Velarion Records

Skilled nursing facility · CMS certification number 525447

HILLSIDE MANOR

BEAVER DAM, Wisconsin · Medicare and Medicaid

Certified beds, as filed in Care Compare: 115

Download this facility’s record (CSV)

A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.

In Care Compare’s provider information: Penalties: 3 · Fines: 2 · Fines, total amount: $193,352.00 · Payment denials: 1. The most recent penalty on file: March 12, 2026, Fine, $45,220. Every penalty on file ↓

For this facility: the citable document with full history — $295 · an email when this record changes — $99/month

Finances, as filed

No Medicare cost report on file for this facility.

Nurse staffing

Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.

The staffing record →

Ownership, as filed with CMS

Care Compare

As filed in the CMS file dated September 1, 2026 (Care Compare ownership).

Owner or managerRoleTypeOwnership percentageAssociation
MCHS HOSPITALS INC5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%since 05/01/2019
MARSHFIELD CLINIC HEALTH SYSTEM INC5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganizationNO PERCENTAGE PROVIDEDsince 05/01/2019
SANFORD5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganizationNO PERCENTAGE PROVIDEDsince 01/01/2025
BUSWELL CLEARY, LINDSEYADP OF THE SNFIndividualNOT APPLICABLEsince 12/02/2023
KLEBE, SAMANTHAADP OF THE SNFIndividualNOT APPLICABLEsince 01/01/2025
MARSHFIELD CLINIC HEALTH SYSTEM INCADP OF THE SNFOrganizationNOT APPLICABLEsince 05/01/2019
MCHS HOSPITALS INCADP OF THE SNFOrganizationNOT APPLICABLEsince 05/01/2019
MCKUEN, LAURIEADP OF THE SNFIndividualNOT APPLICABLEsince 08/23/2024
POPPEN, JEFFREYADP OF THE SNFIndividualNOT APPLICABLEsince 06/12/2025
SANFORDADP OF THE SNFOrganizationNOT APPLICABLEsince 01/01/2025
BALTUS, JOHNCORPORATE DIRECTORIndividualNOT APPLICABLEsince 02/04/2016
FERNANDEZ, EDWARDCORPORATE DIRECTORIndividualNOT APPLICABLEsince 09/08/2023
HOERNEMAN, BRIANCORPORATE DIRECTORIndividualNOT APPLICABLEsince 09/01/2023
KLEBE, SAMANTHACORPORATE DIRECTORIndividualNOT APPLICABLEsince 09/08/2023
MATHISON, DOUGLASCORPORATE DIRECTORIndividualNOT APPLICABLEsince 12/15/2020
NEWCOMB, EVERETTCORPORATE DIRECTORIndividualNOT APPLICABLEsince 09/13/2024
PROCCI, LINDACORPORATE DIRECTORIndividualNOT APPLICABLEsince 01/14/2025
SMITH, DENNISCORPORATE DIRECTORIndividualNOT APPLICABLEsince 01/14/2025
BALTUS, JOHNCORPORATE OFFICERIndividualNOT APPLICABLEsince 09/08/2023
FERNANDEZ, EDWARDCORPORATE OFFICERIndividualNOT APPLICABLEsince 01/01/2025
HOERNEMAN, BRIANCORPORATE OFFICERIndividualNOT APPLICABLEsince 04/04/2023
KLEBE, SAMANTHACORPORATE OFFICERIndividualNOT APPLICABLEsince 01/01/2025
POPPEN, JEFFREYCORPORATE OFFICERIndividualNOT APPLICABLEsince 06/12/2025
BUSWELL CLEARY, LINDSEYOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 12/02/2023
MCHS HOSPITALS INCOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 05/01/2019
MCKUEN, LAURIEOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 08/23/2024
MORRISON, TONYOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 01/01/2025
MUNSON, JOLYNOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 01/01/2025
OLSON, NICHOLASOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 01/01/2025
POPPEN, JEFFREYOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 06/12/2025
VENTLING-HERRMANN, MARNIETRUSTEE OF THE SNFIndividualNOT APPLICABLEsince 01/01/2025

Medicare enrollment

As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of BEAVER DAM COMMUNITY HOSPITALS INC. (enrollment ID O20120210000534).

CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; where the private equity, real estate investment trust or holding company field below has not been filed under the current cycle, it reads “Paused by CMS”.

