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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J3 | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D16 | E15 | F21 |
| Minimal | A· | B· | C2 |
CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Jan 8, 2026 | Fire safety | Fire Safety Standard | 5 | Potential harm | — | Open → |
| Jan 8, 2026 | Health | Health Standard | 0 | No citations | — | Open → |
| Jul 24, 2025 | Health | Health Complaint | 10 | Immediate jeopardy | — | Open → |
| Apr 1, 2025 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Aug 15, 2024 | Fire safety | Fire Safety Standard | 15 | Potential harm | — | Open → |
| Aug 15, 2024 | Health | Health Complaint, Health Standard | 9 | Immediate jeopardy | — | Open → |
| Jul 12, 2023 | Fire safety | Fire Safety Standard | 9 | Potential harm | — | Open → |
| Jul 12, 2023 | Health | Health Standard | 7 | Actual harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Jul 24, 2025 | Civil money penalty (fine) | $101,220 | — | 525561|Fine|139649 |
| Aug 15, 2024 | Civil money penalty (fine) | $21,902 | — | 525561|Fine|61212 |
| Nov 20, 2023 | Civil money penalty (fine) | $2,117 | — | 525561|Fine|60913 |
| Oct 30, 2023 | Civil money penalty (fine) | $4,194 | — | 525561|Fine|60884 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J3 | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D16 | E15 | F21 |
| Minimal | A· | B· | C2 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jan 8, 2026 | K-0341 | Install a fire alarm system that can be heard throughout the facility. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 8, 2026 | |
| Jan 8, 2026 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Feb 8, 2026 | |
| Jan 8, 2026 | K-0761 |
“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
CMS legal business name of the certified provider. Operates 7 facilities.
7 facilities in 2 states. CMS chain ID 569.
Chain average overall rating (CMS): 1.8
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Carriage Healthcare Companies Inc | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 15, 2001 |
| Hbt It LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 1, 2024 |
| Jt and Associates LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2010 |
| Partners in Wealth Management, Inc | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2024 |
| Pinion, LLC | Organization |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Fair Oaks Health Care Center 471 Terra Cotta Avenue, Crystal Lake, IL 60014 CCN 145917 | 51 | Feb 2, 2026 | 602 harm | $20k | |
| Edgerton Care Center, Inc 313 Stoughton Rd., Edgerton, WI 53534 CCN 525241 |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Edgerton Care Center, Inc 313 Stoughton Rd., Edgerton, WI 53534 CCN 525241Abuse icon | 61 | Jun 18, 2026 | 801 IJ3 harm | $219k | |
| Ingleside Manor |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Lindengrove Mukwonago 837 E Veterans Way, Mukwonago, WI 53149 CCN 525645 | 7 km | 47 | Dec 10, 2025 | 41 | — | |
| Lakeland Health Care Ctr 1922 Cty Rd Nn, Elkhorn, WI 53121 CCN 525625 | 15.4 km | 90 | Jan 26, 2026 | 373 IJ1 harm1 open | $84k | |
| Holton Manor 645 N Church St, Elkhorn, WI 53121 CCN 525541 | 15.8 km | 60 | May 6, 2026 | 343 harm | — | |
| Burlington Health and Rehabilitation Center 677 E State St, Burlington, WI 53105 CCN 525482 | 18.3 km | 123 | Jun 18, 2026 | 1103 IJ1 harm | $87k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 525561 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 525561 | ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only. | Verified | Oct 1, 2026 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety |
| E · Potential harm Pattern |
| Corrected Feb 8, 2026 |
| Jan 8, 2026 | K-0781 | Have restrictions on the use of portable space heaters. Miscellaneous Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Feb 8, 2026 |
| Jan 8, 2026 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | C · Minimal Widespread | Corrected Feb 8, 2026 |
| Jul 24, 2025 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | J · Immediate jeopardy Isolated | Corrected Aug 18, 2025 | Complaint |
| Jul 24, 2025 | F-0941 | Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. Administration Deficiencies · Administration & records | F · Potential harm Widespread | Corrected Aug 18, 2025 | Complaint |
| Jul 24, 2025 | F-0942 | Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. Resident Rights Deficiencies · Resident rights & abuse/neglect | F · Potential harm Widespread | Corrected Aug 18, 2025 | Complaint |
| Jul 24, 2025 | F-0943 | 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 · Resident rights & abuse/neglect | F · Potential harm Widespread | Corrected Aug 18, 2025 | Complaint |
| Jul 24, 2025 | F-0944 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. Administration Deficiencies · Administration & records | F · Potential harm Widespread | Corrected Aug 18, 2025 | Complaint |
| Jul 24, 2025 | F-0945 | 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 · Infection prevention | F · Potential harm Widespread | Corrected Aug 18, 2025 | Complaint |
| Jul 24, 2025 | F-0946 | Provide training in compliance and ethics. Administration Deficiencies · Administration & records | F · Potential harm Widespread | Corrected Aug 18, 2025 | Complaint |
