nursing home in East Troy, WI

East Troy Manor

3271 North St, East Troy, WI 53120 · (262) 642-3995

★★★★★2
Below average
CMS overall star rating
  • Health inspections★★★★★2
  • Staffing★★★★★3
  • Quality measures★★★★★4

Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data

East Troy Manor at a glance

East Troy Manor is a 50-bed non-profit nursing home in East Troy, Wisconsin (Walworth County).

CMS gives it 2 out of 5 stars on its overall star rating, worse than the Wisconsin average of 3.

Residents receive about 3.8 hours of nursing care per day (0.7 of them from registered nurses), worse than the state average of 4.2 hours.

Its most recent standard health inspection (January 8, 2026) found 0 health citations. The Wisconsin average is 9.5.

Federal regulators fined it 4 times in the past three years, totaling $129,433.

Nursing staff turnover is 68.5% per year (state average 46.9%).

Facility details

Type
Nursing home
Ownership
Non Profit - Corporation
Beds
50
Certified for
Medicare and Medicaid
Chain / affiliated entity
Wisconsin Illinois Senior Housing, INC.
Medicare-certified since
April 1, 1995
Resident/family council
Resident
County
Walworth County
CMS Certification Number
525561

Ratings

MeasureThis facilityWisconsin avg.U.S. avg.vs. U.S.
Overall star rating ⓘ (higher is better)2 / 53 / 53 / 5Worse
Health inspection rating ⓘ (higher is better)2 / 52.8 / 52.8 / 5Worse
Staffing rating ⓘ (higher is better)3 / 53.6 / 52.9 / 5Average
Quality measures rating ⓘ (higher is better)4 / 53 / 53.6 / 5Average
Long-stay quality rating (higher is better)5 / 53.1 / 53.8 / 5Better
Short-stay (rehab) quality rating (higher is better)3 / 53.1 / 53.3 / 5Average

Staffing

This facility3.76 hrsWisconsin average4.21 hrsU.S. average3.86 hrs
Total nurse staff hours per resident per day: this facility vs. Wisconsin and U.S. averages
MeasureThis facilityWisconsin avg.U.S. avg.vs. U.S.
Total nurse staff hours per resident per day ⓘ (higher is better)3.76 hrs4.21 hrs3.86 hrsAverage
Registered nurse hours per resident per day (higher is better)0.71 hrs0.99 hrs0.69 hrsAverage
Nurse aide hours per resident per day (higher is better)2.32 hrs2.58 hrs2.32 hrsAverage
Weekend nurse staff hours per resident per day (higher is better)3.08 hrs3.77 hrs3.42 hrsWorse
Nursing staff turnover (yearly) (lower is better)68.5%46.9%45.8%Worse
Registered nurse turnover (yearly) (lower is better)33.3%39.7%42.9%Better
Administrators who left in the past year (lower is better)011Better

Inspections

This facility0Wisconsin average9U.S. average9
Health citations in the most recent inspection: this facility vs. Wisconsin and U.S. averages
MeasureThis facilityWisconsin avg.U.S. avg.vs. U.S.
Health citations in the most recent inspection (lower is better)099Better
Citations from complaint investigations (latest cycle) (lower is better)043Better
Weighted health inspection score ⓘ (lower is better)104.3100.380.6Worse

Penalties

This facility4Wisconsin average1U.S. average1
Fines in the past 3 years: this facility vs. Wisconsin and U.S. averages
MeasureThis facilityWisconsin avg.U.S. avg.vs. U.S.
Fines in the past 3 years (lower is better)411Worse
Total fines in the past 3 years (lower is better)$129,433$48,150$30,972Worse
All federal penalties in the past 3 years (lower is better)411Worse

Size

MeasureThis facilityWisconsin avg.U.S. avg.vs. U.S.
Certified beds5077107
Average residents per day425586
Occupancy83.8%74%80.9%

Long-stay residents

This facility2.3%Wisconsin average3.3%U.S. average3.2%
Long-stay residents with a fall causing major injury: this facility vs. Wisconsin and U.S. averages
MeasureThis facilityWisconsin avg.U.S. avg.vs. U.S.
Long-stay residents with a fall causing major injury (lower is better)2.3%3.3%3.2%Better
Long-stay residents with pressure ulcers (lower is better)2.7%5%4.6%Better
Long-stay residents given antipsychotic medication (lower is better)5.3%15.8%15.4%Better
Long-stay residents with a urinary tract infection (lower is better)1.5%2.7%1.6%Average
Long-stay residents with a catheter left in the bladder (lower is better)0%2.1%0.8%Better
Long-stay residents needing more help with daily activities (lower is better)15.6%16.1%13.9%Worse
Long-stay residents whose walking worsened (lower is better)14.5%18.4%14.1%Average
Long-stay residents who lose too much weight (lower is better)1.9%5.1%5.2%Better
Long-stay residents with depressive symptoms (lower is better)1.6%5.7%12.8%Better
Long-stay residents who were physically restrained (lower is better)0%0.1%0.1%Better
Long-stay residents given anti-anxiety or sleep medication (lower is better)21.5%16.9%19.5%Worse
Long-stay residents with new or worse incontinence (lower is better)20.8%24.6%19%Worse
Long-stay residents given a flu vaccine (higher is better)97.3%95%95.5%Average
Long-stay residents given a pneumonia vaccine (higher is better)99.2%95.7%93.6%Better