OwnerIndividual or organizationRoleOwnership percentageAssociation dateDescribed in the filing as
MCHS HOSPITALS INCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST1005/1/2019
Private equity company: No
Real estate investment trust: No
Holding company: No
MARSHFIELD CLINIC HEALTH SYSTEM INCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST1005/1/2019
Private equity company: No
Real estate investment trust: No
Holding company: No
SANFORDOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST1001/1/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
JEFFREY DOUGLAS POPPENIndividualADP OF THE SNFNot stated in the filing6/12/2025
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
LAURIE A MCKUENIndividualADP OF THE SNFNot stated in the filing8/23/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
LINDSEY A BUSWELL CLEARYIndividualADP OF THE SNFNot stated in the filing12/2/2023
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
MARSHFIELD CLINIC HEALTH SYSTEM INCOrganizationADP OF THE SNFNot stated in the filing5/1/2019
Private equity company: No
Real estate investment trust: No
Holding company: No
MCHS HOSPITALS INCOrganizationADP OF THE SNFNot stated in the filing5/1/2019
Private equity company: No
Real estate investment trust: No
Holding company: No
SAMANTHA L KLEBEIndividualADP OF THE SNFNot stated in the filing1/1/2025
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
SANFORDOrganizationADP OF THE SNFNot stated in the filing1/1/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
BRIAN D HOERNEMANIndividualCORPORATE DIRECTOR09/1/2023
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
DENNIS H SMITHIndividualCORPORATE DIRECTOR01/14/2025
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
EDWARD G FERNANDEZIndividualCORPORATE DIRECTOR09/8/2023
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
EVERETT W NEWCOMBIndividualCORPORATE DIRECTOR09/13/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
JOHN F BALTUSIndividualCORPORATE DIRECTOR02/4/2016
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
LINDA LAVERNE PROCCIIndividualCORPORATE DIRECTORNot stated in the filing1/14/2025
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
SAMANTHA L KLEBEIndividualCORPORATE DIRECTOR09/8/2023
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
BRIAN D HOERNEMANIndividualCORPORATE OFFICER04/4/2023
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
EDWARD G FERNANDEZIndividualCORPORATE OFFICER01/1/2025
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
JEFFREY DOUGLAS POPPENIndividualCORPORATE OFFICER06/12/2025
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
JOHN F BALTUSIndividualCORPORATE OFFICER09/8/2023
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
SAMANTHA L KLEBEIndividualCORPORATE OFFICER01/1/2025
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
DOUGLAS MATHISONIndividualDIRECTORNot stated in the filing12/15/2020
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
JEFFREY DOUGLAS POPPENIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing6/12/2025
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
JOLYN JOY MUNSONIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing1/1/2025
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
LAURIE A MCKUENIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing8/23/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
LINDSEY A BUSWELL CLEARYIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing12/2/2023
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
MCHS HOSPITALS INCOrganizationOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing5/1/2019
Private equity company: No
Real estate investment trust: No
Holding company: No
NICHOLAS WAYNE OLSONIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing1/1/2025
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
TONY LEE MORRISONIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing1/1/2025
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
MARNIE LYNN VENTLING-HERRMANNIndividualTRUSTEE OF THE SNFNot stated in the filing1/1/2025
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
No owner named in the filingIndividualTRUSTEE OF THE SNFNot stated in the filing1/1/2025
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
No owner named in the filingIndividualTRUSTEE OF THE SNFNot stated in the filing1/1/2025
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
No owner named in the filingIndividualTRUSTEE OF THE SNFNot stated in the filing1/1/2025
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
No owner named in the filingIndividualTRUSTEE OF THE SNFNot stated in the filing1/1/2025
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS

Changes in ownership

Recent changes on this record

Inspections

Inspection cycleHealth inspectionFire safety inspectionHealth deficienciesFire safety deficiencies
1March 12, 2026March 12, 202690
2November 14, 2024November 14, 2024174
3September 7, 2023September 7, 202334

From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.

