Lindengrove New Berlin
13755 W Fieldpointe Dr, New Berlin, WI 53151 · Waukesha County · 110 certified beds · avg 83 residents/day · certified since Jan 1, 1967
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★☆☆☆☆1/5 · CMS overall rating: 1/5
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 · Sep 8, 2025 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
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: Oct 3, 2025 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Jun 26, 2025 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
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: Jul 25, 2025 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Jan 21, 2025 · F-0689
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
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: Mar 5, 2025 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Aug 10, 2022 · F-0760
The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.
Why it matters: A serious medication error can cause real harm, hospitalization, or worse.
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: Sep 6, 2022 (Deficient, Provider has date of correction)
All citations in the current public record (32)
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 |
|---|---|---|
| Sep 8, 2025 | ▲ G · Actual 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 |
| Sep 8, 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 |
| Sep 8, 2025 | 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. · from a complaint |
| Jun 26, 2025 | ▲ G · Actual 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 |
| Jun 26, 2025 | D · Potential for harm, one-off | The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint |
| Jan 21, 2025 | ▲ G · Actual 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. |
| Jan 21, 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. |
| Jan 21, 2025 | 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. |
| Jan 21, 2025 | E · Potential for harm, repeated | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Jan 21, 2025 | D · Potential for harm, one-off | The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate. |
| Jan 21, 2025 | D · Potential for harm, one-off | The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. |
| Jan 21, 2025 | D · Potential for harm, one-off | The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave. |
| Jan 21, 2025 | D · Potential for harm, one-off | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. |
| Nov 14, 2024 | D · Potential for harm, one-off | The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. · from a complaint |
| Nov 14, 2024 | 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. · from a complaint |
| Nov 14, 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. · from a complaint |
| Nov 14, 2024 | D · Potential for harm, one-off | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. · from a complaint |
| Nov 7, 2023 | 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. |
| Nov 7, 2023 | D · Potential for harm, one-off | The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. |
| Nov 7, 2023 | D · Potential for harm, one-off | The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave. |
| Nov 7, 2023 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| Nov 7, 2023 | 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. |
| Nov 7, 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. |
| Aug 10, 2022 | ▲ G · Actual harm, one-off | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. |
| Aug 10, 2022 | E · Potential for harm, repeated | 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. |
| Aug 10, 2022 | E · Potential for harm, repeated | 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. |
| Aug 10, 2022 | 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. |
| Aug 10, 2022 | D · Potential for harm, one-off | The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. |
| Aug 10, 2022 | 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. |
| Aug 10, 2022 | 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. |
| Aug 10, 2022 | 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. |
| Aug 10, 2022 | 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 increased between the last two inspection cycles (6 → 8).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 9 | 1 | G ▲ |
| 2023 | 6 | 0 | F |
| 2024 | 4 | 0 | D |
| 2025 | 13 | 3 | G ▲ |
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)
2 fines totaling $100,006, plus 1 Medicare payment denial period.
| Date | Type | Amount / length |
|---|---|---|
| Sep 8, 2025 | Fine | $55,200 |
| Jan 21, 2025 | Fine | $44,806 |
| Jan 21, 2025 | Payment Denial | 12 days from Feb 21, 2025 |
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) | 3.67 | 4.29 | 3.95 | bottom 33% in Wisconsin; bottom 45% in the U.S. |
| Registered Nurse hours | 0.69 | 1.01 | 0.69 | bottom 22% in Wisconsin; top 37% in the U.S. |
| Weekend total nurse staffing | 3.29 | 3.84 | 3.50 | bottom 33% in Wisconsin; bottom 46% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.44 | 0.68 | 0.48 | bottom 24% in Wisconsin; top 42% in the U.S. |
| Total nursing staff turnover (%) | 46.6 | 46.9 | 45.8 | bottom 48% 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 3.65, RN 0.69, weekend 3.27. Staffing rating: 3/5.
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: 3/5 · long-stay residents: 1/5 · short-stay residents: 4/5
Who owns this facility
Non profit - Church related
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Marks, Julie | Individual | Indirect Ownership Interest | NOT APPLICABLE | 06/05/2025 |
| Marquardt Village INC | Organization | 5% or Greater Indirect Ownership Interest | 100% | 03/07/2023 |
| Dettman, Scott | Individual | Corporate Director | NOT APPLICABLE | 03/07/2023 |
| Fischer, Todd | Individual | Corporate Director | NOT APPLICABLE | 03/07/2023 |
| Heroux, Steven | Individual | Corporate Director | NOT APPLICABLE | 08/01/2024 |
| Illuminus INC | Organization | Operational/Managerial Control | NOT APPLICABLE | 03/20/2023 |
| Illuminus INC | Organization | ADP of the SNF | NOT APPLICABLE | 11/07/2025 |
| Jones, Michael | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/23/2024 |
| Jones, Michael | Individual | ADP of the SNF | NOT APPLICABLE | 04/28/2025 |
| Kohlhoff, Kevin | Individual | Corporate Director | NOT APPLICABLE | 09/01/2023 |
| Konkol, Dennis | Individual | Corporate Director | NOT APPLICABLE | 10/01/2024 |
| Marks, Julie | Individual | Corporate Director | NOT APPLICABLE | 06/05/2025 |
| Marks, Julie | Individual | Corporate Officer | NOT APPLICABLE | 06/05/2025 |
| Marks, Julie | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/05/2025 |
| Marks, Julie | Individual | ADP of the SNF | NOT APPLICABLE | 06/05/2025 |
| Mauthe, Matthew | Individual | Corporate Officer | NOT APPLICABLE | 03/20/2023 |
| Mauthe, Matthew | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/20/2023 |
| Mauthe, Matthew | Individual | ADP of the SNF | NOT APPLICABLE | 03/20/2023 |
| Meidenbauer, Robert | Individual | Corporate Director | NOT APPLICABLE | 03/07/2023 |
| Van Der Linden, Katie | Individual | Corporate Director | NOT APPLICABLE | 03/07/2023 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "What systems do you use to prevent medication errors, and what happens when one occurs?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "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 |
|---|---|---|---|---|---|
| Clement Manor Health Care Center | 3.1 mi | Greenfield, WI | ★☆☆☆☆ | 1/5 | |
| Maplewood Center | 3.2 mi | West Allis, WI | ★☆☆☆☆ | 1/5 | |
| Resolve at West Allis Respiratory and Rehab | 3.5 mi | West Allis, WI | ★☆☆☆☆ | 1/5 | |
| Complete Care at Hales Corners | 4.0 mi | Hales Corners, WI | ★★★☆☆ | 3/5 | |
| St Camillus Health Center | 4.0 mi | Wauwatosa, WI | ★★☆☆☆ | 1/5 | |
| Aria of Brookfield | 4.3 mi | Brookfield, WI | ★☆☆☆☆ | 1/5 | abuse |
| Aria at Mitchell Manor | 5.4 mi | West Allis, WI | ★★★☆☆ | 3/5 | |
| Congregational Home, INC. | 5.9 mi | Brookfield, WI | ★★★★☆ | 3/5 | |
| Sunrise Health Services | 5.9 mi | Milwaukee, WI | ★★☆☆☆ | 2/5 | |
| Greendale Park Nursing and Rehab | 5.9 mi | Greendale, WI | ★☆☆☆☆ | 1/5 | |
| Complete Care at Care Age | 6.1 mi | Brookfield, WI | ★☆☆☆☆ | 1/5 | |
| Franciscan Woods | 6.1 mi | Brookfield, WI | ★☆☆☆☆ | 1/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 525064.