Registered name: Alden Estates of Countryside, Inc
JEFFERSON, WI · Medicare-certified · 120 beds
Needs attention
For-profitChain member
Data as of July 1, 2026·
★★★★★1 of 5 overall
Alden Estates of Jefferson in Jefferson, WI has a 1-star overall rating, with a 1-star health inspection rating and 2-star staffing; reported nurse staffing is 3.64 hours per resident per day, below the 4.1 federal benchmark. It also has a recent federal penalty and $274,131 in fines over the last 24 months, with cited issues including pressure ulcer care, following treatment orders, and accident hazards/supervision.
Last inspection: December 3, 2025Penalties, last 24 months: $274,131recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.639.
Staffing detail
Registered nurses
0.86
Licensed practical nurses
0.61
Nurse aides
2.17
Weekend nursing
3.02
Hours per resident per day.
Total staff turnover: 42%
Registered nurse turnover: 65%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Last yrNowTrend
Long-stay residents on antipsychotic medication
17.8%11.1%Improving
Residents with a fall causing major injury
3.3%3.3%No change
Residents with pressure ulcers (bedsores)
6.7%5.3%Improving
Residents with a urinary tract infection
1.1%0%Improving
Residents who lost too much weight
4.6%6%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
16.1%9.2%Improving
Residents whose ability to walk got worse
18.1%22.7%Worsening
Long-stay residents on antianxiety or sleep medication
16.7%11.9%Improving
Short-stay residents newly given an antipsychotic
0%1.7%Worsening
Residents with a long-term catheter
4.3%1%Improving
Residents with new or worsening incontinence
26.5%32.7%Worsening
Residents with depressive symptoms
9.9%11.3%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—82%—
Long-stay residents given the pneumonia vaccine
74.7%91.2%Improving
Short-stay residents given the seasonal flu vaccine
—50%—
Short-stay residents given the pneumonia vaccine
54.1%53.8%No change
What the inspectors found
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited June 2025 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: J
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited April 2025 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: J
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited March 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The home failed to promptly tell the resident, doctor, and family about changes or problems affecting the resident. Cited March 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 580 — 42 CFR §483.10(g)(14) — S/S: J
The home failed to arrange hospice services or help the resident transfer to a place that would provide hospice care. Cited March 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 849 — 42 CFR §483.70 — S/S: J
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
PENALTY
A federal payment denial was recorded.
PENALTY
A federal fine of $197,769 was recorded.
INSPECTION
Health inspection found 15 health deficiencies.
See what inspectors found
PENALTY
A federal fine of $42,532 was recorded.
PENALTY
A federal fine of $41,906 was recorded.
PENALTY
A federal fine of $33,830 was recorded.
PENALTY
A federal fine of $33,248 was recorded.
Penalties & enforcement
On record with Medicare: 4 fines · $337,376 in total fines · 1 payment denial.
Medicare/Medicaid payment denial
Jun 23, 2025
10 days
Federal fine
Jun 23, 2025
$197,769
Federal fine
Apr 14, 2025
$42,532
Federal fine
Dec 3, 2024
$33,830
Federal fine
Mar 27, 2024
$63,245
Operator & ownership
Ownership
For profit - Corporation
Chain
Part of THE ALDEN NETWORK · 27 homes · 2.9 stars avg
Occupancy
112.7 residents on an average day (94% of 120 beds)
Resident voice
Resident council
Medicare history
Certified for 48 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.