Wisconsin › Dane County › Verona
Four Winds Manor
303 S Jefferson St, Verona, WI 53593
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Four Winds Manor is a For-profit, corporation nursing home in Verona, Wisconsin, certified for 44 beds and caring for about 35 residents a day.
CMS gives it 2 of 5 stars overall, below the Wisconsin median of 3; the health inspection rating is 2, staffing 4 and quality measures 3.
Inspectors recorded 28 health deficiencies across the three most recent survey cycles (10, 13, 5 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 63.6 per 100 beds, more than the state median of 31.8.
CMS lists 1 penalty in the period covered: no fines and 1 payment denial.
Reported nurse staffing is 4.8 hours per resident per day (1.2 RN), close to the Wisconsin median of 4.0; nursing staff turnover is 70.1%.
Compared with county, state and nation
| Measure | This facility | Dane Co. median | Wisconsin median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 28 | 28 | 21 | 28.7 |
| Citations per 100 beds | 63.6 | 43.0 | 31.8 | 26.8 |
| Total nurse hours per resident day | 4.8 | 4.8 | 4.0 | 3.9 |
| RN hours per resident day | 1.2 | 1.1 | 0.9 | 0.7 |
| Nursing staff turnover | 70.1% | 57.8% | 46.2% | 45.8% |
| Fines listed | $0 | $15,642 | $0 | — |
County and state figures are medians across facilities (16 in the county, 323 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Wisconsin average per facility for the same cycle, as published by CMS. Standard health survey dates: 4 Sep 2025, 6 Aug 2024.
Severity mix: G ×2 D ×20 E ×3 F ×3
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 11 Dec 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 12 Dec 2025 |
| 11 Dec 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 12 Dec 2025 |
| 4 Sep 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Standard survey | 29 Sep 2025 |
| 4 Sep 2025 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 29 Sep 2025 |
| 4 Sep 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 29 Sep 2025 |
| 4 Sep 2025 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Standard survey | 29 Sep 2025 |
| 4 Sep 2025 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 29 Sep 2025 |
| 4 Sep 2025 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 29 Sep 2025 |
| 4 Sep 2025 | F0881 | Implement a program that monitors antibiotic use. | D | Standard survey | 29 Sep 2025 |
| 4 Sep 2025 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 29 Sep 2025 |
| 24 Jan 2025 | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | Complaint investigation | 21 Feb 2025 |
| 24 Jan 2025 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Complaint investigation | 21 Feb 2025 |
| 24 Jan 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 21 Feb 2025 |
| 6 Aug 2024 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | F | Standard survey | 26 Aug 2024 |
| 6 Aug 2024 | F0809 | 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. | F | Standard survey | 6 Aug 2024 |
| 6 Aug 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 | 6 Sep 2024 |
| 6 Aug 2024 | F0687 | Provide appropriate foot care. | E | Standard survey | 6 Aug 2024 |
| 6 Aug 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 23 Aug 2024 |
| 6 Aug 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 22 Aug 2024 |
| 6 Aug 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 6 Aug 2024 |
| 6 Aug 2024 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 13 Aug 2024 |
| 6 Aug 2024 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 23 Aug 2024 |
| 6 Aug 2024 | F0712 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. | D | Standard survey | 7 Aug 2024 |
| 22 Apr 2024 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 17 May 2024 |
| 22 Aug 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 27 Sep 2023 |
| 19 Apr 2023 | 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 | 12 May 2023 |
| 19 Apr 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 12 May 2023 |
| 19 Apr 2023 | 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 | Standard survey | 12 May 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 22 Aug 2023 | Payment denial | — | 11 days |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Wisconsin average. Turnover: nursing staff 70.1%, RNs 70.0%; — administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Wisconsin median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 23.9% | 15.4% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 17.2% | 1.5% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.9% | 2.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 0.0% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.9% | 0.9% | 1.0% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.0% | 4.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 11.3% | 14.4% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, corporation. Legal business name: Four Winds Manor, Inc..
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| State Bank of Cross Plains | 5% or greater mortgage interest | NOT APPLICABLE | 11/17/2015 |
| Wipfli LLP | Operational/managerial control | NOT APPLICABLE | 01/01/2014 |
| Wipfli LLP | Adp of the snf | NOT APPLICABLE | 11/21/2025 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Dane County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Avina of Sun Prairie | Sun Prairie | 50 | 5 | 4 | 2 | 16 | 32.0 | — | 8 Jan 2026 |
| Badger Prairie HCC | Verona | 120 | 5 | 5 | 5 | 9 | 7.5 | — | 10 Sep 2025 |
| Skaalen Nursing and Rehabilitation Center | Stoughton | 70 | 5 | 5 | 5 | 8 | 11.4 | — | 10 Sep 2024 |
| Capitol Lakes Health Center | Madison | 49 | 4 | 3 | 5 | 13 | 26.5 | — | 10 Mar 2026 |
| Hebron Oaks | Madison | 70 | 4 | 3 | 5 | 10 | 14.3 | $15K | 8 Jan 2026 |
| Oak Park Place of Nakoma | Madison | 33 | 3 | 3 | 4 | 30 | 90.9 | — | 22 Jan 2026 |
| Oakwood Village East Health and Rehab Center | Madison | 40 | 3 | 2 | 5 | 16 | 40.0 | $212K | 22 Oct 2025 |
| Sun Prairie Senior Living | Sun Prairie | 52 | 3 | 3 | 2 | 31 | 59.6 | — | 1 Apr 2026 |
All 16 facilities in Dane County
Questions and answers
How many deficiencies has Four Winds Manor been cited for?
28 health deficiencies across the three most recent survey cycles, 2 at the actual-harm or immediate-jeopardy level. The Wisconsin median is 21 per facility.
Has Four Winds Manor been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Four Winds Manor compare?
Reported total nurse staffing is 4.8 hours per resident per day against a Wisconsin median of 4.0 and a national average of 3.9.
Who operates Four Winds Manor?
Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Wipfli LLP. Individual owners and managers are not listed on this site.
When was Four Winds Manor last inspected?
The most recent survey or investigation in the CMS record is dated 11 Dec 2025; the most recent standard health survey was 4 Sep 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.