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ALDEN ESTATES OF COUNTRYSIDE, INC

Open-data reference.

ALDEN ESTATES OF COUNTRYSIDE, INC is a for profit - corporation facility in JEFFERSON, WI with 120 certified beds and a 1-star overall CMS rating. The facility has 50 deficiency records on file. Total penalties: $114K.

1130 COLLINS ROAD, JEFFERSON, WI 53549

Phone: 9206743170

Overall Rating

1/5

Health Inspection

1/5

Staffing

2/5

Quality Measures

4/5

Long-Stay Quality

3/5

Facility Information

Provider Number
525271
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
Beds
120
Residents
105
In Hospital
No
County
Jefferson
Last Inspection
Jun 23, 2025

Staffing Data

RN Hours
0.87 (nat'l avg: 0.68)
LPN Hours
0.47
CNA Hours
2.22
Total Nursing Hours
3.57 (nat'l avg: 3.89)
PT Hours
0.04

What the CMS Record Reveals About ALDEN ESTATES OF COUNTRYSIDE, INC

ALDEN ESTATES OF COUNTRYSIDE, INC operates 120 certified beds in JEFFERSON, WI with approximately 105 residents currently in care, and carries a CMS overall rating of 1 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (1★), staffing levels (2★), and quality measures (4★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 50 deficiency records from recent surveys, of which 9 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 2 penalties totaling $114K against this provider, a tangible indicator that regulators moved beyond citation into financial consequence. Staffing is reported at 3.57 total nursing hours per resident day (national average 3.89), with RN coverage at 0.87 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "For profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, ALDEN ESTATES OF COUNTRYSIDE, INC falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (50 most recent)

D — Isolated - Minimal harm Dec 3, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Dec 19, 2025

G — Isolated - Actual harm Nov 25, 2025 Tag: 0760

Ensure that residents are free from significant medication errors.

Category: Pharmacy Service Deficiencies

Corrected: Dec 22, 2025

J — Isolated - Jeopardy Jun 23, 2025 Tag: 0686

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Category: Quality of Life and Care Deficiencies

Corrected: Jul 7, 2025

D — Isolated - Minimal harm Jun 23, 2025 Tag: 0600

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jul 7, 2025

D — Isolated - Minimal harm Jun 23, 2025 Tag: 0887

Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

Category: Infection Control Deficiencies

Corrected: Jul 7, 2025

D — Isolated - Minimal harm Jun 23, 2025 Tag: 0883

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Category: Infection Control Deficiencies

Corrected: Jul 7, 2025

D — Isolated - Minimal harm Jun 23, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Jul 7, 2025

F — Widespread - Minimal harm Jun 23, 2025 Tag: 0851

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Category: Administration Deficiencies

Corrected: Jul 7, 2025

F — Widespread - Minimal harm Jun 23, 2025 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Jul 7, 2025

D — Isolated - Minimal harm Jun 23, 2025 Tag: 0810

Provide special eating equipment and utensils for residents who need them and appropriate assistance.

Category: Nutrition and Dietary Deficiencies

Corrected: Jul 7, 2025

D — Isolated - Minimal harm Jun 23, 2025 Tag: 0805

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Category: Nutrition and Dietary Deficiencies

Corrected: Jul 7, 2025

D — Isolated - Minimal harm Jun 23, 2025 Tag: 0757

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Category: Pharmacy Service Deficiencies

Corrected: Jul 7, 2025

D — Isolated - Minimal harm Jun 23, 2025 Tag: 0756

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Category: Pharmacy Service Deficiencies

Corrected: Jul 7, 2025

D — Isolated - Minimal harm Jun 23, 2025 Tag: 0740

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

Category: Quality of Life and Care Deficiencies

Corrected: Jul 7, 2025

D — Isolated - Minimal harm Jun 23, 2025 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Jul 7, 2025

D — Isolated - Minimal harm Jun 23, 2025 Tag: 0605

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jul 7, 2025

D — Isolated - Minimal harm Jun 23, 2025 Tag: 0550

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Category: Resident Rights Deficiencies

Corrected: Jul 7, 2025

F — Widespread - Minimal harm Apr 14, 2025 Tag: 0725

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Category: Nursing and Physician Services Deficiencies

Corrected: May 12, 2025

D — Isolated - Minimal harm Apr 14, 2025 Tag: 0712

Ensure that the resident and his/her doctor meet face-to-face at all required visits.

Category: Nursing and Physician Services Deficiencies

Corrected: May 12, 2025

G — Isolated - Actual harm Apr 14, 2025 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: May 12, 2025

J — Isolated - Jeopardy Apr 14, 2025 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: May 12, 2025

D — Isolated - Minimal harm Apr 14, 2025 Tag: 0609

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: May 12, 2025

D — Isolated - Minimal harm Apr 14, 2025 Tag: 0607

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: May 12, 2025

E — Pattern - Minimal harm Dec 3, 2024 Tag: 0807

Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.

Category: Nutrition and Dietary Deficiencies

Corrected: Jan 2, 2025

D — Isolated - Minimal harm Dec 3, 2024 Tag: 0758

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.

Category: Pharmacy Service Deficiencies

Corrected: Jan 2, 2025

F — Widespread - Minimal harm Dec 3, 2024 Tag: 0725

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Category: Nursing and Physician Services Deficiencies

Corrected: Jan 2, 2025

G — Isolated - Actual harm Dec 3, 2024 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Jan 2, 2025

D — Isolated - Minimal harm Dec 3, 2024 Tag: 0610

Respond appropriately to all alleged violations.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jan 2, 2025

D — Isolated - Minimal harm Nov 18, 2024 Tag: 0755

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Category: Pharmacy Service Deficiencies

Corrected: Dec 13, 2024

F — Widespread - Minimal harm Mar 27, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Apr 16, 2024

J — Isolated - Jeopardy Mar 27, 2024 Tag: 0849

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.

