• CMS rates this facility 3/5 stars (average)
• Has 115 certified beds with an average of 51 residents per day (44% occupancy)
• Last health inspection found 17 deficiencies (inspected Nov 14, 2024)
• No fines on record
• Total nursing staff: 4.10 hours per resident per day
• Staff turnover rate: 51.4% (high)
• Part of the Sanford Health Good Samaritan (prospera) chain (4 facilities)
Hillside Manor is a 3-star Medicare and Medicaid certified nursing home in Beaver Dam, Wisconsin with 115 certified beds. It has been operating since 1989. The facility scored at average compared to Wisconsin facilities.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
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.
Respond appropriately to all alleged violations.
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
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.
Ensure medication error rates are not 5 percent or greater.
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.
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Provide and implement an infection prevention and control program.
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Staffing hours per resident per day. The black line shows the national average.
Quality measures as percentages of residents. Lower is better for all measures.
| Name | Role | Type | Ownership % | Since |
|---|---|---|---|---|
| MCHS HOSPITALS INC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | May 1, 2019 |
| MARSHFIELD CLINIC HEALTH SYSTEM INC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | N/A | May 1, 2019 |
| SANFORD | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | N/A | Jan 1, 2025 |
| MCHS HOSPITALS INC | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | May 1, 2019 |
| BUSWELL CLEARY, LINDSEY | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Dec 2, 2023 |
| MCKUEN, LAURIE | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Aug 23, 2024 |
| MORRISON, TONY | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Jan 1, 2025 |
| MUNSON, JOLYN | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Jan 1, 2025 |
| OLSON, NICHOLAS | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Jan 1, 2025 |
| POPPEN, JEFFREY | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Jun 12, 2025 |
| BALTUS, JOHN | CORPORATE DIRECTOR | Individual | N/A | Feb 4, 2016 |
| FERNANDEZ, EDWARD | CORPORATE DIRECTOR | Individual | N/A | Sep 8, 2023 |
| HOERNEMAN, BRIAN | CORPORATE DIRECTOR | Individual | N/A | Sep 1, 2023 |
| KLEBE, SAMANTHA | CORPORATE DIRECTOR | Individual | N/A | Sep 8, 2023 |
| MATHISON, DOUGLAS | CORPORATE DIRECTOR | Individual | N/A | Dec 15, 2020 |
| NEWCOMB, EVERETT | CORPORATE DIRECTOR | Individual | N/A | Sep 13, 2024 |
| PROCCI, LINDA | CORPORATE DIRECTOR | Individual | N/A | Jan 14, 2025 |
| SMITH, DENNIS | CORPORATE DIRECTOR | Individual | N/A | Jan 14, 2025 |
| BALTUS, JOHN | CORPORATE OFFICER | Individual | N/A | Sep 8, 2023 |
| FERNANDEZ, EDWARD | CORPORATE OFFICER | Individual | N/A | Jan 1, 2025 |
| HOERNEMAN, BRIAN | CORPORATE OFFICER | Individual | N/A | Apr 4, 2023 |
| KLEBE, SAMANTHA | CORPORATE OFFICER | Individual | N/A | Jan 1, 2025 |
| POPPEN, JEFFREY | CORPORATE OFFICER | Individual | N/A | Jun 12, 2025 |
This chain operates 4 facilities. View all →