HILLSIDE MANOR

In hospital · Dodge · WI · Non profit - Corporation · SANFORD HEALTH chain · 115 certified beds · CCN 525447 · BEAVER DAM COMMUNITY HOSPITALS INC.


HILLSIDE MANOR operates 115 certified beds in BEAVER DAM, Wisconsin. Its Medicare and Medicaid certification dates to 1989-11-15. It averages 55.7 residents a day.

What harm was found in the violations cited at HILLSIDE MANOR?

CMS lists 29 health-inspection deficiencies for HILLSIDE MANOR, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is J; the most recent health inspection was 2026-03-12.

Survey dateTagDeficiencySeverity
2026-03-12F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.G
2026-03-12F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2026-03-12F0759Ensure medication error rates are not 5 percent or greater.E
2026-03-12F0580, F0677, F0689, F0694, F0804, F0880Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide for the safe, appropriate administration of IV fluids for a resident when needed. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / Provide and implement an infection prevention and control program.D
2025-07-21F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.J
2025-07-21F0689, F0712Ensure 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.D
2025-06-24F0585, F0610Honor 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.D
2024-11-14F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G
2024-11-14F0804, F0812, F0851Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / 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.F
2024-11-14F0557, F0580, F0656, F0756, F0758, F0759, F0761, F0806Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. / Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / 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 each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.D
2023-09-07F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E
2023-09-07F0609, F0880Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Provide and implement an infection prevention and control program.D

Why was HILLSIDE MANOR fined 2 times?

DateTypeAmount
2026-03-12Fine$45,220
2025-06-24Fine$148,132

Has HILLSIDE MANOR had payment denied by Medicare?

Payment denial startLength in days
2024-12-1120

How is HILLSIDE MANOR staffed relative to the WI average?

MeasureThis facilityWI average
Total nurse staffing hours per resident per day3.878754.21234
Total nursing staff turnover (%)50.046.9
Average number of residents per day55.754.8

Who owns HILLSIDE MANOR, and what chain is it in?

HILLSIDE MANOR is registered with CMS as Non profit - Corporation, operates under the legal business name BEAVER DAM COMMUNITY HOSPITALS INC. and belongs to the SANFORD HEALTH chain.

RoleOwnerAssociation date
5% OR GREATER DIRECT OWNERSHIP INTERESTMCHS HOSPITALS INCsince 05/01/2019
5% OR GREATER INDIRECT OWNERSHIP INTERESTMARSHFIELD CLINIC HEALTH SYSTEM INC, SANFORDsince 01/01/2025
CORPORATE DIRECTORBALTUS, JOHN, FERNANDEZ, EDWARD, HOERNEMAN, BRIAN, KLEBE, SAMANTHA, MATHISON, DOUGLAS, NEWCOMB, EVERETT, PROCCI, LINDA, SMITH, DENNISsince 01/14/2025
CORPORATE OFFICERBALTUS, JOHN, FERNANDEZ, EDWARD, HOERNEMAN, BRIAN, KLEBE, SAMANTHA, POPPEN, JEFFREYsince 01/01/2025
OPERATIONAL/MANAGERIAL CONTROLMCHS HOSPITALS INC, BUSWELL CLEARY, LINDSEY, MCKUEN, LAURIE, MORRISON, TONY, MUNSON, JOLYN, OLSON, NICHOLAS, POPPEN, JEFFREYsince 01/01/2025
TRUSTEE OF THE SNFVENTLING-HERRMANN, MARNIEsince 01/01/2025
ADP OF THE SNFMARSHFIELD CLINIC HEALTH SYSTEM INC, MCHS HOSPITALS INC, SANFORD, BUSWELL CLEARY, LINDSEY, KLEBE, SAMANTHA, MCKUEN, LAURIE, POPPEN, JEFFREYsince 01/01/2025

Were you or a family member harmed at HILLSIDE MANOR?