nursing home in Beaver Dam, WI
Hillside Manor
803 S University Ave, Beaver Dam, WI 53916 · (920) 887-5901
★★★★★2
Below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★2
- Staffing★★★★★4
- Quality measures★★★★★3
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Hillside Manor at a glance
Hillside Manor is a 115-bed non-profit nursing home in Beaver Dam, Wisconsin (Dodge County).
CMS gives it 2 out of 5 stars on its overall star rating, worse than the Wisconsin average of 3.
Residents receive about 3.9 hours of nursing care per day (1.1 of them from registered nurses), worse than the state average of 4.2 hours.
Its most recent standard health inspection (March 12, 2026) found 9 health citations. The Wisconsin average is 9.5.
Federal regulators fined it 2 times in the past three years, totaling $193,352.
Nursing staff turnover is 50% per year (state average 46.9%).
Facility details
- Type
- Nursing home
- Ownership
- Non Profit - Corporation
- Beds
- 115
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Sanford Health
- Medicare-certified since
- November 15, 1989
- Resident/family council
- Resident
- County
- Dodge County
- CMS Certification Number
- 525447
Ratings
| Measure | This facility | Wisconsin avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 2 / 5 | 3 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 2 / 5 | 2.8 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 4 / 5 | 3.6 / 5 | 2.9 / 5 | Better |
| Quality measures rating ⓘ (higher is better) | 3 / 5 | 3 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 4 / 5 | 3.1 / 5 | 3.8 / 5 | Average |
| Short-stay (rehab) quality rating (higher is better) | 2 / 5 | 3.1 / 5 | 3.3 / 5 | Worse |
Staffing
| Measure | This facility | Wisconsin avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.88 hrs | 4.21 hrs | 3.86 hrs | Average |
| Registered nurse hours per resident per day (higher is better) | 1.10 hrs | 0.99 hrs | 0.69 hrs | Better |
| Nurse aide hours per resident per day (higher is better) | 2.50 hrs | 2.58 hrs | 2.32 hrs | Better |
| Weekend nurse staff hours per resident per day (higher is better) | 3.32 hrs | 3.77 hrs | 3.42 hrs | Average |
| Nursing staff turnover (yearly) (lower is better) | 50% | 46.9% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 66.7% | 39.7% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 1 | 1 | 1 | Worse |
Inspections
| Measure | This facility | Wisconsin avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 9 | 9 | 9 | Average |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 4 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 98.8 | 100.3 | 80.6 | Worse |
Penalties
| Measure | This facility | Wisconsin avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 2 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $193,352 | $48,150 | $30,972 | Worse |
| All federal penalties in the past 3 years (lower is better) | 3 | 1 | 1 | Worse |
Size
| Measure | This facility | Wisconsin avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 115 | 77 | 107 | |
| Average residents per day | 56 | 55 | 86 | |
| Occupancy | 48.4% | 74% | 80.9% |
Long-stay residents
| Measure | This facility | Wisconsin avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 1.2% | 3.3% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 3.1% | 5% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 4.3% | 15.8% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 5.4% | 2.7% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 2.1% | 2.1% | 0.8% | Worse |
| Long-stay residents needing more help with daily activities (lower is better) | 11.3% | 16.1% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 11.3% | 18.4% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 8.2% | 5.1% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 1.9% | 5.7% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.1% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 6% | 16.9% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 19.1% | 24.6% | 19% | Average |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 95% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 95.3% | 95.7% | 93.6% | Average |
Short-stay residents
| Measure | This facility | Wisconsin avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 1.5% | 1.2% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 81.3% | 82.2% | 79.8% | Average |
| Short-stay residents given a pneumonia vaccine (higher is better) | 95.5% | 86.5% | 82% | Better |
Inspection citations
State inspectors cited this home for 29 health deficiencies and 8 fire safety deficiencies in the inspection records CMS currently publishes. 3 citations involved actual harm, including 1 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| March 12, 2026 Standard | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | G Actual harm, isolated | Corrected April 4, 2026 |
