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.
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.
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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.
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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
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 3 health deficiencies.
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INSPECTION
Health inspection found 2 health deficiencies.
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PENALTY
A federal payment denial was recorded.
PENALTY
A federal fine of $44,806 was recorded.
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.