The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited September 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
Lindengrove New Berlin
NEW BERLIN, WI · Medicare-certified · 110 beds
Needs attention
Non-profit
Data as of July 1, 2026
1 of 5 overall
Lindengrove New Berlin has a 1 out of 5 overall rating, with 1 star for health inspections and 3 stars for staffing and quality measures. It is flagged for a recent federal penalty, had $100,006 in fines over the last 24 months, and its reported nurse staffing of 3.65 hours per resident per day is below the federal benchmark of 4.1.
Facility ratings
Health inspections
Staffing
3.6476 hrs/resident/day
Quality measures
Last inspection: September 8, 2025Penalties, last 24 months: $100,006recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.6476.
Staffing detail
- Registered nurses
- 0.69
- Licensed practical nurses
- 0.57
- Nurse aides
- 2.40
- Weekend nursing
- 3.27
Hours per resident per day.
Total staff turnover: 47%
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
15%7.1%Improving
Residents with a fall causing major injury
3%3.1%No change
Residents with pressure ulcers (bedsores)
7.6%5.6%Improving
Residents with a urinary tract infection
4.5%3.2%Improving
Residents who lost too much weight
3.9%8%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
12.8%20.8%Worsening
Residents whose ability to walk got worse
—20.1%—
Long-stay residents on antianxiety or sleep medication
13.7%17.6%Worsening
Short-stay residents newly given an antipsychotic
1.2%1.2%No change
Residents with a long-term catheter
1.3%1.9%Worsening
Residents with new or worsening incontinence
23.3%50.7%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
97%92.2%Worsening
Short-stay residents given the seasonal flu vaccine
—71.1%—
Short-stay residents given the pneumonia vaccine
86.7%86.3%No change
What the inspectors found
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
The home failed to properly label and securely store medications and biologicals. Cited January 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 761 — 42 CFR §483.45(g) — S/S: E
Recent history
- PENALTY
A federal fine of $55,200 was recorded.
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- 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 · $100,006 in total fines · 1 payment denial.
- $55,200
Federal fine
Sep 8, 2025
- 12 days
Medicare/Medicaid payment denial
Jan 21, 2025
- $44,806
Federal fine
Jan 21, 2025
Operator & ownership
Recent ownership change · Mar 20, 2023
Now operated by Lindengrove Communities LLC, previously Lindengrove, INC..
- Ownership
- Non profit - Church related
- Occupancy
- 82.5 residents on an average day (75% 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.