East Troy Manor has a 1-star overall rating, with a 1-star health inspection rating and a recent federal penalty plus $21,902 in fines over the last 24 months. Staffing is 3 stars, and reported nurse staffing is 4.08 hours per resident day, just below the federal benchmark of 4.1.
Last inspection: January 8, 2026Penalties, last 24 months: $21,902recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.0832.
Staffing detail
Registered nurses
0.81
Licensed practical nurses
0.75
Nurse aides
2.53
Weekend nursing
3.29
Hours per resident per day.
Total staff turnover: 70%
Registered nurse turnover: 20%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Last yrNowTrend
Long-stay residents on antipsychotic medication
14.3%0%Improving
Residents with a fall causing major injury
5.6%3%Improving
Residents with pressure ulcers (bedsores)
4.2%4.2%No change
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
0%4%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
12.5%15%Worsening
Residents whose ability to walk got worse
—11.9%—
Long-stay residents on antianxiety or sleep medication
14.3%20%Worsening
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
3.1%0%Improving
Residents with new or worsening incontinence
7.8%20.4%Worsening
Residents with depressive symptoms
2.9%3.3%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—97.3%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—92.7%—
Short-stay residents given the pneumonia vaccine
95.1%98.5%Improving
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited July 2025 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited August 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: J
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited July 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
The home failed to provide effective staff training and communication for direct care workers. Cited July 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 941 — 42 CFR §483.95 — S/S: F
The home failed to ensure staff were educated about residents’ rights and the facility’s responsibilities for proper care. Cited July 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 942 — 42 CFR §483.95 — S/S: F
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 10 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
PENALTY
A federal fine of $21,902 was recorded.
INSPECTION
Health inspection found 9 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 4 fines · $51,418 in total fines.
Federal fine
Aug 15, 2024
$21,902
Federal fine
Nov 20, 2023
$2,117
Federal fine
Oct 30, 2023
$4,194
Federal fine
Jul 12, 2023
$23,205
Operator & ownership
Ownership
Non profit - Corporation
Chain
Part of WISCONSIN ILLINOIS SENIOR HOUSING, INC. · 7 homes · 1.9 stars avg
Occupancy
41 residents on an average day (82% of 50 beds)
Resident voice
Resident council
Medicare history
Certified for 31 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.