Lindengrove Mukwonago

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

44.0% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that worse than the national rate. This is CMS’s risk-adjusted rate over 157 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 60.0% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 80 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.50 therapist hours per resident per day in 2026Q1 — more than 81% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 2% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 47 beds and averages 40.8 residents a day — about 87% occupied, or roughly 6 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 4.15 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.25 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.35 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.95 hrs/resident/day on weekends vs 4.22 on weekdays — 6% thinner on weekends. RN hours go from 1.35 to 0.98 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 49% is about the same as the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

25 citations, most serious first. The 10 most serious are shown; the remaining 15 are one tap away and print in full.

• Potential for harm · Fcited before2025-12-10 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, record review, and interview, the facility did not ensure that food was prepared, distributed, and served in accordance with professional standards for food service safety in 2 of 3 kitchens. *Food Services Manager-U was observed in the main kitchen preparing and handling food without wearing a hair restraint to cover facial hair. *The blender blade was observed not to be thoroughly cleaned and sanitized in the main kitchen between preparation of two puree foods. *Food debris was observed over several days on the main kitchen floor and underneath kitchen equipment in the main kitchen. *A jug of salsa with an open date labeled 6/4/25 was observed with other ready-to-serve condiments in a refrigerator in the main kitchen and was not discarded timely manner. *The refrigerator in a satellite kitchen serving residents was observed to be at 67 degrees Fahrenheit with food and drink items inside of the refrigerator. This deficient practice has the potential to affect all 36 residents who receive food from the main kitchen. Findings include:On 12/8/25 at 8:50 AM,…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-12-10 · tag F0628 — pattern
  Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review the facility did not ensure 4 (R1, R2, R50, & R3) of 4 residents reviewed for hospitalizations were notified of the reason for transfer/discharge and bed hold policy in writing to the resident & their representative. The facility's notice of transfer and bed hold form does not include the Ombudsman's email address. *R1 was admitted to the hospital on [DATE]. R1 and R1's POA did not receive in writing the reason for transfer/discharge and bed hold policy. The Ombudsman was not notified of R1 discharge to the hospital on 9/4/25. *R2 was discharged to the hospital on [DATE] & 10/30/25. R2 and R2's representative did not receive in writing the reason for transfer/discharge and bed hold policy. *R50 was discharged to the hospital on [DATE]. R2 and R2's representative did not receive in writing the reason for transfer/discharge and bed hold policy. *R3 was discharged to the hospital on 5/15/25. R3 and R3's representative did not receive in writing the reason for transfer/discharge…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-12-10 · tag F0554 — isolated
  Allow residents to self-administer drugs if determined clinically appropriate.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility did not ensure 1 (R1) of 1 resident was clinically appropriate to self-administer medications.R1 was observed with a white pill on R1's breakfast tray and approximately four pills in a medication cup on R1's breakfast tray located on the over bed table next to R1. R1 does not have a self-administration assessment. Findings include:The facility's policy dated May 2018 and titled, Self-Administration of Medications documents under the Policy section: In order to maintain the residents' high level of independence, residents who desire to self-administer medications are permitted to do so if the facility's interdisciplinary team has determined that the practice would be safe for the resident and other residents of the facility and there is a prescriber's order to self-administer. Under Procedures documents A. If the resident desires to self-administer medications, an assessment is conducted by the interdisciplinary team of the resident's cognitive (including orientation to time), physical, and visual ability to carry out…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-12-10 · tag F0578 — failed to honor advance directives / code status — isolated
  Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility did not ensure 1 (R2) of 16 residents reviewed for advanced directives had wishes clearly documented in the medical record.R2 did not have a current physician's order clarifying code status and R2's electronic medical record did not specify code status. Findings include:The facility policy titled Code Status with initial approval date of 2/8/17 and review date 5/8/25 documents: Policy: facilities will discover, maintain, and execute a (sic) individual's code status by following the documented wishes of each individual. if an individual wishes to be a Do-Not-Resuscitate (DNR), the individual's wishes will be maintained: provider signed DNR order, within the medical record, on a State DNR form, by wearing a facility approved DNR bracelet. if a (sic) individual does not wish to maintain their DNR bracelet, the Risk Agreement will be reviewed with the individual and/or individual representative. This choice will be documented in the care plan. staff will identify a…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-12-10 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
  Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility did not ensure residents with a pressure injury, or those at risk for pressure injuries, received necessary treatment and services consistent with professional standards of practice to prevent the development of pressure injuries and to promote healing for 2 (R8, R21) of 4 residents reviewed for pressure injuries from a sample of 12. *R8 developed a pressure injury to the right inner ankle on 1/31/25, which progressed to a stage 3 pressure injury and became infected on 11/19/25 resulting in R8 having pain at the wound and requiring 2 antibiotics to treat the infection. R8 was assessed to be a high risk for developing pressure injuries. R8's care plan was not revised with alternative interventions when R8's right inner ankle wound progressed to an unstageable pressure injury. R8's ankle pressure injury was not always accurately assessed to identify the correct staging. *R21 developed a pressure wound to the right gluteus on 11/27/25, which was not…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-12-10 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, observation, and record review, the facility did not ensure 1 (R40) of 2 residents received adequate supervision and assistance devices to prevent accidents.* R40's fall on 11/16/25 was not thoroughly investigated and a root cause was not determined to help prevent further falls. On 12/9/25 & 12/10/25, Dycem was not observed on R40's wheelchair per R40's falls plan of care.Findings include:The facility's policy titled, Falls and last reviewed 5/8/25 documents under the policy section: Prevention measures are put in place to reduce the occurrence of falls and risk of injury from falls.R40's diagnoses include dementia (loss of cognitive function that interferes with a person's daily life and activities), hypertension (high blood pressure), and anxiety (emotional response involving feelings of worry, dread, and tension often accompanied by physical symptoms like a racing heart or sweating).R40's annual MDS (minimum data set) with an assessment reference date of 8/27/25 has a BIMS (brief…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-12-10 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolated
  Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility did not ensure that 2 (R54, R3) of 2 received urinary catheter care in accordance with standards of practice. *R54's foley catheter bag was observed directly on the floor without a protective barrier. R54's foley catheter order did not specify the proper size of catheter or the proper balloon inflation size. *R3's foley catheter order did not specify the proper size of catheter or the proper balloon inflation size. Findings include: 1.) R54 was admitted to the facility 12/5/2025 with diagnoses including Bladder Cancer, Obstructive Sleep Apnea (a sleep disorder which causes one to stop breathing for periods of time) and Diabetes Mellitus. On 12/8/2025 at 9:45 AM, Surveyor observed R54 in a reclining chair in their room. Surveyor observed R54's foley catheter bag on the floor without a protective cover or barrier. On 12/08/2025 at 11:54 AM, Surveyor observed R54 in a reclining chair in their room. Surveyor observed R54's foley catheter bag on the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-12-10 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
  Provide safe and appropriate respiratory care for a resident when needed.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview and record review, the facility did not ensure that 2 of 2 (R54, R1) received respiratory treatment in accordance with standards of practice. *R54's Continuous Positive Air Pressure (CPAP) device did not have physician's orders in place regarding proper settings or maintenance of their CPAP device. *R1 did not receive oxygen therapy in accordance with their physician's orders. Findings include: The facility's policy and procedure titled Standard Respiratory Protocol with no listed date documents: Problem: Impaired or potential impairment of gas exchange r/t (related to) chronic respiratory disease.Apply oxygen, CPAP as ordered. 1.) R54 was admitted to the facility 12/5/2025 with diagnoses including Obstructive Sleep Apnea (a sleep disorder which causes one to stop breathing for periods of time), Bladder cancer and Diabetes Mellitus. On 12/8/2025 at 10:04 AM, Surveyor observed R54 to have a CPAP machine at their bedside. Surveyor asked R54 if they receive assistance with their CPAP machine at hours of sleep. R54 responded that the nurses take care of…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-12-10 · tag F0698 — failed to provide proper dialysis care — isolated
  Provide safe, appropriate dialysis care/services for a resident who requires such services.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review the facility did not ensure 1 (R1) of 1 resident have consistent pre & post dialysis communication and are monitored for complications for residents whom receive dialysis treatments. Findings include:The facility's policy dated as last reviewed 8/7/25 and titled, Dialysis documents under the Policy section: The care for a individual receiving dialysis will be coordinated and communicated between the Skilled Nursing Facility (SNF) and the relevant dialysis staff. Under the Procedure section it documents: A. An individual Care Plan will be developed/revised in the SNF in collaboration with information provided by the relevant dialysis facility. Individual record will reflect up to, and including: 1. Identified of individualized risk factors and potential complications related to dialysis; 2. Choices or preferences including advanced directives if any; 3. Medical status including status of comorbid conditions, frequency of vital signs, weights, and monitoring of fluids as ordered:.B. Individual record will reflect the coordination and collaboration…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-05-14 · tag F0609 — failed to report abuse allegations — isolated
  Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility did not ensure that 1 (R1) of 1 residents with an injury of unknown origin was reported to the State Survey Agency withing the required reporting timeframe. R1's Alleged Nursing Home Resident Mistreatment, Neglect, and Abuse Report documenting a bruise of unknown origin was submitted to the State Survey Agency on [DATE]. Nursing Home Administrator (NHA)-A stated in an interview that the Misconduct Incident Report was submitted to the State Survey Agency on [DATE], which is past the 5-business day required timeframe. Findings include: The facility policy with a last reviewed date of [DATE], titled Abuse, Neglect, Mistreatment and Misappropriation of Resident Property documents, in part: It is the policy of the facility that each individual will be free from Abuse . The Nursing Home Administrator or designee will report abuse to the state agency per State and Federal Guidelines . If an incident or allegation is considered reportable, the Executive Director or…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

No federal fines in the current CMS record. 1 Medicare payment denial on record.

• Medicare payment denial — starting 2024-10-24 for 15 days

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Who owns this facility

CMS files one row per role, so the 23 rows in the source record cover these 14 parties — each is shown once here with every role it holds. Nothing is omitted.

2 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2024. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2024). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in WI