| Jul 24, 2025 | F-0947 | 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 · Staffing & supervision | F · Potential harm Widespread | Corrected Aug 18, 2025 | Complaint |
| Jul 24, 2025 | F-0949 | Provide behavior health training consistent with the requirements and as determined by a facility assessment. Administration Deficiencies · Administration & records | F · Potential harm Widespread | Corrected Aug 18, 2025 | Complaint |
| Jul 24, 2025 | F-0732 | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Staffing & supervision | C · Minimal Widespread | Corrected Aug 18, 2025 | Complaint |
| Apr 1, 2025 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 7, 2025 | Complaint |
| Apr 1, 2025 | F-0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Administration Deficiencies · Administration & records | E · Potential harm Pattern | Corrected May 7, 2025 | Complaint |
| Apr 1, 2025 | F-0947 | 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 · Staffing & supervision | E · Potential harm Pattern | Corrected May 7, 2025 | Complaint |
| Aug 15, 2024 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | J · Immediate jeopardy Isolated | Corrected Sep 13, 2024 | Complaint |
| Aug 15, 2024 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | J · Immediate jeopardy Isolated | Corrected Sep 13, 2024 |
| Aug 15, 2024 | E-0039 | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Sep 13, 2024 |
| Aug 15, 2024 | K-0111 | Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy. Construction Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Sep 13, 2024 |
| Aug 15, 2024 | K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Sep 13, 2024 |
| Aug 15, 2024 | K-0222 | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Sep 13, 2024 |
| Aug 15, 2024 | K-0341 | Install a fire alarm system that can be heard throughout the facility. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Waiver granted Feb 26, 2025 |
| Aug 15, 2024 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Sep 13, 2024 |
| Aug 15, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Sep 13, 2024 |
| Aug 15, 2024 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Sep 13, 2024 |
| Aug 15, 2024 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Sep 13, 2024 |
| Aug 15, 2024 | K-0374 | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Sep 13, 2024 |
| Aug 15, 2024 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Aug 29, 2024 |
| Aug 15, 2024 | K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Sep 4, 2024 |
| Aug 15, 2024 | K-0914 | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Sep 5, 2024 |
| Aug 15, 2024 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Sep 5, 2024 |
| Aug 15, 2024 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Sep 13, 2024 |
| Aug 15, 2024 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Sep 13, 2024 |
| Aug 15, 2024 | F-0610 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Sep 13, 2024 |
| Aug 15, 2024 | F-0623 | 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 · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Sep 13, 2024 |
| Aug 15, 2024 | F-0625 | 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 · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Sep 13, 2024 |
| Aug 15, 2024 | F-0656 | 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 · Clinical care | D · Potential harm Isolated | Corrected Sep 13, 2024 |
| Aug 15, 2024 | F-0761 | 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 · Medication management | D · Potential harm Isolated | Corrected Sep 13, 2024 |
| Aug 15, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | F · Potential harm Widespread | Corrected Sep 13, 2024 |
| Jul 12, 2023 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Aug 9, 2023 |
| Jul 12, 2023 | K-0222 | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Aug 9, 2023 |
| Jul 12, 2023 | K-0223 | Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Aug 9, 2023 |
| Jul 12, 2023 | K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Aug 9, 2023 |
| Jul 12, 2023 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Aug 9, 2023 |
| Jul 12, 2023 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Aug 9, 2023 |
| Jul 12, 2023 | K-0521 | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety | E · Potential harm Pattern | Waiver granted Sep 22, 2023 |
| Jul 12, 2023 | K-0753 | Have restrictions on the use of highly flammable decorations. Miscellaneous Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Aug 9, 2023 |
| Jul 12, 2023 | K-0911 | Meet requirements for the installation and maintenance of electrical systems. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Aug 9, 2023 |
| Jul 12, 2023 | K-0919 | Meet requirements for the use of electrical equipment. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Aug 9, 2023 |
| Jul 12, 2023 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 9, 2023 |
| Jul 12, 2023 | F-0690 | 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 · Clinical care | D · Potential harm Isolated | Corrected Aug 9, 2023 |
| Jul 12, 2023 | F-0700 | 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 · Clinical care | D · Potential harm Isolated | Corrected Aug 9, 2023 |
| Jul 12, 2023 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Aug 9, 2023 |
| Jul 12, 2023 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | F · Potential harm Widespread | Corrected Aug 9, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.01 (case-mix index 1.38).
