Hillside Manor — nursing home in Beaver Dam, WI

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 115 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 50.7 CMS, MDS-derived
CMS Certification Number: 525447
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Nov 15, 1989
Ownership type: Non profit - Corporation
Operator (legal business name): Beaver Dam Community Hospitals Inc
CMS chain: Sanford Health 4 facilities
Phone: (920) 887-5901
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

8

latest Mar 12, 2026

Citations

37

29 health · 8 fire

Harm or worse

3

1 immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J1	K·	L·
Actual harm	G2	H·	I·
Potential harm	D24	E3	F6
Minimal	A·	B·	C1

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

2

$193,352

Payment denials

1

Latest

Mar 12, 2026

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 525447
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 115
First approved: Nov 15, 1989
Located in a hospital: Yes
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead. State coverage for Wisconsin.

Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

Date	Domain	Survey types	Citations	Most severe	Open
Mar 12, 2026	Fire safety	Fire Safety Standard	0	No citations	—	Open →
Mar 12, 2026	Health	Health Standard	9	Actual harm	—	Open →
Jul 21, 2025	Health	Health Complaint	3	Immediate jeopardy	—	Open →
Jun 24, 2025	Health	Health Complaint	2	Potential harm	—	Open →
Nov 14, 2024	Fire safety	Fire Safety Standard	4	Potential harm	—	Open →
Nov 14, 2024	Health	Health Complaint, Health Standard	12	Actual harm	—	Open →
Sep 7, 2023	Fire safety	Fire Safety Standard	4	Potential harm	—	Open →
Sep 7, 2023	Health	Health Standard	3	Potential harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

Date	Type	Amount	Payment denial	Record
Mar 12, 2026	Civil money penalty (fine)	$45,220	—	525447\|Fine\|141079
Jun 24, 2025	Civil money penalty (fine)	$148,132	—	525447\|Fine\|138861
Nov 14, 2024	Denial of payment for new admissions	—	Dec 11, 2024 · 20 days	525447\|Payment Denial\|2024-12-11

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J1	K·	L·
Actual harm	G2	H·	I·
Potential harm	D24	E3	F6
Minimal	A·	B·	C1

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Mar 12, 2026	F-0686	Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care	G · Actual harm Isolated	Corrected Apr 4, 2026
Mar 12, 2026	F-0580	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Apr 4, 2026
Mar 12, 2026	F-0677	Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Apr 4, 2026
Mar 12, 2026	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Apr 4, 2026
Mar 12, 2026	F-0694	Provide for the safe, appropriate administration of IV fluids for a resident when needed. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Apr 4, 2026
Mar 12, 2026	F-0759	Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management	E · Potential harm Pattern	Corrected Apr 4, 2026
Mar 12, 2026	F-0804	Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	D · Potential harm Isolated	Corrected Apr 4, 2026
Mar 12, 2026	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	F · Potential harm Widespread	Corrected Apr 4, 2026
Mar 12, 2026	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Apr 4, 2026
Jul 21, 2025	F-0684	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care	J · Immediate jeopardy Isolated	Corrected Jul 22, 2025	Complaint
Jul 21, 2025	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jul 22, 2025	Complaint
Jul 21, 2025	F-0712	Ensure that the resident and his/her doctor meet face-to-face at all required visits. Nursing and Physician Services Deficiencies · Staffing & supervision	D · Potential harm Isolated	Corrected Jul 24, 2025	Complaint
Jun 24, 2025	F-0585	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. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jul 24, 2025	Complaint
Jun 24, 2025	F-0610	Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jul 24, 2025	Complaint
Nov 14, 2024	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	G · Actual harm Isolated	Corrected Dec 31, 2024	Complaint
Nov 14, 2024	E-0004	Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Emergency preparedness	F · Potential harm Widespread	Corrected Dec 31, 2024
Nov 14, 2024	K-0511	Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Dec 31, 2024
Nov 14, 2024	K-0712	Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Dec 31, 2024
Nov 14, 2024	K-0753	Have restrictions on the use of highly flammable decorations. Miscellaneous Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Nov 19, 2024
Nov 14, 2024	F-0557	Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Dec 31, 2024
Nov 14, 2024	F-0580	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Dec 31, 2024	Complaint
Nov 14, 2024	F-0656	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Dec 31, 2024
Nov 14, 2024	F-0756	Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Dec 31, 2024
Nov 14, 2024	F-0758	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. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Dec 31, 2024
Nov 14, 2024	F-0759	Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Dec 31, 2024
Nov 14, 2024	F-0761	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. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Dec 31, 2024
Nov 14, 2024	F-0804	Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	F · Potential harm Widespread	Corrected Dec 31, 2024
Nov 14, 2024	F-0806	Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	D · Potential harm Isolated	Corrected Dec 31, 2024
Nov 14, 2024	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	F · Potential harm Widespread	Corrected Dec 31, 2024
Nov 14, 2024	F-0851	Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. Administration Deficiencies · Administration & records	F · Potential harm Widespread	Corrected Dec 31, 2024
Sep 7, 2023	K-0131	Meet requirements for sections of health care facilities separated by fire resistive construction. Construction Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Sep 8, 2023
Sep 7, 2023	K-0225	Have stairways and smokeproof enclosures used as exits that meet safety requirements. Egress Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Oct 2, 2023
Sep 7, 2023	K-0781	Have restrictions on the use of portable space heaters. Miscellaneous Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Sep 22, 2023
Sep 7, 2023	F-0609	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Sep 19, 2023
Sep 7, 2023	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected Sep 28, 2023
Sep 7, 2023	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Oct 7, 2023
Sep 7, 2023	K-0712	Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety	C · Minimal Widespread	Corrected Sep 27, 2023