Short-stay residents

This facility0%Wisconsin average1.2%U.S. average1.6%
Short-stay residents newly given antipsychotic medication: this facility vs. Wisconsin and U.S. averages
MeasureThis facilityWisconsin avg.U.S. avg.vs. U.S.
Short-stay residents newly given antipsychotic medication (lower is better)0%1.2%1.6%Better
Short-stay residents given a flu vaccine (higher is better)92.7%82.2%79.8%Better
Short-stay residents given a pneumonia vaccine (higher is better)98%86.5%82%Better

Inspection citations

State inspectors cited this home for 29 health deficiencies and 29 fire safety deficiencies in the inspection records CMS currently publishes. 4 citations involved actual harm, including 3 rated "immediate jeopardy".

DateCitationSeverityStatus
January 8, 2026
Fire safety
Install a fire alarm system that can be heard throughout the facility.
Smoke Deficiencies · Tag K0341
F
Potential harm, widespread
Corrected February 8, 2026
January 8, 2026
Fire safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Miscellaneous Deficiencies · Tag K0761
E
Potential harm, pattern
Corrected February 8, 2026
January 8, 2026
Fire safety
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies · Tag K0353
D
Potential harm, isolated
Corrected February 8, 2026
January 8, 2026
Fire safety
Have restrictions on the use of portable space heaters.
Miscellaneous Deficiencies · Tag K0781
D
Potential harm, isolated
Corrected February 8, 2026
January 8, 2026
Fire safety
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies · Tag K0345
C
No harm, widespread
Corrected February 8, 2026
July 24, 2025
Complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
J
Immediate jeopardy, isolated
Corrected August 18, 2025
July 24, 2025
Complaint
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0943
F
Potential harm, widespread
Corrected August 18, 2025
July 24, 2025
Complaint
Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
Resident Rights Deficiencies · Tag F0942
F
Potential harm, widespread
Corrected August 18, 2025
July 24, 2025
Complaint
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
Administration Deficiencies · Tag F0941
F
Potential harm, widespread
Corrected August 18, 2025
July 24, 2025
Complaint
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Administration Deficiencies · Tag F0944
F
Potential harm, widespread
Corrected August 18, 2025
July 24, 2025
Complaint
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Administration Deficiencies · Tag F0949
F
Potential harm, widespread
Corrected August 18, 2025
July 24, 2025
Complaint
Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
Infection Control Deficiencies · Tag F0945
F
Potential harm, widespread
Corrected August 18, 2025
July 24, 2025
Complaint
Provide training in compliance and ethics.
Administration Deficiencies · Tag F0946
F
Potential harm, widespread
Corrected August 18, 2025
July 24, 2025
Complaint
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Nursing and Physician Services Deficiencies · Tag F0947
F
Potential harm, widespread
Corrected August 18, 2025
July 24, 2025
Complaint
Post nurse staffing information every day.
Nursing and Physician Services Deficiencies · Tag F0732
C
No harm, widespread
Corrected August 18, 2025
April 1, 2025
Complaint
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Nursing and Physician Services Deficiencies · Tag F0947
E
Potential harm, pattern
Corrected May 7, 2025
April 1, 2025
Complaint
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Administration Deficiencies · Tag F0867
E
Potential harm, pattern
Corrected May 7, 2025
April 1, 2025
Complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
D
Potential harm, isolated
Corrected May 7, 2025
August 15, 2024
Fire safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0914
F
Potential harm, widespread
Corrected September 5, 2024
August 15, 2024
Fire safety
Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918
F
Potential harm, widespread
Corrected September 5, 2024
August 15, 2024
Fire safety
Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.
Construction Deficiencies · Tag K0111
F
Potential harm, widespread
Corrected September 13, 2024
August 15, 2024
Fire safety
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies · Tag K0353
F
Potential harm, widespread
Corrected September 13, 2024
August 15, 2024
Fire safety
Conduct testing and exercise requirements.
Emergency Preparedness Deficiencies · Tag E0039
F
Potential harm, widespread
Corrected September 13, 2024
August 15, 2024
Fire safety
Have simulated fire drills held at unexpected times.
Miscellaneous Deficiencies · Tag K0712
F
Potential harm, widespread
Corrected August 29, 2024
August 15, 2024
Fire safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Miscellaneous Deficiencies · Tag K0761
F
Potential harm, widespread
Corrected September 4, 2024
August 15, 2024
Fire safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Smoke Deficiencies · Tag K0374
E
Potential harm, pattern
Corrected September 13, 2024
August 15, 2024
Fire safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Egress Deficiencies · Tag K0211
E
Potential harm, pattern
Corrected September 13, 2024
August 15, 2024
Fire safety
Install a fire alarm system that can be heard throughout the facility.
Smoke Deficiencies · Tag K0341
E
Potential harm, pattern
Corrected February 26, 2025
August 15, 2024
Fire safety
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies · Tag K0345
E
Potential harm, pattern
Corrected September 13, 2024
August 15, 2024
Fire safety
Install corridor and hallway doors that block smoke.
Smoke Deficiencies · Tag K0363
E
Potential harm, pattern
Corrected September 13, 2024
August 15, 2024
Fire safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Smoke Deficiencies · Tag K0355
D
Potential harm, isolated
Corrected September 13, 2024
August 15, 2024
Fire safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Egress Deficiencies · Tag K0222
D
Potential harm, isolated
Corrected September 13, 2024
August 15, 2024
Fire safety
Ensure proper usage of power strips and extension cords.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920
D
Potential harm, isolated
Corrected September 13, 2024
August 15, 2024
Complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Tag F0684
J
Immediate jeopardy, isolated
Corrected September 13, 2024
August 15, 2024
Standard
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
J
Immediate jeopardy, isolated
Corrected September 13, 2024
August 15, 2024
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
F
Potential harm, widespread
Corrected September 13, 2024
August 15, 2024
Standard
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights Deficiencies · Tag F0623
E
Potential harm, pattern
Corrected September 13, 2024
August 15, 2024
Standard
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609
D
Potential harm, isolated
Corrected September 13, 2024
August 15, 2024
Standard
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610
D
Potential harm, isolated
Corrected September 13, 2024
August 15, 2024
Standard
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.
Resident Rights Deficiencies · Tag F0625
D
Potential harm, isolated
Corrected September 13, 2024
August 15, 2024
Standard
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Tag F0656
D
Potential harm, isolated
Corrected September 13, 2024
August 15, 2024
Standard
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.
Pharmacy Service Deficiencies · Tag F0761
D
Potential harm, isolated
Corrected September 13, 2024
July 12, 2023
Fire safety
Meet requirements for the installation and maintenance of electrical systems.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0911
F
Potential harm, widespread
Corrected August 9, 2023
July 12, 2023
Fire safety
Meet requirements for the use of electrical equipment.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0919
F
Potential harm, widespread
Corrected August 9, 2023
July 12, 2023
Fire safety
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies · Tag K0353
F
Potential harm, widespread
Corrected August 9, 2023
July 12, 2023
Fire safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Egress Deficiencies · Tag K0222
E
Potential harm, pattern
Corrected August 9, 2023
July 12, 2023
Fire safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Egress Deficiencies · Tag K0223
E
Potential harm, pattern
Corrected August 9, 2023
July 12, 2023
Fire safety
Have restrictions on the use of highly flammable decorations.
Miscellaneous Deficiencies · Tag K0753
E
Potential harm, pattern
Corrected August 9, 2023
July 12, 2023
Fire safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Services Deficiencies · Tag K0521
E
Potential harm, pattern
Corrected September 22, 2023
July 12, 2023
Fire safety
Install corridor and hallway doors that block smoke.
Smoke Deficiencies · Tag K0363
E
Potential harm, pattern
Corrected August 9, 2023
July 12, 2023
Fire safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies · Tag K0321
E
Potential harm, pattern
Corrected August 9, 2023
July 12, 2023
Standard
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Tag F0686
G
Actual harm, isolated
Corrected August 9, 2023
July 12, 2023
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
F
Potential harm, widespread
Corrected August 9, 2023
July 12, 2023
Standard
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.
Pharmacy Service Deficiencies · Tag F0758
D
Potential harm, isolated
Corrected August 9, 2023
July 12, 2023
Standard
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
D
Potential harm, isolated
Corrected August 9, 2023
July 12, 2023
Standard
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.
Quality of Life and Care Deficiencies · Tag F0700
D
Potential harm, isolated
Corrected August 9, 2023
July 12, 2023
Standard
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · Tag F0690
D
Potential harm, isolated
Corrected August 9, 2023
July 12, 2023
Standard
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Tag F0759
D
Potential harm, isolated
Corrected August 9, 2023

Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.

