Evansville Manor Nursing and Rehab, LLCCMS ratings, inspections and fines
- Address
- 470 Garfield Ave, Evansville, WI 53536
- CCN
- 525418
- Ownership type
- For-profit, limited liability company
- Certified beds
- 71
- Chain
- Eden Senior Care
- Residents per day
- 58
- CMS flags
- Special Focus Facility candidate
- CMS abuse icon
Open the watch listCare Compare record (Medicare.gov)
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Evansville Manor Nursing and Rehab, LLC an overall rating of 1 of 5 stars. The last standard survey was on 25 Feb 2026. The latest survey cycle has 20 health citations. The median for nursing homes in Wisconsin is 7. CMS lists 6 fines with a total of $182,024 for this home in its penalties file. CMS also lists 1 payment denial.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Rock County median | Wisconsin median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 1 | 3.0 | 3.0 | 3.0 |
| Health inspection rating | 1 | 3.0 | 3.0 | 2.8 |
| Staffing rating | 2 | 3.0 | 4.0 | 2.9 |
| Quality measure rating | 4 | 3.0 | 3.0 | 3.6 |
A median is the middle value of the homes in the group: 10 homes in the county, 323 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Wisconsin median |
|---|---|---|---|
| Cycle 1 (latest) | 25 Feb 2026 | 20 | 7 |
| Cycle 2 | 3 Oct 2024 | 22 | 7 |
| Cycle 3 | No date | 13 | 6 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | K0 | ||
| Actual harm that is not immediate jeopardy | H0 | I0 | |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | B0 | C0 |
Survey cycle 1 (latest): 20 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 26 Mar 2026 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Complaint investigation | 28 Feb 2026 |
| 25 Feb 2026 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | Complaint investigation | 23 Mar 2026 |
| 25 Feb 2026 | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | Standard survey | 23 Mar 2026 |
| 25 Feb 2026 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Standard survey | 23 Mar 2026 |
| 25 Feb 2026 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 23 Mar 2026 |
| 25 Feb 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Complaint investigation | 23 Mar 2026 |
| 25 Feb 2026 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 23 Mar 2026 |
| 25 Feb 2026 | F0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | Complaint investigation | 23 Mar 2026 |
| 25 Feb 2026 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Complaint investigation | 23 Mar 2026 |
| 25 Feb 2026 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 23 Mar 2026 |
| 25 Feb 2026 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 23 Mar 2026 |
| 25 Feb 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | L | Standard survey | 23 Mar 2026 |
| 25 Feb 2026 | F0814 | Dispose of garbage and refuse properly. | F | Standard survey | 23 Mar 2026 |
| 25 Feb 2026 | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | Standard survey | 23 Mar 2026 |
| 25 Feb 2026 | F0880 | Provide and implement an infection prevention and control program. | L | Standard survey | 23 Mar 2026 |
| 4 Dec 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 5 Dec 2025 |
| 4 Dec 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 5 Dec 2025 |
| 4 Dec 2025 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 5 Dec 2025 |
| 17 Sep 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Complaint investigation | 8 Oct 2025 |
| 17 Sep 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 4 Nov 2025 |
Survey cycle 2: 22 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 18 Jun 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 14 Jul 2025 |
| 15 May 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 9 Jun 2025 |
| 15 May 2025 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 9 Jun 2025 |
| 15 May 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 9 Jun 2025 |
| 15 May 2025 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Complaint investigation | 9 Jun 2025 |
| 15 May 2025 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Complaint investigation | 9 Jun 2025 |
| 3 Oct 2024 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | Standard survey | 28 Oct 2024 |
| 3 Oct 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 28 Oct 2024 |
| 3 Oct 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 28 Oct 2024 |
| 3 Oct 2024 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 28 Oct 2024 |
| 3 Oct 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 28 Oct 2024 |
| 3 Oct 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 28 Oct 2024 |
| 3 Oct 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Standard survey | 28 Oct 2024 |
| 3 Oct 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 28 Oct 2024 |
| 3 Oct 2024 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 28 Oct 2024 |
| 3 Oct 2024 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Complaint investigation | 28 Oct 2024 |
| 3 Oct 2024 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Complaint investigation | 28 Oct 2024 |
| 3 Oct 2024 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Complaint investigation | 28 Oct 2024 |
