INGLESIDE MANOR
407 N EIGHTH ST, MOUNT HOREB, WI 53572 · CCN 525331
SFF Candidate
Ratings
- Overall
- ★☆☆☆☆ 1
- Health inspection
- ★☆☆☆☆ 1
- Quality measures
- ★★★☆☆ 3
- Staffing
- ★★★★☆ 4
Facility
- Ownership type
- Non profit - Corporation
- Certified beds
- 80
- Avg residents/day
- 53.6
- Phone
- 6084375511
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 | 2025-10-13 | 49 | 9.8 | 9.5 | +39.2 worse |
| 2 | 2024-07-11 | 15 | 9.2 | 9.8 | +5.8 worse |
| 3 | 2023-03-30 | 10 | 8.3 | 9.3 | +1.7 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 6 |
| Quality of life and care | 16 |
| Resident assessment and care planning | 2 |
| Nursing and physician services | 2 |
| Resident rights | 7 |
| Nutrition and dietary | 1 |
| Pharmacy service | 8 |
| Environmental | 1 |
| Administration | 3 |
| Infection control | 3 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 4.73 | 78.8% |
| RN staffing (reported) | 1.09 | 62.5% |
| Total nurse staffing (adjusted) | 4.68 | — |
Fines & penalties
- Total fines
- $50,343
- Number of fines
- 2
- Number of penalties
- 2
- Payment denials
- 0
Chain
- Chain
- WISCONSIN ILLINOIS SENIOR HOUSING, INC.
- Facilities in chain
- 7
- Chain avg overall
- 2.00 / 5
Inspection citations (74)3 immediate jeopardy3 actual harm
- EF0565Honor the resident's right to organize and participate in resident/family groups in the facility.2025-10-13 · Health · corrected 2025-11-10
Potential for more than minimal harm
- EF0578Honor 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.2025-10-13 · Health · corrected 2025-11-10
Potential for more than minimal harm
- EF0584Honor 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.2025-10-13 · Health · corrected 2025-11-10
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-10-13 · Health · corrected 2025-11-10
Potential for more than minimal harm
- EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-10-13 · Health · corrected 2025-11-10
Potential for more than minimal harm
- JF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-10-13 · Health · corrected 2025-12-16
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.2025-10-13 · Health · corrected 2025-11-10
Potential for more than minimal harm
- DF0692Provide enough food/fluids to maintain a resident's health.2025-10-13 · Health · corrected 2025-11-10
Potential for more than minimal harm
- DF0759Ensure medication error rates are not 5 percent or greater.2025-10-13 · Health · corrected 2025-11-10
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.2025-10-13 · Health · corrected 2025-11-10
Potential for more than minimal harm
- DF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2025-10-13 · Health · corrected 2025-11-10
Potential for more than minimal harm
- DF0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.2025-10-13 · Health · corrected 2025-11-10
Potential for more than minimal harm
- DF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2025-10-13 · Health · corrected 2025-11-10
Potential for more than minimal harm
- FF0880Provide and implement an infection prevention and control program.2025-10-13 · Health · corrected 2025-11-10
Potential for more than minimal harm
- DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2025-10-13 · Health · corrected 2025-11-10
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.2025-09-15 · Health · corrected 2025-10-14
Potential for more than minimal harm
- EF0584Honor 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.2025-09-15 · Health · corrected 2025-10-14
Potential for more than minimal harm
- GF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-09-15 · Health · corrected 2025-10-14
Actual harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-09-15 · Health · corrected 2025-10-14
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.2025-09-15 · Health · corrected 2025-10-14
Potential for more than minimal harm
- DF0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.2025-09-15 · Health · corrected 2025-10-14
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.2025-09-15 · Health · corrected 2025-10-14
Potential for more than minimal harm
- DF0760Ensure that residents are free from significant medication errors.2025-09-15 · Health · corrected 2025-10-14
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.2025-08-13 · Health · corrected 2025-09-07
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-08-13 · Health · corrected 2025-09-07
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-08-13 · Health · corrected 2025-09-07
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-08-13 · Health · corrected 2025-10-14
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-08-13 · Health · corrected 2025-09-07
Potential for more than minimal harm
- DF0692Provide enough food/fluids to maintain a resident's health.2025-08-13 · Health · corrected 2025-09-07
Potential for more than minimal harm
- DF0712Ensure that the resident and his/her doctor meet face-to-face at all required visits.2025-08-13 · Health · corrected 2025-09-07
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-08-13 · Health · corrected 2025-09-07
Potential for more than minimal harm
- DF0760Ensure that residents are free from significant medication errors.2025-08-13 · Health · corrected 2025-09-07
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2025-08-13 · Health · corrected 2025-09-07
Potential for more than minimal harm
- EF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2025-08-13 · Health · corrected 2025-09-07
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-07-09 · Health · corrected 2025-08-06
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2025-07-09 · Health · corrected 2025-08-06
Potential for more than minimal harm
- FF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-07-09 · Health · corrected 2025-08-06
Potential for more than minimal harm
- JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-07-09 · Health · corrected 2025-08-06
Immediate jeopardy
- JF0692Provide enough food/fluids to maintain a resident's health.2025-07-09 · Health · corrected 2025-08-06
Immediate jeopardy
- DF0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.2025-07-09 · Health · corrected 2025-08-06
Potential for more than minimal harm
- FF0730Observe each nurse aide's job performance and give regular training.2025-07-09 · Health · corrected 2025-08-06
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-07-09 · Health · corrected 2025-08-06
Potential for more than minimal harm
- FF0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterly2025-07-09 · Health · corrected 2025-08-06
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-06-10 · Health · corrected 2025-08-06
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.2025-03-14 · Health · corrected 2025-04-14
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-03-14 · Health · corrected 2025-04-14
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2025-03-14 · Health · corrected 2025-04-14
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-03-14 · Health · corrected 2025-04-14
Potential for more than minimal harm
- DF0759Ensure medication error rates are not 5 percent or greater.2025-03-14 · Health · corrected 2025-04-14
Potential for more than minimal harm
- EF0558Reasonably accommodate the needs and preferences of each resident.2024-07-11 · Health · corrected 2024-08-05
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.2024-07-11 · Health · corrected 2024-08-05
Potential for more than minimal harm
- EF0584Honor 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.2024-07-11 · Health · corrected 2024-08-05
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.2024-07-11 · Health · corrected 2024-08-05
Potential for more than minimal harm
- GF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-07-11 · Health · corrected 2024-08-05
Actual harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-07-11 · Health · corrected 2024-08-05
Potential for more than minimal harm
- DF0692Provide enough food/fluids to maintain a resident's health.2024-07-11 · Health · corrected 2024-08-05
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-07-11 · Health · corrected 2024-08-05
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.2024-07-11 · Health · corrected 2024-08-05
Potential for more than minimal harm
- DF0759Ensure medication error rates are not 5 percent or greater.2024-07-11 · Health · corrected 2024-08-05
Potential for more than minimal harm
- DF0760Ensure that residents are free from significant medication errors.2024-07-11 · Health · corrected 2024-08-05
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.2024-07-11 · Health · corrected 2024-08-05
Potential for more than minimal harm
- FF0814Dispose of garbage and refuse properly.2024-07-11 · Health · corrected 2024-08-05
Potential for more than minimal harm
- FF0880Provide and implement an infection prevention and control program.2024-07-11 · Health · corrected 2024-08-05
Potential for more than minimal harm
- DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2024-07-11 · Health · corrected 2024-08-05
Potential for more than minimal harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-11-01 · Health · corrected 2023-11-27
Actual harm
- DF0554Allow residents to self-administer drugs if determined clinically appropriate.2023-03-30 · Health · corrected 2023-05-05
Potential for more than minimal harm
- EF0565Honor the resident's right to organize and participate in resident/family groups in the facility.2023-03-30 · Health · corrected 2023-05-05
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.2023-03-30 · Health · corrected 2023-05-05
Potential for more than minimal harm
- EF0585Honor 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.2023-03-30 · Health · corrected 2023-05-05
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-03-30 · Health · corrected 2023-05-05
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-03-30 · Health · corrected 2023-05-05
Potential for more than minimal harm
- FF0809Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.2023-03-30 · Health · corrected 2023-05-05
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.2023-03-30 · Health · corrected 2023-05-05
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2023-03-30 · Health · corrected 2023-04-28
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| CARRIAGE HEALTHCARE COMPANIES INC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2012-08-09 |
| SHERMAN, STEPHANIE | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2012-08-09 |
| SIEBEL, ROBERT | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2012-08-09 |
| DUPONT, LORI | Individual | CORPORATE DIRECTOR | — | 2016-01-25 |
| GEHLER, MIRIAM | Individual | CORPORATE DIRECTOR | — | 2017-01-01 |
| KERWIN, ANDREW | Individual | CORPORATE DIRECTOR | — | 2009-06-26 |
| KUMAR, RAJEEV | Individual | CORPORATE DIRECTOR | — | 2012-04-24 |
| LACKE (CARRIG), KAREN | Individual | CORPORATE DIRECTOR | — | 2016-01-01 |
| LYNN, NICHOLAS | Individual | CORPORATE DIRECTOR | — | 2011-03-14 |
Other facilities in MOUNT HOREB
| 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.