Nursing homes › Wisconsin › East Troy Manor
3271 North St, East Troy, WI 53120 · 2626423995 · 50 certified beds
Per CMS filings, this facility is affiliated with Wisconsin Illinois Senior Housing, Inc., a group operating 7 facilities in 2 states. Group record: average rating 1.9/5, 0 abuse citation icons, 1 facilities on the Special Focus list, $653,885 in federal fines. This facility rates below its group average (1.9/5).
Total nurse staffing: 3.76 (Wisconsin median: 4.06). RN hours: 0.71. Weekend total: 3.08. Nursing staff turnover: 68%.
All-time on record: 29 deficiency citations, including 3 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2025-07-24 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | complaint | corrected 2025-08-18 |
| 2025-07-24 | Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | F | complaint | corrected 2025-08-18 |
| 2025-07-24 | Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. | F | complaint | corrected 2025-08-18 |
| 2025-07-24 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | F | complaint | corrected 2025-08-18 |
| 2025-07-24 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | F | complaint | corrected 2025-08-18 |
| 2025-07-24 | Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. | F | complaint | corrected 2025-08-18 |
| 2025-07-24 | Provide training in compliance and ethics. | F | complaint | corrected 2025-08-18 |
| 2025-07-24 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | F | complaint | corrected 2025-08-18 |
| 2025-07-24 | Provide behavior health training consistent with the requirements and as determined by a facility assessment. | F | complaint | corrected 2025-08-18 |
| 2025-07-24 | Post nurse staffing information every day. | C | complaint | corrected 2025-08-18 |
| 2025-04-01 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | E | complaint | corrected 2025-05-07 |
| 2025-04-01 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | E | complaint | corrected 2025-05-07 |
| 2025-04-01 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | complaint | corrected 2025-05-07 |
| 2024-08-15 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | complaint | corrected 2024-09-13 |
| 2024-08-15 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Health | corrected 2024-09-13 |
| 2024-08-15 | Provide and implement an infection prevention and control program. | F | Health | corrected 2024-09-13 |
| 2024-08-15 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | Health | corrected 2024-09-13 |
| 2024-08-15 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Health | corrected 2024-09-13 |
| 2024-08-15 | Respond appropriately to all alleged violations. | D | Health | corrected 2024-09-13 |
| 2024-08-15 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | D | Health | corrected 2024-09-13 |
| 2024-08-15 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Health | corrected 2024-09-13 |
| 2024-08-15 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | Health | corrected 2024-09-13 |
| 2023-07-12 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Health | corrected 2023-08-09 |
| 2023-07-12 | Provide and implement an infection prevention and control program. | F | Health | corrected 2023-08-09 |
| 2023-07-12 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Health | corrected 2023-08-09 |
| 2023-07-12 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Health | corrected 2023-08-09 |
| 2023-07-12 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | D | Health | corrected 2023-08-09 |
| 2023-07-12 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | Health | corrected 2023-08-09 |
| 2023-07-12 | Ensure medication error rates are not 5 percent or greater. | D | Health | corrected 2023-08-09 |
| Date | Type | Amount |
|---|---|---|
| 2025-07-24 | Fine | $101,220 |
| 2024-08-15 | Fine | $21,902 |
| 2023-11-20 | Fine | $2,117 |
| 2023-10-30 | Fine | $4,194 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| DUPONT, LORI | Corporate Director | Individual | NOT APPLICABLE | since 01/25/2016 |
| GEHLER, MIRIAM | Corporate Director | Individual | NOT APPLICABLE | since 03/14/2011 |
| GERLACH, KERI | Corporate Director | Individual | NOT APPLICABLE | since 01/01/2019 |
| KERWIN, ANDREW | Corporate Director | Individual | NOT APPLICABLE | since 06/26/2009 |
| KUMAR, RAJEEV SHIVA | Corporate Director | Individual | NOT APPLICABLE | since 04/24/2012 |
| LACKE (CARRIG), KAREN | Corporate Director | Individual | NOT APPLICABLE | since 01/01/2016 |
| LYNN, NICHOLAS | Corporate Director | Individual | NOT APPLICABLE | since 03/14/2011 |
| CARRIAGE HEALTHCARE COMPANIES INC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 02/15/2001 |
| HBT IT LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 07/01/2024 |
| JT AND ASSOCIATES LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 01/01/2010 |
| PARTNERS IN WEALTH MANAGEMENT, INC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 01/01/2024 |
| PINION, LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 01/01/1995 |
| REHAB SOLUTIONS GROUP, LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 01/01/2024 |
| LEADLEY, CHRISTIE | Operational/Managerial Control | Individual | NOT APPLICABLE | since 05/02/2023 |
| SHERMAN, STEPHANIE | Operational/Managerial Control | Individual | NOT APPLICABLE | since 08/12/2012 |
| SIDHU, SARFRAZ | Operational/Managerial Control | Individual | NOT APPLICABLE | since 10/10/2022 |
| SIEBEL, ROBERT | Operational/Managerial Control | Individual | NOT APPLICABLE | since 10/01/1999 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 525561. Corrections: data@carerecords.org.