Deficiencies cited

29 deficiencies on file, newest inspection first
Inspection dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
March 12, 2026HealthF 0580Resident Rights DeficienciesImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DNoDeficient, Provider has date of correctionApril 4, 2026
March 12, 2026HealthF 0677Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.DNoDeficient, Provider has date of correctionApril 4, 2026
March 12, 2026HealthF 0686Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.GNoDeficient, Provider has date of correctionApril 4, 2026
March 12, 2026HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DNoDeficient, Provider has date of correctionApril 4, 2026
March 12, 2026HealthF 0694Quality of Life and Care DeficienciesProvide for the safe, appropriate administration of IV fluids for a resident when needed.DNoDeficient, Provider has date of correctionApril 4, 2026
March 12, 2026HealthF 0759Pharmacy Service DeficienciesEnsure medication error rates are not 5 percent or greater.ENoDeficient, Provider has date of correctionApril 4, 2026
March 12, 2026HealthF 0804Nutrition and Dietary DeficienciesEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.DNoDeficient, Provider has date of correctionApril 4, 2026
March 12, 2026HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FNoDeficient, Provider has date of correctionApril 4, 2026
March 12, 2026HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DNoDeficient, Provider has date of correctionApril 4, 2026
July 21, 2025HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.JYesDeficient, Provider has date of correctionJuly 22, 2025
July 21, 2025HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DYesDeficient, Provider has date of correctionJuly 22, 2025
July 21, 2025HealthF 0712Nursing and Physician Services DeficienciesEnsure that the resident and his/her doctor meet face-to-face at all required visits.DYesDeficient, Provider has date of correctionJuly 24, 2025
June 24, 2025HealthF 0585Resident Rights DeficienciesHonor 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.DYesDeficient, Provider has date of correctionJuly 24, 2025
June 24, 2025HealthF 0610Freedom from Abuse, Neglect, and Exploitation DeficienciesRespond appropriately to all alleged violations.DYesDeficient, Provider has date of correctionJuly 24, 2025
November 14, 2024HealthF 0557Resident Rights DeficienciesHonor the resident's right to be treated with respect and dignity and to retain and use personal possessions.DNoDeficient, Provider has date of correctionDecember 31, 2024
November 14, 2024HealthF 0580Resident Rights DeficienciesImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DYesDeficient, Provider has date of correctionDecember 31, 2024
November 14, 2024HealthF 0656Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DNoDeficient, Provider has date of correctionDecember 31, 2024
November 14, 2024HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GYesDeficient, Provider has date of correctionDecember 31, 2024
November 14, 2024HealthF 0756Pharmacy Service DeficienciesEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DNoDeficient, Provider has date of correctionDecember 31, 2024
November 14, 2024HealthF 0758Pharmacy Service DeficienciesImplement 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.DNoDeficient, Provider has date of correctionDecember 31, 2024
November 14, 2024HealthF 0759Pharmacy Service DeficienciesEnsure medication error rates are not 5 percent or greater.DNoDeficient, Provider has date of correctionDecember 31, 2024
November 14, 2024HealthF 0761Pharmacy Service DeficienciesEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.DNoDeficient, Provider has date of correctionDecember 31, 2024
November 14, 2024HealthF 0804Nutrition and Dietary DeficienciesEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.FNoDeficient, Provider has date of correctionDecember 31, 2024
November 14, 2024HealthF 0806Nutrition and Dietary DeficienciesEnsure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.DNoDeficient, Provider has date of correctionDecember 31, 2024
November 14, 2024HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FNoDeficient, Provider has date of correctionDecember 31, 2024
November 14, 2024HealthF 0851Administration DeficienciesElectronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.FNoDeficient, Provider has date of correctionDecember 31, 2024
September 7, 2023HealthF 0609Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DNoDeficient, Provider has date of correctionSeptember 19, 2023
September 7, 2023HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.ENoDeficient, Provider has date of correctionSeptember 28, 2023
September 7, 2023HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DNoDeficient, Provider has date of correctionOctober 7, 2023

From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.

Penalties

Penalty dateTypeFine amountPayment denial beganPayment denial, daysFine ID
March 12, 2026Fine$45,220141079
June 24, 2025Fine$148,132138861
November 14, 2024Payment DenialDecember 11, 202420

From the Care Compare penalties file NH_Penalties_Sep2026_2.csv, processed on September 1, 2026.

Care Compare provider information

FieldAs filed
Provider TypeMedicare and Medicaid
Ownership TypeNon profit - Corporation
Legal Business NameBEAVER DAM COMMUNITY HOSPITALS INC.
Date First Approved to Provide Medicare and Medicaid Services1989-11-15
Provider Resides in HospitalY
Continuing Care Retirement CommunityN
UrbanN
County/ParishDodge
Telephone Number9208875901
Chain NameSANFORD HEALTH
Chain ID880
Provider Changed Ownership in Last 12 MonthsN
With a Resident and Family CouncilResident
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds115
Average Number of Residents per Day55.7
Overall Rating2
Health Inspection Rating2
QM Rating3
Long-Stay QM Rating4
Short-Stay QM Rating2
Processing Date2026-09-01

From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.

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On October 1, 2025: JAMIE S DEERING no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. That is one line of the alert.

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The citable document for HILLSIDE MANOR

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