| Operational / managerial control |
| OPERATIONAL/MANAGERIAL CONTROL |
| not provided |
| Jan 1, 1995 |
| Rehab Solutions Group, LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2024 |
| Christie Leadley | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | May 2, 2023 |
| Stephanie Sherman | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 12, 2012 |
| Sarfraz Sidhu | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 10, 2022 |
| Robert Siebel | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 1, 1999 |
| Lori Dupont | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 25, 2016 |
| Miriam Gehler | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Mar 14, 2011 |
| Keri Gerlach | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2019 |
| Andrew Kerwin | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jun 26, 2009 |
| Rajeev Shiva Kumar | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Apr 24, 2012 |
| Karen Lacke (Carrig) | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2016 |
| Nicholas Lynn | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Mar 14, 2011 |
| Carriage Healthcare Companies Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Oct 6, 2025 |
| Hbt It LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Aug 18, 2025 |
| Jt and Associates LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Feb 5, 2026 |
| Partners in Wealth Management, Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Aug 18, 2025 |
| Pinion, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Aug 18, 2025 |
| Rehab Solutions Group, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Aug 18, 2025 |
| Christie Leadley | Individual | Additional disclosable party | ADP OF THE SNF | not provided | May 2, 2023 |
| Stephanie Sherman | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Aug 12, 2012 |
| Sarfraz Sidhu | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Oct 10, 2022 |
| Robert Siebel | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Oct 1, 1999 |
| 61 |
| Jun 18, 2026 |
801 IJ3 harm |
| $219k |
| Ingleside Manor 407 N. Eighth St., Mount Horeb, WI 53572 CCN 525331SFF | 80 | Not rated | Oct 13, 2025 | 1143 IJ3 harm | $231k |
| Holton Manor 645 N Church St, Elkhorn, WI 53121 CCN 525541 | 60 | May 6, 2026 | 343 harm | — |
| Geneva Lake Manor 211 S. Curtis St., Lake Geneva, WI 53147 CCN 525565 | 60 | Aug 10, 2026 | 1023 IJ3 harm3 open | $131k |
| Montello Care Center 251 Forest Lane, Montello, WI 53949 CCN 525657 | 50 | Aug 5, 2026 | 1042 IJ2 harm1 open | $143k |
| 80 |
| Not rated |
| Oct 13, 2025 |
1143 IJ3 harm |
| $231k |
| Holton Manor 645 N Church St, Elkhorn, WI 53121 CCN 525541 | 60 | May 6, 2026 | 343 harm | — |
| Geneva Lake Manor 211 S. Curtis St., Lake Geneva, WI 53147 CCN 525565 | 60 | Aug 10, 2026 | 1023 IJ3 harm3 open | $131k |
| Montello Care Center 251 Forest Lane, Montello, WI 53949 CCN 525657 | 50 | Aug 5, 2026 | 1042 IJ2 harm1 open | $143k |