EVANSVILLE MANOR NURSING AND REHAB, LLC
470 GARFIELD AVE, EVANSVILLE, WI 53536 · CCN 525418
Ratings
- Overall
- ★☆☆☆☆ 1
- Health inspection
- ★☆☆☆☆ 1
- Quality measures
- ★★★☆☆ 3
- Staffing
- ★★☆☆☆ 2
Facility
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 71
- Avg residents/day
- 55.8
- Phone
- 6088825700
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 | 2024-10-03 | 27 | 9.8 | 9.5 | +17.2 worse |
| 2 | 2023-06-29 | 8 | 9.2 | 9.8 | -1.2 better |
| 3 | 2022-04-21 | 20 | 8.3 | 9.3 | +11.7 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 8 |
| Quality of life and care | 8 |
| Resident assessment and care planning | 1 |
| Nursing and physician services | 1 |
| Resident rights | 1 |
| Nutrition and dietary | 3 |
| Pharmacy service | 5 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.65 | 64.6% |
| RN staffing (reported) | 0.89 | 50.0% |
| Total nurse staffing (adjusted) | 3.41 | — |
Fines & penalties
- Total fines
- $51,776
- Number of fines
- 4
- Number of penalties
- 4
- Payment denials
- 0
Chain
- Chain
- EDEN SENIOR CARE
- Facilities in chain
- 18
- Chain avg overall
- 2.60 / 5
Inspection citations (55)2 immediate jeopardy5 actual harm
- DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-12-04 · Health · corrected 2025-12-05
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-12-04 · Health · corrected 2025-12-05
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2025-12-04 · Health · corrected 2025-12-05
Potential for more than minimal harm
- GF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-09-17 · Health · corrected 2025-10-08
Actual harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-09-17 · Health · corrected 2025-11-04
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-06-18 · Health · corrected 2025-07-14
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-05-15 · Health · corrected 2025-06-09
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2025-05-15 · Health · corrected 2025-06-09
Potential for more than minimal harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-05-15 · Health · corrected 2025-06-09
Actual harm
- DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2025-05-15 · Health · corrected 2025-06-09
Potential for more than minimal harm
- EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2025-05-15 · Health · corrected 2025-06-09
Potential for more than minimal harm
- DF0584Honor 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.2024-10-03 · Health · corrected 2024-10-28
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.2024-10-03 · Health · corrected 2024-10-28
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-10-03 · Health · corrected 2024-10-28
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2024-10-03 · Health · corrected 2024-10-28
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-10-03 · Health · corrected 2024-10-28
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-10-03 · Health · corrected 2024-10-28
Potential for more than minimal harm
- GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-10-03 · Health · corrected 2024-10-28
Actual harm
- JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-10-03 · Health · corrected 2024-10-28
Immediate jeopardy
- DF0692Provide enough food/fluids to maintain a resident's health.2024-10-03 · Health · corrected 2024-10-28
Potential for more than minimal harm
- DF0697Provide safe, appropriate pain management for a resident who requires such services.2024-10-03 · Health · corrected 2024-10-28
Potential for more than minimal harm
- EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2024-10-03 · Health · corrected 2024-10-28
Potential for more than minimal harm
- DF0759Ensure medication error rates are not 5 percent or greater.2024-10-03 · Health · corrected 2024-10-28
Potential for more than minimal harm
- DF0760Ensure that residents are free from significant medication errors.2024-10-03 · Health · corrected 2024-10-28
Potential for more than minimal harm
- EF0761Ensure 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.2024-10-03 · Health · corrected 2024-10-28
Potential for more than minimal harm
- EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2024-10-03 · Health · corrected 2024-10-28
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.2024-10-03 · Health · corrected 2024-10-28
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-02-05 · Health · corrected 2024-02-28
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2024-02-05 · Health · corrected 2024-02-28
Potential for more than minimal harm
- GF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-02-05 · Health · corrected 2024-02-28
Actual harm
- JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-02-05 · Health · corrected 2024-02-28
Immediate jeopardy
- DF0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.2024-02-05 · Health · corrected 2024-02-28
Potential for more than minimal harm
- DF0584Honor 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.2023-06-29 · Health · corrected 2023-07-28
Potential for more than minimal harm
- DF0645PASARR screening for Mental disorders or Intellectual Disabilities2023-06-29 · Health · corrected 2023-07-28
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-06-29 · Health · corrected 2023-07-28
Potential for more than minimal harm
- EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-06-29 · Health · corrected 2023-07-28
Potential for more than minimal harm
- EF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-06-29 · Health · corrected 2023-07-28
Potential for more than minimal harm
- DF0760Ensure that residents are free from significant medication errors.2023-06-29 · Health · corrected 2023-07-28
Potential for more than minimal harm
- DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2023-06-29 · Health · corrected 2023-07-28
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.2023-06-29 · Health · corrected 2023-07-28
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.2023-05-09 · Health · corrected 2023-06-05
Potential for more than minimal harm
- DF0584Honor 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.2023-05-09 · Health · corrected 2023-06-05
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-05-09 · Health · corrected 2023-06-05
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2023-05-09 · Health · corrected 2023-06-05
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-05-09 · Health · corrected 2023-06-05
Potential for more than minimal harm
- GF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-05-09 · Health · corrected 2023-06-05
Actual harm
- CF0732Post nurse staffing information every day.2023-05-09 · Health · corrected 2023-06-05
Potential for minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-05-09 · Health · corrected 2023-06-05
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2023-05-09 · Health · corrected 2023-06-05
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.2022-04-21 · Health · corrected 2022-05-21
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2022-04-21 · Health · corrected 2022-05-21
Potential for more than minimal harm
- EF0881Implement a program that monitors antibiotic use.2022-04-21 · Health · corrected 2022-05-21
Potential for more than minimal harm
- DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2022-04-21 · Health · corrected 2022-05-21
Potential for more than minimal harm
- EF0887Educate 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.2022-04-21 · Health · corrected 2022-05-21
Potential for more than minimal harm
- CF0888Ensure staff are vaccinated for COVID-192022-04-21 · Health · corrected 2022-05-21
Potential for minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| STESEL, MAXIM | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 53% | 2018-10-01 |
| POLSTEIN, MORDECHAI | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 19% | 2018-10-01 |
| PUKSHANSKY, ROSTISLAV | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 10% | 2018-10-01 |
| MAUER, DOVIE | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 9% | 2018-10-01 |
| LIFSICS, CHANNIE | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 9% | 2018-10-01 |
| RICE, PAMELA | Individual | W-2 MANAGING EMPLOYEE | — | 2018-10-01 |
| MAUER, DOVIE | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2018-10-01 |
| POLSTEIN, MORDECHAI | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2018-10-01 |
| RICE, PAMELA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2018-10-01 |
| PLYMALE, MONICA | Individual | W-2 MANAGING EMPLOYEE | — | 2018-10-01 |
Other facilities in EVANSVILLE
| 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.