Lindengrove Menomonee Falls: Missed Fall Notifications - WI
The falls happened on June 30, 2025, and July 12, 2025. Both times, the resident, identified in inspection records only as Resident 3, had someone designated to be notified if something went wrong. Both times, that person was not called.
Inspectors documented the lapse during a complaint survey completed November 11, 2025. The finding, tagged under federal deficiency code F0580, was classified as presenting minimal harm or potential for actual harm, and the number of residents affected was listed as few.
What made the finding particularly stark was not only that the calls didn't happen, but that the facility had a policy specifically requiring them. When inspectors spoke with the Director of Nursing, identified in the report as DON-B, and the Sister Facility Nursing Home Administrator, identified as SFNHA-C, both confirmed that Resident 3's emergency contact had not been reached after either fall. Neither offered an explanation for why.
The inspection report states plainly: "No further information was provided by the facility as to why R3's emergency contact/representative was not contacted."
That sentence is the whole of it. Two falls. A policy that said call. Nobody called. And when asked why, the facility's own nursing leadership and administrator had nothing to say.
Emergency contact notification after a fall is not a bureaucratic formality. It is often the only mechanism by which a family member or representative learns that something has happened to a person in their care. Nursing home residents cannot always communicate clearly what occurred, how hard they fell, or whether they are in pain afterward. The person listed as an emergency contact is frequently the one who would ask those questions, push for follow-up imaging, or notice in subsequent visits that something had changed.
Resident 3 fell twice. The gap between those falls was twelve days. Whether the emergency contact, had they been reached after the first fall, might have had questions, requested additional precautions, or simply wanted to visit, is not something the inspection report addresses. It cannot. That information was never gathered, because the calls were never made.
Lindengrove Menomonee Falls is located at W180 N8071 Town Hall Rd in Menomonee Falls, a suburb northwest of Milwaukee. The facility's CMS provider identification number is 525421.
The inspection was triggered by a complaint, not a routine survey cycle. That means someone, somewhere, had reason to raise a concern before inspectors arrived. The report does not identify who filed the complaint or what it alleged. What inspectors found and documented was the notification failure involving Resident 3.
The Director of Nursing and the Sister Facility Nursing Home Administrator were the two staff members interviewed. Both are identified only by their initials in the report. Neither provided any explanation for the failure to follow the facility's own contact policy.
There is no indication in the inspection record of what happened to Resident 3 as a result of either fall, whether injuries were sustained, whether a physician was notified, or whether the resident's condition changed in the days that followed. The report's scope was the notification failure, and on that question, the record is complete: the calls that were supposed to happen did not happen, twice, and the people responsible for ensuring they did could not explain why.
Somewhere, a person designated to be Resident 3's emergency contact went through June 30 and July 12 not knowing their person had fallen.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Lindengrove Menomonee Falls from 2025-11-11 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.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: September 3, 2026 · Our methodology
Lindengrove Menomonee Falls in MENOMONEE FALLS, WI was cited for violations during a health inspection on November 11, 2025.
The falls happened on June 30, 2025, and July 12, 2025.
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.