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
2 of 5 overall
Four Winds Manor in Verona, WI has an overall rating of 2 out of 5 stars, with a 2-star health inspection rating, 4-star staffing, and 3-star quality measures. It reports 4.68 nurse staffing hours per resident per day versus the 4.1 federal benchmark, with $0 in fines in the last 24 months, but recent inspection citations included treatment and care, accident hazards/supervision, and food temperature/appeal.
Facility ratings
Health inspections
Staffing
4.6774 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 4.6774.
Staffing detail
- Registered nurses
- 1.14
- Licensed practical nurses
- 0.63
- Nurse aides
- 2.91
- Weekend nursing
- 4.16
Hours per resident per day.
Total staff turnover: 100%
Registered nurse turnover: 100%
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
—10.8%—
Residents with a fall causing major injury
3.6%0%Improving
Residents with pressure ulcers (bedsores)
3.6%2.6%Improving
Residents with a urinary tract infection
3.7%0%Improving
Residents who lost too much weight
4.5%0%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
—19%—
Long-stay residents on antianxiety or sleep medication
8.7%9.1%No change
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
10.8%17.2%Worsening
Residents with new or worsening incontinence
19.4%13.6%Improving
Residents with depressive symptoms
4.2%0%Improving
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%100%No change
Short-stay residents given the seasonal flu vaccine
—87.5%—
Short-stay residents given the pneumonia vaccine
91.5%88.9%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
- 35.9 residents on an average day (82% of 44 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 25 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.