPLICABLE03/20/2023
Illuminus IncAdp of the snfNOT APPLICABLE11/06/2025

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 Waukesha County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Masonic Center For Health & Rehab Inc.Dousman5055536.0—29 Jan 2026
Shorehaven Hlth & Rehab CtrOconomowoc885451011.4—5 Mar 2026
Congregational Home, Inc.Brookfield664352131.8—31 Jul 2025
Lake Country Health ServicesOconomowoc1002234242.0$121K27 Aug 2025
Lindengrove MukwonagoMukwonago472342553.2—10 Dec 2025
Menomonee Falls Health ServicesMenomonee Falls502234692.0$214K3 Dec 2025
Muskego Health and Rehabilitation CenterMuskego4922356114.3—28 Jan 2026
Tudor Oaks Health CenterMuskego502233774.0$181K5 Dec 2025

All 17 facilities in Waukesha County

Questions and answers

How many deficiencies has Lindengrove Menomonee Falls been cited for?

54 health deficiencies across the three most recent survey cycles, 6 at the actual-harm or immediate-jeopardy level. The Wisconsin median is 21 per facility.

Has Lindengrove Menomonee Falls been fined?

Yes. CMS lists fines totalling $194K in the period covered, plus 2 payment denials.

How does staffing at Lindengrove Menomonee Falls compare?

Reported total nurse staffing is 4.2 hours per resident per day against a Wisconsin median of 4.0 and a national average of 3.9.

Who operates Lindengrove Menomonee Falls?

Ownership type is non-profit, corporation. Organisations in the CMS ownership record include Marquardt Village Inc and Illuminus Inc. Individual owners and managers are not listed on this site.

When was Lindengrove Menomonee Falls last inspected?

The most recent survey or investigation in the CMS record is dated 15 Apr 2026; the most recent standard health survey was 3 Mar 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.