RecordWell Data

Lindengrove Waukesha

Nursing home · 425 N UNIVERSITY DR, Waukesha, WI 53188 · Waukesha County

1★Medicare overall
74cited deficiencies
2harm or jeopardy level
2penalties

Prices

No published price is available. Ask the facility directly.

Facility

Type
Nursing home · TITLE 18 SNF
Capacity
61
State license
2972
Medicare CCN
525422
Licensed entity
LINDENGROVE COMMUNITIES LLC
Ownership
Non profit - Corporation
Phone
(262) 524-6400
Nurse staffing
3.98 hours per resident per day; 70.8% nursing staff turnover
Medicare ratings
Inspections 1★ · Staffing 3★ · Quality 1★
Official record
Wisconsin DQA Provider Search
Official record
Medicare Care Compare

Other public records for this operator

Penalties

Inspection findings

  1. Jan 21, 2026 Health · 1 finding
    • Not serious Scope/severity D Complaint

      F0628 Resident Rights Deficiencies

      Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

      Corrected Feb 10, 2026 · CMS health inspection

  2. Sep 25, 2025 Fire Safety · 19 findings
    • Not serious Scope/severity F

      E0039 Emergency Preparedness Deficiencies

      Conduct testing and exercise requirements.

      Corrected Dec 17, 2025 · CMS fire safety

    • Not serious Scope/severity D

      F0552 Resident Rights Deficiencies

      Ensure that residents are fully informed and understand their health status, care and treatments.

      Corrected Oct 23, 2025 · CMS health inspection

    • 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 Oct 23, 2025 · CMS health inspection

    • Not serious Scope/severity E

      F0628 Resident Rights Deficiencies

      Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

      Corrected Oct 23, 2025 · CMS health inspection

    • 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 Oct 23, 2025 · 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 Oct 23, 2025 · 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 Oct 23, 2025 · CMS health inspection

    • Serious Scope/severity J

      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 Oct 23, 2025 · CMS health inspection

    • Not serious Scope/severity D

      F0756 Pharmacy Service Deficiencies

      Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

      Corrected Oct 23, 2025 · CMS health inspection

    • Not serious Scope/severity D

      F0759 Pharmacy Service Deficiencies

      Ensure medication error rates are not 5 percent or greater.

      Corrected Oct 23, 2025 · 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 Oct 23, 2025 · CMS health inspection

    • Not serious Scope/severity E

      F0941 Administration Deficiencies

      Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.

      Corrected Oct 23, 2025 · CMS health inspection

    • Not serious Scope/severity E

      F0944 Administration Deficiencies

      Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

      Corrected Oct 23, 2025 · CMS health inspection

    • Not serious Scope/severity E

      F0946 Administration Deficiencies

      Provide training in compliance and ethics.

      Corrected Oct 23, 2025 · CMS health inspection

    • Not serious Scope/severity E

      K0353 Smoke Deficiencies

      Inspect, test, and maintain automatic sprinkler systems.

      Corrected Dec 17, 2025 · CMS fire safety

    • Not serious Scope/severity E

      K0372 Smoke Deficiencies

      Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

      Corrected Dec 17, 2025 · CMS fire safety

    • Not serious Scope/severity F

      K0712 Miscellaneous Deficiencies

      Have simulated fire drills held at unexpected times.

      Corrected Dec 17, 2025 · CMS fire safety

    • Not serious Scope/severity D

      K0753 Miscellaneous Deficiencies

      Have restrictions on the use of highly flammable decorations.

      Corrected Dec 17, 2025 · CMS fire safety

    • Not serious Scope/severity D

      K0781 Miscellaneous Deficiencies

      Have restrictions on the use of portable space heaters.

      Corrected Dec 17, 2025 · CMS fire safety

  3. May 29, 2025 Health · 3 findings
    • Not serious Scope/severity D Complaint

      F0684 Quality of Life and Care Deficiencies

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

      Corrected Jun 18, 2025 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0686 Quality of Life and Care Deficiencies

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

      Corrected Jun 18, 2025 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0755 Pharmacy Service Deficiencies

      Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

      Corrected Jun 18, 2025 · CMS health inspection

  4. Jun 11, 2024 Fire Safety · 25 findings
    • Not serious Scope/severity F

      E0009 Emergency Preparedness Deficiencies

      Include a process for Emergency Preparedness collaboration.

      Corrected Jul 10, 2024 · CMS fire safety

    • Not serious Scope/severity D

      F0552 Resident Rights Deficiencies

      Ensure that residents are fully informed and understand their health status, care and treatments.

      Corrected Jul 10, 2024 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0554 Resident Rights Deficiencies

      Allow residents to self-administer drugs if determined clinically appropriate.

      Corrected Jul 10, 2024 · CMS health inspection

    • Not serious Scope/severity E

      F0576 Resident Rights Deficiencies

      Ensure residents have reasonable access to and privacy in their use of communication methods.

      Corrected Jul 10, 2024 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0580 Resident Rights Deficiencies

      Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

      Corrected Jul 10, 2024 · CMS health inspection

    • Not serious Scope/severity D

      F0584 Resident Rights Deficiencies

      Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

      Corrected Jul 10, 2024 · CMS health inspection

    • Not serious Scope/severity D

      F0655 Resident Assessment and Care Planning Deficiencies

      Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

      Corrected Jul 10, 2024 · CMS health inspection

    • 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 Jul 10, 2024 · CMS health inspection

    • Not serious Scope/severity D

      F0677 Quality of Life and Care Deficiencies

      Provide care and assistance to perform activities of daily living for any resident who is unable.

      Corrected Jul 10, 2024 · CMS health inspection

    • Not serious Scope/severity D

      F0679 Quality of Life and Care Deficiencies

      Provide activities to meet all resident's needs.

