INGLESIDE MANOR (MOUNT HOREB, WI) has a 1-star overall rating, with 1-star health inspection results and special focus facility/candidate status. Staffing is 3 stars with reported nurse staffing above the federal benchmark (4.45 vs 4.1 hours/resident/day), and the facility had $36,946 in fines over the last 24 months.
Last inspection: October 13, 2025Penalties, last 24 months: $36,946special focus facility
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.4519.
Staffing detail
Registered nurses
1.13
Licensed practical nurses
0.64
Nurse aides
2.67
Weekend nursing
3.87
Hours per resident per day.
Total staff turnover: 76%
Registered nurse turnover: 65%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
15.5%Improving
Residents with a fall causing major injury
2.4%Steady
Residents with pressure ulcers (bedsores)
8.5%Worsening
Residents with a urinary tract infection
2.5%Improving
Residents who lost too much weight
1.5%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
10.7%Improving
Residents whose ability to walk got worse
22.9%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
9%Worsening
Short-stay residents newly given an antipsychotic
0%Steady
Residents with a long-term catheter
6.1%Improving
Residents with new or worsening incontinence
25%Worsening
Residents with depressive symptoms
1.5%Steady
Long-stay residents given the seasonal flu vaccine
87.8%Steady
Long-stay residents given the pneumonia vaccine
93.3%Worsening
Short-stay residents given the seasonal flu vaccine
84.4%Steady
Short-stay residents given the pneumonia vaccine
89%Worsening
What the inspectors found
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited October 2025 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: J
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.
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F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The home failed to provide enough food and fluids to keep residents healthy. Cited July 2025 — isolated incident, immediate jeopardy to residents.
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F-Tag 692 — 42 CFR §483.25(g) — S/S: J
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited September 2025 — isolated incident, actual harm.
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F-Tag 684 — 42 CFR §483.25 — S/S: G
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 October 2025 — widespread issue, potential for harm.
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F-Tag 880 — 42 CFR §483.80(a) — S/S: F
Recent history
STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
PENALTY
A federal payment denial was recorded.
INSPECTION
Health inspection found 15 health deficiencies.
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INSPECTION
Health inspection found 8 health deficiencies.
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INSPECTION
Health inspection found 11 health deficiencies.
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PENALTY
A federal fine of $36,946 was recorded.
Penalties & enforcement
On record with Medicare: 2 fines · $50,343 in total fines · 1 payment denial.
Medicare/Medicaid payment denial
Oct 13, 2025
35 days
Federal fine
Jul 11, 2024
$36,946
Federal fine
Nov 1, 2023
$13,397
Operator & ownership
Ownership
Non profit - Corporation
Chain
Part of WISCONSIN ILLINOIS SENIOR HOUSING, INC. · 7 homes · 1.9 stars avg
Occupancy
40.5 residents on an average day (51% of 80 beds)
Resident voice
Resident council
Medicare history
Certified for 43 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.