Starfile

Starfile / Wisconsin

EDGERTON CARE CENTER, INC

313 STOUGHTON RD, EDGERTON, WI 53534 · CCN 525241

Ratings

Overall
★★☆☆☆ 2
Health inspection
★★☆☆☆ 2
Quality measures
★★★☆☆ 3
Staffing
★★★★☆ 4

Facility

Ownership type
Non profit - Corporation
Certified beds
61
Avg residents/day
46.5
Phone
6088841330

Inspection history vs Wisconsin & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

CycleInspection dateThis facilityWisconsin avgNational avgvs state
12025-03-31139.89.5+3.2 worse
22024-03-28169.29.8+6.8 worse
32023-01-25228.39.3+13.7 worse

Cycle 1 deficiencies by category

CategoryDeficiencies
Abuse, neglect, exploitation4
Quality of life and care4
Resident rights3
Nutrition and dietary2

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)5.3052.2%
RN staffing (reported)0.8258.8%
Total nurse staffing (adjusted)5.60

Fines & penalties

Total fines
$0
Number of fines
0
Number of penalties
0
Payment denials
0

Chain

Chain
WISCONSIN ILLINOIS SENIOR HOUSING, INC.
Facilities in chain
7
Chain avg overall
2.00 / 5

Inspection citations (51)2 immediate jeopardy2 actual harm

  1. DF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2025-05-29 · Health · corrected 2025-06-16

    Potential for more than minimal harm

  2. DF0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.2025-03-31 · Health · corrected 2025-04-24

    Potential for more than minimal harm

  3. DF0585Honor 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.2025-03-31 · Health · corrected 2025-04-24

    Potential for more than minimal harm

  4. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-03-31 · Health · corrected 2025-04-24

    Potential for more than minimal harm

  5. DF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.2025-03-31 · Health · corrected 2025-04-24

    Potential for more than minimal harm

  6. EF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-03-31 · Health · corrected 2025-04-24

    Potential for more than minimal harm

  7. EF0610Respond appropriately to all alleged violations.2025-03-31 · Health · corrected 2025-04-24

    Potential for more than minimal harm

  8. GF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-03-31 · Health · corrected 2025-04-24

    Actual harm

  9. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-03-31 · Health · corrected 2025-04-24

    Potential for more than minimal harm

  10. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2025-03-31 · Health · corrected 2025-04-24

    Potential for more than minimal harm

  11. DF0697Provide safe, appropriate pain management for a resident who requires such services.2025-03-31 · Health · corrected 2025-04-24

    Potential for more than minimal harm

  12. DF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2025-03-31 · Health · corrected 2025-04-24

    Potential for more than minimal harm

  13. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-03-31 · Health · corrected 2025-04-24

    Potential for more than minimal harm

  14. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-05-30 · Health · corrected 2024-06-12

    Potential for more than minimal harm

  15. DF0760Ensure that residents are free from significant medication errors.2024-05-30 · Health · corrected 2024-06-12

    Potential for more than minimal harm

  16. EF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2024-05-15 · Health · corrected 2024-06-07

    Potential for more than minimal harm

  17. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-05-15 · Health · corrected 2024-06-07

    Potential for more than minimal harm

  18. DF0610Respond appropriately to all alleged violations.2024-05-15 · Health · corrected 2024-06-07

    Potential for more than minimal harm

  19. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-05-15 · Health · corrected 2024-06-07

    Potential for more than minimal harm

  20. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-03-28 · Health · corrected 2024-04-22

    Potential for more than minimal harm

  21. DF0585Honor 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.2024-03-28 · Health · corrected 2024-04-22

    Potential for more than minimal harm

  22. EF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-03-28 · Health · corrected 2024-04-22

    Potential for more than minimal harm

  23. DF0610Respond appropriately to all alleged violations.2024-03-28 · Health · corrected 2024-04-22

    Potential for more than minimal harm

  24. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-03-28 · Health · corrected 2024-04-22

    Potential for more than minimal harm

  25. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-03-28 · Health · corrected 2024-04-22

    Potential for more than minimal harm

  26. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-03-28 · Health · corrected 2024-04-22

    Potential for more than minimal harm

  27. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-03-28 · Health · corrected 2024-04-22

    Potential for more than minimal harm

  28. FF0880Provide and implement an infection prevention and control program.2024-03-28 · Health · corrected 2024-04-22

    Potential for more than minimal harm

  29. DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2024-03-28 · Health · corrected 2024-04-22

    Potential for more than minimal harm

  30. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-10-25 · Health · corrected 2023-11-17

    Potential for more than minimal harm

  31. DF0554Allow residents to self-administer drugs if determined clinically appropriate.2023-01-25 · Health · corrected 2023-03-01

    Potential for more than minimal harm

  32. JF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-01-25 · Health · corrected 2023-03-01

    Immediate jeopardy

  33. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-01-25 · Health · corrected 2023-03-01

    Potential for more than minimal harm

  34. GF0610Respond appropriately to all alleged violations.2023-01-25 · Health · corrected 2023-03-01

    Actual harm

  35. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-01-25 · Health · corrected 2023-03-01

    Potential for more than minimal harm

  36. EF0679Provide activities to meet all resident's needs.2023-01-25 · Health · corrected 2023-03-01

    Potential for more than minimal harm

  37. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-01-25 · Health · corrected 2023-03-01

    Potential for more than minimal harm

  38. JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-01-25 · Health · corrected 2023-03-01

    Immediate jeopardy

  39. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2023-01-25 · Health · corrected 2023-03-01

    Potential for more than minimal harm

  40. FF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2023-01-25 · Health · corrected 2023-03-01

    Potential for more than minimal harm

  41. DF0744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.2023-01-25 · Health · corrected 2023-03-01

    Potential for more than minimal harm

  42. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-01-25 · Health · corrected 2023-03-01

    Potential for more than minimal harm

  43. DF0758Implement 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.2023-01-25 · Health · corrected 2023-03-01

    Potential for more than minimal harm

  44. DF0761Ensure 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.2023-01-25 · Health · corrected 2023-03-01

    Potential for more than minimal harm

  45. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-01-25 · Health · corrected 2023-03-01

    Potential for more than minimal harm

  46. FF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.2023-01-25 · Health · corrected 2023-03-01

    Potential for more than minimal harm

  47. FF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2023-01-25 · Health · corrected 2023-03-01

    Potential for more than minimal harm

  48. FF0880Provide and implement an infection prevention and control program.2023-01-25 · Health · corrected 2023-02-23

    Potential for more than minimal harm

  49. DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2023-01-25 · Health · corrected 2023-03-01

    Potential for more than minimal harm

  50. DF0887Educate 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.2023-01-25 · Health · corrected 2023-03-01

    Potential for more than minimal harm

  51. EF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2023-01-25 · Health · corrected 2023-03-01

    Potential for more than minimal harm

Ownership

OwnerTypeRolePercentSince
CARRIAGE HEALTHCARE COMPANIES INCOrganizationOPERATIONAL/MANAGERIAL CONTROL2013-01-01
GEHLER, MIRIAMIndividualCORPORATE DIRECTOR2011-03-14
KERWIN, ANDREWIndividualCORPORATE DIRECTOR2009-06-01
KUMAR, RAJEEVIndividualCORPORATE DIRECTOR2012-04-24
LYNN, NICHOLASIndividualCORPORATE DIRECTOR2011-03-14
SHERMAN, STEPHANIEIndividualCORPORATE OFFICER2019-09-25
BURKE, DANAIndividualW-2 MANAGING EMPLOYEE2019-09-24

Other facilities in EDGERTON

NameOverallBeds

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.