Congregational Home, INC.

Name: Congregational Home, INC.
Address: 13900 W BURLEIGH RD, Brookfield, WI, 53005, US
Telephone: 2627810550

13900 W Burleigh Rd, Brookfield, WI 53005 · Waukesha County · 66 certified beds · avg 60 residents/day · certified since Jan 1, 2010

3/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

6.55

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 4/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

Most serious findings (actual harm or immediate jeopardy)

▲ Actual harm, one-off · May 1, 2024 · F-0686

The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.

Why it matters: Bedsores are painful, can become deeply infected, and in serious cases can be life-threatening.

Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

Corrected: May 2, 2024 (Deficient, Provider has date of correction)

All citations in the current public record (21)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Jul 31, 2025	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Jul 31, 2025	E · Potential for harm, repeated	The facility did not fully assess residents on time — a complete assessment of health, abilities, and needs is required when a resident is first admitted and at least once every 12 months after that.
Jul 31, 2025	E · Potential for harm, repeated	The facility did not enter each resident's assessment information into the required format and send it to the state within 7 days of completing the assessment, as the rules require.
Jul 31, 2025	D · Potential for harm, one-off	The facility did not update each resident's care assessment at least once every 3 months. These regular check-ins keep the resident's care plan matched to their current condition.
Jul 31, 2025	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Feb 5, 2025	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint
Feb 5, 2025	D · Potential for harm, one-off	The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. · from a complaint
Feb 5, 2025	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
May 1, 2024	▲ G · Actual harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
May 1, 2024	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
May 1, 2024	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
May 1, 2024	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
May 1, 2024	D · Potential for harm, one-off	The facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly.
May 1, 2024	D · Potential for harm, one-off	The facility did not arrange hospice services for a resident who needed them, or help the resident move to a facility that could arrange hospice. Hospice provides comfort-focused care for people nearing the end of life.
Mar 29, 2023	F · Potential for harm, facility-wide	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Mar 29, 2023	E · Potential for harm, repeated	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Mar 29, 2023	E · Potential for harm, repeated	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Mar 29, 2023	E · Potential for harm, repeated	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Mar 29, 2023	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Mar 29, 2023	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Mar 29, 2023	D · Potential for harm, one-off	The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits.

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (6 → 5).

Year	Citations	Serious (G–L)	Worst severity that year
2023	7	0	F
2024	6	1	G ▲
2025	8	0	F

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Wisconsin avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	6.55	4.29	3.95	top 3% in Wisconsin; top 2% in the U.S.
Registered Nurse hours	1.22	1.01	0.69	top 25% in Wisconsin; top 9% in the U.S.
Weekend total nurse staffing	6.05	3.84	3.50	top 3% in Wisconsin; top 2% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.73	0.68	0.48	top 37% in Wisconsin; top 15% in the U.S.
Total nursing staff turnover (%)	46.4	46.9	45.8	bottom 49% in Wisconsin; bottom 46% in the U.S.
RN turnover (%)	26.7	39.7	42.9	top 30% in Wisconsin; top 24% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 6.36, RN 1.18, weekend 5.87. Staffing rating: 5/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 4/5 · long-stay residents: 5/5 · short-stay residents: 4/5

