With a score of 21/100, East Troy Manor 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 levels at East Troy Manor exceed national averages, with 4.68 total nursing hours per resident per day — compared to the national average of 3.8 hours. RN coverage of 0.64 hours per resident per day is near the national average of 0.7 hours.
Recent CMS inspections identified 29 deficiencies at East Troy Manor, including 3 classified as serious — among the most concerning citation levels. The most notable finding involved: ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 4.68 | 3.8 | Above Average |
| Registered Nurses (RN) | 0.64 | 0.7 | Average |
| Licensed Practical Nurses (LPN) | 0.79 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 3.26 | 2.4 | Above Average |
| Weekend Total Nursing | 4.01 | 3.8 | Average |
| Weekend RN Hours | 0.39 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0689 Severity JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Jul 23, 2025 · Quality of Life and Care Deficiencies
- Tag 0941 Severity FDevelop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.Jul 23, 2025 · Administration Deficiencies
- Tag 0942 Severity FEnsure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.Jul 23, 2025 · Resident Rights Deficiencies
- Tag 0943 Severity FGive their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.Jul 23, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Tag 0944 Severity FConduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.Jul 23, 2025 · Administration 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 | 2.6% | 4.5% | Better |
| Falls with major injury | 4.3% | 3.0% | Worse |
| On antipsychotic medication | 11.7% | 14.5% | Better |
| Urinary tract infections | 3.0% | 2.5% | Worse |
| ADL decline (daily activities) | 12.6% | 14.0% | Average |
| Excessive weight loss | 0.9% | 7.5% | Better |
| New/worsened incontinence | 14.8% | 45.0% | Better |
⚠️ Penalties & Fines
4 penalties recorded by CMS
Total fines: $51,418
How This Grade Was Calculated
This facility's grade of F is based on a score of 21 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: 4★ → 16 pts (max 20)
- Quality Measures Rating: 4★ → 12 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
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