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 July 1, 2026
2 of 5 overall
Four Winds Manor in Verona, WI has a 2 out of 5 overall rating, with a 2 out of 5 health inspection rating and 3 out of 5 quality rating, while staffing is stronger at 4 out of 5 and reported nurse staffing (4.84 hours per resident per day) is above the federal benchmark of 4.1. No fines were reported in the last 24 months, but recent inspection citations included treatment and care according to orders, accident hazards/supervision, and food temperature/palatability.
Facility ratings
Health inspections
Staffing
4.8398 hrs/resident/day
Quality measures
Last inspection: December 11, 2025Penalties, 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 nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited August 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
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.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
Recent history
- 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
Penalties & enforcement
On record with Medicare: 1 payment denial.
- 11 days
Medicare/Medicaid payment denial
Aug 22, 2023
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.