EVANSVILLE MANOR NURSING AND REHAB, LLC

πŸ“ 470 GARFIELD AVE, evansville, WI 53536 πŸ“ž 6088825700 πŸ›οΈ 71 beds

Overall Rating

⭐
1/5

Health Inspection

⭐
1/5

Staffing

⭐⭐⭐
3/5

Quality Measures

⭐⭐⭐
3/5

Inspection History Overview

93
Total Violations
10 years of data
$214,923
Total Fines
8 penalties
12
Inspections
Since 2014
21
Quality Metrics
Tracked measures

Health Violations by Year

2025 5 violations

Tag 0609 D May 15, 2025

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

βœ“ Corrected: Jun 9, 2025
Tag 0610 D May 15, 2025

Respond appropriately to all alleged violations.

βœ“ Corrected: Jun 9, 2025
Tag 0689 G May 15, 2025

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

βœ“ Corrected: Jun 9, 2025
Tag 0757 D May 15, 2025

Ensure each resident’s drug regimen must be free from unnecessary drugs.

βœ“ Corrected: Jun 9, 2025
Tag 0804 E May 15, 2025

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

βœ“ Corrected: Jun 9, 2025

2024 5 violations

Tag 0609 D Feb 5, 2024

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

βœ“ Corrected: Feb 28, 2024
Tag 0610 D Feb 5, 2024

Respond appropriately to all alleged violations.

βœ“ Corrected: Feb 28, 2024
Tag 0684 G Feb 5, 2024

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

βœ“ Corrected: Feb 28, 2024
Tag 0689 J Feb 5, 2024

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

βœ“ Corrected: Feb 28, 2024
Tag 0947 D Feb 5, 2024

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

βœ“ Corrected: Feb 28, 2024

2023 17 violations

Tag 0584 D Jun 29, 2023

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

βœ“ Corrected: Jul 28, 2023
Tag 0645 D Jun 29, 2023

PASARR screening for Mental disorders or Intellectual Disabilities

βœ“ Corrected: Jul 28, 2023
Tag 0677 D Jun 29, 2023

Provide care and assistance to perform activities of daily living for any resident who is unable.

βœ“ Corrected: Jul 28, 2023
Tag 0684 E Jun 29, 2023

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

βœ“ Corrected: Jul 28, 2023
Tag 0686 E Jun 29, 2023

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

βœ“ Corrected: Jul 28, 2023
Tag 0760 D Jun 29, 2023

Ensure that residents are free from significant medication errors.

βœ“ Corrected: Jul 28, 2023
Tag 0883 D Jun 29, 2023

Develop and implement policies and procedures for flu and pneumonia vaccinations.

βœ“ Corrected: Jul 28, 2023
Tag 0887 D Jun 29, 2023

Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

βœ“ Corrected: Jul 28, 2023
Tag 0580 D May 9, 2023

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

βœ“ Corrected: Jun 5, 2023
Tag 0584 D May 9, 2023

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

βœ“ Corrected: Jun 5, 2023
Tag 0609 D May 9, 2023

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

βœ“ Corrected: Jun 5, 2023
Tag 0610 D May 9, 2023

Respond appropriately to all alleged violations.

βœ“ Corrected: Jun 5, 2023
Tag 0677 D May 9, 2023

Provide care and assistance to perform activities of daily living for any resident who is unable.

βœ“ Corrected: Jun 5, 2023
Tag 0684 G May 9, 2023

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

βœ“ Corrected: Jun 5, 2023
Tag 0732 C May 9, 2023

Post nurse staffing information every day.

βœ“ Corrected: Jun 5, 2023
Tag 0755 D May 9, 2023

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

βœ“ Corrected: Jun 5, 2023
Tag 0880 D May 9, 2023

Provide and implement an infection prevention and control program.

βœ“ Corrected: Jun 5, 2023

2022 9 violations

Tag 0554 D Jul 18, 2022

Allow residents to self-administer drugs if determined clinically appropriate.

βœ“ Corrected: Aug 12, 2022
Tag 0550 D Apr 21, 2022

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

βœ“ Corrected: May 21, 2022
Tag 0689 D Apr 21, 2022

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

βœ“ Corrected: May 21, 2022
Tag 0881 E Apr 21, 2022

Implement a program that monitors antibiotic use.

βœ“ Corrected: May 21, 2022
Tag 0883 D Apr 21, 2022

Develop and implement policies and procedures for flu and pneumonia vaccinations.

