Ingleside Manor: Dining Preference Ignored - WI]
The September 15, 2025 complaint inspection at Ingleside Manor, a nursing facility at 407 N. Eighth Street in Mount Horeb, documented that staff failed to honor the dining preference of a resident identified in inspection records as R6. The level of harm was classified as minimal, affecting few residents. The deficiency nonetheless points to something straightforward: a resident's documented choice was not followed.
Inspectors noted that R6's meal tickets, printed on September 11, 2025, clearly indicated she was to eat in the main dining room at a specific table. Her CNA worksheet said the same. The preference wasn't ambiguous or informal. It was in writing, in the systems staff use every day to know what a resident needs and wants.
The delay that kept R6 from the dining room that day stemmed from the timing of her shower.
On September 11 at 1:30 p.m., a surveyor spoke with the Dietary Manager, identified in the report as DM C. The dietary manager confirmed R6 prefers to eat in the dining room and that the preference is marked on her meal ticket. Two hours later, at 3:33 p.m., the surveyor spoke with the Director of Nursing, identified as DON B.
The Director of Nursing's response was unambiguous. It is the resident's right to eat where they choose, DON B told the surveyor. Staff should honor R6's choice to eat in the dining room.
Should. The word implies it hadn't been.
There is nothing complicated about what the inspection found. A resident had a preference. That preference was documented. A scheduling conflict, a shower that ran late, meant the preference wasn't honored. The Director of Nursing, when asked, confirmed what should have happened. It hadn't.
For residents in long-term care, the ability to make choices about daily life, where to eat, when to shower, how to spend an afternoon, can represent some of the last meaningful control a person has over their own days. A dining room preference is not a small thing to the person who holds it. It may mean seeing familiar faces, having a conversation, feeling like part of something. It may mean simply not eating alone.
Ingleside Manor's plan of correction was not included in the inspection report. Residents or family members with concerns about care at the facility can contact the Wisconsin Department of Health Services or the Long-Term Care Ombudsman Program.
R6 ate somewhere other than the dining room that day. Where, the report does not say.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Ingleside Manor from 2025-09-15 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: September 19, 2026 · Our methodology
INGLESIDE MANOR in MOUNT HOREB, WI was cited for violations during a health inspection on September 15, 2025.
The September 15, 2025 complaint inspection at Ingleside Manor, a nursing facility at 407 N.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.