Category: Administration Deficiencies

Corrected: Mar 28, 2024

D — Isolated - Minimal harm Mar 27, 2024 Tag: 0758

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.

Category: Pharmacy Service Deficiencies

Corrected: Apr 16, 2024

D — Isolated - Minimal harm Mar 27, 2024 Tag: 0725

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Category: Nursing and Physician Services Deficiencies

Corrected: Apr 16, 2024

D — Isolated - Minimal harm Mar 27, 2024 Tag: 0700

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.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 16, 2024

D — Isolated - Minimal harm Mar 27, 2024 Tag: 0690

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 16, 2024

J — Isolated - Jeopardy Mar 27, 2024 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 28, 2024

G — Isolated - Actual harm Mar 27, 2024 Tag: 0686

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 16, 2024

D — Isolated - Minimal harm Mar 27, 2024 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Apr 16, 2024

E — Pattern - Minimal harm Mar 27, 2024 Tag: 0623

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Category: Resident Rights Deficiencies

Corrected: Apr 26, 2024

D — Isolated - Minimal harm Mar 27, 2024 Tag: 0609

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Apr 16, 2024

J — Isolated - Jeopardy Mar 27, 2024 Tag: 0580

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Category: Resident Rights Deficiencies

Corrected: Mar 28, 2024

C — Widespread - No harm Mar 27, 2024 Tag: 0575

Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.

Category: Resident Rights Deficiencies

Corrected: Apr 16, 2024

E — Pattern - Minimal harm Dec 8, 2023 Tag: 0657

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Dec 28, 2023

D — Isolated - Minimal harm Dec 8, 2023 Tag: 0610

Respond appropriately to all alleged violations.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Dec 28, 2023

D — Isolated - Minimal harm Oct 27, 2023 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Nov 14, 2023

D — Isolated - Minimal harm Oct 27, 2023 Tag: 0695

Provide safe and appropriate respiratory care for a resident when needed.

Category: Quality of Life and Care Deficiencies

Corrected: Nov 14, 2023

D — Isolated - Minimal harm Oct 27, 2023 Tag: 0554

Allow residents to self-administer drugs if determined clinically appropriate.

Category: Resident Rights Deficiencies

Corrected: Nov 14, 2023

E — Pattern - Minimal harm Dec 5, 2022 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Dec 28, 2022

D — Isolated - Minimal harm Dec 5, 2022 Tag: 0757

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Category: Pharmacy Service Deficiencies

Corrected: Dec 28, 2022

D — Isolated - Minimal harm Dec 5, 2022 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Dec 28, 2022

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 9.8% Yes
Percentage of long-stay residents who lose too much weight Long Stay 4.0% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 2.9% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 1.7% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 7.2% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 4.4% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 67.6% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 49.4% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.9% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 14.0% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 15.4% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 82.0% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 50.0% No
Percentage of long-stay residents with pressure ulcers Long Stay 4.4% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 30.0% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 17.3% Yes

Penalty History 2 penalties totaling $114K

Date Type Amount
Jun 23, 2025 Payment Denial -
Dec 3, 2024 Fine $51K
Mar 27, 2024 Fine $63K

Frequently Asked Questions

What is the overall CMS rating for ALDEN ESTATES OF COUNTRYSIDE, INC?
ALDEN ESTATES OF COUNTRYSIDE, INC has an overall CMS rating of 1 out of 5 stars. This rating combines health inspection results (1★), staffing levels (2★), and quality measures (4★).
What are the staffing levels at ALDEN ESTATES OF COUNTRYSIDE, INC?
ALDEN ESTATES OF COUNTRYSIDE, INC reports 3.57 total nursing hours per resident day (national average: 3.89). RN hours are 0.87 per resident day (national average: 0.68).
How many beds does ALDEN ESTATES OF COUNTRYSIDE, INC have?
ALDEN ESTATES OF COUNTRYSIDE, INC has 120 certified beds with approximately 105 residents. The facility is located at 1130 COLLINS ROAD, JEFFERSON, WI 53549.
Does ALDEN ESTATES OF COUNTRYSIDE, INC have any deficiencies on record?
Yes, ALDEN ESTATES OF COUNTRYSIDE, INC has 50 deficiencies on record from recent inspections. Of these, 9 are classified as causing actual harm or jeopardy.
Has ALDEN ESTATES OF COUNTRYSIDE, INC received any fines or penalties?
Yes, ALDEN ESTATES OF COUNTRYSIDE, INC has received 2 penalties totaling $114K.
Who owns ALDEN ESTATES OF COUNTRYSIDE, INC?
ALDEN ESTATES OF COUNTRYSIDE, INC is classified as "For profit - Corporation" ownership. The facility type is "Medicare and Medicaid".
When was ALDEN ESTATES OF COUNTRYSIDE, INC last inspected?
The most recent health inspection for ALDEN ESTATES OF COUNTRYSIDE, INC was on Jun 23, 2025. The facility received a health inspection rating of 1 out of 5 stars.
What quality measures are tracked for ALDEN ESTATES OF COUNTRYSIDE, INC?
ALDEN ESTATES OF COUNTRYSIDE, INC is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial