East Troy Manor

CCN 525561 · WISCONSIN ILLINOIS SENIOR HOUSING INC · Non profit - Corporation · WISCONSIN ILLINOIS SENIOR HOUSING, INC. chain · 50 certified beds · Walworth · WI


East Troy Manor is a 50-bed nursing home in EAST TROY, Wisconsin. CMS has certified it for Medicare and Medicaid since 1995-04-01. It averages 41.9 residents a day.

What harm was found in the violations cited at East Troy Manor?

CMS lists 29 health-inspection deficiencies for East Troy Manor since 2023-07-12, 22 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is J; the most recent health inspection was 2025-07-24.

Survey dateTagDeficiencySeverity
2025-07-24F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J
2025-07-24F0941, F0942, F0943, F0944, F0945, F0946, F0947, F0949Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. / Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. / Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. / Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. / Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. / Provide training in compliance and ethics. / Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. / Provide behavior health training consistent with the requirements and as determined by a facility assessment.F
2025-07-24F0732Post nurse staffing information every day.C
2025-04-01F0867, F0947Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. / Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.E
2025-04-01F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2024-08-15F0684, F0689Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J
2024-08-15F0880Provide and implement an infection prevention and control program.F
2024-08-15F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.E
2024-08-15F0609, F0610, F0625, F0656, F0761Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. / Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure 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.D
2023-07-12F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.G
2023-07-12F0880Provide and implement an infection prevention and control program.F
2023-07-12F0689, F0690, F0700, F0758, F0759Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / 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. / 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. / Ensure medication error rates are not 5 percent or greater.D

Why was East Troy Manor fined 4 times?

DateTypeAmount
2025-07-24Fine$101,220
2024-08-15Fine$21,902
2023-11-20Fine$2,117
2023-10-30Fine$4,194

How is East Troy Manor staffed relative to the WI average?

MeasureThis facilityWI average
Total nurse staffing hours per resident per day3.760414.21234
Total nursing staff turnover (%)68.546.9
Average number of residents per day41.954.8

Who owns East Troy Manor, and what chain is it in?

East Troy Manor is registered with CMS as Non profit - Corporation, operates under the legal business name WISCONSIN ILLINOIS SENIOR HOUSING INC and belongs to the WISCONSIN ILLINOIS SENIOR HOUSING, INC. chain.

RoleOwnerAssociation date
CORPORATE DIRECTORDUPONT, LORI, GEHLER, MIRIAM, GERLACH, KERI, KERWIN, ANDREW, KUMAR, RAJEEV SHIVA, LACKE (CARRIG), KAREN, LYNN, NICHOLASsince 01/01/2016
OPERATIONAL/MANAGERIAL CONTROLCARRIAGE HEALTHCARE COMPANIES INC, HBT IT LLC, JT AND ASSOCIATES LLC, PARTNERS IN WEALTH MANAGEMENT, INC, PINION, LLC, REHAB SOLUTIONS GROUP, LLC, LEADLEY, CHRISTIE, SHERMAN, STEPHANIE, SIDHU, SARFRAZ, SIEBEL, ROBERTsince 01/01/1995
ADP OF THE SNFCARRIAGE HEALTHCARE COMPANIES INC, HBT IT LLC, JT AND ASSOCIATES LLC, PARTNERS IN WEALTH MANAGEMENT, INC, PINION, LLC, REHAB SOLUTIONS GROUP, LLC, LEADLEY, CHRISTIE, SHERMAN, STEPHANIE, SIDHU, SARFRAZ, SIEBEL, ROBERTsince 02/05/2026

Were you or a family member harmed at East Troy Manor?