      Corrected Jul 10, 2024 · CMS health inspection

    • Serious Scope/severity J

      F0686 Quality of Life and Care Deficiencies

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

      Corrected Jul 10, 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 Jul 10, 2024 · CMS health inspection

    • Not serious Scope/severity D

      F0690 Quality of Life and Care Deficiencies

      Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

      Corrected Jul 10, 2024 · CMS health inspection

    • Not serious Scope/severity D

      F0695 Quality of Life and Care Deficiencies

      Provide safe and appropriate respiratory care for a resident when needed.

      Corrected Jul 10, 2024 · CMS health inspection

    • Not serious Scope/severity C

      F0732 Nursing and Physician Services Deficiencies

      Post nurse staffing information every day.

      Corrected Jul 10, 2024 · CMS health inspection

    • Not serious Scope/severity D

      F0755 Pharmacy Service Deficiencies

      Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

      Corrected Jul 10, 2024 · 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 Jul 10, 2024 · CMS health inspection

    • Not serious Scope/severity D

      F0759 Pharmacy Service Deficiencies

      Ensure medication error rates are not 5 percent or greater.

      Corrected Jul 10, 2024 · CMS health inspection

    • Not serious Scope/severity D

      F0760 Pharmacy Service Deficiencies

      Ensure that residents are free from significant medication errors.

      Corrected Jul 10, 2024 · CMS health inspection

    • Not serious Scope/severity D

      F0761 Pharmacy Service Deficiencies

      Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

      Corrected Jul 10, 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 Jul 10, 2024 · CMS health inspection

    • Not serious Scope/severity E

      K0372 Smoke Deficiencies

      Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

      Corrected Jul 10, 2024 · CMS fire safety

    • Not serious Scope/severity D

      K0511 Services Deficiencies

      Have properly installed electrical wiring and gas equipment.

      Corrected Jul 10, 2024 · CMS fire safety

    • Not serious Scope/severity F

      K0712 Miscellaneous Deficiencies

      Have simulated fire drills held at unexpected times.

      Corrected Jul 10, 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 Jul 10, 2024 · CMS fire safety

  5. Mar 27, 2024 Health · 5 findings
    • Not serious Scope/severity D Complaint

      F0578 Resident Rights Deficiencies

      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.

      Corrected Apr 27, 2024 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0686 Quality of Life and Care Deficiencies

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

      Corrected Apr 27, 2024 · 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 Apr 27, 2024 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0690 Quality of Life and Care Deficiencies

      Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

      Corrected Apr 27, 2024 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0880 Infection Control Deficiencies

      Provide and implement an infection prevention and control program.

      Corrected Apr 27, 2024 · CMS health inspection

  6. Feb 13, 2023 Fire Safety · 21 findings
    • Not serious Scope/severity F

      E0039 Emergency Preparedness Deficiencies

      Conduct testing and exercise requirements.

      Corrected Mar 1, 2023 · CMS fire safety

    • Not serious Scope/severity D

      F0580 Resident Rights Deficiencies

      Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

      Corrected Mar 13, 2023 · CMS health inspection

    • 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 Mar 20, 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 Mar 17, 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 Mar 9, 2023 · CMS health inspection

    • Not serious Scope/severity E

      F0880 Infection Control Deficiencies

      Provide and implement an infection prevention and control program.

      Corrected Mar 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 24, 2023 · CMS fire safety

    • Not serious Scope/severity E

      K0161 Construction Deficiencies

      Use approved construction type or materials.

      Corrected Mar 24, 2023 · CMS fire safety

    • Not serious Scope/severity E

      K0271 Egress Deficiencies

      Have exits that are accessible at all times.

      Corrected Apr 25, 2023 · CMS fire safety

    • Not serious Scope/severity D

      K0324 Smoke Deficiencies

      Provide properly protected cooking facilities.

      Corrected Apr 25, 2023 · CMS fire safety

    • Not serious Scope/severity F

      K0341 Smoke Deficiencies

      Install a fire alarm system that can be heard throughout the facility.

      Corrected Apr 25, 2023 · CMS fire safety

    • Not serious Scope/severity F

      K0345 Smoke Deficiencies

      Have approved installation, maintenance and testing program for fire alarm systems.

      Corrected Feb 24, 2023 · CMS fire safety

    • Not serious Scope/severity E

      K0353 Smoke Deficiencies

      Inspect, test, and maintain automatic sprinkler systems.

      Corrected Feb 10, 2023 · CMS fire safety

    • Not serious Scope/severity D

      K0355 Smoke Deficiencies

      Properly select, install, inspect, or maintain portable fire extinguishes.

      Corrected Feb 9, 2023 · CMS fire safety

    • Not serious Scope/severity D

      K0362 Smoke Deficiencies

      Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

      Corrected Mar 7, 2023 · 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 Feb 10, 2023 · CMS fire safety

    • Not serious Scope/severity F

      K0521 Services Deficiencies

      Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

      Corrected Mar 31, 2023 · CMS fire safety

    • Not serious Scope/severity F

      K0711 Miscellaneous Deficiencies

      Provide a written emergency evacuation plan.

      Corrected Feb 11, 2023 · CMS fire safety

    • Not serious Scope/severity F

      K0712 Miscellaneous Deficiencies

      Have simulated fire drills held at unexpected times.

      Corrected Mar 6, 2023 · 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 Feb 10, 2023 · CMS fire safety

    • Not serious Scope/severity D

      K0923 Gas, Vacuum, and Electrical Systems Deficiencies

      Have proper medical gas storage and administration areas.

      Corrected Feb 10, 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.