Senior Care Records.

East Troy Manor

3271 NORTH ST, East Troy, WI, 53120

Nursing home50 licensed beds0 citations on record
LocationOpen in Maps
Has this facility been cited?

Yes. Federal inspectors cited 10 deficiencies against East Troy Manor in East Troy, Wisconsin at its most recent standard inspection on 2026-01-08, 10 of them arising from complaints. 3 findings have been recorded at the immediate-jeopardy level, the most serious CMS uses, meaning a resident was placed in immediate danger. Medicare has fined it 4 times, totalling $129,433. Medicare rates it 1 out of 5 overall.

1 / 5Medicare overall rating
50certified beds
10deficiencies at the last inspection
3immediate-jeopardy findings on record
1actual-harm findings on record
4federal fines, $129,433
What the inspectors found

Every deficiency on record, by how serious CMS judged it

CMS grades each finding from A to L on two axes: how badly residents were affected, and how many. These are its bands, not ours. The figures cover every standard and complaint survey on record, which is a longer window than the rating cycle above.

Immediate jeopardyA resident was placed in immediate danger. The most serious band CMS uses.3
Actual harmA resident was harmed, but not placed in immediate danger.1
Potential for more than minimal harmNo resident was harmed, but the failing could have caused it.24
Potential for minimal harmThe least serious band.1
Most recent

The last 20 findings, newest first

Each is the federal requirement the home was found not to meet, in CMS’s own wording, with the tag number so it can be looked up against the inspection report.

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies · F0689 · 2025-07-24 · from a complaint · Immediate jeopardy to resident health or safety

J

Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.

Administration Deficiencies · F0941 · 2025-07-24 · from a complaint · No actual harm, potential for more than minimal harm

F

Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.

Resident Rights Deficiencies · F0942 · 2025-07-24 · from a complaint · No actual harm, potential for more than minimal harm

F

Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0943 · 2025-07-24 · from a complaint · No actual harm, potential for more than minimal harm

F

Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

Administration Deficiencies · F0944 · 2025-07-24 · from a complaint · No actual harm, potential for more than minimal harm

F

Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.

Infection Control Deficiencies · F0945 · 2025-07-24 · from a complaint · No actual harm, potential for more than minimal harm

F

Provide training in compliance and ethics.

Administration Deficiencies · F0946 · 2025-07-24 · from a complaint · No actual harm, potential for more than minimal harm

F

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

Nursing and Physician Services Deficiencies · F0947 · 2025-07-24 · from a complaint · No actual harm, potential for more than minimal harm

F

Provide behavior health training consistent with the requirements and as determined by a facility assessment.

Administration Deficiencies · F0949 · 2025-07-24 · from a complaint · No actual harm, potential for more than minimal harm

F

Post nurse staffing information every day.

Nursing and Physician Services Deficiencies · F0732 · 2025-07-24 · from a complaint · No actual harm, potential for minimal harm

C

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Administration Deficiencies · F0867 · 2025-04-01 · from a complaint · No actual harm, potential for more than minimal harm

E

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

Nursing and Physician Services Deficiencies · F0947 · 2025-04-01 · from a complaint · No actual harm, potential for more than minimal harm

E

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies · F0689 · 2025-04-01 · from a complaint · No actual harm, potential for more than minimal harm

D

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Quality of Life and Care Deficiencies · F0684 · 2024-08-15 · from a complaint · Immediate jeopardy to resident health or safety

J

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies · F0689 · 2024-08-15 · standard survey · Immediate jeopardy to resident health or safety

J

Provide and implement an infection prevention and control program.

Infection Control Deficiencies · F0880 · 2024-08-15 · standard survey · No actual harm, potential for more than minimal harm

F

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Resident Rights Deficiencies · F0623 · 2024-08-15 · standard survey · No actual harm, potential for more than minimal harm

E

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0609 · 2024-08-15 · standard survey · No actual harm, potential for more than minimal harm

D

Respond appropriately to all alleged violations.

Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0610 · 2024-08-15 · standard survey · No actual harm, potential for more than minimal harm

D

Notify 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.

Resident Rights Deficiencies · F0625 · 2024-08-15 · standard survey · No actual harm, potential for more than minimal harm

D
Medicare’s own rating

How CMS scores this home

These stars are Medicare’s, not ours — we publish no rating of our own. They are reproduced here because they are part of the public record.

OverallCombines the three below1 of 5
Health inspectionBased on the last three inspection cycles1 of 5
StaffingNurse hours per resident, adjusted for how sick residents are3 of 5
Quality measuresResident outcomes reported by the home4 of 5
Nurse hours per resident per dayReported by the home to CMS3.76041
Nursing staff turnoverShare of nursing staff who left in a year68.5%
Penalties

What Medicare has fined this home

FinesCivil money penalties imposed by CMS4
Total fined$129,433
Payment denials and other penaltiesMedicare refusing to pay for new admissions is the usual one4
Ownership

Who owns East Troy Manor

Nursing homes are frequently owned through layers of companies, and the name over the door is rarely the one that holds the licence. This is the ownership CMS has on file.

OwnerRoleShareSince
DUPONT, LORIIndividualNOT APPLICABLEsince 01/25/2016
GEHLER, MIRIAMIndividualNOT APPLICABLEsince 03/14/2011
GERLACH, KERIIndividualNOT APPLICABLEsince 01/01/2019
KERWIN, ANDREWIndividualNOT APPLICABLEsince 06/26/2009
KUMAR, RAJEEV SHIVAIndividualNOT APPLICABLEsince 04/24/2012
LACKE (CARRIG), KARENIndividualNOT APPLICABLEsince 01/01/2016
LYNN, NICHOLASIndividualNOT APPLICABLEsince 03/14/2011
CARRIAGE HEALTHCARE COMPANIES INCOrganizationNOT APPLICABLEsince 02/15/2001
HBT IT LLCOrganizationNOT APPLICABLEsince 07/01/2024
JT AND ASSOCIATES LLCOrganizationNOT APPLICABLEsince 01/01/2010
PARTNERS IN WEALTH MANAGEMENT, INCOrganizationNOT APPLICABLEsince 01/01/2024
PINION, LLCOrganizationNOT APPLICABLEsince 01/01/1995

Part of the WISCONSIN ILLINOIS SENIOR HOUSING, INC. group.

Contact

Ask East Troy Manor a question

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What is needed

East Troy Manor has not claimed this page, so there is nobody here to deliver a message to. We will not take your details and sit on them. Call them on 2626423995 — the number is from their licence record.

Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 525561.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction