Lindengrove New Berlin
13755 W Fieldpointe Dr · New Berlin, WI · 53151 · 2627963660
110 certified beds Non profit - Church related Part of a CCRC
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $44,806 in fines in the last 24 months.
- Inspection results are getting worse cycle over cycle, not better.
- 4 citations involved actual harm to residents.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
3 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 3 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.33 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.59 | 0.55–0.75 |
| Weekend hours / resident-day | 2.96 | ≈ weekday level |
| Nursing turnover / year | 41% | median 45% |
| Fines (3-yr window) | 1 · $44,806 |
Inspection citations (32 in the current record)
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Actual harm · G September 8, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected October 3, 2025 · Quality of Life and Care
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Potential for harm · D September 8, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected October 3, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D September 8, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected October 3, 2025 · Quality of Life and Care
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Actual harm · G June 26, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected July 25, 2025 · Quality of Life and Care
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Potential for harm · D June 26, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected July 25, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G January 21, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 5, 2025 · Quality of Life and Care
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Potential for harm · D January 21, 2025
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected March 4, 2025 · Resident Rights
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Potential for harm · D January 21, 2025
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected March 4, 2025 · Resident Rights
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Potential for harm · D January 21, 2025
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected March 4, 2025 · Resident Rights
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Potential for harm · D January 21, 2025
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 March 4, 2025 · Quality of Life and Care
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Potential for harm · E January 21, 2025
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 March 4, 2025 · Pharmacy Service
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Potential for harm · F January 21, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 4, 2025 · Nutrition and Dietary
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Potential for harm · F January 21, 2025
Provide and implement an infection prevention and control program.
Corrected March 4, 2025 · Infection Control
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Potential for harm · D November 14, 2024 · found via complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected December 13, 2024 · Resident Rights
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Potential for harm · D November 14, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected December 13, 2024 · Quality of Life and Care
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Potential for harm · D November 14, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 13, 2024 · Quality of Life and Care
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Potential for harm · D November 14, 2024 · found via complaint
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 December 13, 2024 · Quality of Life and Care
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Potential for harm · D November 7, 2023
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected December 7, 2023 · Resident Rights
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Potential for harm · D November 7, 2023
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected December 7, 2023 · Resident Rights
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Potential for harm · D November 7, 2023
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected December 7, 2023 · Quality of Life and Care
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Potential for harm · D November 7, 2023
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 7, 2023 · Quality of Life and Care
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Potential for harm · D November 7, 2023
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 December 7, 2023 · Pharmacy Service
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Potential for harm · F November 7, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected December 7, 2023 · Nutrition and Dietary
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Actual harm · G August 10, 2022
Ensure that residents are free from significant medication errors.
Corrected September 6, 2022 · Pharmacy Service
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Potential for harm · D August 10, 2022
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected September 2, 2022 · Freedom from Abuse, Neglect, and Exploitation
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| January 21, 2025 | Fine | $44,806 |
| January 21, 2025 | Payment Denial | 12 days |
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 525064 · certified since January 1, 1967. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.