All citations for Lindengrove Waukesha

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Lindengrove Waukesha

Last standard health inspection on record

September 25, 2025

Showing 1 to 25 of 74 citations

  1. Immediate jeopardy to resident health or safety

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

    Isolated (one or a few residents). CMS level J.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of September 25, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 23, 2025).

  2. Immediate jeopardy to resident health or safety

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

    Isolated (one or a few residents). CMS level J.

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of June 11, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 10, 2024).

  3. No harm, with potential for more than minimal harm

    Conduct testing and exercise requirements.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0039, Emergency Preparedness Deficiencies. Inspection of September 25, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 17, 2025).

  4. No harm, with potential for more than minimal harm

    Have simulated fire drills held at unexpected times.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of September 25, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 17, 2025).

  5. No harm, with potential for more than minimal harm

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

    Widespread (many residents). CMS level F.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of June 11, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 10, 2024).

  6. No harm, with potential for more than minimal harm

    Include a process for Emergency Preparedness collaboration.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0009, Emergency Preparedness Deficiencies. Inspection of June 11, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 10, 2024).

  7. No harm, with potential for more than minimal harm

    Have simulated fire drills held at unexpected times.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of June 11, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 10, 2024).

  8. No harm, with potential for more than minimal harm

    Conduct testing and exercise requirements.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0039, Emergency Preparedness Deficiencies. Inspection of February 13, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 1, 2023).

  9. No harm, with potential for more than minimal harm

    Install a fire alarm system that can be heard throughout the facility.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0341, Smoke Deficiencies. Inspection of February 13, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 25, 2023).

  10. No harm, with potential for more than minimal harm

    Have approved installation, maintenance and testing program for fire alarm systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of February 13, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 24, 2023).

  11. No harm, with potential for more than minimal harm

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0521, Services Deficiencies. Inspection of February 13, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 31, 2023).

  12. No harm, with potential for more than minimal harm

    Provide a written emergency evacuation plan.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0711, Miscellaneous Deficiencies. Inspection of February 13, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 11, 2023).

  13. No harm, with potential for more than minimal harm

    Have simulated fire drills held at unexpected times.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of February 13, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 6, 2023).

  14. No harm, with potential for more than minimal harm

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

    Pattern (more than a few residents). CMS level E.

    Health citation F-0628, Resident Rights Deficiencies. Inspection of September 25, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 23, 2025).

  15. No harm, with potential for more than minimal harm

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

    Pattern (more than a few residents). CMS level E.

    Health citation F-0941, Administration Deficiencies. Inspection of September 25, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 23, 2025).

  16. No harm, with potential for more than minimal harm

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

    Pattern (more than a few residents). CMS level E.

    Health citation F-0944, Administration Deficiencies. Inspection of September 25, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 23, 2025).

  17. No harm, with potential for more than minimal harm

    Provide training in compliance and ethics.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0946, Administration Deficiencies. Inspection of September 25, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 23, 2025).

  18. No harm, with potential for more than minimal harm

    Inspect, test, and maintain automatic sprinkler systems.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of September 25, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 17, 2025).

  19. No harm, with potential for more than minimal harm

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0372, Smoke Deficiencies. Inspection of September 25, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 17, 2025).

  20. No harm, with potential for more than minimal harm

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

    Pattern (more than a few residents). CMS level E.

    Health citation F-0576, Resident Rights Deficiencies. Inspection of June 11, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 10, 2024).

  21. No harm, with potential for more than minimal harm

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0372, Smoke Deficiencies. Inspection of June 11, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 10, 2024).

  22. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0880, Infection Control Deficiencies. Inspection of February 13, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 14, 2023).

  23. No harm, with potential for more than minimal harm

    Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0132, Construction Deficiencies. Inspection of February 13, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 24, 2023).

  24. No harm, with potential for more than minimal harm

    Use approved construction type or materials.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0161, Construction Deficiencies. Inspection of February 13, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 24, 2023).

  25. No harm, with potential for more than minimal harm

    Have exits that are accessible at all times.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0271, Egress Deficiencies. Inspection of February 13, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 25, 2023).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.