| 3 Oct 2024 | F0760 | Ensure that residents are free from significant medication errors. | D | Complaint investigation | 28 Oct 2024 |
| 3 Oct 2024 | F0761 | 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. | E | Complaint investigation | 28 Oct 2024 |
| 3 Oct 2024 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Complaint investigation | 28 Oct 2024 |
| 3 Oct 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 28 Oct 2024 |
Survey cycle 3: 13 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 5 Feb 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 28 Feb 2024 |
| 5 Feb 2024 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 28 Feb 2024 |
| 5 Feb 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Complaint investigation | 28 Feb 2024 |
| 5 Feb 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 28 Feb 2024 |
| 5 Feb 2024 | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | D | Complaint investigation | 28 Feb 2024 |
| 29 Jun 2023 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | Standard survey | 28 Jul 2023 |
| 29 Jun 2023 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 28 Jul 2023 |
| 29 Jun 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 28 Jul 2023 |
| 29 Jun 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Standard survey | 28 Jul 2023 |
| 29 Jun 2023 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E | Standard survey | 28 Jul 2023 |
| 29 Jun 2023 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 28 Jul 2023 |
| 29 Jun 2023 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 28 Jul 2023 |
| 29 Jun 2023 | F0887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | D | Standard survey | 28 Jul 2023 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 17 Sep 2025 | Fine | $60,528 | |
| 17 Sep 2025 | Payment denial | 20 | |
| 15 May 2025 | Fine | $69,720 | |
| 3 Oct 2024 | Fine | $16,068 | |
| 3 Oct 2024 | Fine | $12,048 | |
| 5 Feb 2024 | Fine | $15,642 | |
| 5 Feb 2024 | Fine | $8,018 |
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Wisconsin median | Wisconsin average (CMS) |
|---|---|---|---|
| All nurse staff | 3.65 | 4.00 | 4.21 |
| Registered nurses (RN) | 0.72 | 0.90 | 0.99 |
| Licensed practical nurses (LPN) | 0.86 | 0.64 | |
| Nurse aides | 2.08 | 2.58 | |
| All nurse staff, weekends | 3.29 | 3.60 | 3.77 |
- Nurse staff turnover in a year
- 60.3%
- Nurse staff turnover, Wisconsin median
- 46.2%
- RN turnover in a year
- 60.0%
- Administrators who left in a year
- 0
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Wisconsin median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 4.9% | 15.4% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.5% | 1.5% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 2.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.6% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 0.9% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 5.2% | 16.8% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 9.6% | 4.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 10.7% | 14.4% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, limited liability company
- Chain
- Eden Senior Care (21 homes in the CMS chain file)
The CMS ownership record of this home lists no organisation.
The site shows organisations only. It does not show the names of persons.
Other homes in Rock County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Edgerton Care Center, Inc | Edgerton | 1 of 5 | 22 | $0 | 18 Jun 2026 | |
| Mercy Manor Transition Center | Janesville | 5 of 5 | 0 | $53,847 | 17 Jul 2025 | |
| Cedar Crest Health Center | Janesville | 5 of 5 | 0 | $0 | 2 Apr 2026 | |
| Rock Haven | Janesville | 4 of 5 | 6 | $42,560 | 29 Jan 2026 | |
| St Elizabeth Nursing Home | Janesville | 2 of 5 | 9 | $31,171 | 28 Apr 2026 | |
| Oak Park Place of Janesville | Janesville | 2 of 5 | 10 | $0 | 3 Jun 2025 | |
| Beloit Health and Rehabilitation Center | Beloit | 2 of 5 | 7 | $46,542 | 29 Jan 2026 | |
| Autumn Lake Healthcare at Beloit | Beloit | 3 of 5 | 8 | $0 | 12 Feb 2026 | |
| Alden Meadow Park HCC | Clinton | 3 of 5 | 8 | $0 | 23 Apr 2026 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Evansville Manor Nursing and Rehab, LLC (CCN 525418). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/evansville-manor-nursing-and-rehab-llc-evansville-wi-525418/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Evansville Manor Nursing and Rehab, LLC last inspected?
- The latest inspection with a citation in the CMS record was on 26 Mar 2026. It was a complaint investigation. It gave 1 citation. The standard survey before the last one was on 3 Oct 2024.
- Who operates Evansville Manor Nursing and Rehab, LLC?
- The CMS record gives the ownership type as for-profit, limited liability company. CMS lists the home in the chain Eden Senior Care. The CMS ownership file names no organisation for this home. This site does not show the names of persons.
- What does the Special Focus status mean for Evansville Manor Nursing and Rehab, LLC?
- CMS lists the home as a Special Focus Facility candidate. The state selects its next Special Focus Facility from the candidates. CMS lists 2 homes in Wisconsin as Special Focus Facilities and 10 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.