East Troy Manor
East Troy, Walworth County, Wisconsin · CCN 525561 · Non-profit (Corporation) · part of Wisconsin Illinois Senior Housing, Inc. (7 facilities, chain average 1.7 stars)
CMS rates East Troy Manor 2 of 5 overall as of August 2026. 50 certified beds, 42 residents a day on average. 29 citations on record from the current inspection cycles, 3 at immediate jeopardy; 4 fines totalling $129,433.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★★☆☆☆ 2 of 5 |
|---|---|
| Health inspections | ★★☆☆☆ 2 of 5 |
| Staffing | ★★★☆☆ 3 of 5 |
| Quality measures | ★★★★☆ 4 of 5 |
| Quality: long-stay / short-stay | 5 / 3 of 5 |
Staffing
| Total nurse staffing | 3.76041 hours per resident per day |
|---|---|
| Registered nurses | 0.70574 hours per resident per day |
| Weekend total | 3.07625 hours per resident per day |
| Nursing staff turnover | 68.5% (registered nurses 33.3%) |
| Administrators who left | 0 |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2025-07-24 complaint survey |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
J Immediate jeopardy to resident health or safety; isolated | Deficient, Provider has date of correction 2025-08-18 |
| 2025-07-24 complaint survey |
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. Administration Deficiencies · tag F0941 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2025-08-18 |
| 2025-07-24 complaint survey |
Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. Resident Rights Deficiencies · tag F0942 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2025-08-18 |
| 2025-07-24 complaint survey |
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 · tag F0943 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2025-08-18 |
| 2025-07-24 complaint survey |
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. Administration Deficiencies · tag F0944 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2025-08-18 |
| 2025-07-24 complaint survey |
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 · tag F0945 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2025-08-18 |
| 2025-07-24 complaint survey |
Provide training in compliance and ethics. Administration Deficiencies · tag F0946 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2025-08-18 |
| 2025-07-24 complaint survey |
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 · tag F0947 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2025-08-18 |
| 2025-07-24 complaint survey |
Provide behavior health training consistent with the requirements and as determined by a facility assessment. Administration Deficiencies · tag F0949 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2025-08-18 |
| 2025-07-24 complaint survey |
Post nurse staffing information every day. Nursing and Physician Services Deficiencies · tag F0732 |
C No actual harm, with potential for minimal harm; widespread | Deficient, Provider has date of correction 2025-08-18 |
| 2025-04-01 complaint survey |
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Administration Deficiencies · tag F0867 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-05-07 |
| 2025-04-01 complaint survey |
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 · tag F0947 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-05-07 |
| 2025-04-01 complaint survey |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-05-07 |
| 2024-08-15 complaint survey |
Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
J Immediate jeopardy to resident health or safety; isolated | Deficient, Provider has date of correction 2024-09-13 |
| 2024-08-15 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
J Immediate jeopardy to resident health or safety; isolated | Deficient, Provider has date of correction 2024-09-13 |
| 2024-08-15 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2024-09-13 |
| 2024-08-15 | 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 · tag F0623 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-09-13 |
| 2024-08-15 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-09-13 |
| 2024-08-15 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0610 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-09-13 |
| 2024-08-15 | 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 · tag F0625 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-09-13 |
| 2024-08-15 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · tag F0656 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-09-13 |
| 2024-08-15 | 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. Pharmacy Service Deficiencies · tag F0761 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-09-13 |
| 2023-07-12 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · tag F0686 |
G Actual harm that is not immediate jeopardy; isolated | Deficient, Provider has date of correction 2023-08-09 |
| 2023-07-12 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2023-08-09 |
| 2023-07-12 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-08-09 |
| 2023-07-12 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · tag F0690 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-08-09 |
| 2023-07-12 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. Quality of Life and Care Deficiencies · tag F0700 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-08-09 |
| 2023-07-12 | Implement 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. Pharmacy Service Deficiencies · tag F0758 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-08-09 |
| 2023-07-12 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · tag F0759 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-08-09 |
Fines and payment denials
| Date | Penalty | Amount |
|---|---|---|
| 2025-07-24 | Fine | $101,220 |
| 2024-08-15 | Fine | $21,902 |
| 2023-11-20 | Fine | $2,117 |
| 2023-10-30 | Fine | $4,194 |
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| Carriage Healthcare Companies Inc. Organization | adp of the snf | — | 2025-10-06 |
| Hbt It LLC Organization | adp of the snf | — | 2025-08-18 |
| Jt And Associates LLC Organization | adp of the snf | — | 2026-02-05 |
| Partners In Wealth Management, Inc. Organization | adp of the snf | — | 2025-08-18 |
| Pinion, LLC Organization | adp of the snf | — | 2025-08-18 |
| Rehab Solutions Group, LLC Organization | adp of the snf | — | 2025-08-18 |
| Carriage Healthcare Companies Inc. Organization | operational/managerial control | — | 2001-02-15 |
| Hbt It LLC Organization | operational/managerial control | — | 2024-07-01 |
| Jt And Associates LLC Organization | operational/managerial control | — | 2010-01-01 |
| Partners In Wealth Management, Inc. Organization | operational/managerial control | — | 2024-01-01 |
| Pinion, LLC Organization | operational/managerial control | — | 1995-01-01 |
| Rehab Solutions Group, LLC Organization | operational/managerial control | — | 2024-01-01 |
| Leadley, Christie Individual | adp of the snf | — | 2023-05-02 |
| Sherman, Stephanie Individual | adp of the snf | — | 2012-08-12 |
| Sidhu, Sarfraz Individual | adp of the snf | — | 2022-10-10 |
| Siebel, Robert Individual | adp of the snf | — | 1999-10-01 |
| Dupont, Lori Individual | corporate director | — | 2016-01-25 |
| Gehler, Miriam Individual | corporate director | — | 2011-03-14 |
| Gerlach, Keri Individual | corporate director | — | 2019-01-01 |
| Kerwin, Andrew Individual | corporate director | — | 2009-06-26 |
| Kumar, Rajeev Shiva Individual | corporate director | — | 2012-04-24 |
| Lacke (Carrig), Karen Individual | corporate director | — | 2016-01-01 |
| Lynn, Nicholas Individual | corporate director | — | 2011-03-14 |
| Leadley, Christie Individual | operational/managerial control | — | 2023-05-02 |
| Sherman, Stephanie Individual | operational/managerial control | — | 2012-08-12 |
| Sidhu, Sarfraz Individual | operational/managerial control | — | 2022-10-10 |
| Siebel, Robert Individual | operational/managerial control | — | 1999-10-01 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for East Troy Manor.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Walworth County.