Deficiency timeline
East Troy Manor
Dated inspection findings, penalties, and correction notes for this nursing home in East Troy, WI. Newest events first.
- Class IImmediate jeopardy (J)Complaint-relatedcms
F0689: Quality of Life and Care
Quality of life & care
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected Aug 18, 2025
- Class IIIPotential for more than minimal harm (F)Complaint-relatedcms
F0941: Administration
Administration
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
Corrected Aug 18, 2025
- Class IIIPotential for more than minimal harm (F)Complaint-relatedcms
F0942: Resident Rights
Resident rights
Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
Corrected Aug 18, 2025
- Class IIIPotential for more than minimal harm (F)Complaint-relatedcms
F0943: Freedom from Abuse, Neglect, and Exploitation
Abuse, neglect & exploitation
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Corrected Aug 18, 2025
- Class IIIPotential for more than minimal harm (F)Complaint-relatedcms
F0944: Administration
Administration
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Corrected Aug 18, 2025
- Class IIIPotential for more than minimal harm (F)Complaint-relatedcms
F0945: Infection Control
Infection control
Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
Corrected Aug 18, 2025
- Class IIIPotential for more than minimal harm (F)Complaint-relatedcms
F0946: Administration
Administration
Provide training in compliance and ethics.
Corrected Aug 18, 2025
- Class IIIPotential for more than minimal harm (F)Complaint-relatedcms
F0947: Nursing and Physician Services
Nursing & physician services
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected Aug 18, 2025
- Class IIIPotential for more than minimal harm (F)Complaint-relatedcms
F0949: Administration
Administration
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Corrected Aug 18, 2025
- Class IVMinimal harm / potential for minimal harm (C)Complaint-relatedcms
F0732: Nursing and Physician Services
Nursing & physician services
Post nurse staffing information every day.
Corrected Aug 18, 2025
- Fine $101,220cms
CMS fine
Civil money penalty recorded in CMS Nursing Home Compare.
- Class IIIPotential for more than minimal harm (E)Complaint-relatedcms
F0947: Nursing and Physician Services
Nursing & physician services
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected May 7, 2025
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0689: Quality of Life and Care
Quality of life & care
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 7, 2025
- Class IIIPotential for more than minimal harm (E)Complaint-relatedcms
F0867: Administration
Administration
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected May 7, 2025
- Class IImmediate jeopardy (J)cms
F0689: Quality of Life and Care
Quality of life & care
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected Sep 13, 2024
- Class IIIPotential for more than minimal harm (F)cms
F0880: Infection Control
Infection control
Provide and implement an infection prevention and control program.
Corrected Sep 13, 2024
- Class IIIPotential for more than minimal harm (E)cms
F0623: Resident Rights
Resident rights
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected Sep 13, 2024
- Class IIIPotential for more than minimal harm (D)cms
F0609: Freedom from Abuse, Neglect, and Exploitation
Abuse, neglect & exploitation
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected Sep 13, 2024
- Class IIIPotential for more than minimal harm (D)cms
F0610: Freedom from Abuse, Neglect, and Exploitation
Abuse, neglect & exploitation
Respond appropriately to all alleged violations.
Corrected Sep 13, 2024
- Class IIIPotential for more than minimal harm (D)cms
F0625: Resident Rights
Resident rights
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.
Corrected Sep 13, 2024
- Class IIIPotential for more than minimal harm (D)cms
F0656: Resident Assessment and Care Planning
Assessment & care planning
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected Sep 13, 2024
- Class IIIPotential for more than minimal harm (D)cms
F0761: Pharmacy Service
Pharmacy services
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.
Corrected Sep 13, 2024
- Fine $21,902cms
CMS fine
Civil money penalty recorded in CMS Nursing Home Compare.
- Class IImmediate jeopardy (J)Complaint-relatedcms
F0684: Quality of Life and Care
Quality of life & care
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected Sep 13, 2024
- Fine $2,117cms
CMS fine
Civil money penalty recorded in CMS Nursing Home Compare.
- Fine $4,194cms
CMS fine
Civil money penalty recorded in CMS Nursing Home Compare.
- Class IIIPotential for more than minimal harm (D)cms
F0700: Quality of Life and Care
Quality of life & care
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.
Corrected Aug 9, 2023
- Class IIIPotential for more than minimal harm (D)cms
F0758: Pharmacy Service
Pharmacy services
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.
Corrected Aug 9, 2023
- Class IIIPotential for more than minimal harm (D)cms
F0759: Pharmacy Service
Pharmacy services
Ensure medication error rates are not 5 percent or greater.
Corrected Aug 9, 2023
- Class IIActual harm (G)cms
F0686: Quality of Life and Care
Quality of life & care
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected Aug 9, 2023
- Class IIIPotential for more than minimal harm (D)cms
F0689: Quality of Life and Care
Quality of life & care
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected Aug 9, 2023
- Class IIIPotential for more than minimal harm (F)cms
F0880: Infection Control
Infection control
Provide and implement an infection prevention and control program.
Corrected Aug 9, 2023
- Class IIIPotential for more than minimal harm (D)cms
F0690: Quality of Life and Care
Quality of life & care
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected Aug 9, 2023
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AHCA class rollups without individual citation dates appear as a single summary row. CMS nursing home deficiencies include survey date, tag, category, scope/severity, and fine amounts when published. Back to community profile