The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited May 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
Nursing home report
Congregational Home, Inc.
BROOKFIELD, WI · Medicare-certified · 66 beds
In good standing
Non-profit
4 of 5 overall
Congregational Home, Inc. in Brookfield, WI has an overall rating of 4 out of 5 stars, with strong staffing and quality ratings and no fines in the last 24 months. Its health inspection rating is 3 out of 5 stars, and reported nurse staffing is 6.45 hours per resident per day versus the 4.1 federal benchmark.
Facility ratings
Health inspections
Staffing
6.4471 hrs/resident/day
Quality measures
Last inspection: July 31, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 6.4471.
Staffing detail
- Registered nurses
- 1.09
- Licensed practical nurses
- 1.03
- Nurse aides
- 4.33
- Weekend nursing
- 6.07
Hours per resident per day.
Total staff turnover: 47%
Registered nurse turnover: 29%
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).
Long-stay residents on antipsychotic medication
—10%—
Residents with a fall causing major injury
5.9%2.9%Improving
Residents with pressure ulcers (bedsores)
4.6%2%Improving
Residents with a urinary tract infection
0%3.1%Worsening
Residents who lost too much weight
4%8.3%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
12.5%33.3%Worsening
Residents whose ability to walk got worse
—31.7%—
Long-stay residents on antianxiety or sleep medication
11.5%15.4%Worsening
Short-stay residents newly given an antipsychotic
0.8%0.7%No change
Residents with a long-term catheter
5.7%7%Worsening
Residents with new or worsening incontinence
34%12.3%Improving
Residents with depressive symptoms
0%0%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—97.4%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—96.4%—
Short-stay residents given the pneumonia vaccine
100%98.5%Worsening
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited July 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited March 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: F
The nursing home failed to fully assess a resident promptly on admission and then keep that assessment updated regularly. Cited July 2025 — limited pattern, potential for harm.
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F-Tag 636 — 42 CFR §483.20 — S/S: E
The nursing home failed to encode each resident’s assessment data and send it to the state on time. Cited July 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 640 — 42 CFR §483.20 — S/S: E
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 6 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- Non profit - Church related
- Occupancy
- 57 residents on an average day (86% of 66 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 16 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.