Marquardt Memorial Manor: Abuse Reporting Delay - WI
That admission, recorded by federal inspectors during an October 6, 2025 complaint survey at Marquardt Memorial Manor, sits at the center of a citation against the 1020 Hill Street facility for failing to report an abuse allegation in the time required.
The inspection report does not identify who made the allegation, who it was made against, or what it described. What it records is the consequence of the delay: the director of nursing, identified in the report as DON-B, told inspectors that a timely report would have triggered an investigation. One did not happen.
The deficiency was cited under F0609, the federal tag governing a nursing home's obligation to report allegations of abuse, neglect, exploitation, and mistreatment. The citation noted the level of harm as minimal harm or potential for actual harm, and listed the number of residents affected as few.
Those classifications carry a specific meaning in federal inspection language. Minimal harm does not mean no harm. It means inspectors determined that residents were exposed to a situation that carried the potential for more than minor injury, even if serious injury did not result. Few residents means the problem was not isolated to a single person.
What the report cannot capture is what the delay cost the residents involved. An investigation that never started cannot produce findings. Staff who might have been questioned were not questioned. A timeline that might have been reconstructed was not reconstructed. DON-B acknowledged this directly to inspectors, and the acknowledgment became part of the record.
Marquardt Memorial Manor is a long-term care facility operating under Medicare and Medicaid certification, assigned provider number 525543. The October survey was a complaint inspection, meaning it was triggered by a specific concern reported to regulators rather than a routine scheduled review. Complaint surveys are initiated when someone, a resident, a family member, a staff member, or a member of the public, contacts the state agency with a concern serious enough to warrant an on-site response.
The facility was given the opportunity to submit a plan of correction. The inspection document notes that information on the plan can be obtained by contacting the nursing home or the Wisconsin state survey agency directly.
The citation covers four pages of a six-page deficiency statement. The narrative provided in publicly available records is limited, and the full investigative record, including interview notes, staff statements, and documentary evidence reviewed by inspectors, is not reproduced here.
What is reproduced is what DON-B said.
Nursing home abuse reporting requirements exist because the window for investigation closes quickly. Witnesses' memories change. Physical evidence disappears. Staff schedules shift. The longer a report is delayed, the harder it becomes to determine what happened and to whom. A director of nursing who says she would have investigated had she known sooner is also, without intending to, describing a system in which the investigation depended entirely on someone deciding to come forward, and someone did not, not in time.
The residents described in the citation as affected, the few, are not named in the inspection record. Their situations, whatever they were, passed through the facility without triggering the response the director of nursing said she would have initiated.
The inspection was completed October 6, 2025. The deficiency statement was printed April 13, 2026.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Marquardt Memorial Manor from 2025-10-06 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 10, 2026 · Our methodology
Marquardt Memorial Manor in Watertown, WI was cited for abuse-related violations during a health inspection on October 6, 2025.
The inspection report does not identify who made the allegation, who it was made against, or what it described.
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.