Fines and payment denials

CMS reports 4 federal penalties in the past three years, including $129,433 in fines.

DatePenaltyAmount / length
July 24, 2025Fine$101,220
August 15, 2024Fine$21,902
November 20, 2023Fine$2,117
October 30, 2023Fine$4,194

Owners and managers

Individuals and organizations reported to CMS as owning or operating this nursing home.

NameRoleShareSince
CARRIAGE HEALTHCARE COMPANIES INC
Organization
adp of the snfNOT APPLICABLE10/06/2025
HBT IT LLC
Organization
adp of the snfNOT APPLICABLE08/18/2025
JT AND ASSOCIATES LLC
Organization
adp of the snfNOT APPLICABLE02/05/2026
LEADLEY, CHRISTIE
Individual
adp of the snfNOT APPLICABLE05/02/2023
PARTNERS IN WEALTH MANAGEMENT, INC
Organization
adp of the snfNOT APPLICABLE08/18/2025
PINION, LLC
Organization
adp of the snfNOT APPLICABLE08/18/2025
REHAB SOLUTIONS GROUP, LLC
Organization
adp of the snfNOT APPLICABLE08/18/2025
SHERMAN, STEPHANIE
Individual
adp of the snfNOT APPLICABLE08/12/2012
SIDHU, SARFRAZ
Individual
adp of the snfNOT APPLICABLE10/10/2022
SIEBEL, ROBERT
Individual
adp of the snfNOT APPLICABLE10/01/1999
DUPONT, LORI
Individual
corporate directorNOT APPLICABLE01/25/2016
GEHLER, MIRIAM
Individual
corporate directorNOT APPLICABLE03/14/2011
GERLACH, KERI
Individual
corporate directorNOT APPLICABLE01/01/2019
KERWIN, ANDREW
Individual
corporate directorNOT APPLICABLE06/26/2009
KUMAR, RAJEEV SHIVA
Individual
corporate directorNOT APPLICABLE04/24/2012
LACKE (CARRIG), KAREN
Individual
corporate directorNOT APPLICABLE01/01/2016
LYNN, NICHOLAS
Individual
corporate directorNOT APPLICABLE03/14/2011
CARRIAGE HEALTHCARE COMPANIES INC
Organization
operational/managerial controlNOT APPLICABLE02/15/2001
HBT IT LLC
Organization
operational/managerial controlNOT APPLICABLE07/01/2024
JT AND ASSOCIATES LLC
Organization
operational/managerial controlNOT APPLICABLE01/01/2010
LEADLEY, CHRISTIE
Individual
operational/managerial controlNOT APPLICABLE05/02/2023
PARTNERS IN WEALTH MANAGEMENT, INC
Organization
operational/managerial controlNOT APPLICABLE01/01/2024
PINION, LLC
Organization
operational/managerial controlNOT APPLICABLE01/01/1995
REHAB SOLUTIONS GROUP, LLC
Organization
operational/managerial controlNOT APPLICABLE01/01/2024
SHERMAN, STEPHANIE
Individual
operational/managerial controlNOT APPLICABLE08/12/2012
SIDHU, SARFRAZ
Individual
operational/managerial controlNOT APPLICABLE10/10/2022
SIEBEL, ROBERT
Individual
operational/managerial controlNOT APPLICABLE10/01/1999

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  2. Lakeland Health Care Ctr

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  3. Holton Manor

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    ★★★★★2Below average
  4. Burlington Health and Rehabilitation Center

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    ★★★★★1Much below average
  5. Geneva Lake Manor

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  6. Golden Years of Lake Geneva

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Frequently asked questions

What is East Troy Manor's rating?

East Troy Manor has 2 out of 5 stars on the CMS overall star rating. The average for Wisconsin nursing homes is 3 stars.

How many inspection citations did East Troy Manor receive?

Its most recent standard health inspection found 0 citations, compared with a Wisconsin average of 9.5. Every citation is listed on this page with its severity.

Does East Troy Manor accept Medicare and Medicaid?

CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.

Who owns East Troy Manor?

It is non profit - corporation and part of Wisconsin Illinois Senior Housing, INC.. The ownership section on this page lists the owners and managers reported to CMS.

Where is East Troy Manor and how do I contact it?

East Troy Manor is at 3271 North St, East Troy, WI 53120. Phone: (262) 642-3995.

About this data

Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.