Four Winds Manor
303 S Jefferson St · Verona, WI · 53593 · 6088456465
44 certified beds For profit - Corporation
- Inspection results have improved across recent cycles.
The composite number cleared 73 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
100% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 4 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 4.68 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 1.14 | 0.55–0.75 |
| Weekend hours / resident-day | 4.16 | ≈ weekday level |
| Nursing turnover / year | 100% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (29 in the current record)
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Potential for harm · D December 11, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected December 12, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 11, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 12, 2025 · Quality of Life and Care
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Actual harm · G September 4, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected September 29, 2025 · Quality of Life and Care
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Potential for harm · D September 4, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected September 29, 2025 · Resident Rights
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Potential for harm · D September 4, 2025
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected September 29, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D September 4, 2025
Ensure each resident receives an accurate assessment.
Corrected September 29, 2025 · Resident Assessment and Care Planning
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Potential for harm · D September 4, 2025
Ensure that residents are free from significant medication errors.
Corrected September 29, 2025 · Pharmacy Service
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Potential for harm · E September 4, 2025
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected September 29, 2025 · Nutrition and Dietary
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Potential for harm · D September 4, 2025
Implement a program that monitors antibiotic use.
Corrected September 29, 2025 · Infection Control
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Potential for harm · D September 4, 2025
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected September 29, 2025 · Infection Control
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Potential for harm · D January 24, 2025 · found via complaint
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected February 21, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 24, 2025 · found via complaint
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected February 21, 2025 · Resident Assessment and Care Planning
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Potential for harm · D January 24, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected February 21, 2025 · Infection Control
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Potential for harm · D August 6, 2024
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected August 22, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D August 6, 2024
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected August 6, 2024 · Quality of Life and Care
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Potential for harm · E August 6, 2024
Provide appropriate foot care.
Corrected August 6, 2024 · Quality of Life and Care
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Potential for harm · D August 6, 2024
Provide enough food/fluids to maintain a resident's health.
Corrected August 13, 2024 · Quality of Life and Care
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Potential for harm · D August 6, 2024
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected August 23, 2024 · Quality of Life and Care
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Potential for harm · D August 6, 2024
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Corrected August 7, 2024 · Nursing and Physician Services
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Potential for harm · F August 6, 2024
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected August 26, 2024 · Nutrition and Dietary
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Potential for harm · F August 6, 2024
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Corrected August 6, 2024 · Nutrition and Dietary
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Potential for harm · F August 6, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected September 6, 2024 · Nutrition and Dietary
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Potential for harm · E August 6, 2024
Provide and implement an infection prevention and control program.
Corrected August 23, 2024 · Infection Control
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Potential for harm · D April 22, 2024 · found via complaint
Respond appropriately to all alleged violations.
Corrected May 17, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G August 22, 2023 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 27, 2023 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| August 22, 2023 | Payment Denial | 11 days |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 525656 · certified since July 1, 2000. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.