Alden Estates of Countryside, Inc
1130 Collins Road · Jefferson, WI · 53549 · 9206743170
120 certified beds For profit - Corporation Chain: The Alden Network
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $272,923 in fines in the last 24 months.
- 5 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
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
$272,923 in federal fines in the last 24 months
3 fines — CMS fines are reserved for verified, serious non-compliance.
If someone you love was harmed at a facility with findings like these, you have options — read this.
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: 1 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.59 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.82 | 0.55–0.75 |
| Weekend hours / resident-day | 3.12 | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | 4 · $336,168 |
Inspection citations (55 in the current record)
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Potential for harm · D December 3, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected December 19, 2025 · Infection Control
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Actual harm · G November 25, 2025 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected December 22, 2025 · Pharmacy Service
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Immediate jeopardy · J June 23, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected July 7, 2025 · Quality of Life and Care
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Potential for harm · D June 23, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected July 7, 2025 · Resident Rights
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Potential for harm · D June 23, 2025
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected July 7, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D June 23, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected July 7, 2025 · Quality of Life and Care
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Potential for harm · D June 23, 2025
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected July 7, 2025 · Quality of Life and Care
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Potential for harm · D June 23, 2025
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected July 7, 2025 · Pharmacy Service
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Potential for harm · D June 23, 2025
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected July 7, 2025 · Pharmacy Service
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Potential for harm · D June 23, 2025
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected July 7, 2025 · Nutrition and Dietary
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Potential for harm · D June 23, 2025
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Corrected July 7, 2025 · Nutrition and Dietary
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Potential for harm · F June 23, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected July 7, 2025 · Nutrition and Dietary
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Potential for harm · F June 23, 2025
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected July 7, 2025 · Administration
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Potential for harm · D June 23, 2025
Provide and implement an infection prevention and control program.
Corrected July 7, 2025 · Infection Control
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Potential for harm · D June 23, 2025
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected July 7, 2025 · Infection Control
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Potential for harm · D June 23, 2025
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Corrected July 7, 2025 · Infection Control
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Potential for harm · D June 23, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected July 7, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · J April 14, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected May 12, 2025 · Quality of Life and Care
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Actual harm · G April 14, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 12, 2025 · Quality of Life and Care
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Potential for harm · D April 14, 2025 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected May 12, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D April 14, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected May 12, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D April 14, 2025 · found via complaint
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Corrected May 12, 2025 · Nursing and Physician Services
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Potential for harm · F April 14, 2025 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected May 12, 2025 · Nursing and Physician Services
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Actual harm · G December 3, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 2, 2025 · Quality of Life and Care
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Potential for harm · D December 3, 2024 · found via complaint
Respond appropriately to all alleged violations.
Corrected January 2, 2025 · 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 |
|---|---|---|
| June 23, 2025 | Fine | $197,769 |
| June 23, 2025 | Payment Denial | 10 days |
| April 14, 2025 | Fine | $41,906 |
| December 3, 2024 | Fine | $33,248 |
| March 27, 2024 | Fine | $63,245 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 525271 · certified since March 1, 1978. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.