Deficiency timeline

Lindengrove Waukesha

Dated inspection findings, penalties, and correction notes for this continuing care retirement community in Waukesha, WI. Newest events first.

48 eventsTimeline fines $39,621Class insights →
  1. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0628: Resident Rights

    Resident rights

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

    Corrected Feb 10, 2026

  2. Class IIIPotential for more than minimal harm (E)cms

    F0946: Administration

    Administration

    Provide training in compliance and ethics.

    Corrected Oct 23, 2025

  3. Class IIIPotential for more than minimal harm (D)cms

    F0552: Resident Rights

    Resident rights

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

    Corrected Oct 23, 2025

  4. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0609: Freedom from Abuse, Neglect, and Exploitation

    Abuse, neglect & exploitation

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

    Corrected Oct 23, 2025

  5. Class IIIPotential for more than minimal harm (D)cms

    F0656: Resident Assessment and Care Planning

    Assessment & care planning

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

    Corrected Oct 23, 2025

  6. Class IIIPotential for more than minimal harm (D)cms

    F0684: Quality of Life and Care

    Quality of life & care

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

    Corrected Oct 23, 2025

  7. Class IIIPotential for more than minimal harm (D)cms

    F0686: Quality of Life and Care

    Quality of life & care

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

    Corrected Oct 23, 2025

  8. Class IIIPotential for more than minimal harm (D)cms

    F0756: Pharmacy Service

    Pharmacy services

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Corrected Oct 23, 2025

  9. Class IIIPotential for more than minimal harm (D)cms

    F0759: Pharmacy Service

    Pharmacy services

    Ensure medication error rates are not 5 percent or greater.

    Corrected Oct 23, 2025

  10. Class IIIPotential for more than minimal harm (D)cms

    F0849: Administration

    Administration

    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 Oct 23, 2025

  11. Class IIIPotential for more than minimal harm (E)cms

    F0941: Administration

    Administration

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

    Corrected Oct 23, 2025

  12. Class IImmediate jeopardy (J)cms

    F0689: Quality of Life and Care

    Quality of life & care

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

    Corrected Oct 23, 2025

  13. Class IIIPotential for more than minimal harm (E)cms

    F0628: Resident Rights

    Resident rights

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

    Corrected Oct 23, 2025

  14. Class IIIPotential for more than minimal harm (E)cms

    F0944: Administration

    Administration

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

    Corrected Oct 23, 2025

  15. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0686: Quality of Life and Care

    Quality of life & care

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

    Corrected Jun 18, 2025

  16. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0755: Pharmacy Service

    Pharmacy services

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

    Corrected Jun 18, 2025

  17. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0684: Quality of Life and Care

    Quality of life & care

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

    Corrected Jun 18, 2025

  18. Class IIIPotential for more than minimal harm (D)cms

    F0759: Pharmacy Service

    Pharmacy services

    Ensure medication error rates are not 5 percent or greater.

    Corrected Jul 10, 2024

  19. Class IIIPotential for more than minimal harm (D)cms

    F0760: Pharmacy Service

    Pharmacy services

    Ensure that residents are free from significant medication errors.

    Corrected Jul 10, 2024

  20. Class IVMinimal harm / potential for minimal harm (C)cms

    F0732: Nursing and Physician Services

    Nursing & physician services

    Post nurse staffing information every day.

    Corrected Jul 10, 2024

  21. Class IIIPotential for more than minimal harm (D)cms

    F0761: Pharmacy Service

    Pharmacy services

    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 Jul 10, 2024

  22. Class IImmediate jeopardy (J)cms

    F0686: Quality of Life and Care

    Quality of life & care

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

    Corrected Jul 10, 2024

  23. Class IIIPotential for more than minimal harm (F)cms

    F0812: Nutrition and Dietary

    Nutrition & dietary

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected Jul 10, 2024

  24. Class IIIPotential for more than minimal harm (E)cms

    F0576: Resident Rights

    Resident rights

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

    Corrected Jul 10, 2024

  25. Class IIIPotential for more than minimal harm (D)cms

    F0552: Resident Rights

    Resident rights

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

    Corrected Jul 10, 2024

  26. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0554: Resident Rights

    Resident rights

    Allow residents to self-administer drugs if determined clinically appropriate.

    Corrected Jul 10, 2024

  27. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0580: Resident Rights

    Resident rights

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected Jul 10, 2024

  28. Class IIIPotential for more than minimal harm (D)cms

    F0584: Resident Rights

    Resident rights

    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 Jul 10, 2024

  29. Class IIIPotential for more than minimal harm (D)cms

    F0655: Resident Assessment and Care Planning

    Assessment & care planning

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

    Corrected Jul 10, 2024

  30. Class IIIPotential for more than minimal harm (D)cms

    F0656: Resident Assessment and Care Planning

    Assessment & care planning

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

    Corrected Jul 10, 2024

  31. Class IIIPotential for more than minimal harm (D)cms

    F0677: Quality of Life and Care

    Quality of life & care

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

    Corrected Jul 10, 2024

  32. Class IIIPotential for more than minimal harm (D)cms

    F0679: Quality of Life and Care

    Quality of life & care

    Provide activities to meet all resident's needs.

    Corrected Jul 10, 2024

  33. Class IIIPotential for more than minimal harm (D)cms

    F0689: Quality of Life and Care

    Quality of life & care

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

    Corrected Jul 10, 2024

  34. Class IIIPotential for more than minimal harm (D)cms

    F0690: Quality of Life and Care

    Quality of life & care

    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 Jul 10, 2024

  35. Class IIIPotential for more than minimal harm (D)cms

    F0695: Quality of Life and Care

    Quality of life & care

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected Jul 10, 2024

  36. Class IIIPotential for more than minimal harm (D)cms

    F0755: Pharmacy Service

    Pharmacy services

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

    Corrected Jul 10, 2024

  37. Class IIIPotential for more than minimal harm (D)cms

    F0758: Pharmacy Service

    Pharmacy services

    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 Jul 10, 2024

  38. Fine $39,621cms

    CMS fine

    Civil money penalty recorded in CMS Nursing Home Compare.

  39. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0686: Quality of Life and Care

    Quality of life & care

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

    Corrected Apr 27, 2024

  40. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0689: Quality of Life and Care

    Quality of life & care

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

    Corrected Apr 27, 2024

  41. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0690: Quality of Life and Care

    Quality of life & care

    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 Apr 27, 2024

  42. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0880: Infection Control

    Infection control

    Provide and implement an infection prevention and control program.

    Corrected Apr 27, 2024

  43. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0578: Resident Rights

    Resident rights

    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

    Corrected Apr 27, 2024

  44. Class IIIPotential for more than minimal harm (D)cms

    F0580: Resident Rights

    Resident rights

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected Mar 13, 2023

  45. Class IIIPotential for more than minimal harm (D)cms

    F0656: Resident Assessment and Care Planning

    Assessment & care planning

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

    Corrected Mar 20, 2023

  46. Class IIIPotential for more than minimal harm (D)cms

    F0684: Quality of Life and Care

    Quality of life & care

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

    Corrected Mar 17, 2023

  47. Class IIIPotential for more than minimal harm (D)cms

    F0758: Pharmacy Service

    Pharmacy services

    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 Mar 9, 2023

  48. Class IIIPotential for more than minimal harm (E)cms

    F0880: Infection Control

    Infection control

    Provide and implement an infection prevention and control program.

    Corrected Mar 14, 2023

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AHCA class rollups without individual citation dates appear as a single summary row. CMS nursing home deficiencies include survey date, tag, category, scope/severity, and fine amounts when published. Back to community profile