Lindengrove Menomonee Falls: Neuro Check Failures - WI
The resident, identified in inspection records only as R3, fell on June 30, 2025, and again on July 12, 2025. Both were unwitnessed. After each fall, neurological checks, the basic monitoring used to detect signs of brain injury or internal trauma in the hours and days that follow, were not started. They were not completed. According to the inspection report, the facility offered no explanation for why.
Federal inspectors cited the deficiency on November 11, 2025, following a complaint inspection at Lindengrove Menomonee Falls, located on Town Hall Road in Menomonee Falls. The citation fell under F0684, which covers the standard of care residents are owed, and was rated at the level of minimal harm or potential for actual harm.
The finding came to light after inspectors spoke with the facility's own leadership. Both the nursing home administrator and the administrator of a sister facility were told directly that neurological checks had not been started or completed following R3's two falls. The inspection record notes that after that conversation, the facility provided no further information explaining the gap.
Unwitnessed falls carry particular risk precisely because no one saw what happened. A resident could have struck their head, lost consciousness briefly, or hit the floor at an angle that caused injury that isn't immediately visible. Neurological checks done at regular intervals afterward are the mechanism for catching those injuries before they worsen. Without them, a bleed or swelling that might have been caught early goes undetected.
R3 fell twice. Nobody completed the checks after the first fall. Nobody completed them after the second.
The inspection report does not say whether R3 was injured. It does not say whether anyone reviewed the missed checks before inspectors arrived, or whether the oversight was caught internally at all. What it says is that when inspectors looked, the checks had not been done, and when the facility was asked about it, they had nothing to add.
The citation affected a small number of residents, according to the report.
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 resident, identified in inspection records only as R3, fell on June 30, 2025, and again on 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.