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
Data as of July 1, 2026
4 of 5 overall
Congregational Home, Inc. in Brookfield, WI has an overall rating of 4 out of 5 stars, with strong staffing (5 out of 5; 6.36 nurse hours per resident day vs. the 4.1 federal benchmark) and no fines in the last 24 months. Its health inspection rating is 3 out of 5 stars, and recent inspection issues included pressure ulcer care, food handling, and infection prevention and control.
Facility ratings
Health inspections
Staffing
6.3577 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 6.3577.
Staffing detail
- Registered nurses
- 1.18
- Licensed practical nurses
- 0.88
- Nurse aides
- 4.30
- Weekend nursing
- 5.87
Hours per resident per day.
Total staff turnover: 46%
Registered nurse turnover: 27%
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
—0%—
Residents with a fall causing major injury
3%2.8%No change
Residents with pressure ulcers (bedsores)
3.4%3.6%No change
Residents with a urinary tract infection
3.1%0%Improving
Residents who lost too much weight
4.8%13%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
23.8%28.6%Worsening
Residents whose ability to walk got worse
—17.2%—
Long-stay residents on antianxiety or sleep medication
4.5%16.7%Worsening
Short-stay residents newly given an antipsychotic
2.3%0%Improving
Residents with a long-term catheter
8.8%6.7%Improving
Residents with new or worsening incontinence
19.5%35.2%Worsening
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%97.2%Worsening
Short-stay residents given the seasonal flu vaccine
—96.4%—
Short-stay residents given the pneumonia vaccine
100%99%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.
View the original federal record
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
- 59.6 residents on an average day (90% 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.