Jefferson County, Wisconsin · Nursing home
Alden Estates of Countryside, Inc
1 of 5 overall from CMS
1130 Collins Road, Jefferson, WI 53549
At a glance
- Overall rating 1 of 5 Below the state average of 3.0
- Nurse time per resident, per day 3.64 hours Below the state average of 4.21
- Nursing staff who left in a year 42.2% Below the state average of 46.9%
- Health citations, last 3 inspection cycles 57 10 at the harm level or above
- Fines in 3 years $397,046 5 fines
- Certified beds in use 93.9% of 120 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Alden Estates of Countryside, Inc is a 120-bed nursing home in Jefferson, Wisconsin (Jefferson County). CMS rates it 1 of 5 stars overall as of Sep 2026. It reports 3.64 nurse staffing hours per resident per day, below the Wisconsin average of 4.21. CMS lists 5 fines totaling $397,046 in the past three years.
- Certified beds
- 120
- Residents per day (average)
- 112.7
- Certified since
- 1978 (48 yrs)
For profit - Corporation Participates in Medicare and MedicaidPart of The Alden Network (27 homes)
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask Alden Estates of Countryside, Inc
Chosen from this home's public data.
- CMS lists 5 fines totaling $397,046 in the past three years. What changed after the most recent one?Penalties in CMS data
- CMS counts 19 health deficiencies in the latest inspection cycle (the standard inspection on Jun 23, 2025 plus complaint and infection-control inspections); the Wisconsin average is 9.5. Which have been corrected?Inspection results in CMS data
- Reported nurse staffing is 3.02 hours per resident on weekends against 3.64 overall. Who covers Saturdays and Sundays?Weekend staffing in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 1 of 5 Wisconsin average 3.0
- Health inspections 1 of 5 Wisconsin average 2.8
- Staffing 2 of 5 Wisconsin average 3.6
- Quality measures 4 of 5 Wisconsin average 3.0
The vertical line marks the Wisconsin average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 3.64 h Wisconsin average 4.21
- Nurse aides 2.17 h Wisconsin average 2.58
- Licensed practical nurses 0.61 h Wisconsin average 0.64
- Registered nurses 0.86 h Wisconsin average 0.99
- All staff, weekends 3.02 h Wisconsin average 3.77
How much nurse staffing is enough? All bars share one scale, 0 to 10 hours. The vertical line marks the Wisconsin average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover42.2%
- Wisconsin average46.9%
- Registered nurse turnover65.2%
- Wisconsin average39.7%
- Administrators who left3
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the Wisconsin and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | Wisconsin | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 10.5% | 16.1% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 4.5% | 5.1% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.7% | 2.1% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 1.9% | 2.7% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 8.9% | 5.7% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.0% | 0.1% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 3.6% | 3.3% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 79.7% | 95.7% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 15.5% | 18.4% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 15.3% | 16.9% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 82.0% | 95.0% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 4.6% | 5.0% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 29.6% | 24.6% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 13.7% | 15.8% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | 1.96 | 1.66 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | 1.84 | 2.29 | 1.78 |
Short-stay residents
| Measure | This home | Wisconsin | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 48.4% | 86.5% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 0.8% | 1.2% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 50.0% | 82.2% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | 19.4% | 23.1% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | 5.9% | 15.5% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 57 health deficiencies in the three most recent inspection cycles. Of these, 5 were at the immediate jeopardy level and 5 involved actual harm; the rest were graded as no actual harm. 23 were cited in connection with a complaint investigation. The most recent citation at the harm level or above was on Nov 25, 2025: Ensure that residents are free from significant medication errors.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Jun 23, 2025 | 19 | 10 |
| Mar 27, 2024 | 25 | 8 |
| Dec 5, 2022 | 13 | 3 |
Wisconsin homes averaged 9.5 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (57)
-
DPotential for more than minimal harm, isolated
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Jun 25, 2026)
-
DPotential for more than minimal harm, isolated
Provide and implement an infection prevention and control program.
Complaint investigation · Infection Control · Deficient, Provider has date of correction (Jun 25, 2026)
-
DPotential for more than minimal harm, isolated
Provide and implement an infection prevention and control program.
Complaint investigation · Infection Control · Deficient, Provider has date of correction (Dec 19, 2025)
-
GActual harm, isolated
Ensure that residents are free from significant medication errors.
