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.
| Cycle | Inspection date | This facility | Wisconsin avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-03-31 | 13 | 9.8 | 9.5 | +3.2 worse |
| 2 | 2024-03-28 | 16 | 9.2 | 9.8 | +6.8 worse |
| 3 | 2023-01-25 | 22 | 8.3 | 9.3 | +13.7 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 4 |
| Quality of life and care | 4 |
| Resident rights | 3 |
| Nutrition and dietary | 2 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 5.30 | 52.2% |
| RN staffing (reported) | 0.82 | 58.8% |
| 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
- 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
- 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
- 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
- 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
- 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
- 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
- EF0610Respond appropriately to all alleged violations.2025-03-31 · Health · corrected 2025-04-24
Potential for more than minimal harm
- GF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-03-31 · Health · corrected 2025-04-24
Actual harm
- 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
- 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
- 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
- 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
- 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
- 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
- DF0760Ensure that residents are free from significant medication errors.2024-05-30 · Health · corrected 2024-06-12
Potential for more than minimal harm
- 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
- 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
- DF0610Respond appropriately to all alleged violations.2024-05-15 · Health · corrected 2024-06-07
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- DF0610Respond appropriately to all alleged violations.2024-03-28 · Health · corrected 2024-04-22
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- FF0880Provide and implement an infection prevention and control program.2024-03-28 · Health · corrected 2024-04-22
Potential for more than minimal harm
- 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
- 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
- DF0554Allow residents to self-administer drugs if determined clinically appropriate.2023-01-25 · Health · corrected 2023-03-01
Potential for more than minimal harm
- 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
- 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
- GF0610Respond appropriately to all alleged violations.2023-01-25 · Health · corrected 2023-03-01
Actual harm
- 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
- EF0679Provide activities to meet all resident's needs.2023-01-25 · Health · corrected 2023-03-01
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- FF0880Provide and implement an infection prevention and control program.2023-01-25 · Health · corrected 2023-02-23
Potential for more than minimal harm
- 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
- 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
- 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
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| CARRIAGE HEALTHCARE COMPANIES INC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2013-01-01 |
| GEHLER, MIRIAM | Individual | CORPORATE DIRECTOR | — | 2011-03-14 |
| KERWIN, ANDREW | Individual | CORPORATE DIRECTOR | — | 2009-06-01 |
| KUMAR, RAJEEV | Individual | CORPORATE DIRECTOR | — | 2012-04-24 |
| LYNN, NICHOLAS | Individual | CORPORATE DIRECTOR | — | 2011-03-14 |
| SHERMAN, STEPHANIE | Individual | CORPORATE OFFICER | — | 2019-09-25 |
| BURKE, DANA | Individual | W-2 MANAGING EMPLOYEE | — | 2019-09-24 |
Other facilities in EDGERTON
| Name | Overall | Beds |
|---|
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.