Lindengrove New Berlin
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 48 Google reviews
Watch Lindengrove New Berlin
Get an email when new inspections, ratings, or penalties are published for this facility.
We’ll only email you about this — no spam, unsubscribe anytime.
Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (1/5 stars)
- Above-median deficiencies (13 vs median 7)
Bottom 25% in WI · Below recommended RN staffing · $125,115 in fines
What this means for your family
While some families report positive experiences with hospice and physical therapy, the recurring reports of severe neglect and medical errors are deeply concerning. If you choose this facility, you must be prepared to be a highly active advocate for your loved one, specifically monitoring their hygiene, medication administration, and response times to call lights.
Google Reviews
Google Reviews
48 reviews on Google“LindenGrove New Berlin receives highly polarized feedback, with families reporting significant concerns regarding chronic understaffing, slow response times to call lights, and inconsistent hygiene standards. While some families praise the facility for its clean environment and compassionate hospice or rehab staff, others describe distressing experiences involving medical errors, neglected basic needs, and poor communication from management.”
Quality Themes
Tap a score for detailsStrengths
- Clean, well-maintained facility
- Compassionate hospice care
- Effective physical therapy team
- Welcoming outdoor spaces and amenities
Concerns
- Chronic understaffing leading to long wait times for assistance (mentioned by 10 reviewers)
- Poor communication and difficulty reaching staff by phone (mentioned by 4 reviewers)
- Inconsistent hygiene and failure to assist with basic personal care (mentioned by 5 reviewers)
- Medical errors or failure to monitor changes in health condition (mentioned by 5 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 44 analyzed
How They Respond to Reviews
This facility actively engages with reviewer feedback.
Questions for Your Tour
- 1I noticed that the facility has a 4/5 CMS staffing rating, but I’ve heard from some families that wait times for assistance can occasionally be long; could you walk me through how your call-light system is managed and prioritized during peak hours?
- 2Given that communication is a top priority for our family, what is the best way to ensure we receive timely updates regarding any changes in health status or care needs?
- 3I see that you have a dedicated physical therapy team; how do you ensure that residents receive consistent support with personal hygiene and daily living tasks outside of their scheduled therapy sessions?
- 4It’s great to see that you actively respond to feedback online; how do you use that input from families to improve your medication management and daily care protocols?
- 5What specific safety measures and monitoring processes are in place to ensure that residents are closely observed for any changes in their medical condition?
- 6The outdoor spaces here look lovely; what kind of daily social or recreational activities are available to keep residents engaged and active throughout the week?
Personalized based on this facility's data
Key Review Excerpts
“Press the call button and prepare to wait. Watch your loved one lay in a poopy diaper for a half a day, possibly longer. My mom was given insulin incorrectly twice and nearly died.”
“The rooms are filthy and never cleaned. I spilled a little water on the floor and used a paper napkin to wipe it up. The napkin came up black.”
“My mother in law was sent there for REHAB initially and ended up leaving to go to hospice with multiple stage 5 bed sores, gangrene on her toes that was recommended to be amputated and excruciating end towards her life!”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
6
measures
5
measures
6
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents whose walking got worse
Residents whose bladder or bowel control got worse
Residents vaccinated for the flu
Residents needing more daily help over time
Residents on antipsychotic medication
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility has a concerning pattern with families filing multiple complaints leading to 27 deficiencies, including recurring issues with accident prevention and safety supervision that persist across recent surveys from 2023 to 2025. The most frequent problems involve accident hazards, medication management, and abuse/neglect reporting procedures. While all deficiencies show correction dates, the repeated safety violations and ongoing family complaints suggest systemic care quality concerns that families should carefully evaluate before visiting.
Sep 8, 2025Complaint3
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Jun 26, 2025Complaint2
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Jan 21, 2025Routine12
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Emergency Preparedness Deficiencies
Provide emergency officials' contact information.
Emergency Preparedness Deficiencies
Implement emergency and standby power systems.
Pharmacy Service Deficiencies
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.
Miscellaneous Deficiencies
Have restrictions on the use of portable space heaters.
Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights Deficiencies
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights Deficiencies
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Nov 14, 2024Complaint4
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Nov 7, 2023Routine9
Smoke Deficiencies
Install a fire alarm system that can be heard throughout the facility.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Resident Rights Deficiencies
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights Deficiencies
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Pharmacy Service Deficiencies
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.
Egress Deficiencies
Have exits that are accessible at all times.
May 23, 2023Complaint18
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Resident Rights Deficiencies
Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Assist a resident in gaining access to vision and hearing services.
Quality of Life and Care Deficiencies
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Federal Penalties
Fine
Jan 21, 2025
$44,806
Payment Denial
Jan 21, 2025
12-day denial
Fine
May 23, 2023
$81,094
Ownership & Operations
Who Operates This Facility
Lindengrove New Berlin
nonprofit
Ownership & Management
Owners
Marquardt Village INC
Owner (parent company) · Organization
Marks, Julie
Owner (parent company)
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
48 reviews from families & visitors
Official Website
Visit illuminus.us
Medicare data downloads
Original nursing home datasets
EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.
Safer Alternatives Nearby
Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.
Pro Health Care Regency Senior Com New Berlin
< 1 miAssisted Living · New Berlin, WI
Heartis Village Brookfield
2.4 miAssisted Living · Brookfield, WI
Complete Care at Hales Corners
3.9 miNursing Home · Hales Corners, WI
Oak Crest Villa
4.0 miAssisted Living · Greenfield, WI
Brookdale Brookfield AL
4.3 miAssisted Living · Brookfield, WI
Noble Senior Living at West Allis
4.5 miAssisted Living · West Allis, WI