RecordWell Data

Congregational Home, INC.

Nursing home · 13900 W BURLEIGH RD, Brookfield, WI 53005 · Waukesha County

4★Medicare overall
33cited deficiencies
1harm or jeopardy level
0penalties

Prices

No published price is available. Ask the facility directly.

Facility

Type
Nursing home · TITLE 18 SNF
Capacity
66
State license
2471
Medicare CCN
525700
Licensed entity
CONGREGATIONAL HOME INC
Ownership
Non profit - Church related
Phone
(262) 781-0550
Nurse staffing
6.36 hours per resident per day; 46.4% nursing staff turnover
Medicare ratings
Inspections 3★ · Staffing 5★ · Quality 4★
Official record
Wisconsin DQA Provider Search
Official record
Medicare Care Compare

Other public records for this operator

Inspection findings

  1. Jul 31, 2025 Health · 8 findings
    • Not serious Scope/severity E

      F0636 Resident Assessment and Care Planning Deficiencies

      Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

      Corrected Aug 15, 2025 · CMS health inspection

    • Not serious Scope/severity D

      F0638 Resident Assessment and Care Planning Deficiencies

      Assure that each resident’s assessment is updated at least once every 3 months.

      Corrected Aug 15, 2025 · CMS health inspection

    • Not serious Scope/severity E

      F0640 Resident Assessment and Care Planning Deficiencies

      Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

      Corrected Aug 15, 2025 · CMS health inspection

    • Not serious Scope/severity D

      F0689 Quality of Life and Care Deficiencies

      Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

      Corrected Aug 15, 2025 · CMS health inspection

    • Not serious Scope/severity F

      F0812 Nutrition and Dietary Deficiencies

      Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

      Corrected Aug 14, 2025 · CMS health inspection

    • Not serious Scope/severity F

      K0221 Egress Deficiencies

      Provide rooms that can be unlocked from inside without a key.

      Corrected Aug 18, 2025 · CMS fire safety

    • Not serious Scope/severity D

      K0321 Smoke Deficiencies

      Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

      Corrected Jul 31, 2025 · CMS fire safety

    • Not serious Scope/severity E

      K0374 Smoke Deficiencies

      Install smoke barrier doors that can resist smoke for at least 20 minutes.

      Corrected Aug 7, 2025 · CMS fire safety

  2. Feb 5, 2025 Health · 3 findings
    • Not serious Scope/severity D Complaint

      F0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies

      Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

      Corrected Feb 6, 2025 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0688 Quality of Life and Care Deficiencies

      Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

      Corrected Feb 23, 2025 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0689 Quality of Life and Care Deficiencies

      Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

      Corrected Feb 23, 2025 · CMS health inspection

  3. May 1, 2024 Health · 11 findings
    • Not serious Scope/severity D

      F0656 Resident Assessment and Care Planning Deficiencies

      Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

      Corrected May 2, 2024 · CMS health inspection

    • Serious Scope/severity G

      F0686 Quality of Life and Care Deficiencies

      Provide appropriate pressure ulcer care and prevent new ulcers from developing.

      Corrected May 2, 2024 · CMS health inspection

    • Not serious Scope/severity D

      F0689 Quality of Life and Care Deficiencies

      Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

      Corrected May 3, 2024 · CMS health inspection

    • Not serious Scope/severity D

      F0700 Quality of Life and Care Deficiencies

      Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

      Corrected May 2, 2024 · CMS health inspection

    • Not serious Scope/severity F

      F0812 Nutrition and Dietary Deficiencies

      Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

      Corrected May 2, 2024 · CMS health inspection

    • Not serious Scope/severity D

      F0849 Administration Deficiencies

      Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

      Corrected May 2, 2024 · CMS health inspection

    • Not serious Scope/severity E

      K0132 Construction Deficiencies

      Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction.

      Corrected May 14, 2024 · CMS fire safety

    • Not serious Scope/severity D

      K0324 Smoke Deficiencies

      Provide properly protected cooking facilities.

      Corrected May 16, 2024 · CMS fire safety

    • Not serious Scope/severity D

      K0353 Smoke Deficiencies

      Inspect, test, and maintain automatic sprinkler systems.

      Corrected May 1, 2024 · CMS fire safety

    • Not serious Scope/severity D

      K0711 Miscellaneous Deficiencies

      Provide a written emergency evacuation plan.

      Corrected May 14, 2024 · CMS fire safety

    • Not serious Scope/severity D

      K0920 Gas, Vacuum, and Electrical Systems Deficiencies

      Ensure proper usage of power strips and extension cords.

      Corrected May 1, 2024 · CMS fire safety

  4. Mar 29, 2023 Health · 11 findings
    • Not serious Scope/severity E

      F0656 Resident Assessment and Care Planning Deficiencies

      Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

      Corrected Apr 4, 2023 · CMS health inspection

    • Not serious Scope/severity E

      F0657 Resident Assessment and Care Planning Deficiencies

      Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

      Corrected Apr 4, 2023 · CMS health inspection

    • Not serious Scope/severity D

      F0684 Quality of Life and Care Deficiencies

      Provide appropriate treatment and care according to orders, resident’s preferences and goals.

      Corrected Apr 4, 2023 · CMS health inspection

    • Not serious Scope/severity D

      F0686 Quality of Life and Care Deficiencies

      Provide appropriate pressure ulcer care and prevent new ulcers from developing.

      Corrected Apr 6, 2023 · CMS health inspection

    • Not serious Scope/severity E

      F0689 Quality of Life and Care Deficiencies

      Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

      Corrected Apr 4, 2023 · CMS health inspection

    • Not serious Scope/severity D

      F0758 Pharmacy Service Deficiencies

      Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

      Corrected Apr 4, 2023 · CMS health inspection

    • Not serious Scope/severity F

      F0880 Infection Control Deficiencies

      Provide and implement an infection prevention and control program.

      Corrected Apr 14, 2023 · CMS health inspection

    • Not serious Scope/severity E

      K0132 Construction Deficiencies

      Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction.

      Corrected Mar 31, 2023 · CMS fire safety

    • Not serious Scope/severity D

      K0321 Smoke Deficiencies

      Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

      Corrected Mar 31, 2023 · CMS fire safety

    • Not serious Scope/severity E

      K0353 Smoke Deficiencies

      Inspect, test, and maintain automatic sprinkler systems.

      Corrected Jun 2, 2023 · CMS fire safety

    • Not serious Scope/severity F

      K0712 Miscellaneous Deficiencies

      Have simulated fire drills held at unexpected times.

      Corrected Mar 31, 2023 · CMS fire safety

Owners and managers (as published by CMS)

Sources: Wisconsin Department of Health Services (directory, assisted-living survey documents) and CMS Care Compare (nursing homes). “Harm or jeopardy level” is CMS scope/severity G–L. About this data.