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Nursing home report

Lindengrove New Berlin

NEW BERLIN, WI · Medicare-certified · 110 beds

Needs attention
Non-profit
1 of 5 overall

Lindengrove New Berlin has a 1-star overall rating, with 1-star health inspection results and 3-star staffing and quality ratings. Reported nurse staffing is 3.33 hours per resident per day versus the 4.1-hour federal benchmark, and the facility has had $44,806 in fines in the last 24 months plus a recent federal penalty.

Facility ratings

Health inspections

Staffing

3.3318 hrs/resident/day

Quality measures

Last inspection: September 8, 2025Penalties, last 24 months: $44,806recent federal penalty

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.3318.

Staffing detail

Registered nurses
0.59
Licensed practical nurses
0.58
Nurse aides
2.16
Weekend nursing
2.96

Hours per resident per day.

Total staff turnover: 41%
Registered nurse turnover: 23%

Resident outcomes

How often residents experience these outcomes, with the direction over the past year.

Long-stay residents on antipsychotic medication

12%Improving

Residents with a fall causing major injury

3.8%Worsening

Residents with pressure ulcers (bedsores)

5.7%Worsening

Residents with a urinary tract infection

3.4%Improving

Residents who lost too much weight

3%Worsening

Residents who were physically restrained

0%Steady

Residents needing more help with daily activities

19.9%Worsening

Residents whose ability to walk got worse

26.5%Steady
Show all measures

Long-stay residents on antianxiety or sleep medication

15.7%Improving

Short-stay residents newly given an antipsychotic

1.1%Worsening

Residents with a long-term catheter

1.7%Worsening

Residents with new or worsening incontinence

29.5%Improving

Residents with depressive symptoms

0%Steady

Long-stay residents given the seasonal flu vaccine

97.4%Steady

Long-stay residents given the pneumonia vaccine

95.5%Improving

Short-stay residents given the seasonal flu vaccine

71.1%Steady

Short-stay residents given the pneumonia vaccine

85.8%Improving

What the inspectors found

The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited May 2023 — limited pattern, immediate jeopardy to residents.

View the original federal record

F-Tag 686 — 42 CFR §483.25(b) — S/S: K

The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited May 2023 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 689 — 42 CFR §483.25(d) — S/S: J

The nursing home failed to ensure residents were free from significant medication errors. Cited August 2022 — isolated incident, actual harm.

View the original federal record

F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: G

The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited January 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 January 2025 — widespread issue, potential for harm.

View the original federal record

F-Tag 880 — 42 CFR §483.80(a) — S/S: F

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 3 health deficiencies.

    See what inspectors found
  3. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found
  4. PENALTY

    A federal payment denial was recorded.

  5. PENALTY

    A federal fine of $44,806 was recorded.

  6. INSPECTION

    Health inspection found 8 health deficiencies.

    See what inspectors found

Penalties & enforcement

On record with Medicare: 2 fines · $125,900 in total fines · 1 payment denial.

  • Medicare/Medicaid payment denial

    Jan 21, 2025

    12 days
  • Federal fine

    Jan 21, 2025

    $44,806
  • Federal fine

    May 23, 2023

    $81,094

Operator & ownership

Ownership
Non profit - Church related
Occupancy
84 residents on an average day (76% of 110 beds)
Resident voice
Resident council
Medicare history
Certified for 59 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.