Peabody Manor
2600 S Heritage Woods Dr, Appleton, WI 54915 · Winnebago County · 58 certified beds · avg 50 residents/day · certified since Oct 1, 1994
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 4/5
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 self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · Dec 18, 2024 · 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 (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Jan 15, 2025 (Deficient, Provider has date of correction)
All citations in the current public record (23)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Mar 19, 2026 | E · Potential for harm, repeated | The facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay). |
| Mar 19, 2026 | E · Potential for harm, repeated | The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. |
| Mar 19, 2026 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Mar 19, 2026 | D · Potential for harm, one-off | The facility gave residents unnecessary mind-altering (psychotropic) medications, or used drugs in a way that restrained residents by dulling their ability to think, move, or function. |
| Mar 19, 2026 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Mar 19, 2026 | D · Potential for harm, one-off | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. |
| Mar 19, 2026 | D · Potential for harm, one-off | 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. |
| Mar 19, 2026 | D · Potential for harm, one-off | 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. |
| Jul 7, 2025 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · from a complaint |
| Jul 7, 2025 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. · from a complaint |
| Dec 18, 2024 | ▲ G · Actual harm, one-off | 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 |
| Dec 18, 2024 | D · Potential for harm, one-off | 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. |
| Dec 18, 2024 | D · Potential for harm, one-off | 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. |
| Dec 18, 2024 | D · Potential for harm, one-off | The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. |
| Dec 18, 2024 | D · Potential for harm, one-off | 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. |
| Jun 5, 2024 | D · Potential for harm, one-off | 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. · from a complaint |
| Jun 5, 2024 | D · Potential for harm, one-off | 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. · from a complaint |
| Sep 13, 2023 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Sep 13, 2023 | D · Potential for harm, one-off | The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand. |
| Sep 13, 2023 | D · Potential for harm, one-off | The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. |
| Sep 13, 2023 | D · Potential for harm, one-off | The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. |
| Sep 13, 2023 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
| Sep 13, 2023 | D · Potential for harm, one-off | 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. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (5 → 8).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 6 | 0 | F |
| 2024 | 7 | 1 | G ▲ |
| 2025 | 2 | 0 | F |
| 2026 | 8 | 0 | E |
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.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Wisconsin avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 4.96 | 4.29 | 3.95 | top 23% in Wisconsin; top 14% in the U.S. |
| Registered Nurse hours | 1.86 | 1.01 | 0.69 | top 4% in Wisconsin; top 2% in the U.S. |
| Weekend total nurse staffing | 4.44 | 3.84 | 3.50 | top 24% in Wisconsin; top 13% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 1.26 | 0.68 | 0.48 | top 5% in Wisconsin; top 3% in the U.S. |
| Total nursing staff turnover (%) | 35.1 | 46.9 | 45.8 | top 17% in Wisconsin; top 24% in the U.S. |
| RN turnover (%) | 28.6 | 39.7 | 42.9 | top 34% in Wisconsin; top 26% in the U.S. |
Hours are per resident per day, 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 4.39, RN 1.64, weekend 3.93. Staffing rating: 5/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 2/5 · long-stay residents: 2/5 · short-stay residents: 2/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Andrabi, Imran | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/28/2017 |
| Carter, Laurie | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/01/2022 |
| Dallas, Chuck | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/11/2021 |
| Detterman, Buffy | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/01/2025 |
| Flett, William | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2024 |
| Froedtert Thedacare Health, INC. | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/01/2024 |
| Glasheen, Jennifer | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2024 |
| Goggans, Mary | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/01/2022 |
| Goggans, Mary | Individual | Trustee of the SNF | NOT APPLICABLE | 02/11/2022 |
| Koeper, David | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2017 |
| Koeshall, Jacob | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2025 |
| Koeshall, Jacob | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2025 |
| Loux, Alan | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2023 |
| Morse, Michael | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2024 |
| Pahl, Susan | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/15/2025 |
| Pigeon, Kathleen | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/15/2025 |
| Price, Steven | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/01/2023 |
| Schreiber, Ronald | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/01/2024 |
| Schreiber, Ronald | Individual | ADP of the SNF | NOT APPLICABLE | 03/01/2024 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
- "Who reviews your menus, and can I see this week's menu and join my family member for a meal?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
- "How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
- "What is your current medication error rate, and what have you changed to bring errors down?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Oakridge Gardens Nur Ctr, INC | 0.7 mi | Menasha, WI | ★★★☆☆ | 3/5 | |
| Meadowbrook at Appleton | 1.0 mi | Appleton, WI | ★★☆☆☆ | 2/5 | |
| Brewster Village | 3.3 mi | Appleton, WI | ★★★★☆ | 3/5 | |
| Edenbrook of Appleton North | 3.6 mi | Appleton, WI | ★★☆☆☆ | 2/5 | |
| Rennes Health and Rehab Center-Appleton | 3.7 mi | Appleton, WI | ★★★★★ | 5/5 | |
| Little Chute Health Services | 6.3 mi | Little Chute, WI | ★☆☆☆☆ | 1/5 | |
| St Paul Elder Services, INC | 7.4 mi | Kaukauna, WI | ★★★★★ | 5/5 | |
| Park View Health Center | 12.4 mi | Oshkosh, WI | ★★★★★ | 5/5 | |
| Edenbrook of Oshkosh | 14.8 mi | Oshkosh, WI | ★★★☆☆ | 3/5 | |
| Evergreen Health Center | 16.3 mi | Oshkosh, WI | ★★★★☆ | 4/5 | |
| Bethel Home | 16.9 mi | Oshkosh, WI | ★★★★★ | 4/5 | |
| Eden Rehab Suites and Green House Homes | 17.8 mi | Oshkosh, WI | ★★☆☆☆ | 2/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 525548.