Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

Lindengrove New Berlin

NEW BERLIN, WI · 110 certified beds · Last Life Safety survey January 21, 2025

CMS Certification Number 525064 · first certified January 1967

Ownership

Independently operated (no chain recorded by CMS) · Non profit - Church related

  • Ownership changed March 20, 2023 (change of ownership)from LINDENGROVE, INC.
8
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
0
Tags cited more than once
Across separate surveys
2
Inspection & testing records
Of the citations on file

Position within WI

8 citations — more than 11% of the 323 certified nursing homes in WI. Compared within WI rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Slippingmore citations at the latest survey than at its earlier surveys in the window.

The latest survey found 4 citations; the earlier surveys in the window averaged 2. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

Well past the typical window (March 2026 to April 2026), and past the point by which nine in ten WI facilities have been surveyed. This facility’s last Life Safety survey was January 2025. Facilities in WI are typically surveyed 13–15 months after the last one (median 14), measured over 516 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

Emergency preparedness

2 of the 8 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

7 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 8 Life Safety citations above. The Physical Environment Index

  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0880 Provide and implement an infection prevention and control program.

How that compares

Citations on file over three years

Compared with the median facility in WI, and nationally. Surveyors differ markedly between states, so the WI figure is the meaningful one.

This facility8WI median17National median11
Citations on file over three years, compared
MeasureCitations
This facility8
Median facility in WI17
Median facility nationally11

Survey history

Citations at each Life Safety survey
12022-0832023-1142025-01
Citations at each Life Safety survey
Survey dateCitations
August 10, 20221
November 7, 20233
January 21, 20254

Most-cited tags

Most-cited tags at this facility
K-05111K-02711E-00311K-03411K-09201K-07811K-03631E-00411
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0511Have properly installed electrical wiring and gas equipment.12025-01-21
K-0271Have exits that are accessible at all times.12023-11-07
E-0031Provide emergency officials' contact information.12025-01-21
K-0341Install a fire alarm system that can be heard throughout the facility.12023-11-07
K-0920Ensure proper usage of power strips and extension cords.12022-08-10
K-0781Have restrictions on the use of portable space heaters.12025-01-21
K-0363Install corridor and hallway doors that block smoke.12023-11-07
E-0041Implement emergency and standby power systems.12025-01-21

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 2
  • Emergency Preparedness Deficiencies 2
  • Gas, Vacuum, and Electrical Systems Deficiencies 1
  • Egress Deficiencies 1
  • Other 2
Citations by CMS category
CategoryCitations
Smoke Deficiencies2
Emergency Preparedness Deficiencies2
Gas, Vacuum, and Electrical Systems Deficiencies1
Egress Deficiencies1
Miscellaneous Deficiencies1
Services Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

January 21, 2025 — 4 citations

Citations issued on January 21, 2025
TagWhat the surveyor checksStatus
E-0031Provide emergency officials' contact information.Deficient, Provider has date of correction (February 14, 2025)
E-0041Implement emergency and standby power systems.Deficient, Provider has date of correction (January 22, 2025)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (February 14, 2025)
K-0781Have restrictions on the use of portable space heaters.Deficient, Provider has date of correction (February 14, 2025)

November 7, 2023 — 3 citations

Citations issued on November 7, 2023
TagWhat the surveyor checksStatus
K-0271Have exits that are accessible at all times.Deficient, Provider has date of correction (December 6, 2023)
K-0341Install a fire alarm system that can be heard throughout the facility.Waiver has been granted (March 21, 2024)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (December 6, 2023)

August 10, 2022 — 1 citation

Citations issued on August 10, 2022
TagWhat the surveyor checksStatus
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (August 15, 2022)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.