The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited September 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: G
Nursing home report
Four Winds Manor
Verona, WI · Medicare-certified · 44 beds
In good standing
For-profit
Data as of September 1, 2026
3 of 5 overall
Four Winds Manor in Verona, WI has a 3-star overall rating, with 3 stars for health inspections and quality measures and 4 stars for staffing. It reports 4.84 nurse staffing hours per resident per day versus the 4.1 federal benchmark, has had no fines in the last 24 months, and recent citations involved treatment and care, food temperature and palatability, and meal timing/alternatives.
Facility ratings
Health inspections
Staffing
4.8398 hrs/resident/day
Quality measures
Last inspection: July 23, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.8398.
Staffing detail
- Registered nurses
- 1.24
- Licensed practical nurses
- 0.65
- Nurse aides
- 2.95
- Weekend nursing
- 4.26
Hours per resident per day.
Total staff turnover: 70%
Registered nurse turnover: 70%
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).
Long-stay residents on antipsychotic medication
—11.3%—
Residents with a fall causing major injury
0%0%No change
Residents with pressure ulcers (bedsores)
2.8%2.7%No change
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
5%0%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
—23.9%—
Long-stay residents on antianxiety or sleep medication
5%10%Worsening
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
20.1%16.2%Improving
Residents with new or worsening incontinence
25.9%31.6%Worsening
Residents with depressive symptoms
0%0%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—97%—
Long-stay residents given the pneumonia vaccine
100%96.2%Worsening
Short-stay residents given the seasonal flu vaccine
—87.5%—
Short-stay residents given the pneumonia vaccine
95.3%94.2%Worsening
What the inspectors found
The home failed to make food and drinks appealing and served them at a safe, appetizing temperature. Cited August 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 804 — 42 CFR §483.60 — S/S: F
The home failed to make sure residents were served meals and snacks at times that fit their needs, preferences, and requests. Cited August 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 809 — 42 CFR §483.60 — S/S: F
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited August 2024 — widespread issue, potential for harm.
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F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited August 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: E
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 8 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- For profit - Corporation
- Occupancy
- 34.5 residents on an average day (78% of 44 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 26 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.