| Congregational Home, Inc. | |
| 13900 W Burleigh Rd, Brookfield, Wisconsin 53005 | |
| (262) 781-0550 | |
| Name | Congregational Home, Inc. |
|---|---|
| Location | 13900 W Burleigh Rd, Brookfield, Wisconsin |
| Certified By | Medicare |
| No. of Certified Beds | 66 |
| Occupancy Rate | 90.3% |
| Medicare ID (CCN) | 525700 |
| Legal Business Name | Congregational Home Inc |
| Ownership Type | Non Profit - Church Related |
| NPI Number | 1942488044 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Congregational Home Inc |
| Address | 3150 Lilly Road, Brookfield, WI 53005 |
| Phone Number | 262-781-0550 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 6.36 | 3.86 |
| Registered nurse (RN) hours per resident per day | 1.18 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.88 | 0.86 |
| Nurse aide hours per resident per day | 4.3 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 5.87 | 3.42 |
| RN hours per resident per day on the weekend | 0.73 | 0.48 |
| Physical therapist hours per resident per day | 0.17 | 0.07 |
| Total nursing staff turnover | 46.4% | 45.8% |
| Registered nurse turnover | 26.7% | 42.9% |
| Number of administrators who have left the nursing home | 0 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 0 |
| Total Amount of Fines in Dollars | $0 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 0 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Jul 31, 2025 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, widespread | Corrected by Aug 14, 2025 |
| Jul 31, 2025 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. F0636, Resident Assessment and Care Planning, Standard inspection | Potential for harm, pattern | Corrected by Aug 15, 2025 |
| Jul 31, 2025 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. F0640, Resident Assessment and Care Planning, Standard inspection | Potential for harm, pattern | Corrected by Aug 15, 2025 |
| Jul 31, 2025 | Assure that each resident’s assessment is updated at least once every 3 months. F0638, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Aug 15, 2025 |
| Jul 31, 2025 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Aug 15, 2025 |
| Feb 5, 2025 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, isolated | Corrected by Feb 6, 2025 |
| Feb 5, 2025 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. F0688, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Feb 23, 2025 |
| Feb 5, 2025 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Feb 23, 2025 |
| May 1, 2024 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686, Quality of Life and Care, Standard inspection | Actual harm, isolated | Corrected by May 2, 2024 |
| May 1, 2024 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, widespread | Corrected by May 2, 2024 |
| May 1, 2024 | 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, Standard inspection | Potential for harm, isolated | Corrected by May 2, 2024 |
| May 1, 2024 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by May 3, 2024 |
| May 1, 2024 | 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. F0700, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by May 2, 2024 |
| May 1, 2024 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. F0849, Administration, Standard inspection | Potential for harm, isolated | Corrected by May 2, 2024 |
| Mar 29, 2023 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, widespread | Corrected by Apr 14, 2023 |
| Mar 29, 2023 | 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, Standard inspection | Potential for harm, pattern | Corrected by Apr 4, 2023 |
| Mar 29, 2023 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657, Resident Assessment and Care Planning, Standard inspection | Potential for harm, pattern | Corrected by Apr 4, 2023 |
| Mar 29, 2023 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Standard inspection | Potential for harm, pattern | Corrected by Apr 4, 2023 |
| Mar 29, 2023 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Apr 4, 2023 |
| Mar 29, 2023 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Apr 6, 2023 |
| Mar 29, 2023 | 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, Standard inspection | Potential for harm, isolated | Corrected by Apr 4, 2023 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 26.74 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 7.78 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 6.6 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 2.24 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 0 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.9 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.28 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.1 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.25 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 17.18 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 10.64 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 97.37 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 96.41 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 2.94 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 27.34 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 3.08 | 15.38 |
Complete Care at Care Age Location: 1755 N. Barker Rd., Brookfield, Wisconsin 53045 Phone: (262) 821-3939 |