Wisconsin › Waukesha County › Waukesha
Lindengrove Waukesha
425 N University Dr, Waukesha, WI 53188
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 Waukesha, in Waukesha, Wisconsin, is certified for 61 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 1.
Inspectors recorded 47 health deficiencies across the three most recent survey cycles (14, 23, 10 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 77.0 per 100 beds, more than the state median of 31.8.
CMS lists 2 penalties in the period covered: fines totalling $204K.
Reported nurse staffing is 4.0 hours per resident per day (0.9 RN), close to the Wisconsin median of 4.0; nursing staff turnover is 70.8%.
Compared with county, state and nation
| Measure | This facility | Waukesha Co. median | Wisconsin median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 1 | 3 | 3.0 |
| Health citations, 3 cycles | 47 | 37 | 21 | 28.7 |
| Citations per 100 beds | 77.0 | 45.5 | 31.8 | 26.8 |
| Total nurse hours per resident day | 4.0 | 4.1 | 4.0 | 3.9 |
| RN hours per resident day | 0.9 | 0.7 | 0.9 | 0.7 |
| Nursing staff turnover | 70.8% | 55.8% | 46.2% | 45.8% |
| Fines listed | $204,321 | $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: 25 Sep 2025, 11 Jun 2024.
Severity mix: J ×2 D ×37 E ×6 F ×1 C ×1
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 |
|---|---|---|---|---|---|
| 21 Jan 2026 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Complaint investigation | 10 Feb 2026 |
| 25 Sep 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Standard survey | 23 Oct 2025 |
| 25 Sep 2025 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | E | Standard survey | 23 Oct 2025 |
| 25 Sep 2025 | F0941 | Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | E | Standard survey | 23 Oct 2025 |
| 25 Sep 2025 | F0944 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | E | Standard survey | 23 Oct 2025 |
| 25 Sep 2025 | F0946 | Provide training in compliance and ethics. | E | Standard survey | 23 Oct 2025 |
| 25 Sep 2025 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard survey | 23 Oct 2025 |
| 25 Sep 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 23 Oct 2025 |
| 25 Sep 2025 | 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 | 23 Oct 2025 |
| 25 Sep 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 23 Oct 2025 |
| 25 Sep 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 23 Oct 2025 |
| 25 Sep 2025 | 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 | 23 Oct 2025 |
| 25 Sep 2025 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 23 Oct 2025 |
| 25 Sep 2025 | 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 | 23 Oct 2025 |
| 29 May 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 18 Jun 2025 |
| 29 May 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 18 Jun 2025 |
| 29 May 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 18 Jun 2025 |
| 11 Jun 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | J | Standard survey | 10 Jul 2024 |
| 11 Jun 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 | 10 Jul 2024 |
| 11 Jun 2024 | F0576 | Ensure residents have reasonable access to and privacy in their use of communication methods. | E | Standard survey | 10 Jul 2024 |
| 11 Jun 2024 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard survey | 10 Jul 2024 |
| 11 Jun 2024 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Complaint investigation | 10 Jul 2024 |
| 11 Jun 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 | 10 Jul 2024 |
| 11 Jun 2024 | F0584 | 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. | D | Standard survey | 10 Jul 2024 |
| 11 Jun 2024 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 10 Jul 2024 |
| 11 Jun 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 | 10 Jul 2024 |
| 11 Jun 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 10 Jul 2024 |
| 11 Jun 2024 | F0679 | Provide activities to meet all resident's needs. | D | Standard survey | 10 Jul 2024 |
| 11 Jun 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 10 Jul 2024 |
| 11 Jun 2024 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 10 Jul 2024 |
| 11 Jun 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 10 Jul 2024 |
| 11 Jun 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 10 Jul 2024 |
| 11 Jun 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 | 10 Jul 2024 |
| 11 Jun 2024 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 10 Jul 2024 |
| 11 Jun 2024 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 10 Jul 2024 |
| 11 Jun 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 | 10 Jul 2024 |
| 11 Jun 2024 | F0732 | Post nurse staffing information every day. | C | Standard survey | 10 Jul 2024 |
| 27 Mar 2024 | F0578 | Honor 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. | D | Complaint investigation | 27 Apr 2024 |
| 27 Mar 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 27 Apr 2024 |
| 27 Mar 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 27 Apr 2024 |
| 27 Mar 2024 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Complaint investigation | 27 Apr 2024 |
| 27 Mar 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 27 Apr 2024 |
| 13 Feb 2023 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 14 Mar 2023 |
| 13 Feb 2023 | 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 | 13 Mar 2023 |
| 13 Feb 2023 | 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 | 20 Mar 2023 |
| 13 Feb 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 17 Mar 2023 |
| 13 Feb 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 | 9 Mar 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 25 Sep 2025 | Fine | $164,700 | |
| 11 Jun 2024 | Fine | $39,621 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Wisconsin average. Turnover: nursing staff 70.8%, RNs 76.5%; 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 | 18.3% | 15.4% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 7.9% | 1.5% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 6.0% | 2.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 9.2% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 0.9% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 22.0% | 16.8% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 6.7% | 4.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 12.4% | 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.
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Marquardt Village Inc | 5% or greater indirect ownership interest | 100% | 03/07/2023 |
| Illuminus Inc | Operational/managerial control | NOT APPLICABLE | 03/20/2023 |
| Illuminus Inc | Adp of the snf | NOT APPLICABLE | 07/14/2025 |
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
| 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 |
| Congregational Home, Inc. | Brookfield | 66 | 4 | 3 | 5 | 21 | 31.8 | — | 31 Jul 2025 |
| 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 |
All 17 facilities in Waukesha County
Questions and answers
How many deficiencies has Lindengrove Waukesha been cited for?
47 health deficiencies across the three most recent survey cycles, 2 at the actual-harm or immediate-jeopardy level. The Wisconsin median is 21 per facility.
Has Lindengrove Waukesha been fined?
Yes. CMS lists fines totalling $204K in the period covered.
How does staffing at Lindengrove Waukesha compare?
Reported total nurse staffing is 4.0 hours per resident per day against a Wisconsin median of 4.0 and a national average of 3.9.
Who operates Lindengrove Waukesha?
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 Waukesha last inspected?
The most recent survey or investigation in the CMS record is dated 21 Jan 2026; the most recent standard health survey was 25 Sep 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.