Hillside Manor
Nursing Home · Beaver Dam, WI
CMS certification number525447
Contact & location
803 S University AveBeaver Dam, WI 53916
Dodge County
- Phone
- (920) 887-5901
- ZIP code
- 53916 – all care providers
Facility details
- Certified beds
- 115
- Residents per day
- 55.7 (48% occupied)
- Ownership
- Non profit - Corporation
- Legal name
- Beaver Dam Community Hospitals INC.
- Chain
- Sanford Health (4 facilities, avg 2.8★)
- Medicare certified since
- November 15, 1989
- Participates in
- Medicare and Medicaid
- Council
- Resident council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 3.88 (state 4.21 · U.S. 3.86)
- Registered nurses (RN)
- 1.10 (state 0.99 · U.S. 0.69)
- Licensed practical nurses
- 0.28 (state 0.64 · U.S. 0.86)
- Nurse aides
- 2.50 (state 2.58 · U.S. 2.32)
- Weekend total
- 3.32 (state 3.77 · U.S. 3.42)
- Nursing staff turnover
- 50.0 (state 46.9 · U.S. 45.8)%
- RN turnover
- 66.7 (state 39.7 · U.S. 42.9)%
- Administrators who left
- 1 in the last year
Inspections
- Last standard inspection
- March 12, 2026
- Health deficiencies (last cycle)
- 9.0 (state 9.5 · U.S. 9.3)
- From complaints
- 0
- Citations on record (3 years)
- 29 health · 8 fire safety · includes immediate jeopardy
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2026-03-12 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies |
G Actual harm |
Corrected 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. F0812 · Nutrition and Dietary Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2026-04-04 |
| 2026-03-12 | Ensure medication error rates are not 5 percent or greater. F0759 · Pharmacy Service Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 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. F0580 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-04-04 |
| 2026-03-12 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-04-04 |
| 2026-03-12 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-04-04 |
| 2026-03-12 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. F0694 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-04-04 |
| 2026-03-12 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. F0804 · Nutrition and Dietary Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-04-04 |
| 2026-03-12 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-04-04 |
| 2025-07-21 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2025-07-22 |
| 2025-07-21 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-07-22 |
| 2025-07-21 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. F0712 · Nursing and Physician Services Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-07-24 |
| 2025-06-24 | 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. F0585 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-07-24 |
| 2025-06-24 | Respond appropriately to all alleged violations. F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-07-24 |
| 2024-11-14 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
G Actual harm |
Corrected 2024-12-31 |
| 2024-11-14 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. F0804 · Nutrition and Dietary Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 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. F0812 · Nutrition and Dietary Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 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. F0851 · Administration Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 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. F0557 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-12-31 |
| 2024-11-14 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 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. F0656 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 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. F0756 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 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. F0758 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-12-31 |
| 2024-11-14 | Ensure medication error rates are not 5 percent or greater. F0759 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 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. F0761 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 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. F0806 · Nutrition and Dietary Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 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. F0812 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-09-28 |
| 2023-09-07 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-09-19 |
| 2023-09-07 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-10-07 |
Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results
Fines & penalties
3 penalties in the last three years, including $193,352 in fines.
| Date | Type | Amount |
|---|---|---|
| 2026-03-12 | Fine | $45,220 |
| 2025-06-24 | Fine | $148,132 |
| 2024-11-14 | Payment Denial | 20 days payment denial |
Ownership & management
| Name | Role | Since |
|---|---|---|
| McHs Hospitals INC (organization) | 5%+ Direct Ownership Interest · 100% | |
| Marshfield Clinic Health System INC (organization) | 5%+ Indirect Ownership Interest | |
| Sanford (organization) | 5%+ Indirect Ownership Interest | |
| Buswell Cleary, Lindsey (individual) | Administrator · NOT APPLICABLE | |
| Klebe, Samantha (individual) | Administrator · NOT APPLICABLE | |
| Marshfield Clinic Health System INC (organization) | Administrator · NOT APPLICABLE | |
| McHs Hospitals INC (organization) | Administrator · NOT APPLICABLE | |
| McKuen, Laurie (individual) | Administrator · NOT APPLICABLE | |
| Poppen, Jeffrey (individual) | Administrator · NOT APPLICABLE | |
| Sanford (organization) | Administrator · NOT APPLICABLE | |
| Baltus, John (individual) | Corporate Director · NOT APPLICABLE | |
| Fernandez, Edward (individual) | Corporate Director · NOT APPLICABLE | |
| Hoerneman, Brian (individual) | Corporate Director · NOT APPLICABLE | |
| Klebe, Samantha (individual) | Corporate Director · NOT APPLICABLE | |
| Mathison, Douglas (individual) | Corporate Director · NOT APPLICABLE | |
| Newcomb, Everett (individual) | Corporate Director · NOT APPLICABLE | |
| Procci, Linda (individual) | Corporate Director · NOT APPLICABLE | |
| Smith, Dennis (individual) | Corporate Director · NOT APPLICABLE | |
| Baltus, John (individual) | Corporate Officer · NOT APPLICABLE | |
| Fernandez, Edward (individual) | Corporate Officer · NOT APPLICABLE | |
| Hoerneman, Brian (individual) | Corporate Officer · NOT APPLICABLE | |
| Klebe, Samantha (individual) | Corporate Officer · NOT APPLICABLE | |
| Poppen, Jeffrey (individual) | Corporate Officer · NOT APPLICABLE | |
| Buswell Cleary, Lindsey (individual) | Operational/managerial Control · NOT APPLICABLE | |
| McHs Hospitals INC (organization) | Operational/managerial Control · NOT APPLICABLE | |
| McKuen, Laurie (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Morrison, Tony (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Munson, Jolyn (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Olson, Nicholas (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Poppen, Jeffrey (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Ventling-Herrmann, Marnie (individual) | Trustee Of The Snf · NOT APPLICABLE |
Frequently asked questions
What is the rating of Hillside Manor?
Hillside Manor has a 2-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.0-star average in Wisconsin.
How many beds does Hillside Manor have?
It has 115 certified beds and cares for about 56 residents per day.
Has Hillside Manor been fined?
Yes. CMS lists 3 penalties totaling $193,352 in the last three years.
Who owns Hillside Manor?
It is part of Sanford Health and is classified as non profit - corporation. See the ownership table above for all owners and managers reported to CMS.
What is the phone number of Hillside Manor?
(920) 887-5901. The facility is located at 803 S University Ave, Beaver Dam, WI 53916.
Other nursing homes in Beaver Dam
-
Beaver Dam Health Care Center
Nursing Home · Beaver Dam, WI · 90 beds
★
Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.