Lindengrove Menomonee Falls: Catheter Care Failure - WI
The inspection, completed March 3, 2025, produced a citation tied to the care of Resident 297. The catheter, a device threaded into the bladder to drain urine, had been discontinued. Inspectors classified the level of harm as minimal harm or potential for actual harm, and noted that a few residents were affected.
Advertisement
Losing sleep over a loved one's care?
The Derila Ergo memory foam pillow supports your neck in any sleep position. 60-day return policy.
See the Derila PillowFoley catheters are not incidental equipment. For residents who depend on them, the device manages conditions that, left unaddressed, can spiral into infection, kidney damage, or worse. When a catheter is discontinued without a proper clinical process, the resident is left without a solution to the underlying problem that made the catheter necessary in the first place. The inspection record does not say why the catheter was discontinued, who made the decision, or whether anyone noticed before inspectors did.
What the record does say is that the facility at W180 N8071 Town Hall Road in Menomonee Falls, Wisconsin, had a gap in its care for at least one resident that regulators found worth documenting.
The citation falls at the lower end of the harm scale CMS uses to classify deficiencies. Minimal harm or potential for actual harm means inspectors did not find that Resident 297 had suffered a serious injury at the time of the survey. But the potential category matters. A catheter that should be in place and is not creates a condition where harm can develop quietly, in the hours or days before anyone checks.
The inspection report, printed August 8, 2026, covers three pages. The deficiency involving Resident 297 appears on page three. No other deficiencies are described in the narrative provided.
Lindengrove Menomonee Falls is identified by CMS facility identification number 525421. The facility's plan to correct the deficiency is not included in the inspection statement itself. CMS directs anyone seeking that information to contact the nursing home directly or reach the state survey agency.
Wisconsin's survey process, like those in other states, relies on periodic inspections to catch exactly these kinds of gaps, moments when the care a resident is supposed to receive quietly stops happening. A catheter discontinued without documentation of a clinical reason, without evidence of a physician order, without a plan for what comes next, is the kind of thing that can go unnoticed in a busy facility until a surveyor asks the right question.
The inspection does not name a nurse, a physician, or a supervisor in connection with the finding. It does not describe how long the catheter had been discontinued before inspectors arrived, or whether Resident 297's condition changed as a result. Those details, if they exist, are not in the public record.
What is in the public record is the finding itself: a resident in a Wisconsin nursing home was missing a medical device they needed, and federal inspectors had to be the ones to document it.
For Resident 297, the weeks between when the catheter was discontinued and when inspectors arrived are not accounted for in the citation. The inspection record closes without saying what happened next for that resident, whether the catheter was reinserted, whether a new care plan was put in place, or whether Resident 297's condition had already shifted in the time nobody was watching closely enough.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Lindengrove Menomonee Falls from 2025-03-03 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Corrections: We strive for accuracy in everything we publish. If you believe any fact in this article is incorrect, please contact us with details, and we will review and correct it promptly.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: November 14, 2026 · Our methodology
Lindengrove Menomonee Falls in MENOMONEE FALLS, WI was cited for violations during a health inspection on March 3, 2025.
The inspection, completed March 3, 2025, produced a citation tied to the care of Resident 297.
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.