Complaint investigation · Pharmacy Service · Deficient, Provider has date of correction (Dec 22, 2025)
-
JImmediate jeopardy, isolated
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Jul 7, 2025)
Show 25 more
-
FPotential for more than minimal harm, widespread
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · Deficient, Provider has plan of correction (Jul 7, 2025)
-
FPotential for more than minimal harm, widespread
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Administration · Deficient, Provider has plan of correction (Jul 7, 2025)
-
DPotential for more than minimal harm, isolated
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights · Deficient, Provider has plan of correction (Jul 7, 2025)
-
DPotential for more than minimal harm, isolated
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has plan of correction (Jul 7, 2025)
-
DPotential for more than minimal harm, isolated
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has plan of correction (Jul 7, 2025)
-
DPotential for more than minimal harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · Deficient, Provider has plan of correction (Jul 7, 2025)
-
DPotential for more than minimal harm, isolated
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Quality of Life and Care · Deficient, Provider has plan of correction (Jul 7, 2025)
-
DPotential for more than minimal harm, isolated
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service · Deficient, Provider has plan of correction (Jul 7, 2025)
-
DPotential for more than minimal harm, isolated
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service · Deficient, Provider has plan of correction (Jul 7, 2025)
-
DPotential for more than minimal harm, isolated
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Nutrition and Dietary · Deficient, Provider has plan of correction (Jul 7, 2025)
-
DPotential for more than minimal harm, isolated
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Nutrition and Dietary · Deficient, Provider has plan of correction (Jul 7, 2025)
-
DPotential for more than minimal harm, isolated
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has plan of correction (Jul 7, 2025)
-
DPotential for more than minimal harm, isolated
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control · Deficient, Provider has plan of correction (Jul 7, 2025)
-
DPotential for more than minimal harm, isolated
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.
Infection Control · Deficient, Provider has plan of correction (Jul 7, 2025)
-
JImmediate jeopardy, isolated
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (May 12, 2025)
-
GActual harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (May 12, 2025)
-
FPotential for more than minimal harm, widespread
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Complaint investigation · Nursing and Physician Services · Deficient, Provider has date of correction (May 12, 2025)
-
DPotential for more than minimal harm, isolated
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (May 12, 2025)
-
DPotential for more than minimal harm, isolated
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (May 12, 2025)
-
DPotential for more than minimal harm, isolated
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Complaint investigation · Nursing and Physician Services · Deficient, Provider has date of correction (May 12, 2025)
-
GActual harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Jan 2, 2025)
-
FPotential for more than minimal harm, widespread
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Complaint investigation · Nursing and Physician Services · Deficient, Provider has date of correction (Jan 2, 2025)
-
EPotential for more than minimal harm, pattern
Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
Complaint investigation · Nutrition and Dietary · Deficient, Provider has date of correction (Jan 2, 2025)
-
DPotential for more than minimal harm, isolated
Respond appropriately to all alleged violations.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Jan 2, 2025)
-
DPotential for more than minimal harm, isolated
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.
Complaint investigation · Pharmacy Service · Deficient, Provider has date of correction (Jan 2, 2025)
Showing the 30 most recent of 57.
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
| Date | Type | Amount |
|---|---|---|
| Nov 25, 2025 | Fine | $59,670 |
| Jun 23, 2025 | Fine | $197,769 |
| Jun 23, 2025 | Payment Denial | 10 days |
| Apr 14, 2025 | Fine | $42,532 |
| Dec 3, 2024 | Fine | $33,830 |
| Mar 27, 2024 | Fine | $63,245 |
Wisconsin homes averaged 0.9 fines and $48,150 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within Wisconsin
- Size37 of 323 by certified beds
- Wisconsin average residents per day54.7
- ChainThe Alden Network
- Chain average overall rating2.8 of 5
- Resident or family councilResident
- Homes in Jefferson County3
Common questions
What is the CMS star rating for Alden Estates of Countryside, Inc?
Alden Estates of Countryside, Inc has an overall rating of 1 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 1, staffing is 2 and quality measures is 4.
How many beds does Alden Estates of Countryside, Inc have?
Alden Estates of Countryside, Inc has 120 certified beds. It averages 112.7 residents per day, about 93.9% of its certified beds.
How much nursing care do residents get at Alden Estates of Countryside, Inc?
The home reports 3.64 hours of nurse staffing per resident per day, including 0.86 hours from registered nurses. The Wisconsin average is 4.21 hours and 0.99 hours from registered nurses.
Has Alden Estates of Countryside, Inc been fined?
Yes. CMS lists 5 fines totaling $397,046 in the past three years. It also lists 1 payment denial.
Does Alden Estates of Countryside, Inc accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 1 of 5 Rock River Nursing & Rehab 87beds 31.0%in use 4.36nurse hours a day
- 4 of 5 Lake Mills Health Services 50beds 56.6%in use 3.54nurse hours a day
- 1 of 5 Watertown Health Care Center 112beds 66.1%in use 3.02nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Jefferson County
Who to call in Wisconsin
These offices serve residents of every nursing home in Wisconsin.
- Long-term care ombudsman Wisconsin Long Term Care Ombudsman Program 1-800-815-0015 (Email: BOALTC@wisconsin.gov.) An advocate for residents and their families.
- File a complaint about a nursing home Division of Quality Assurance (DQA) complaint line 800-642-6552 (Toll-free. DQA also takes complaints through an online Complaint Intake Survey (form F-00607) and its nursing home regional offices.) The state agency that inspects nursing homes.
Wisconsin staffing, bed-hold and Medicaid rules · Residents' rights in every state
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 525271. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.