Deficiency Index

Alden Meadow Park HCC

Clinton, Wisconsin · CCN 525508

42 surveys since 2011, 12 of them producing a finding at harm level or worse.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
138
Surveys
42
Harm or worse
12
Immediate jeopardy
6
The record, 2011–2026
’11’15’20’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy6

Findings at the most serious level CMS records.

Beyond CMS’s monthly file35/42

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
94
Ownership
For profit - Corporation
Chain
THE ALDEN NETWORK
County
Rock
Medicare-certified since
1993

CMS ratings

Overall
3
Health inspection
3
Staffing
2
Quality measures
4

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded somewhat fewer weighted findings than its peer group.

Weighted by harm level, against 51 for-profit facilities of 66–99 beds in Wisconsin.

Last survey on record

Apr 23, 2026

200 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day2.943.71
Registered-nurse hours per resident day0.67—
Annual nurse turnover43.4%44.4%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

No fines, payment denials or special-focus designation on the current CMS record.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG14.5%H—I—
No harm, potential for more than minimalD1881.8%E—F313.6%
No harm, potential for minimalA—B—C—
CMS’s current file: 22 of the 138 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6093×

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

  • F6102×

    Respond appropriately to all alleged violations.

  • F6772×

    Provide care and assistance to perform activities of daily living for any resident who is unable.

  • F8802×

    Provide and implement an infection prevention and control program.

  • F5531×

    Allow resident to participate in the development and implementation of his or her person-centered plan of care.

In the surveyor’s words

From the most serious findings on record at Alden Meadow Park HCC, in the surveyor’s own words.

  • Actual harm, isolatedF684Dec 16, 2025

    Based on interview and record review, the facility did not provide care and treatment in accordance with professional standards of practice (Wisconsin Nurse Practice Act, N6) related to assessment and monitoring of a resident's change in condition. This had the potential to affect 1 of 3 sampled residents (R1).R1 reported to staff that an event occurred at her time away from the facility that caused an increase in pain to her leg/foot. The facility did not complete a Registered Nurse (RN) Assessment timely. Staff observed R1 to have swelling and bruising after the change in condition was noted, staff failed to continuously assess, record, and monitor R1's change in condition for new or worsening symptoms. […]

  • Actual harm, isolatedF684Jun 9, 2021

    Based on record review and interview the facility did not ensure 1 (R1) of 6 Residents who required their blood levels to be monitored received the necessary care and treatment. R1 was admitted to the facility on [DATE] with discharge orders from the hospital for [MEDICATION(S)] levels to be drawn twice weekly on Monday & Thursday. An [MEDICATION(S)] level was drawn on Monday 5/17/21. There is no evidence in R1's medical record R1's physician or nurse practitioner was notified of the [MEDICATION(S)] level of 122 on 5/17/21 which was high. NP (Nurse Practitioner)-C informed Surveyor she couldn't say whether the facility had notified her of this lab value. […]

  • No harm, potential for more than minimal, widespreadF880Apr 23, 2026

    Based on interview and record review the facility failed to ensure a system for preventing, identifying, reporting, investigating, and controlling infections and communicable diseases for all residents, staff, volunteers, visitors, and other individuals providing services under a contractual arrangement based upon the facility assessment conducted and following accepted national standards this has the potential to affect the census (58). From Feb-April 2026 there were 33 staff call ins from work without giving their symptoms to the facility (i.e. sick) and/or had a symptom that could have been a respiratory virus symptom (i.e. cough/cold/headache/sore throat) and should have been tested prior to coming back to work. […]

  • No harm, potential for more than minimal, widespreadF851Jan 30, 2025

    Based on interview and record review, the facility did not ensure accurate reporting of the mandatory submission of staffing information based on payroll data to the Centers for Medicare & Medicaid Services (CMS.) This has the potential to affect all 65 residents residing within the facility. The facility failed to enter accurate data in their Payroll Based Journal (PBJ) reporting and triggered for four fiscal year quarters for excessively low weekend staffing, triggered one fiscal year quarter for failure to have licensed nursing coverage 24 hours a day, and triggered for one fiscal year quarter for failure to have RN (registered nurse) hours each day Evidenced by: According to https://www.cms.gov/medicare/quality/nursing-home-improvement/staffing-data-submissionExample the Centers for… […]

  • No harm, potential for more than minimal, widespreadF925Jul 27, 2023

    Based on observation, interview, and record review, the facility did not ensure effective pest control for 3 of 3 wings. This has the potential to affect all 66 residents residing in the facility. Residents voiced concerns of being bitten and awakened by pests and having pests, including flies and beetles, crawling on them. Residents indicated they have had to purchase and use pest control supplies including Raid (pesticide) for pest relief. Surveyor observed a variety of pest species including flies, wasps, and moths, as well as spider webs throughout the building. Residents on all three wings (east, west, and south) of the facility voiced concerns of pest issues at the facility. […]

Read 31 findings in full →The most serious and the most recent: 31 of 138 on record.

Every survey on record

FindingsAt actual harm or above

  • Apr 23, 2026Standard4 findings
  • Dec 16, 2025Complaint4 findings · 1 harm
  • Jan 30, 2025Standard6 findings
  • Dec 7, 2024Complaint2 findings
  • Sep 30, 2024Complaint1 finding
  • Dec 18, 2023Standard2 findings
  • Jul 27, 2023Complaint3 findings
  • Apr 19, 2023Complaint2 findings
Show the 34 earlier surveys
  • Apr 20, 2022Complaint2 findings
  • Jan 26, 2022Complaint1 finding
  • Sep 22, 2021Standard2 findings
  • Jun 9, 2021Complaint1 finding · 1 harm
  • Mar 22, 2021Complaint2 findings
  • Feb 3, 2021Complaint2 findings
  • Dec 2, 2020Complaint5 findings
  • Oct 21, 2020Complaint1 finding
  • Sep 17, 2020Complaint1 finding · 1 harm
  • Dec 10, 2019Complaint1 finding
  • Aug 27, 2019Standard2 findings
  • Feb 4, 2019Complaint2 findings
  • Oct 4, 2018Complaint4 findings
  • Jul 18, 2018Complaint1 finding · 1 harm
  • May 21, 2018Standard3 findings
  • Dec 21, 2017Complaint3 findings · 1 harm
  • Oct 10, 2017Complaint3 findings
  • Aug 17, 2017Complaint1 finding
  • Jul 5, 2017Complaint3 findings · 1 harm
  • Mar 29, 2017Standard3 findings
  • Nov 8, 2016Complaint1 finding
  • Aug 31, 2016Complaint2 findings
  • Mar 23, 2016Standard8 findings
  • Oct 13, 2015Complaint3 findings
  • May 21, 2015Complaint11 findings · 3 harm
  • Jan 22, 2015Standard5 findings
  • Aug 27, 2014Complaint1 finding
  • Mar 31, 2014Complaint2 findings · 2 harm
  • Nov 21, 2013—15 findings · 1 harm
  • Aug 13, 2013—1 finding
  • Dec 17, 2012—5 findings
  • Nov 15, 2012—1 finding
  • Aug 29, 2012—6 findings
  • Jun 21, 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.

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