3271 North St, East Troy, WI 53120 (opens Google Maps) · Walworth County · (262) 642-3995· 50 certified beds · avg 42 residents/day · certified since Apr 1, 1995 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Part of chain: WISCONSIN ILLINOIS SENIOR HOUSING, INC. (7 facilities, chain avg rating 1.7★)
New to these records? How to read an inspection report →
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5 · how star ratings work →
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and quality measures from resident assessments and claims.
▲ Immediate jeopardy, isolated · Jul 24, 2025 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (J): Immediate jeopardy to resident health or safety was cited. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Aug 18, 2025 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, isolated · Aug 15, 2024 · F-0684 · triggered by a complaint
The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.
Severity (J): Immediate jeopardy to resident health or safety was cited. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Sep 13, 2024 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, isolated · Aug 15, 2024 · F-0689
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (J): Immediate jeopardy to resident health or safety was cited. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Sep 13, 2024 (Deficient, Provider has date of correction)
▲ Actual harm, isolated · Jul 12, 2023 · F-0686
The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Why it matters: Bedsores are painful, can become deeply infected, and in serious cases can be life-threatening.
Severity (G): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Aug 9, 2023 (Deficient, Provider has date of correction)
Showing the latest 3 of 29 inspection findings. Open the full record below to read every finding.
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint F-0689
The facility did not develop or maintain an effective training program for its direct care staff, including training on how to communicate effectively with residents. · from a complaint F-0941
The facility did not educate its staff on residents' rights and the facility's responsibilities toward residents. Staff can only respect rights they've been taught about. · from a complaint F-0942
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Jul 24, 2025 | ▲ J · Immediate jeopardy, isolated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689 |
| Jul 24, 2025 | F · Potential for more than minimal harm, widespread | The facility did not develop or maintain an effective training program for its direct care staff, including training on how to communicate effectively with residents. · from a complaint · F-0941 |
| Jul 24, 2025 | F · Potential for more than minimal harm, widespread | The facility did not educate its staff on residents' rights and the facility's responsibilities toward residents. Staff can only respect rights they've been taught about. · from a complaint · F-0942 |
| Jul 24, 2025 | F · Potential for more than minimal harm, widespread | The facility did not train its staff on dementia care and on recognizing and reporting abuse, neglect, and exploitation. · from a complaint · F-0943 |
| Jul 24, 2025 | F · Potential for more than minimal harm, widespread | The facility did not give all staff the required training on its quality improvement program — the internal system for finding problems and making care better. · from a complaint · F-0944 |
| Jul 24, 2025 | F · Potential for more than minimal harm, widespread | The facility did not include required infection control training — with written standards, policies, and procedures — as part of its infection prevention program. · from a complaint · F-0945 |
| Jul 24, 2025 | F · Potential for more than minimal harm, widespread | The facility did not provide its staff with training in compliance and ethics — teaching employees the laws and ethical standards that govern how residents must be treated. · from a complaint · F-0946 |
| Jul 24, 2025 | F · Potential for more than minimal harm, widespread | The facility did not make sure its nurse aides had the skills needed to care for residents, including training in dementia care and abuse prevention. · from a complaint · F-0947 |
| Jul 24, 2025 | F · Potential for more than minimal harm, widespread | The facility did not provide its staff with required training on behavioral health — caring for residents with conditions like dementia, depression, or other mental health needs. · from a complaint · F-0949 |
| Jul 24, 2025 | C · Potential for minimal harm, widespread | The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. · from a complaint · F-0732 |
| Apr 1, 2025 | E · Potential for more than minimal harm, pattern | The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them. · from a complaint · F-0867 |
| Apr 1, 2025 | E · Potential for more than minimal harm, pattern | The facility did not make sure its nurse aides had the skills needed to care for residents, including training in dementia care and abuse prevention. · from a complaint · F-0947 |
| Apr 1, 2025 | D · Potential for more than minimal harm, isolated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689 |
| Aug 15, 2024 | ▲ J · Immediate jeopardy, isolated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint · F-0684 |
| Aug 15, 2024 | ▲ J · Immediate jeopardy, isolated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689 |
| Aug 15, 2024 | F · Potential for more than minimal harm, widespread | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880 |
| Aug 15, 2024 | E · Potential for more than minimal harm, pattern | The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. · F-0623 |
| Aug 15, 2024 | D · Potential for more than minimal harm, isolated | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · F-0609 |
| Aug 15, 2024 | D · Potential for more than minimal harm, isolated | The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · F-0610 |
| Aug 15, 2024 | D · Potential for more than minimal harm, isolated | The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave. · F-0625 |
| Aug 15, 2024 | D · Potential for more than minimal harm, isolated | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · F-0656 |
| Aug 15, 2024 | D · Potential for more than minimal harm, isolated | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · F-0761 |
| Jul 12, 2023 | ▲ G · Actual harm, isolated | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · F-0686 |
| Jul 12, 2023 | F · Potential for more than minimal harm, widespread | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880 |
| Jul 12, 2023 | D · Potential for more than minimal harm, isolated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689 |
| Jul 12, 2023 | D · Potential for more than minimal harm, isolated | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. · F-0690 |
| Jul 12, 2023 | D · Potential for more than minimal harm, isolated | The facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly. · F-0700 |
| Jul 12, 2023 | D · Potential for more than minimal harm, isolated | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. · F-0758 |
| Jul 12, 2023 | D · Potential for more than minimal harm, isolated | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. · F-0759 |
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 7 | 1 | G ▲ |
| 2024 | 9 | 2 | J ▲ |
| 2025 | 13 | 1 | J ▲ |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
How to file a complaint about care →
4 fines totaling $129,433.
Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.
| Date | Type | Amount / length |
|---|---|---|
| Jul 24, 2025 | Fine | $101,220 |
| Aug 15, 2024 | Fine | $21,902 |
| Nov 20, 2023 | Fine | $2,117 |
| Oct 30, 2023 | Fine | $4,194 |
What these staffing numbers mean →
All bars start at zero. Exact values and supporting details remain below.
| Measure | This facility | Wisconsin avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.79 | 4.29 | 3.95 | bottom 38% in Wisconsin; top 49% in the U.S. |
| Registered Nurse hours | 0.71 | 1.01 | 0.69 | bottom 23% in Wisconsin; top 35% in the U.S. |
| Weekend total nurse staffing | 3.10 | 3.84 | 3.50 | bottom 24% in Wisconsin; bottom 36% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.33 | 0.68 | 0.48 | bottom 8% in Wisconsin; bottom 39% in the U.S. |
| Total nursing staff turnover (%) | 68.5 | 46.9 | 45.8 | bottom 8% in Wisconsin; bottom 7% in the U.S. |
| RN turnover (%) | 33.3 | 39.7 | 42.9 | top 40% in Wisconsin; top 33% in the U.S. |
Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.76, RN 0.71, weekend 3.08.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.76 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 3/5.
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 4/5 · long-stay residents: 5/5 · short-stay residents: 3/5
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for East Troy Manor. CMS inspection and staffing records do not tell us what this home will charge you.
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Understand who pays for care · How we handle price evidence · Report an incorrect price
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Carriage Healthcare Companies INC | Organization | Operational/Managerial Control | NOT APPLICABLE | 02/15/2001 |
| Carriage Healthcare Companies INC | Organization | ADP of the SNF | NOT APPLICABLE | 10/06/2025 |
| Dupont, Lori | Individual | Corporate Director | NOT APPLICABLE | 01/25/2016 |
| Gehler, Miriam | Individual | Corporate Director | NOT APPLICABLE | 03/14/2011 |
| Gerlach, Keri | Individual | Corporate Director | NOT APPLICABLE | 01/01/2019 |
| HBT It LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 07/01/2024 |
| HBT It LLC | Organization | ADP of the SNF | NOT APPLICABLE | 08/18/2025 |
| JT and Associates LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/01/2010 |
| JT and Associates LLC | Organization | ADP of the SNF | NOT APPLICABLE | 02/05/2026 |
| Kerwin, Andrew | Individual | Corporate Director | NOT APPLICABLE | 06/26/2009 |
| Kumar, Rajeev Shiva | Individual | Corporate Director | NOT APPLICABLE | 04/24/2012 |
| Lacke (carrig), Karen | Individual | Corporate Director | NOT APPLICABLE | 01/01/2016 |
| Leadley, Christie | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/02/2023 |
| Leadley, Christie | Individual | ADP of the SNF | NOT APPLICABLE | 05/02/2023 |
| Lynn, Nicholas | Individual | Corporate Director | NOT APPLICABLE | 03/14/2011 |
| Partners in Wealth Management, INC | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/01/2024 |
| Partners in Wealth Management, INC | Organization | ADP of the SNF | NOT APPLICABLE | 08/18/2025 |
| Pinion, LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/01/1995 |
| Pinion, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 08/18/2025 |
| Rehab Solutions Group, LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/01/2024 |
Showing 20 of 27 parties CMS has on file for this facility; 7 are not displayed. The full list is in the CMS Ownership dataset.
CMS lists this facility under the chain Wisconsin Illinois Senior Housing, INC. — 7 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.
Listed by state, then facility name — not a ranking.
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Lindengrove Mukwonago | 4.3 mi | Mukwonago, WI | ★★☆☆☆ | 3/5 | |
| Lakeland Health Care Ctr | 9.6 mi | Elkhorn, WI | ★★★☆☆ | 2/5 | abuse |
| Holton Manor | 9.8 mi | Elkhorn, WI | ★★☆☆☆ | 2/5 | |
| Burlington Health and Rehabilitation Center | 11.3 mi | Burlington, WI | ★☆☆☆☆ | 1/5 | |
| Geneva Lake Manor | 14.0 mi | Lake Geneva, WI | ★☆☆☆☆ | 1/5 | |
| Golden Years of Lake Geneva | 15.0 mi | Lake Geneva, WI | ★★★★☆ | 5/5 | |
| Delavan Health Services | 15.6 mi | Delavan, WI | ★★★★☆ | 4/5 | |
| Williams Bay Health Services | 16.0 mi | Williams Bay, WI | ★☆☆☆☆ | 1/5 | |
| Masonic Center for Health & Rehab INC. | 16.0 mi | Dousman, WI | ★★★★★ | 5/5 | |
| Tudor Oaks Health Center | 16.6 mi | Muskego, WI | ★★☆☆☆ | 2/5 | |
| Muskego Health and Rehabilitation Center | 16.6 mi | Muskego, WI | ★★☆☆☆ | 2/5 | |
| Complete Care at Kensington | 16.8 mi | Waukesha, WI | ★☆☆☆☆ | 2/5 |
Facility data as of CMS processing date 2026-08-01. CCN 525561.
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