βœ“ Corrected: May 21, 2022
Tag 0887 E Apr 21, 2022

Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

βœ“ Corrected: May 21, 2022
Tag 0888 C Apr 21, 2022

Ensure staff are vaccinated for COVID-19

βœ“ Corrected: May 21, 2022
Tag 0626 D Feb 15, 2022

Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

βœ“ Corrected: Mar 25, 2022
Tag 0689 D Feb 15, 2022

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

βœ“ Corrected: Mar 11, 2022

2021 13 violations

Tag 0610 D Nov 11, 2021

Respond appropriately to all alleged violations.

βœ“ Corrected: Dec 6, 2021
Tag 0686 D Nov 11, 2021

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

βœ“ Corrected: Dec 6, 2021
Tag 0580 D Sep 2, 2021

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

βœ“ Corrected: Sep 22, 2021
Tag 0689 G Aug 24, 2021

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

βœ“ Corrected: Sep 21, 2021
Tag 0580 D Jun 2, 2021

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

βœ“ Corrected: Jun 21, 2021
Tag 0760 D Jun 2, 2021

Ensure that residents are free from significant medication errors.

βœ“ Corrected: Jun 21, 2021
Tag 0689 J Mar 16, 2021

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

βœ“ Corrected: Mar 17, 2021
Tag 0550 D Feb 11, 2021

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

βœ“ Corrected: Mar 10, 2021
Tag 0609 D Feb 11, 2021

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

βœ“ Corrected: Mar 10, 2021
Tag 0610 D Feb 11, 2021

Respond appropriately to all alleged violations.

βœ“ Corrected: Mar 10, 2021
Tag 0686 G Feb 11, 2021

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

βœ“ Corrected: Mar 10, 2021
Tag 0693 D Feb 11, 2021

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

βœ“ Corrected: Mar 10, 2021
Tag 0881 E Feb 11, 2021

Implement a program that monitors antibiotic use.

βœ“ Corrected: Mar 10, 2021

2020 15 violations

Tag 0880 E Oct 7, 2020

Provide and implement an infection prevention and control program.

βœ“ Corrected: Nov 5, 2020
Tag 0678 J Jun 29, 2020

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

βœ“ Corrected: Aug 6, 2020
Tag 0730 D Jun 29, 2020

Observe each nurse aide's job performance and give regular training.

βœ“ Corrected: Aug 6, 2020
Tag 0849 J Jun 29, 2020

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

βœ“ Corrected: Aug 6, 2020
Tag 0880 F Jun 17, 2020

Provide and implement an infection prevention and control program.

βœ“ Corrected: Jul 17, 2020
Tag 0609 D Mar 19, 2020

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

βœ“ Corrected: Apr 17, 2020
Tag 0610 D Mar 19, 2020

Respond appropriately to all alleged violations.

βœ“ Corrected: Apr 17, 2020
Tag 0585 D Mar 9, 2020

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

βœ“ Corrected: Apr 10, 2020
Tag 0677 D Mar 9, 2020

Provide care and assistance to perform activities of daily living for any resident who is unable.

βœ“ Corrected: Apr 10, 2020
Tag 0686 G Mar 9, 2020

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

βœ“ Corrected: Apr 10, 2020
Tag 0689 D Mar 9, 2020

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

βœ“ Corrected: Apr 10, 2020
Tag 0726 K Mar 9, 2020

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

βœ“ Corrected: Mar 10, 2020
Tag 0730 D Mar 9, 2020

Observe each nurse aide's job performance and give regular training.

βœ“ Corrected: Apr 10, 2020
Tag 0759 D Mar 9, 2020

Ensure medication error rates are not 5 percent or greater.

βœ“ Corrected: Apr 10, 2020
Tag 0760 J Mar 9, 2020

Ensure that residents are free from significant medication errors.

βœ“ Corrected: Mar 10, 2020

2019 17 violations

Tag 0656 D Oct 14, 2019

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

βœ“ Corrected: Nov 8, 2019
Tag 0661 D Oct 14, 2019

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

βœ“ Corrected: Nov 8, 2019
Tag 0694 D Oct 14, 2019

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

βœ“ Corrected: Nov 8, 2019
Tag 0725 E Oct 14, 2019

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

βœ“ Corrected: Nov 8, 2019
Tag 0554 D Jul 30, 2019

Allow residents to self-administer drugs if determined clinically appropriate.

βœ“ Corrected: Aug 23, 2019
Tag 0580 D Jul 30, 2019

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

βœ“ Corrected: Aug 23, 2019
Tag 0689 D Jul 30, 2019

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

βœ“ Corrected: Aug 23, 2019
Tag 0755 D Jul 30, 2019

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

βœ“ Corrected: Aug 23, 2019
Tag 0758 D Jul 30, 2019

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.

βœ“ Corrected: Aug 23, 2019
Tag 0759 D Jul 30, 2019

Ensure medication error rates are not 5 percent or greater.

