Elder Care Record

Wisconsin › Dane County › Mount Horeb

Ingleside Manor

407 N Eighth St, Mount Horeb, WI 53572

CCN 525331 · Non-profit, corporation · 80 certified beds · chain Wisconsin Illinois Senior Housing, Inc.

Special Focus Facility
Overallnot rated
Health inspectionnot rated
Staffingnot rated
Quality measuresnot rated

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.

Ingleside Manor is a Non-profit, corporation nursing home in Mount Horeb, Wisconsin, certified for 80 beds and caring for about 40 residents a day.

CMS gives it no overall rating; the health inspection rating is —, staffing — and quality measures —.

Inspectors recorded 74 health deficiencies across the three most recent survey cycles (34, 30, 10 by cycle, most recent first), 6 of them at the actual-harm or immediate-jeopardy level. That is 92.5 per 100 beds, more than the state median of 31.8.

CMS lists 7 penalties in the period covered: fines totalling $283K and 2 payment denials.

Reported nurse staffing is 4.1 hours per resident per day (1.1 RN), close to the Wisconsin median of 4.0; nursing staff turnover is 80.6%.

CMS flags that the facility is a Special Focus Facility.

74health deficiencies, 3 survey cycles6 at actual harm or worse
$283Kfines listed by CMS7 penalties in period
4.1nurse hours per resident per daystate median 4.0
50%occupancy (residents ÷ beds)40 residents a day

Compared with county, state and nation

MeasureThis facilityDane Co. medianWisconsin medianUS average
Overall star rating—333.0
Health citations, 3 cycles74282128.7
Citations per 100 beds92.543.031.826.8
Total nurse hours per resident day4.14.84.03.9
RN hours per resident day1.11.10.90.7
Nursing staff turnover80.6%57.8%46.2%45.8%
Fines listed$283,060$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

Cycle 1 (latest)34
Cycle 230
Cycle 310

Dark bar: this facility. Grey bar: Wisconsin average per facility for the same cycle, as published by CMS. Standard health survey dates: 13 Oct 2025, 11 Jul 2024.

Severity mix: J ×3 G ×3 D ×47 E ×12 F ×9

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)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
13 Oct 2025F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.JStandard survey16 Dec 2025
13 Oct 2025F0880Provide and implement an infection prevention and control program.FStandard survey10 Nov 2025
13 Oct 2025F0565Honor the resident's right to organize and participate in resident/family groups in the facility.EStandard survey10 Nov 2025
13 Oct 2025F0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.EStandard survey10 Nov 2025
13 Oct 2025F0584Honor 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.EStandard survey10 Nov 2025
13 Oct 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EStandard survey10 Nov 2025
13 Oct 2025F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard survey10 Nov 2025
13 Oct 2025F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard survey10 Nov 2025
13 Oct 2025F0692Provide enough food/fluids to maintain a resident's health.DStandard survey10 Nov 2025
13 Oct 2025F0759Ensure medication error rates are not 5 percent or greater.DStandard survey10 Nov 2025
13 Oct 2025F0761Ensure 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.DStandard survey10 Nov 2025
13 Oct 2025F0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.DStandard survey10 Nov 2025
13 Oct 2025F0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.DStandard survey10 Nov 2025
13 Oct 2025F0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.DStandard survey10 Nov 2025
13 Oct 2025F0883Develop and implement policies and procedures for flu and pneumonia vaccinations.DStandard survey10 Nov 2025
15 Sep 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GComplaint investigation14 Oct 2025
15 Sep 2025F0584Honor 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.EComplaint investigation14 Oct 2025
15 Sep 2025F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EComplaint investigation14 Oct 2025
15 Sep 2025F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint investigation14 Oct 2025
15 Sep 2025F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint investigation14 Oct 2025
15 Sep 2025F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint investigation14 Oct 2025
15 Sep 2025F0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.DComplaint investigation14 Oct 2025
15 Sep 2025F0760Ensure that residents are free from significant medication errors.DComplaint investigation14 Oct 2025
13 Aug 2025F0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.EComplaint investigation7 Sep 2025
13 Aug 2025F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint investigation7 Sep 2025
13 Aug 2025F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation7 Sep 2025
13 Aug 2025F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint investigation7 Sep 2025
13 Aug 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation14 Oct 2025
13 Aug 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation7 Sep 2025
13 Aug 2025F0692Provide enough food/fluids to maintain a resident's health.DComplaint investigation7 Sep 2025
13 Aug 2025F0712Ensure that the resident and his/her doctor meet face-to-face at all required visits.DComplaint investigation7 Sep 2025
13 Aug 2025F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint investigation7 Sep 2025
13 Aug 2025F0760Ensure that residents are free from significant medication errors.DComplaint investigation7 Sep 2025
13 Aug 2025F0880Provide and implement an infection prevention and control program.DComplaint investigation7 Sep 2025
9 Jul 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint investigation6 Aug 2025
9 Jul 2025F0692Provide enough food/fluids to maintain a resident's health.JComplaint investigation6 Aug 2025
9 Jul 2025F0658Ensure services provided by the nursing facility meet professional standards of quality.FComplaint investigation6 Aug 2025
9 Jul 2025F0730Observe each nurse aide's job performance and give regular training.FComplaint investigation6 Aug 2025
9 Jul 2025F0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyFComplaint investigation6 Aug 2025
9 Jul 2025F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation6 Aug 2025
9 Jul 2025F0610Respond appropriately to all alleged violations.DComplaint investigation6 Aug 2025
9 Jul 2025F0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.DComplaint investigation6 Aug 2025
9 Jul 2025F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint investigation6 Aug 2025
10 Jun 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation6 Aug 2025
14 Mar 2025F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint investigation14 Apr 2025
14 Mar 2025F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation14 Apr 2025
14 Mar 2025F0610Respond appropriately to all alleged violations.DComplaint investigation14 Apr 2025
14 Mar 2025F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint investigation14 Apr 2025
14 Mar 2025F0759Ensure medication error rates are not 5 percent or greater.DComplaint investigation14 Apr 2025
11 Jul 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GStandard survey5 Aug 2024
11 Jul 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey5 Aug 2024
11 Jul 2024F0814Dispose of garbage and refuse properly.FStandard survey5 Aug 2024
11 Jul 2024F0880Provide and implement an infection prevention and control program.FStandard survey5 Aug 2024
11 Jul 2024F0558Reasonably accommodate the needs and preferences of each resident.EStandard survey5 Aug 2024
11 Jul 2024F0584Honor 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.EStandard survey5 Aug 2024
11 Jul 2024F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard survey5 Aug 2024
11 Jul 2024F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey5 Aug 2024
11 Jul 2024F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard survey5 Aug 2024
11 Jul 2024F0692Provide enough food/fluids to maintain a resident's health.DStandard survey5 Aug 2024
11 Jul 2024F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard survey5 Aug 2024
11 Jul 2024F0758Implement 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.DStandard survey5 Aug 2024
11 Jul 2024F0759Ensure medication error rates are not 5 percent or greater.DStandard survey5 Aug 2024
11 Jul 2024F0760Ensure that residents are free from significant medication errors.DStandard survey5 Aug 2024
11 Jul 2024F0883Develop and implement policies and procedures for flu and pneumonia vaccinations.DStandard survey5 Aug 2024
1 Nov 2023F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint investigation27 Nov 2023
30 Mar 2023F0809Ensure 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.FStandard survey5 May 2023
30 Mar 2023F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey5 May 2023
30 Mar 2023F0565Honor the resident's right to organize and participate in resident/family groups in the facility.EStandard survey5 May 2023
30 Mar 2023F0585Honor 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.EStandard survey5 May 2023
30 Mar 2023F0880Provide and implement an infection prevention and control program.EStandard survey28 Apr 2023
30 Mar 2023F0554Allow residents to self-administer drugs if determined clinically appropriate.DStandard survey5 May 2023
30 Mar 2023F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard survey5 May 2023
30 Mar 2023F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard survey5 May 2023
30 Mar 2023F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey5 May 2023

