Lindengrove Waukesha

425 N University Dr · Waukesha, WI · 53188 · 2625246400

61 certified beds Non profit - Corporation Part of a CCRC

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).

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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.

73% of nursing staff left within a year

High turnover disrupts continuity of care; the national median is 45%.

Score breakdown

Inspection record 30% of score 32
Serious harm & abuse 20% 64
Staffing 20% 71
Federal penalties 15% 67
Trend 10% 69
Context 5% 100

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: 1 of 5

Total nurse hours / resident-day3.873.48 min · 4.1 strong
RN hours / resident-day0.860.55–0.75
Weekend hours / resident-day3.57≈ weekday level
Nursing turnover / year73%median 45%
Fines (3-yr window)1 · $39,621

Inspection citations (47 in the current record)

  • Potential for harm · D January 21, 2026 · found via complaint

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

    Corrected February 10, 2026 · Resident Rights

  • Immediate jeopardy · J September 25, 2025

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

    Corrected October 23, 2025 · Quality of Life and Care

  • Potential for harm · D September 25, 2025

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

    Corrected October 23, 2025 · Resident Rights

  • Potential for harm · E September 25, 2025

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

    Corrected October 23, 2025 · Resident Rights

  • Potential for harm · D September 25, 2025

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

    Corrected October 23, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D September 25, 2025

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

    Corrected October 23, 2025 · Quality of Life and Care

  • Potential for harm · D September 25, 2025

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

    Corrected October 23, 2025 · Quality of Life and Care

  • Potential for harm · D September 25, 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 October 23, 2025 · Pharmacy Service

  • Potential for harm · D September 25, 2025

    Ensure medication error rates are not 5 percent or greater.

    Corrected October 23, 2025 · Pharmacy Service

  • Potential for harm · D September 25, 2025

    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 October 23, 2025 · Administration

  • Potential for harm · E September 25, 2025

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

    Corrected October 23, 2025 · Administration

  • Potential for harm · E September 25, 2025

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

    Corrected October 23, 2025 · Administration

  • Potential for harm · E September 25, 2025

    Provide training in compliance and ethics.

    Corrected October 23, 2025 · Administration

  • Potential for harm · D September 25, 2025 · found via complaint

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

    Corrected October 23, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D May 29, 2025 · found via complaint

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

    Corrected June 18, 2025 · Quality of Life and Care

  • Potential for harm · D May 29, 2025 · found via complaint

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

    Corrected June 18, 2025 · Quality of Life and Care

  • Potential for harm · D May 29, 2025 · found via complaint

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

    Corrected June 18, 2025 · Pharmacy Service

  • Immediate jeopardy · J June 11, 2024

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

    Corrected July 10, 2024 · Quality of Life and Care

  • Potential for harm · D June 11, 2024

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

    Corrected July 10, 2024 · Resident Rights

  • Potential for harm · E June 11, 2024

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

    Corrected July 10, 2024 · Resident Rights

  • Potential for harm · D June 11, 2024

    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 July 10, 2024 · Resident Rights

  • Potential for harm · D June 11, 2024

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

    Corrected July 10, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D June 11, 2024

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

    Corrected July 10, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D June 11, 2024

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

    Corrected July 10, 2024 · Quality of Life and Care

  • Potential for harm · D June 11, 2024

    Provide activities to meet all resident's needs.

    Corrected July 10, 2024 · Quality of Life and Care

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
June 11, 2024Fine$39,621

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 525422 · certified since February 24, 1989. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.