F

EVANSVILLE MANOR NURSING AND REHAB, LLC

470 GARFIELD AVE, EVANSVILLE, WI 53536
Score: 10 / 100

With a score of 10/100, Evansville Manor Nursing And Rehab, Llc ranks in the bottom tier of Wisconsin nursing facilities, earning an F grade. CMS data highlights significant concerns that prospective residents and families should thoroughly evaluate.

Staffing at Evansville Manor Nursing And Rehab, Llc is near the national average, with 3.65 total nursing hours per resident per day (national average: 3.8 hours).

Recent CMS inspections identified 55 deficiencies at Evansville Manor Nursing And Rehab, Llc, including 2 classified as serious — among the most concerning citation levels. The most notable finding involved: protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody..

Score Breakdown

Overall CMS Rating 8 / 40 pts
1 ★ CMS rating
Health Inspections 5 / 25 pts
1 ★ inspection rating
Staffing 8 / 20 pts
2 ★ staffing rating
Quality Measures 9 / 15 pts
3 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.65 3.8 Average
Registered Nurses (RN) 0.89 0.7 Above Average
Licensed Practical Nurses (LPN) 0.79 0.7 Above Average
Certified Nursing Assistants (CNA) 1.97 2.4 Below Average
Weekend Total Nursing 3.15 3.8 Below Average
Weekend RN Hours 0.41 0.7 Below Average

🔍 Inspection & Deficiency History

55
Total Deficiencies
Dec 3, 2025
Most Recent Inspection
⚪ 2 Minor 🟠 51 Moderate 🔴 2 Serious
View recent deficiencies (5 shown)
  • Tag 0600 Severity D
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    Dec 3, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
  • Tag 0609 Severity D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    Dec 3, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
  • Tag 0610 Severity D
    Respond appropriately to all alleged violations.
    Dec 3, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
  • Tag 0684 Severity G
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    Sep 16, 2025 · Quality of Life and Care Deficiencies
  • Tag 0755 Severity D
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    Sep 16, 2025 · Pharmacy Service Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 9.0% 4.5% Worse
Falls with major injury 2.6% 3.0% Better
On antipsychotic medication 12.1% 14.5% Better
Urinary tract infections 0.0% 2.5% Better
ADL decline (daily activities) 6.3% 14.0% Better
Excessive weight loss 2.8% 7.5% Better
New/worsened incontinence 9.1% 45.0% Better

⚠️ Penalties & Fines

4 penalties recorded by CMS

Total fines: $51,776

How This Grade Was Calculated

This facility's grade of F is based on a score of 10 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 1★ → 8 pts (max 40)
  • Health Inspection Rating: 1★ → 5 pts (max 25)
  • Staffing Rating: 2★ → 8 pts (max 20)
  • Quality Measures Rating: 3★ → 9 pts (max 15)
  • Penalty deductions: -15 pts
  • Fine deductions: -5 pts

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
For profit - Limited Liability company
Certified Beds
71
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Oct 2, 2024
Deficiencies (Cycle 1)
27