With a score of 24/100, Lindengrove Waukesha ranks in the bottom tier of Wisconsin nursing facilities, earning an F grade. CMS data highlights significant concerns that prospective residents and families should thoroughly evaluate.
Staffing at Lindengrove Waukesha is near the national average, with 4.14 total nursing hours per resident per day (national average: 3.8 hours).
Recent CMS inspections identified 47 deficiencies at Lindengrove Waukesha, including 2 classified as serious — among the most concerning citation levels. The most notable finding involved: provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 4.14 | 3.8 | Average |
| Registered Nurses (RN) | 0.89 | 0.7 | Above Average |
| Licensed Practical Nurses (LPN) | 0.47 | 0.7 | Below Average |
| Certified Nursing Assistants (CNA) | 2.77 | 2.4 | Above Average |
| Weekend Total Nursing | 3.91 | 3.8 | Average |
| Weekend RN Hours | 0.71 | 0.7 | Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0628 Severity DProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.Jan 20, 2026 · Resident Rights Deficiencies
- Tag 0689 Severity JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Sep 24, 2025 · Quality of Life and Care Deficiencies
- Tag 0628 Severity EProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.Sep 24, 2025 · Resident Rights Deficiencies
- Tag 0941 Severity EDevelop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.Sep 24, 2025 · Administration Deficiencies
- Tag 0944 Severity EConduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.Sep 24, 2025 · Administration Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 7.0% | 4.5% | Worse |
| Falls with major injury | 6.6% | 3.0% | Worse |
| On antipsychotic medication | 17.8% | 14.5% | Worse |
| Urinary tract infections | 4.9% | 2.5% | Worse |
| ADL decline (daily activities) | 20.4% | 14.0% | Worse |
| Excessive weight loss | 9.9% | 7.5% | Worse |
| New/worsened incontinence | 30.0% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $39,621
How This Grade Was Calculated
This facility's grade of F is based on a score of 24 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 1★ → 8 pts (max 40)
- Health Inspection Rating: 1★ → 5 pts (max 25)
- Staffing Rating: 4★ → 16 pts (max 20)
- Quality Measures Rating: 1★ → 3 pts (max 15)
- Penalty deductions: -5 pts
- Fine deductions: -3 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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