Hillside Manor
Beaver Dam, Dodge County, Wisconsin · CCN 525447 · Non-profit (Corporation) · part of Sanford Health (4 facilities, chain average 2.8 stars)
CMS rates Hillside Manor 2 of 5 overall as of August 2026. 115 certified beds, 56 residents a day on average. 29 citations on record from the current inspection cycles, 1 at immediate jeopardy; 2 fines totalling $193,352 and 1 payment denial.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★★☆☆☆ 2 of 5 |
|---|---|
| Health inspections | ★★☆☆☆ 2 of 5 |
| Staffing | ★★★★☆ 4 of 5 |
| Quality measures | ★★★☆☆ 3 of 5 |
| Quality: long-stay / short-stay | 4 / 2 of 5 |
Staffing
| Total nurse staffing | 3.87875 hours per resident per day |
|---|---|
| Registered nurses | 1.10391 hours per resident per day |
| Weekend total | 3.32382 hours per resident per day |
| Nursing staff turnover | 50% (registered nurses 66.7%) |
| Administrators who left | 1 |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2026-03-12 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · tag F0686 |
G Actual harm that is not immediate jeopardy; isolated | Deficient, Provider has date of correction 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. Nutrition and Dietary Deficiencies · tag F0812 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2026-04-04 |
| 2026-03-12 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · tag F0759 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 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. Resident Rights Deficiencies · tag F0580 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-04-04 |
| 2026-03-12 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · tag F0677 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-04-04 |
| 2026-03-12 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-04-04 |
| 2026-03-12 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. Quality of Life and Care Deficiencies · tag F0694 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-04-04 |
| 2026-03-12 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · tag F0804 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-04-04 |
| 2026-03-12 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-04-04 |
| 2025-07-21 complaint survey |
Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
J Immediate jeopardy to resident health or safety; isolated | Deficient, Provider has date of correction 2025-07-22 |
| 2025-07-21 complaint survey |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-07-22 |
| 2025-07-21 complaint survey |
Ensure that the resident and his/her doctor meet face-to-face at all required visits. Nursing and Physician Services Deficiencies · tag F0712 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-07-24 |
| 2025-06-24 complaint survey |
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 · tag F0585 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-07-24 |
| 2025-06-24 complaint survey |
Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0610 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-07-24 |
| 2024-11-14 complaint survey |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
G Actual harm that is not immediate jeopardy; isolated | Deficient, Provider has date of correction 2024-12-31 |
| 2024-11-14 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · tag F0804 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 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. Nutrition and Dietary Deficiencies · tag F0812 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 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. Administration Deficiencies · tag F0851 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 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. Resident Rights Deficiencies · tag F0557 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-12-31 |
| 2024-11-14 complaint survey |
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 · tag F0580 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 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. Resident Assessment and Care Planning Deficiencies · tag F0656 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 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. Pharmacy Service Deficiencies · tag F0756 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 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. Pharmacy Service Deficiencies · tag F0758 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-12-31 |
| 2024-11-14 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · tag F0759 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 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. Pharmacy Service Deficiencies · tag F0761 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 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. Nutrition and Dietary Deficiencies · tag F0806 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 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. Nutrition and Dietary Deficiencies · tag F0812 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-09-28 |
| 2023-09-07 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-09-19 |
| 2023-09-07 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-10-07 |
Fines and payment denials
| Date | Penalty | Amount |
|---|---|---|
| 2026-03-12 | Fine | $45,220 |
| 2025-06-24 | Fine | $148,132 |
| 2024-11-14 | Payment denial for 20 days from 2024-12-11 | — |
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| Mchs Hospitals Inc. Organization | 5% or greater direct ownership interest | 100% | 2019-05-01 |
| Marshfield Clinic Health System Inc. Organization | 5% or greater indirect ownership interest | — | 2019-05-01 |
| Sanford Organization | 5% or greater indirect ownership interest | — | 2025-01-01 |
| Marshfield Clinic Health System Inc. Organization | adp of the snf | — | 2019-05-01 |
| Mchs Hospitals Inc. Organization | adp of the snf | — | 2019-05-01 |
| Sanford Organization | adp of the snf | — | 2025-01-01 |
| Mchs Hospitals Inc. Organization | operational/managerial control | — | 2019-05-01 |
| Buswell Cleary, Lindsey Individual | adp of the snf | — | 2023-12-02 |
| Klebe, Samantha Individual | adp of the snf | — | 2025-01-01 |
| Mckuen, Laurie Individual | adp of the snf | — | 2024-08-23 |
| Poppen, Jeffrey Individual | adp of the snf | — | 2025-06-12 |
| Baltus, John Individual | corporate director | — | 2016-02-04 |
| Fernandez, Edward Individual | corporate director | — | 2023-09-08 |
| Hoerneman, Brian Individual | corporate director | — | 2023-09-01 |
| Klebe, Samantha Individual | corporate director | — | 2023-09-08 |
| Mathison, Douglas Individual | corporate director | — | 2020-12-15 |
| Newcomb, Everett Individual | corporate director | — | 2024-09-13 |
| Procci, Linda Individual | corporate director | — | 2025-01-14 |
| Smith, Dennis Individual | corporate director | — | 2025-01-14 |
| Baltus, John Individual | corporate officer | — | 2023-09-08 |
| Fernandez, Edward Individual | corporate officer | — | 2025-01-01 |
| Hoerneman, Brian Individual | corporate officer | — | 2023-04-04 |
| Klebe, Samantha Individual | corporate officer | — | 2025-01-01 |
| Poppen, Jeffrey Individual | corporate officer | — | 2025-06-12 |
| Buswell Cleary, Lindsey Individual | operational/managerial control | — | 2023-12-02 |
| Mckuen, Laurie Individual | operational/managerial control | — | 2024-08-23 |
| Morrison, Tony Individual | operational/managerial control | — | 2025-01-01 |
| Munson, Jolyn Individual | operational/managerial control | — | 2025-01-01 |
| Olson, Nicholas Individual | operational/managerial control | — | 2025-01-01 |
| Poppen, Jeffrey Individual | operational/managerial control | — | 2025-06-12 |
| Ventling-Herrmann, Marnie Individual | trustee of the snf | — | 2025-01-01 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Hillside Manor.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Dodge County.