Penalties

DateTypeAmountDetail
13 Oct 2025Payment denial—35 days
13 Oct 2025Fine$83,597
10 Jun 2025Payment denial—68 days
10 Jun 2025Fine$128,700
10 Jun 2025Fine$20,420
11 Jul 2024Fine$36,946
1 Nov 2023Fine$13,397

Staffing

Total nursing4.15 h
Nurse aides2.5 h
LPN0.58 h
RN1.06 h
Weekend total3.59 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Wisconsin average. Turnover: nursing staff 80.6%, RNs 75.0%; 2 administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityWisconsin medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay10.7%15.4%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay5.4%1.5%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.0%2.3%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay1.9%3.0%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay0.0%0.9%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay20.0%16.8%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay10.4%4.4%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay14.4%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: non-profit, corporation. Legal business name: Wisconsin Illinois Senior Housing Inc. Chain: Wisconsin Illinois Senior Housing, Inc. (7 facilities).

OrganisationRole in the CMS recordInterestSince
Carriage Healthcare Companies IncOperational/managerial controlNOT APPLICABLE08/09/2012
Carriage Healthcare Companies IncAdp of the snfNOT APPLICABLE10/06/2025
Hbt It LLCAdp of the snfNOT APPLICABLE07/01/2024
Jt and Associates LLCAdp of the snfNOT APPLICABLE01/01/2010
Partners In Wealth Management, IncAdp of the snfNOT APPLICABLE01/01/2024
Pinion, LLCAdp of the snfNOT APPLICABLE01/01/1995
Rehab Solutions Group, LLCAdp of the snfNOT APPLICABLE01/01/2024
Twomagnets LLCAdp of the snfNOT APPLICABLE01/01/2022

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

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Avina of Sun PrairieSun Prairie505421632.0—8 Jan 2026
Badger Prairie HCCVerona12055597.5—10 Sep 2025
Skaalen Nursing and Rehabilitation CenterStoughton70555811.4—10 Sep 2024
Capitol Lakes Health CenterMadison494351326.5—10 Mar 2026
Hebron OaksMadison704351014.3$15K8 Jan 2026
Oak Park Place of NakomaMadison333343090.9—22 Jan 2026
Oakwood Village East Health and Rehab CenterMadison403251640.0$212K22 Oct 2025
Sun Prairie Senior LivingSun Prairie523323159.6—1 Apr 2026

All 16 facilities in Dane County

Questions and answers

How many deficiencies has Ingleside Manor been cited for?

74 health deficiencies across the three most recent survey cycles, 6 at the actual-harm or immediate-jeopardy level. The Wisconsin median is 21 per facility.

Has Ingleside Manor been fined?

Yes. CMS lists fines totalling $283K in the period covered, plus 2 payment denials.

How does staffing at Ingleside Manor compare?

Reported total nurse staffing is 4.1 hours per resident per day against a Wisconsin median of 4.0 and a national average of 3.9.

Who operates Ingleside Manor?

It is part of the Wisconsin Illinois Senior Housing, Inc. chain. Ownership type is non-profit, corporation. Organisations in the CMS ownership record include Carriage Healthcare Companies Inc. Individual owners and managers are not listed on this site.

When was Ingleside Manor last inspected?

The most recent survey or investigation in the CMS record is dated 13 Oct 2025; the most recent standard health survey was 13 Oct 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.