Alden Meadow Park: 92 Days Without Registered Nurses - WI
Alden Meadow Park HCC triggered multiple federal violations after submitting inaccurate staffing information to the Centers for Medicare & Medicaid Services for four separate quarters in 2024. The facility houses 65 residents.
The most severe violation occurred during the third quarter of 2024, when federal data showed the facility had no registered nurse coverage from July 1 through September 30. According to CMS records, the facility reported zero RN hours for every single day during this 92-day period.
The same quarter also showed the facility failed to maintain licensed nursing coverage around the clock for the entire three-month period. Federal regulations require nursing homes to have licensed nursing staff available 24 hours a day, seven days a week.
Administrator NHA A told inspectors on January 28 that corporate office staff were responsible for submitting the facility's Payroll Based Journal data to CMS. The administrator explained that after the facility's computer system company "went under," corporate staff had to manually enter staffing information into the federal website.
"The Corporate Office staff entered page one data and clicked to page two. She did not press the save button," the inspection report states. "Then page two data was entered, and the Corporate Office Staff clicked to page 3 without pressing save."
After entering data on the third page, corporate staff pressed submit believing all three pages would be processed. Instead, only the final page was saved while the first two pages populated with zeros across all staffing categories.
The administrator acknowledged that once data is submitted to the federal system, "the page locks and there is no way to correct or add an addendum."
The reporting errors devastated the facility's public ratings. The administrator told inspectors the facility's star rating dropped to one out of five stars as a direct result of the inaccurate data submission.
Federal staffing reports show the facility triggered violations in multiple quarters throughout 2024. During the first quarter (October through December 2023), the facility was flagged for "excessively low weekend staffing." The same violation occurred again in the second quarter (January through March 2024) and third quarter (April through June 2024).
The fourth quarter violations were the most extensive. In addition to reporting zero registered nurse hours for the entire quarter, the facility also received a one-star staffing rating and continued to show excessively low weekend staffing levels.
CMS developed the Payroll Based Journal system to collect nursing home staffing information on a regular basis after identifying staffing as "one of the vital components of a nursing home's ability to provide quality care." The system requires facilities to submit verifiable, auditable data based on actual payroll records.
Facilities must report staffing hours for multiple categories including directors of nursing, registered nurses with administrative duties, registered nurses, licensed practical nurses with administrative duties, licensed practical nurses, certified nurse aides, medication aides, and nurse aides in training.
The reporting deadlines are strictly enforced. First quarter data covering October through December must be submitted by February 14. Second quarter information for January through March is due May 15. Third quarter data for April through June must be submitted by August 14. Fourth quarter reports covering July through September are due November 14.
When inspectors requested copies of the facility's CASPER Report 1702D, which would have shown the actual hours reported to CMS for multiple quarters, the facility failed to provide the documentation. The missing reports covered October 2024 through December 2024, April 2024 through June 2024, and January 2024 through March 2024.
The administrator told inspectors she "understands the requirements set by CMS and the information was not reported accurately."
Federal data shows nursing homes nationwide have struggled with accurate staffing reporting since the mandatory system began in July 2016. CMS began posting public staffing data in November 2017, allowing families and researchers to examine daily nursing hours at individual facilities.
The Payroll Based Journal system calculates daily census using Minimum Data Set submissions and compares those numbers against reported nursing hours to generate staffing ratios. Facilities that report suspiciously low numbers trigger automatic flags that prompt inspection follow-up.
Research has consistently linked inadequate nursing staffing to increased risks of bedsores, weight loss, infections, and other preventable harm. Federal studies indicate facilities providing less than 4.1 hours of daily nursing care per resident show significantly higher rates of adverse outcomes.
The inspection classified the violations as causing "minimal harm or potential for actual harm" but noted the inaccurate reporting "has the potential to affect all 65 residents residing within the facility."
Alden Meadow Park's staffing violations highlight ongoing challenges with federal oversight of nursing home care quality. The facility's administrator acknowledged the corporate office's data entry mistakes while noting the permanent nature of submissions to the federal system.
The facility's one-star rating now appears on CMS's public Nursing Home Compare website, where families research potential care options. The rating will remain until the facility can demonstrate sustained improvement in future quarterly reports.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Alden Meadow Park Hcc from 2025-01-30 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: June 20, 2026 · Our methodology
ALDEN MEADOW PARK HCC in CLINTON, WI was cited for violations during a health inspection on January 30, 2025.
The facility houses 65 residents.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.