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Five-Star ratings

Federal · CMS

Overallstate 3.1

Health inspectionsstate 2.8

Staffingstate 3.7

Quality measuresstate 3.2

Long-stay QM

Short-stay QM

CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.

Nurse staffing · hours per resident per day

Total nurse staffing4.26

State avg 4.25US avg 3.90

Registered nurse (RN)1.28

State avg 0.98US avg 0.69

Licensed practical nurse0.27

State avg 0.65US avg 0.86

Nurse aide2.71

State avg 2.61US avg 2.35

Weekend total nurse3.65

State avg 3.75US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.92 (case-mix index 1.21).

Staff turnover

Total nursing staff turnover58.6%

State avg 46.7%US avg 45.3%

Registered nurse turnover72.2%

State avg 40.1%US avg 42.5%

Administrators who left1

State avg 1US avg 1

Health survey score

Cycle 1 standard survey: Mar 12, 2026
Cycle 1 health score: 68
Total weighted score: 98.75

Operating entity

Beaver Dam Community Hospitals Inc

CMS legal business name of the certified provider. Operates this facility only.

VerifiedLinked by exact legal name

CMS chain

Sanford Health

4 facilities in 3 states. CMS chain ID 880.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 3.3

Ownership disclosures

Disclosures

31

Organizations

3

Individuals

24

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Mchs Hospitals Inc	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	May 1, 2019
Marshfield Clinic Health System Inc	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	not provided	May 1, 2019
Sanford	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	not provided	Jan 1, 2025

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Mchs Hospitals Inc	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	May 1, 2019
Marshfield Clinic Health System Inc	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	not provided	May 1, 2019
Sanford	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	not provided	Jan 1, 2025
Mchs Hospitals Inc	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	May 1, 2019
Lindsey Buswell Cleary	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Dec 2, 2023
Laurie Mckuen	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Aug 23, 2024
Tony Morrison	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jan 1, 2025
Jolyn Munson	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jan 1, 2025
Nicholas Olson	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jan 1, 2025
Jeffrey Poppen	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jun 12, 2025
John Baltus	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Feb 4, 2016
Edward Fernandez	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Sep 8, 2023
Brian Hoerneman	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Sep 1, 2023
Samantha Klebe	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Sep 8, 2023
Douglas Mathison	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Dec 15, 2020
Everett Newcomb	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Sep 13, 2024
Linda Procci	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jan 14, 2025
Dennis Smith	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jan 14, 2025
John Baltus	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Sep 8, 2023
Edward Fernandez	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Jan 1, 2025
Brian Hoerneman	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Apr 4, 2023
Samantha Klebe	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Jan 1, 2025
Jeffrey Poppen	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Jun 12, 2025
Marnie Ventling-Herrmann	Individual	Trustee	TRUSTEE OF THE SNF	not provided	Jan 1, 2025
Marshfield Clinic Health System Inc	Organization	Additional disclosable party	ADP OF THE SNF	not provided	May 1, 2019
Mchs Hospitals Inc	Organization	Additional disclosable party	ADP OF THE SNF	not provided	May 1, 2019
Sanford	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Jan 1, 2025
Lindsey Buswell Cleary	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Dec 2, 2023
Samantha Klebe	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jan 1, 2025
Laurie Mckuen	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Aug 23, 2024
Jeffrey Poppen	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jun 12, 2025

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 803 S University Ave, Beaver Dam, WI 53916
ZIP: 53916
County: Dodge County FIPS 55027
State: Wisconsin
Urban / rural (CMS): Rural

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	Last inspection	Citations (window)	Fines
Beaver Dam Health Care Center 410 Roedl Ct., Beaver Dam, WI 53916 CCN 525338Abuse icon	0.3 km	90	Aug 12, 2026	1155 IJ4 harm1 open	$96k
Clearview 198 County Df, Juneau, WI 53039 CCN 525453	13 km	40	Aug 7, 2025	162 harm	$9,243
Clearview Brain Injury Center 198 County Df, Juneau, WI 53039 CCN 52A461	13 km	30	May 28, 2026	14	—
Randolph Health Services 502 S High St, Randolph, WI 53956 CCN 525355	17.4 km	84	Mar 12, 2026	361 IJ1 harm	$50k
Columbus Health and Rehab 825 Western Ave., Columbus, WI 53925 CCN 525445	20.7 km	50	May 21, 2026	411 harm	—

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	525447	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	525447	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026

Record-level source links for CCN 525447

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction