Nursing homes › Wisconsin › Hillside Manor
803 S University Ave, Beaver Dam, WI 53916 · 9208875901 · 115 certified beds
Per CMS filings, this facility is affiliated with Sanford Health, a group operating 4 facilities in 3 states. Group record: average rating 2.5/5, 1 abuse citation icons, 0 facilities on the Special Focus list, $316,298 in federal fines. This facility rates below its group average (2.5/5).
Total nurse staffing: 3.88 (Wisconsin median: 4.06). RN hours: 1.10. Weekend total: 3.32. Nursing staff turnover: 50%.
All-time on record: 29 deficiency citations, including 1 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-03-12 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Health | corrected 2026-04-04 |
| 2026-03-12 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2026-04-04 |
| 2026-03-12 | Ensure medication error rates are not 5 percent or greater. | E | Health | corrected 2026-04-04 |
| 2026-03-12 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Health | corrected 2026-04-04 |
| 2026-03-12 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Health | corrected 2026-04-04 |
| 2026-03-12 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Health | corrected 2026-04-04 |
| 2026-03-12 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | Health | corrected 2026-04-04 |
| 2026-03-12 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | Health | corrected 2026-04-04 |
| 2026-03-12 | Provide and implement an infection prevention and control program. | D | Health | corrected 2026-04-04 |
| 2025-07-21 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | complaint | corrected 2025-07-22 |
| 2025-07-21 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | complaint | corrected 2025-07-22 |
| 2025-07-21 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. | D | complaint | corrected 2025-07-24 |
| 2025-06-24 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | complaint | corrected 2025-07-24 |
| 2025-06-24 | Respond appropriately to all alleged violations. | D | complaint | corrected 2025-07-24 |
| 2024-11-14 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | complaint | corrected 2024-12-31 |
| 2024-11-14 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | F | Health | corrected 2024-12-31 |
| 2024-11-14 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2024-12-31 |
| 2024-11-14 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | F | Health | corrected 2024-12-31 |
| 2024-11-14 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | Health | corrected 2024-12-31 |
| 2024-11-14 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | complaint | corrected 2024-12-31 |
| 2024-11-14 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Health | corrected 2024-12-31 |
| 2024-11-14 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Health | corrected 2024-12-31 |
| 2024-11-14 | 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. | D | Health | corrected 2024-12-31 |
| 2024-11-14 | Ensure medication error rates are not 5 percent or greater. | D | Health | corrected 2024-12-31 |
| 2024-11-14 | 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. | D | Health | corrected 2024-12-31 |
| 2024-11-14 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Health | corrected 2024-12-31 |
| 2023-09-07 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2023-09-28 |
| 2023-09-07 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Health | corrected 2023-09-19 |
| 2023-09-07 | Provide and implement an infection prevention and control program. | D | Health | corrected 2023-10-07 |
| Date | Type | Amount |
|---|---|---|
| 2025-06-24 | Fine | $227,895 |
| 2024-11-14 | Payment Denial | 20 days payment denial |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| MCHS HOSPITALS INC | 5% Or Greater Direct Ownership Interest | Organization | 100% | since 05/01/2019 |
| MARSHFIELD CLINIC HEALTH SYSTEM INC | 5% Or Greater Indirect Ownership Interest | Organization | NO PERCENTAGE PROVIDED | since 05/01/2019 |
| SANFORD | 5% Or Greater Indirect Ownership Interest | Organization | NO PERCENTAGE PROVIDED | since 01/01/2025 |
| BALTUS, JOHN | Corporate Director | Individual | NOT APPLICABLE | since 02/04/2016 |
| FERNANDEZ, EDWARD | Corporate Director | Individual | NOT APPLICABLE | since 09/08/2023 |
| HOERNEMAN, BRIAN | Corporate Director | Individual | NOT APPLICABLE | since 09/01/2023 |
| KLEBE, SAMANTHA | Corporate Director | Individual | NOT APPLICABLE | since 09/08/2023 |
| MATHISON, DOUGLAS | Corporate Director | Individual | NOT APPLICABLE | since 12/15/2020 |
| NEWCOMB, EVERETT | Corporate Director | Individual | NOT APPLICABLE | since 09/13/2024 |
| PROCCI, LINDA | Corporate Director | Individual | NOT APPLICABLE | since 01/14/2025 |
| SMITH, DENNIS | Corporate Director | Individual | NOT APPLICABLE | since 01/14/2025 |
| BALTUS, JOHN | Corporate Officer | Individual | NOT APPLICABLE | since 09/08/2023 |
| FERNANDEZ, EDWARD | Corporate Officer | Individual | NOT APPLICABLE | since 01/01/2025 |
| HOERNEMAN, BRIAN | Corporate Officer | Individual | NOT APPLICABLE | since 04/04/2023 |
| KLEBE, SAMANTHA | Corporate Officer | Individual | NOT APPLICABLE | since 01/01/2025 |
| POPPEN, JEFFREY | Corporate Officer | Individual | NOT APPLICABLE | since 06/12/2025 |
| MCHS HOSPITALS INC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 05/01/2019 |
| BUSWELL CLEARY, LINDSEY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 12/02/2023 |
| MCKUEN, LAURIE | Operational/Managerial Control | Individual | NOT APPLICABLE | since 08/23/2024 |
| MORRISON, TONY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/01/2025 |
| MUNSON, JOLYN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/01/2025 |
| OLSON, NICHOLAS | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/01/2025 |
| POPPEN, JEFFREY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 06/12/2025 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 525447. Corrections: data@carerecords.org.