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Nursing homesWisconsin › Hillside Manor

Hillside Manor

803 S University Ave, Beaver Dam, WI 53916 · 9208875901 · 115 certified beds

Overall★☆☆☆☆ 1/5
Health inspections★☆☆☆☆ 1/5
Staffing★★★★☆ 4/5
Quality measures★★★☆☆ 3/5

Ownership group

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).

See all 4 facilities in this group →

Staffing (hours per resident per day)

Total nurse staffing: 3.88 (Wisconsin median: 4.06). RN hours: 1.10. Weekend total: 3.32. Nursing staff turnover: 50%.

Inspection deficiencies

All-time on record: 29 deficiency citations, including 1 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).

Survey dateDeficiencySev.TypeStatus
2026-03-12Provide appropriate pressure ulcer care and prevent new ulcers from developing. GHealthcorrected 2026-04-04
2026-03-12Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. FHealthcorrected 2026-04-04
2026-03-12Ensure medication error rates are not 5 percent or greater. EHealthcorrected 2026-04-04
2026-03-12Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. DHealthcorrected 2026-04-04
2026-03-12Provide care and assistance to perform activities of daily living for any resident who is unable. DHealthcorrected 2026-04-04
2026-03-12Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. DHealthcorrected 2026-04-04
2026-03-12Provide for the safe, appropriate administration of IV fluids for a resident when needed. DHealthcorrected 2026-04-04
2026-03-12Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. DHealthcorrected 2026-04-04
2026-03-12Provide and implement an infection prevention and control program. DHealthcorrected 2026-04-04
2025-07-21Provide appropriate treatment and care according to orders, resident’s preferences and goals. Jcomplaintcorrected 2025-07-22
2025-07-21Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Dcomplaintcorrected 2025-07-22
2025-07-21Ensure that the resident and his/her doctor meet face-to-face at all required visits. Dcomplaintcorrected 2025-07-24
2025-06-24Honor 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. Dcomplaintcorrected 2025-07-24
2025-06-24Respond appropriately to all alleged violations. Dcomplaintcorrected 2025-07-24
2024-11-14Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Gcomplaintcorrected 2024-12-31
2024-11-14Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. FHealthcorrected 2024-12-31
2024-11-14Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. FHealthcorrected 2024-12-31
2024-11-14Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. FHealthcorrected 2024-12-31
2024-11-14Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. DHealthcorrected 2024-12-31
2024-11-14Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Dcomplaintcorrected 2024-12-31
2024-11-14Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. DHealthcorrected 2024-12-31
2024-11-14Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. DHealthcorrected 2024-12-31
2024-11-14Implement 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. DHealthcorrected 2024-12-31
2024-11-14Ensure medication error rates are not 5 percent or greater. DHealthcorrected 2024-12-31
2024-11-14Ensure 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. DHealthcorrected 2024-12-31
2024-11-14Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. DHealthcorrected 2024-12-31
2023-09-07Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. EHealthcorrected 2023-09-28
2023-09-07Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. DHealthcorrected 2023-09-19
2023-09-07Provide and implement an infection prevention and control program. DHealthcorrected 2023-10-07

Federal penalties

DateTypeAmount
2025-06-24Fine$227,895
2024-11-14Payment Denial20 days payment denial

Ownership & control records (CMS filings)

NameRoleType%Since
MCHS HOSPITALS INC5% Or Greater Direct Ownership InterestOrganization100%since 05/01/2019
MARSHFIELD CLINIC HEALTH SYSTEM INC5% Or Greater Indirect Ownership InterestOrganizationNO PERCENTAGE PROVIDEDsince 05/01/2019
SANFORD5% Or Greater Indirect Ownership InterestOrganizationNO PERCENTAGE PROVIDEDsince 01/01/2025
BALTUS, JOHNCorporate DirectorIndividualNOT APPLICABLEsince 02/04/2016
FERNANDEZ, EDWARDCorporate DirectorIndividualNOT APPLICABLEsince 09/08/2023
HOERNEMAN, BRIANCorporate DirectorIndividualNOT APPLICABLEsince 09/01/2023
KLEBE, SAMANTHACorporate DirectorIndividualNOT APPLICABLEsince 09/08/2023
MATHISON, DOUGLASCorporate DirectorIndividualNOT APPLICABLEsince 12/15/2020
NEWCOMB, EVERETTCorporate DirectorIndividualNOT APPLICABLEsince 09/13/2024
PROCCI, LINDACorporate DirectorIndividualNOT APPLICABLEsince 01/14/2025
SMITH, DENNISCorporate DirectorIndividualNOT APPLICABLEsince 01/14/2025
BALTUS, JOHNCorporate OfficerIndividualNOT APPLICABLEsince 09/08/2023
FERNANDEZ, EDWARDCorporate OfficerIndividualNOT APPLICABLEsince 01/01/2025
HOERNEMAN, BRIANCorporate OfficerIndividualNOT APPLICABLEsince 04/04/2023
KLEBE, SAMANTHACorporate OfficerIndividualNOT APPLICABLEsince 01/01/2025
POPPEN, JEFFREYCorporate OfficerIndividualNOT APPLICABLEsince 06/12/2025
MCHS HOSPITALS INCOperational/Managerial ControlOrganizationNOT APPLICABLEsince 05/01/2019
BUSWELL CLEARY, LINDSEYOperational/Managerial ControlIndividualNOT APPLICABLEsince 12/02/2023
MCKUEN, LAURIEOperational/Managerial ControlIndividualNOT APPLICABLEsince 08/23/2024
MORRISON, TONYOperational/Managerial ControlIndividualNOT APPLICABLEsince 01/01/2025
MUNSON, JOLYNOperational/Managerial ControlIndividualNOT APPLICABLEsince 01/01/2025
OLSON, NICHOLASOperational/Managerial ControlIndividualNOT APPLICABLEsince 01/01/2025
POPPEN, JEFFREYOperational/Managerial ControlIndividualNOT APPLICABLEsince 06/12/2025

Compare nearby (Dodge County)

Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 525447. Corrections: data@carerecords.org.