Who owns this facility

Non profit - Church related

Owner / manager	Type	Role	Stake	Since
Baird Trust Company	Organization	Operational/Managerial Control	NOT APPLICABLE	10/24/2023
Baird Trust Company	Organization	ADP of the SNF	NOT APPLICABLE	11/20/2025
Berg, Tina	Individual	Operational/Managerial Control	NOT APPLICABLE	02/19/2018
Berg, Tina	Individual	ADP of the SNF	NOT APPLICABLE	02/19/2018
Boyd, Mahlon	Individual	Managing Control - Governing Body	NOT APPLICABLE	11/01/2023
Boyd, Mahlon	Individual	Corporate Director	NOT APPLICABLE	11/01/2023
Collis, Harry	Individual	Managing Control - Governing Body	NOT APPLICABLE	11/01/2021
Collis, Harry	Individual	Corporate Director	NOT APPLICABLE	11/01/2021
Crawford, Carrie	Individual	Operational/Managerial Control	NOT APPLICABLE	08/18/2023
Crawford, Carrie	Individual	ADP of the SNF	NOT APPLICABLE	08/18/2023
Cummings, William	Individual	Managing Control - Governing Body	NOT APPLICABLE	11/01/2020
Cummings, William	Individual	Corporate Director	NOT APPLICABLE	11/01/2020
Ford, Felicia	Individual	Operational/Managerial Control	NOT APPLICABLE	04/24/2023
Ford, Felicia	Individual	ADP of the SNF	NOT APPLICABLE	04/24/2023
Greenfield Rehabilitation Agency, INC	Organization	Operational/Managerial Control	NOT APPLICABLE	07/01/2019
Griffith, John	Individual	Managing Control - Governing Body	NOT APPLICABLE	11/01/2020
Griffith, John	Individual	Corporate Director	NOT APPLICABLE	11/01/2020
Guszkowski, Eugene	Individual	Managing Control - Governing Body	NOT APPLICABLE	11/01/2020
Guszkowski, Eugene	Individual	Corporate Director	NOT APPLICABLE	11/01/2020
Harmon, Keith	Individual	Managing Control - Governing Body	NOT APPLICABLE	11/01/2023

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"How soon after admission is a full assessment completed, and how are the findings shared with the family?"
"How do you make sure resident assessments are completed and submitted to the state on time?"
"How do you track that every resident's quarterly assessment happens on time?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
"What do you do daily to keep residents moving, and how do you help residents at risk of losing mobility?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
St. Anne's Salvatorian Campus	3.0 mi	Milwaukee, WI	★☆☆☆☆	1/5
Luther Manor	3.4 mi	Milwaukee, WI	★☆☆☆☆	1/5
St Camillus Health Center	3.4 mi	Wauwatosa, WI	★★☆☆☆	1/5
Franciscan Woods	3.7 mi	Brookfield, WI	★☆☆☆☆	1/5
Aria of Brookfield	3.8 mi	Brookfield, WI	★☆☆☆☆	1/5	abuse
Lutheran Home	4.1 mi	Wauwatosa, WI	★★★★☆	3/5
Complete Care at Care Age	4.3 mi	Brookfield, WI	★☆☆☆☆	1/5
Resolve at West Allis Respiratory and Rehab	5.1 mi	West Allis, WI	★☆☆☆☆	1/5
Menomonee Falls Health Services	5.1 mi	Menomonee Falls, WI	★★☆☆☆	2/5
Lindengrove Menomonee Falls	5.1 mi	Menomonee Falls, WI	★☆☆☆☆	1/5
Lindengrove New Berlin	5.9 mi	New Berlin, WI	★☆☆☆☆	1/5
Maplewood Center	6.7 mi	West Allis, WI	★☆☆☆☆	1/5

Compare this facility with the 3 closest →

All facilities in Brookfield →

Facility data as of CMS processing date 2026-08-01. CCN 525700.

The Care File

Visit checklist — Congregational Home, INC.

13900 W Burleigh Rd, Brookfield, WI 53005 · 2627810550

Health inspection rating 3/5 · CMS overall 4/5· Fines (3y): $0

Most serious findings on record:

▲ May 1, 2024 (F-0686, Actual harm, one-off): The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.

Questions for the administrator:

☐ "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "How soon after admission is a full assessment completed, and how are the findings shared with the family?"
☐ "How do you make sure resident assessments are completed and submitted to the state on time?"
☐ "How do you track that every resident's quarterly assessment happens on time?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
☐ "What do you do daily to keep residents moving, and how do you help residents at risk of losing mobility?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 525700 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)