| March 12, 2026 Standard | 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 Potential harm, widespread | Corrected April 4, 2026 |
| March 12, 2026 Standard | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | E Potential harm, pattern | Corrected April 4, 2026 |
| March 12, 2026 Standard | Provide for the safe, appropriate administration of IV fluids for a resident when needed. Quality of Life and Care Deficiencies · Tag F0694 | D Potential harm, isolated | Corrected April 4, 2026 |
| March 12, 2026 Standard | 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 Potential harm, isolated | Corrected April 4, 2026 |
| March 12, 2026 Standard | 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 Potential harm, isolated | Corrected April 4, 2026 |
| March 12, 2026 Standard | 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 Potential harm, isolated | Corrected April 4, 2026 |
| March 12, 2026 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected April 4, 2026 |
| March 12, 2026 Standard | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Tag F0804 | D Potential harm, isolated | Corrected April 4, 2026 |
| July 21, 2025 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | J Immediate jeopardy, isolated | Corrected July 22, 2025 |
| July 21, 2025 Complaint | 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 Potential harm, isolated | Corrected July 22, 2025 |
| July 21, 2025 Complaint | Ensure that the resident and his/her doctor meet face-to-face at all required visits. Nursing and Physician Services Deficiencies · Tag F0712 | D Potential harm, isolated | Corrected July 24, 2025 |
| June 24, 2025 Complaint | 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 Potential harm, isolated | Corrected July 24, 2025 |
| June 24, 2025 Complaint | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | D Potential harm, isolated | Corrected July 24, 2025 |
| November 14, 2024 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected December 31, 2024 |
| November 14, 2024 Fire safety | Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Tag E0004 | F Potential harm, widespread | Corrected December 31, 2024 |
| November 14, 2024 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | D Potential harm, isolated | Corrected December 31, 2024 |
| November 14, 2024 Fire safety | Have restrictions on the use of highly flammable decorations. Miscellaneous Deficiencies · Tag K0753 | D Potential harm, isolated | Corrected November 19, 2024 |
| November 14, 2024 Complaint | 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, isolated | Corrected December 31, 2024 |
| November 14, 2024 Standard | 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 Potential harm, widespread | Corrected December 31, 2024 |
| November 14, 2024 Standard | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Tag F0804 | F Potential harm, widespread | Corrected December 31, 2024 |
| November 14, 2024 Standard | 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 Potential harm, widespread | Corrected December 31, 2024 |
| November 14, 2024 Standard | 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 Potential harm, isolated | Corrected December 31, 2024 |
| November 14, 2024 Standard | 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 Potential harm, isolated | Corrected December 31, 2024 |
| November 14, 2024 Complaint | 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 Potential harm, isolated | Corrected December 31, 2024 |
| November 14, 2024 Standard | 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 Potential harm, isolated | Corrected December 31, 2024 |
| November 14, 2024 Standard | 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 Potential harm, isolated | Corrected December 31, 2024 |
| November 14, 2024 Standard | 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 Potential harm, isolated | Corrected December 31, 2024 |
| November 14, 2024 Standard | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | D Potential harm, isolated | Corrected December 31, 2024 |
| November 14, 2024 Standard | 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 Potential harm, isolated | Corrected December 31, 2024 |
| September 7, 2023 Fire safety | Have stairways and smokeproof enclosures used as exits that meet safety requirements. Egress Deficiencies · Tag K0225 | E Potential harm, pattern | Corrected October 2, 2023 |
| September 7, 2023 Fire safety | Meet requirements for sections of health care facilities separated by fire resistive construction. Construction Deficiencies · Tag K0131 | D Potential harm, isolated | Corrected September 8, 2023 |
| September 7, 2023 Fire safety | Have restrictions on the use of portable space heaters. Miscellaneous Deficiencies · Tag K0781 | D Potential harm, isolated | Corrected September 22, 2023 |