βœ“ Corrected: Aug 23, 2019
Tag 0760 D Jul 30, 2019

Ensure that residents are free from significant medication errors.

βœ“ Corrected: Aug 23, 2019
Tag 0585 E Mar 12, 2019

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

βœ“ Corrected: Apr 12, 2019
Tag 0686 G Mar 12, 2019

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

βœ“ Corrected: Apr 12, 2019
Tag 0725 D Mar 12, 2019

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

βœ“ Corrected: Apr 12, 2019
Tag 0758 D Mar 12, 2019

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.

βœ“ Corrected: Apr 12, 2019
Tag 0761 D Mar 12, 2019

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.

βœ“ Corrected: Apr 12, 2019
Tag 0880 D Mar 12, 2019

Provide and implement an infection prevention and control program.

βœ“ Corrected: Apr 12, 2019

2018 3 violations

Tag 0585 E Nov 26, 2018

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

βœ“ Corrected: Dec 22, 2018
Tag 0725 F Nov 26, 2018

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

βœ“ Corrected: Dec 22, 2018
Tag 0812 F Nov 26, 2018

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

βœ“ Corrected: Dec 22, 2018

2017 4 violations

Tag 0582 C Dec 1, 2017

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

βœ“ Corrected: Dec 1, 2017
Tag 0686 G Dec 1, 2017

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

βœ“ Corrected: Jan 26, 2018
Tag 0695 D Dec 1, 2017

Provide safe and appropriate respiratory care for a resident when needed.

βœ“ Corrected: Dec 14, 2017
Tag 0225 D Oct 5, 2017

1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.

βœ“ Corrected: Nov 2, 2017

2016 5 violations

Tag 0157 D Oct 11, 2016

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

βœ“ Corrected: Oct 31, 2016
Tag 0176 D Oct 11, 2016

Allow residents to self-administer drugs if determined safe.

βœ“ Corrected: Oct 26, 2016
Tag 0226 D Oct 11, 2016

Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.

βœ“ Corrected: Oct 31, 2016
Tag 0282 D Oct 11, 2016

Provide care by qualified persons according to each resident's written plan of care.

βœ“ Corrected: Oct 26, 2016
Tag 0425 E Oct 11, 2016

Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.

βœ“ Corrected: Oct 26, 2016

Detailed Inspection Reports

No detailed inspection reports available yet. Check back soon as we're processing new reports daily.

Fines and Penalties by Year

2021 3 penalties totaling $93,812

$12,123
Fine
August 24, 2021
$81,689
Fine
February 11, 2021
$0
Payment Denial
February 11, 2021
Average: $31,271 | Range: $0 - $81,689

2020 3 penalties totaling $97,757

$15,000
Fine
October 7, 2020
$36,811
Fine
June 17, 2020
$45,946
Fine
March 9, 2020
Average: $32,586 | Range: $15,000 - $45,946

2019 1 penalties totaling $15,551

$15,551
Fine
March 12, 2019
Average: $15,551 | Range: $15,551 - $15,551

2017 1 penalties totaling $7,803

$7,803
Fine
December 1, 2017
Average: $7,803 | Range: $7,803 - $7,803

Fire Safety Deficiencies

Unknown Date

No description available

Inspection Survey Reports

Health

February 5, 2024
0.00

Health

June 29, 2023
0.00

Health

May 9, 2023
0.00

Health

July 18, 2022
0.00

Health

April 21, 2022
0.00

Health

February 15, 2022
0.00

Health

November 11, 2021
0.00

Health

September 2, 2021
0.00

Health

August 24, 2021
0.00

Health

June 2, 2021
0.00

Health

March 16, 2021
0.00

Health

February 11, 2021
0.00

Quality Measures

Quality Measure

Short Stay

Quality Measure

Short Stay

Quality Measure

Long Stay

Quality Measure

Long Stay

Quality Measure

Short Stay

Quality Measure

Long Stay

Quality Measure

Long Stay

Quality Measure

Long Stay

Quality Measure

Long Stay

Quality Measure

Long Stay

Quality Measure

Long Stay

Quality Measure

Long Stay

Quality Measure

Long Stay

Quality Measure

Long Stay

Quality Measure

Long Stay

Quality Measure

Long Stay

Quality Measure

Long Stay

Quality Measure

Long Stay

Quality Measure

Short Stay

Quality Measure

Short Stay

Quality Measure

Short Stay

Ownership Information

For profit - Corporation
Independent (Not part of a chain)
525418
525418
6088825700
Rock

Historical Ownership Records

August 25, 2025
Individual
August 25, 2025
Individual
August 25, 2025
Individual