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.
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
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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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
How that compares
Compared with the median facility in WI, and nationally. Surveyors differ markedly between states, so the WI figure is the meaningful one.
| Measure | Citations |
|---|---|
| This facility | 8 |
| Median facility in WI | 17 |
| Median facility nationally | 11 |
Survey history
| Survey date | Citations |
|---|---|
| August 10, 2022 | 1 |
| November 7, 2023 | 3 |
| January 21, 2025 | 4 |
Most-cited tags
| Tag | What the surveyor checks | Times cited | Last cited |
|---|---|---|---|
| K-0511 | Have properly installed electrical wiring and gas equipment. | 1 | 2025-01-21 |
| K-0271 | Have exits that are accessible at all times. | 1 | 2023-11-07 |
| E-0031 | Provide emergency officials' contact information. | 1 | 2025-01-21 |
| K-0341 | Install a fire alarm system that can be heard throughout the facility. | 1 | 2023-11-07 |
| K-0920 | Ensure proper usage of power strips and extension cords. | 1 | 2022-08-10 |
| K-0781 | Have restrictions on the use of portable space heaters. | 1 | 2025-01-21 |
| K-0363 | Install corridor and hallway doors that block smoke. | 1 | 2023-11-07 |
| E-0041 | Implement emergency and standby power systems. | 1 | 2025-01-21 |
What the citations cover
- Smoke Deficiencies 2
- Emergency Preparedness Deficiencies 2
- Gas, Vacuum, and Electrical Systems Deficiencies 1
- Egress Deficiencies 1
- Other 2
| Category | Citations |
|---|---|
| Smoke Deficiencies | 2 |
| Emergency Preparedness Deficiencies | 2 |
| Gas, Vacuum, and Electrical Systems Deficiencies | 1 |
| Egress Deficiencies | 1 |
| Miscellaneous Deficiencies | 1 |
| Services Deficiencies | 1 |
Every citation on file
As published by CMS, newest survey first. Descriptions are CMS’s own wording.
January 21, 2025 — 4 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| E-0031 | Provide emergency officials' contact information. | Deficient, Provider has date of correction (February 14, 2025) |
| E-0041 | Implement emergency and standby power systems. | Deficient, Provider has date of correction (January 22, 2025) |
| K-0511 | Have properly installed electrical wiring and gas equipment. | Deficient, Provider has date of correction (February 14, 2025) |
| K-0781 | Have restrictions on the use of portable space heaters. | Deficient, Provider has date of correction (February 14, 2025) |
November 7, 2023 — 3 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0271 | Have exits that are accessible at all times. | Deficient, Provider has date of correction (December 6, 2023) |
| K-0341 | Install a fire alarm system that can be heard throughout the facility. | Waiver has been granted (March 21, 2024) |
| K-0363 | Install corridor and hallway doors that block smoke. | Deficient, Provider has date of correction (December 6, 2023) |
August 10, 2022 — 1 citation
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0920 | Ensure 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.