Elder Care Record

Wisconsin › Winnebago County › Appleton

Peabody Manor

2600 S Heritage Woods Dr, Appleton, WI 54915

CCN 525548 · Non-profit, corporation · 58 certified beds

Located in a hospital
Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

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.

Peabody Manor is a Non-profit, corporation nursing home in Appleton, Wisconsin, certified for 58 beds and caring for about 50 residents a day.

CMS gives it 4 of 5 stars overall, above the Wisconsin median of 3; the health inspection rating is 3, staffing 5 and quality measures 2.

Inspectors recorded 23 health deficiencies across the three most recent survey cycles (8, 7, 8 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 39.7 per 100 beds, about the same as the state median of 31.8.

CMS lists no fines or payment denials against the facility in the period covered.

Reported nurse staffing is 4.4 hours per resident per day (1.6 RN), close to the Wisconsin median of 4.0; nursing staff turnover is 35.1%.

23health deficiencies, 3 survey cycles1 at actual harm or worse
$0fines listed by CMS0 penalties in period
4.4nurse hours per resident per daystate median 4.0
86%occupancy (residents ÷ beds)50 residents a day

Compared with county, state and nation

MeasureThis facilityWinnebago Co. medianWisconsin medianUS average
Overall star rating4433.0
Health citations, 3 cycles23172128.7
Citations per 100 beds39.727.331.826.8
Total nurse hours per resident day4.44.84.03.9
RN hours per resident day1.61.30.90.7
Nursing staff turnover35.1%50.9%46.2%45.8%
Fines listed$0$0$0—

County and state figures are medians across facilities (8 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)8
Cycle 27
Cycle 38

Dark bar: this facility. Grey bar: Wisconsin average per facility for the same cycle, as published by CMS. Standard health survey dates: 19 Mar 2026, 18 Dec 2024.

Severity mix: G ×1 D ×17 E ×3 F ×2

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
19 Mar 2026F0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.EStandard survey10 Apr 2026
19 Mar 2026F0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.EStandard survey10 Apr 2026
19 Mar 2026F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey20 Mar 2026
19 Mar 2026F0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.DStandard survey20 Mar 2026
19 Mar 2026F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey20 Mar 2026
19 Mar 2026F0692Provide enough food/fluids to maintain a resident's health.DStandard survey20 Mar 2026
19 Mar 2026F0759Ensure medication error rates are not 5 percent or greater.DStandard survey10 Apr 2026
19 Mar 2026F0880Provide and implement an infection prevention and control program.DStandard survey10 Apr 2026
7 Jul 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FComplaint investigation30 Jul 2025
7 Jul 2025F0695Provide safe and appropriate respiratory care for a resident when needed.DComplaint investigation30 Jul 2025
18 Dec 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint investigation15 Jan 2025
18 Dec 2024F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DStandard survey15 Jan 2025
18 Dec 2024F0625Notify 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.DStandard survey15 Jan 2025
18 Dec 2024F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard survey15 Jan 2025
18 Dec 2024F0880Provide and implement an infection prevention and control program.DStandard survey15 Jan 2025
5 Jun 2024F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation1 Jul 2024
5 Jun 2024F0610Respond appropriately to all alleged violations.DComplaint investigation1 Jul 2024
13 Sep 2023F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey6 Oct 2023
13 Sep 2023F0552Ensure that residents are fully informed and understand their health status, care and treatments.DStandard survey2 Oct 2023
13 Sep 2023F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard survey29 Sep 2023
13 Sep 2023F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard survey30 Oct 2023
13 Sep 2023F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard survey2 Oct 2023
13 Sep 2023F0880Provide and implement an infection prevention and control program.DStandard survey6 Oct 2023

Penalties

CMS lists no fines or payment denials for this facility in the period covered.

Staffing

Total nursing4.39 h
Nurse aides2.21 h
LPN0.54 h
RN1.64 h
Weekend total3.93 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Wisconsin average. Turnover: nursing staff 35.1%, RNs 28.6%; 1 administrator 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 Stay17.7%15.4%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay3.0%1.5%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay3.3%2.3%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay1.3%3.0%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay1.1%0.9%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay19.5%16.8%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay14.4%4.4%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay11.5%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.

OrganisationRole in the CMS recordInterestSince
Froedtert Thedacare Health, Inc.Operational/managerial controlNOT APPLICABLE01/01/2024

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 Winnebago County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Bethel HomeOshkosh1005451111.0—10 Sep 2025
Park View Health CenterOshkosh16855574.2—16 Apr 2025
Edenbrook OmroOmro504421734.0—1 Apr 2026
Evergreen Health CenterOshkosh8044478.8—27 May 2026
Edenbrook of OshkoshOshkosh1103323027.3—5 May 2026
Oakridge Gardens Nur Ctr, IncMenasha1063342119.8—14 May 2025
Eden Rehab Suites and Green House HomesOshkosh502241632.0$14K5 Feb 2026

All 8 facilities in Winnebago County

Questions and answers

How many deficiencies has Peabody Manor been cited for?

23 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Wisconsin median is 21 per facility.

Has Peabody Manor been fined?

CMS lists no fines against the facility in the period covered.

How does staffing at Peabody Manor compare?

Reported total nurse staffing is 4.4 hours per resident per day against a Wisconsin median of 4.0 and a national average of 3.9.

Who operates Peabody Manor?

Ownership type is non-profit, corporation. Organisations in the CMS ownership record include Froedtert Thedacare Health, Inc.. Individual owners and managers are not listed on this site.

When was Peabody Manor last inspected?

The most recent survey or investigation in the CMS record is dated 19 Mar 2026; the most recent standard health survey was 19 Mar 2026.

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.