| September 7, 2023 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | C No harm, widespread | Corrected September 27, 2023 |
| September 7, 2023 Standard | 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 Potential harm, pattern | Corrected September 28, 2023 |
| September 7, 2023 Standard | 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 Potential harm, isolated | Corrected September 19, 2023 |
| September 7, 2023 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected October 7, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 3 federal penalties in the past three years, including $193,352 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| March 12, 2026 | Fine | $45,220 |
| June 24, 2025 | Fine | $148,132 |
| November 14, 2024 | Payment Denial | 20 days from December 11, 2024 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| MCHS HOSPITALS INC Organization | 5% or greater direct ownership interest | 100% | 05/01/2019 |
| MARSHFIELD CLINIC HEALTH SYSTEM INC Organization | 5% or greater indirect ownership interest | — | 05/01/2019 |
| SANFORD Organization | 5% or greater indirect ownership interest | — | 01/01/2025 |
| BUSWELL CLEARY, LINDSEY Individual | adp of the snf | NOT APPLICABLE | 12/02/2023 |
| KLEBE, SAMANTHA Individual | adp of the snf | NOT APPLICABLE | 01/01/2025 |
| MARSHFIELD CLINIC HEALTH SYSTEM INC Organization | adp of the snf | NOT APPLICABLE | 05/01/2019 |
| MCHS HOSPITALS INC Organization | adp of the snf | NOT APPLICABLE | 05/01/2019 |
| MCKUEN, LAURIE Individual | adp of the snf | NOT APPLICABLE | 08/23/2024 |
| POPPEN, JEFFREY Individual | adp of the snf | NOT APPLICABLE | 06/12/2025 |
| SANFORD Organization | adp of the snf | NOT APPLICABLE | 01/01/2025 |
| BALTUS, JOHN Individual | corporate director | NOT APPLICABLE | 02/04/2016 |
| FERNANDEZ, EDWARD Individual | corporate director | NOT APPLICABLE | 09/08/2023 |
| HOERNEMAN, BRIAN Individual | corporate director | NOT APPLICABLE | 09/01/2023 |
| KLEBE, SAMANTHA Individual | corporate director | NOT APPLICABLE | 09/08/2023 |
| MATHISON, DOUGLAS Individual | corporate director | NOT APPLICABLE | 12/15/2020 |
| NEWCOMB, EVERETT Individual | corporate director | NOT APPLICABLE | 09/13/2024 |
| PROCCI, LINDA Individual | corporate director | NOT APPLICABLE | 01/14/2025 |
| SMITH, DENNIS Individual | corporate director | NOT APPLICABLE | 01/14/2025 |
| BALTUS, JOHN Individual | corporate officer | NOT APPLICABLE | 09/08/2023 |
| FERNANDEZ, EDWARD Individual | corporate officer | NOT APPLICABLE | 01/01/2025 |
| HOERNEMAN, BRIAN Individual | corporate officer | NOT APPLICABLE | 04/04/2023 |
| KLEBE, SAMANTHA Individual | corporate officer | NOT APPLICABLE | 01/01/2025 |
| POPPEN, JEFFREY Individual | corporate officer | NOT APPLICABLE | 06/12/2025 |
| BUSWELL CLEARY, LINDSEY Individual | operational/managerial control | NOT APPLICABLE | 12/02/2023 |
| MCHS HOSPITALS INC Organization | operational/managerial control | NOT APPLICABLE | 05/01/2019 |
| MCKUEN, LAURIE Individual | operational/managerial control | NOT APPLICABLE | 08/23/2024 |
| MORRISON, TONY Individual | operational/managerial control | NOT APPLICABLE | 01/01/2025 |
| MUNSON, JOLYN Individual | operational/managerial control | NOT APPLICABLE | 01/01/2025 |
| OLSON, NICHOLAS Individual | operational/managerial control | NOT APPLICABLE | 01/01/2025 |
| POPPEN, JEFFREY Individual | operational/managerial control | NOT APPLICABLE | 06/12/2025 |
| VENTLING-HERRMANN, MARNIE Individual | trustee of the snf | NOT APPLICABLE | 01/01/2025 |
Other nursing homes near Hillside Manor
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Randolph Health Services
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For-profit · 84 beds · Part of North Shore Healthcare
★★★★★3AverageColumbus Health and Rehab
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★★★★★2Below averageComplete Care at Christian Home LLC
452 Fox Lake Road, Waupun, WI 53963 · 13 mi
For-profit · 50 beds · Part of Complete Care
★★★★★2Below average
Frequently asked questions
What is Hillside Manor's rating?
Hillside Manor has 2 out of 5 stars on the CMS overall star rating. The average for Wisconsin nursing homes is 3 stars.
How many inspection citations did Hillside Manor receive?
Its most recent standard health inspection found 9 citations, compared with a Wisconsin average of 9.5. Every citation is listed on this page with its severity.
Does Hillside Manor accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Hillside Manor?
It is non profit - corporation and part of Sanford Health. The ownership section on this page lists the owners and managers reported to CMS.
Where is Hillside Manor and how do I contact it?
Hillside Manor is at 803 S University Ave, Beaver Dam, WI 53916. Phone: (920) 887-5901.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.