Alden Estates of Countryside, Inc
Jefferson, Wisconsin · CCN 525271
31 surveys since 2011. The first finding at harm level was recorded in 2018.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 174
- Surveys
- 31
- Harm or worse
- 17
- Immediate jeopardy
- 8
Findings at the most serious level CMS records.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 120
- Ownership
- For profit - Corporation
- Chain
- THE ALDEN NETWORK
- County
- Jefferson · rural
- Medicare-certified since
- 1978
CMS ratings
- Overall
- 1
- Health inspection
- 1
- Staffing
- 2
- Quality measures
- 4
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded somewhat more weighted findings than its peer group.
Weighted by harm level, against 39 for-profit facilities of 100–127 beds in Wisconsin.
Last survey on record
Jun 5, 2026
157 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 3.64 | 3.64 |
| Registered-nurse hours per resident day | 0.86 | — |
| Annual nurse turnover | 42.2% | 50.0% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
- Fines
- $397,046 across 5 penalties
- Payment denials
- 1
Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J58.8% | K— | L— |
| Actual harm | G58.8% | H— | I— |
| No harm, potential for more than minimal | D3764.9% | E47.0% | F58.8% |
| No harm, potential for minimal | A— | B— | C11.8% |
Most frequently cited here
In CMS’s current monthly file.
- F8806×
Provide and implement an infection prevention and control program.
- F6895×
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- F6093×
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- F6103×
Respond appropriately to all alleged violations.
- F6863×
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
In the surveyor’s words
From the most serious findings on record at Alden Estates of Countryside, Inc, in the surveyor’s own words.
- Immediate jeopardy, isolatedF686Jun 23, 2025
4.) R91 was admitted to the facility on [DATE] with diagnoses that included gout, congestive heart failure, obesity, type 2 diabetes mellitus, chronic kidney disease and inflammation of right lower extremity. The most recent Annual MDS (minimum data set), dated [DATE], documents that R91 has a BIMS (brief interview for mental status) of 13 indicating R91 is cognitively intact. R91 is at risk for developing a pressure injury and at the time did not have any unhealed areas of skin impairment. Surveyor conducted a review of R91's individual plan of care and noted the following: R91 is with actual alteration in skin integrity r/t (related to) red groin, and MASD (moisture associated skin damage), immobility and incontinence. […]
- Immediate jeopardy, isolatedF684Apr 14, 2025
Based on interview and record review, the facility did not ensure 1 (R1) of 3 residents reviewed received care and services based on a comprehensive assessment, person centered care plan, and resident's and/or responsible party's choices. The evening of [DATE], Certified Nursing Assistant (CNA)-W transferred R1 with assist of 1 and a pivot transfer. R1's care plan documents R1 was assessed to require an EZ-stand and assist of 1 for transfers. Early morning of [DATE], R1 complained of left knee pain at a ,d+[DATE] which R1 stated began after the transfer the night before with CNA-W. A telehealth visit was completed the morning of [DATE] and Voltaren gel and ice packs were ordered. No imaging was ordered as R1 was receiving hospice services and comfort focused measures were implemented. […]
- Immediate jeopardy, isolatedF580Mar 27, 2024
Based on interview and record review, the facility did not ensure that staff promptly consulted with a physician when 1 of 1 resident (R414) experienced a significant change in condition. R414 had unwitnessed falls on 10/27/23 and 10/29/23. After each fall, R414 experienced a significant change in condition with signs that are consistent with a head injury. Despite these changes, the Hospice nurse assigned to R414's case declined to send R414 to the emergency room for evaluation. The facility did not consult with the Hospice provider, R414's primary physician, or the Medical Director regarding R414's continued decline. R414 subsequently passed away. […]
- Immediate jeopardy, isolatedF689Mar 27, 2024
Based on interview and record review the facility failed to identify and eliminate all known and foreseeable accident hazards in 1 (R414) of 1 resident reviewed with a significant change in condition. The facility had assessed R414 as being at high risk for falls. On [DATE], R414 had an unwitnessed fall. Facility charting on [DATE] at 5:30 pm indicates the CNA found R414 on the bathroom floor. R414 was noted to have hit his head and was experiencing altered mentation with being only oriented to self. R414's baseline orientation is to person, place, time, and event. […]
- Immediate jeopardy, isolatedF849Mar 27, 2024
Based on interview and record review, the facility failed to ensure Hospice collaboration and communication processes were established to ensure continuity of care between hospice and the facility for 1 (R414) of 1 resident. The facility did not consistently update the physician or the power of attorney (POA) with changes in R414's condition; in failing to do so, the facility did not ensure collaboration of care between hospice, the facility, the physician, and the power of attorney. R414 had a change in condition with an unwitnessed fall on 10/27/23. […]
Read 34 findings in full →The most serious and the most recent: 34 of 174 on record.
Every survey on record
FindingsAt actual harm or above
- Jun 5, 2026Complaint2 findings
- Dec 3, 2025Complaint1 finding
- Nov 25, 2025Complaint1 finding · 1 harm
- Jun 23, 2025Standard and complaint15 findings · 1 harm
- Apr 14, 2025Complaint6 findings · 2 harm
- Dec 3, 2024Complaint5 findings · 1 harm
- Nov 18, 2024Complaint1 finding
- Mar 27, 2024Standard13 findings · 4 harm
Show the 23 earlier surveys
- Dec 8, 2023Complaint2 findings
- Oct 27, 2023Complaint3 findings
- Dec 5, 2022Standard and complaint8 findings · 1 harm
- Sep 29, 2022Complaint1 finding
- May 26, 2022Complaint1 finding
- Apr 4, 2022Complaint2 findings
- Sep 23, 2021Complaint2 findings
- Aug 16, 2021Standard and complaint13 findings · 2 harm
- Feb 2, 2021Infection control6 findings
- Aug 1, 2019Standard11 findings
- May 2, 2019Complaint1 finding
- Feb 13, 2019Complaint6 findings · 1 harm
- Nov 5, 2018Complaint10 findings · 3 harm
- Sep 6, 2018Complaint2 findings · 1 harm
- May 23, 2018Standard9 findings
- May 24, 2017Complaint1 finding
- Mar 1, 2017Standard19 findings
- Oct 4, 2016Complaint1 finding
- Mar 14, 2015Complaint1 finding
- Nov 13, 2014Standard and complaint13 findings
- Aug 29, 2013—7 findings
- Jun 28, 2012—1 finding
- Mar 28, 2011—10 findings
Surveys that found no deficiencies are not in CMS’s files and do not appear here.
Comparable facilities
The nearest facilities to this one in the same peer group, by weighted findings.
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction