Starfile

Starfile / Wisconsin

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.

CycleInspection dateThis facilityWisconsin avgNational avgvs state
12025-10-13499.89.5+39.2 worse
22024-07-11159.29.8+5.8 worse
32023-03-30108.39.3+1.7 worse

Cycle 1 deficiencies by category

CategoryDeficiencies
Abuse, neglect, exploitation6
Quality of life and care16
Resident assessment and care planning2
Nursing and physician services2
Resident rights7
Nutrition and dietary1
Pharmacy service8
Environmental1
Administration3
Infection control3

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)4.7378.8%
RN staffing (reported)1.0962.5%
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

  1. 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

  2. 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

  3. 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

  4. 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

  5. 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

  6. JF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-10-13 · Health · corrected 2025-12-16

    Immediate jeopardy

  7. 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

  8. DF0692Provide enough food/fluids to maintain a resident's health.2025-10-13 · Health · corrected 2025-11-10

    Potential for more than minimal harm

  9. DF0759Ensure medication error rates are not 5 percent or greater.2025-10-13 · Health · corrected 2025-11-10

    Potential for more than minimal harm

  10. 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

  11. 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

  12. 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

  13. 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

  14. FF0880Provide and implement an infection prevention and control program.2025-10-13 · Health · corrected 2025-11-10

    Potential for more than minimal harm

  15. 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

  16. 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

  17. 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

  18. GF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-09-15 · Health · corrected 2025-10-14

    Actual harm

  19. 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

  20. 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

  21. 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

  22. 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

  23. DF0760Ensure that residents are free from significant medication errors.2025-09-15 · Health · corrected 2025-10-14

    Potential for more than minimal harm

  24. 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

  25. 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

  26. 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

  27. 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

  28. 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

  29. DF0692Provide enough food/fluids to maintain a resident's health.2025-08-13 · Health · corrected 2025-09-07

    Potential for more than minimal harm

  30. 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

  31. 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

  32. DF0760Ensure that residents are free from significant medication errors.2025-08-13 · Health · corrected 2025-09-07

    Potential for more than minimal harm

  33. DF0880Provide and implement an infection prevention and control program.2025-08-13 · Health · corrected 2025-09-07

    Potential for more than minimal harm

  34. 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

  35. 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

  36. DF0610Respond appropriately to all alleged violations.2025-07-09 · Health · corrected 2025-08-06

    Potential for more than minimal harm

  37. 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

  38. 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

  39. JF0692Provide enough food/fluids to maintain a resident's health.2025-07-09 · Health · corrected 2025-08-06

    Immediate jeopardy

  40. 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

  41. 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

  42. 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

  43. 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

  44. 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

  45. 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

  46. 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

  47. DF0610Respond appropriately to all alleged violations.2025-03-14 · Health · corrected 2025-04-14

    Potential for more than minimal harm

  48. 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

  49. DF0759Ensure medication error rates are not 5 percent or greater.2025-03-14 · Health · corrected 2025-04-14

    Potential for more than minimal harm

  50. EF0558Reasonably accommodate the needs and preferences of each resident.2024-07-11 · Health · corrected 2024-08-05

    Potential for more than minimal harm

  51. 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

  52. 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

  53. 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

  54. GF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-07-11 · Health · corrected 2024-08-05

    Actual harm

  55. 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

  56. DF0692Provide enough food/fluids to maintain a resident's health.2024-07-11 · Health · corrected 2024-08-05

    Potential for more than minimal harm

  57. 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

  58. 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

  59. DF0759Ensure medication error rates are not 5 percent or greater.2024-07-11 · Health · corrected 2024-08-05

    Potential for more than minimal harm

  60. DF0760Ensure that residents are free from significant medication errors.2024-07-11 · Health · corrected 2024-08-05

    Potential for more than minimal harm

  61. 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

  62. FF0814Dispose of garbage and refuse properly.2024-07-11 · Health · corrected 2024-08-05

    Potential for more than minimal harm

  63. FF0880Provide and implement an infection prevention and control program.2024-07-11 · Health · corrected 2024-08-05

    Potential for more than minimal harm

  64. 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

  65. 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

  66. DF0554Allow residents to self-administer drugs if determined clinically appropriate.2023-03-30 · Health · corrected 2023-05-05

    Potential for more than minimal harm

  67. 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

  68. 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

  69. 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

  70. 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

  71. 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

  72. 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

  73. 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

  74. EF0880Provide and implement an infection prevention and control program.2023-03-30 · Health · corrected 2023-04-28

    Potential for more than minimal harm

Ownership

OwnerTypeRolePercentSince
CARRIAGE HEALTHCARE COMPANIES INCOrganizationOPERATIONAL/MANAGERIAL CONTROL2012-08-09
SHERMAN, STEPHANIEIndividualOPERATIONAL/MANAGERIAL CONTROL2012-08-09
SIEBEL, ROBERTIndividualOPERATIONAL/MANAGERIAL CONTROL2012-08-09
DUPONT, LORIIndividualCORPORATE DIRECTOR2016-01-25
GEHLER, MIRIAMIndividualCORPORATE DIRECTOR2017-01-01
KERWIN, ANDREWIndividualCORPORATE DIRECTOR2009-06-26
KUMAR, RAJEEVIndividualCORPORATE DIRECTOR2012-04-24
LACKE (CARRIG), KARENIndividualCORPORATE DIRECTOR2016-01-01
LYNN, NICHOLASIndividualCORPORATE DIRECTOR2011-03-14

Other facilities in MOUNT HOREB

NameOverallBeds

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