Evansville Manor Nursing and Rehab, LLC
On Medicare Special Focus status, a serious quality warning. Visit in person and ask tough questions before deciding.
based on 42 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (1/5 stars)
- Low staffing rating (2/5 stars)
- Above-median deficiencies (27 vs median 7)
- High staff turnover (65%)
Bottom 25% in WI · Meets national RN staffing standard · Worst in EDEN SENIOR CARE chain · $51,776 in fines
What this means for your family
While the rehabilitation and therapy teams receive consistent praise for their effectiveness, the facility has a concerning pattern of neglect regarding basic resident needs and poor communication from management. If you choose this facility, ensure you have a family member present frequently to monitor care, and specifically ask how they ensure call lights are answered promptly during overnight shifts.
Google Reviews
Google Reviews
42 reviews on Google“Evansville Manor Nursing and Rehab receives highly polarized feedback, with some families praising the dedicated therapy team and compassionate nursing staff, while others report severe neglect and communication failures. Recurring complaints highlight significant issues with call light response times, understaffing, and poor management responsiveness to family concerns. Families considering this facility should be aware of the stark contrast between positive rehabilitation experiences and reports of substandard basic care.”
Quality Themes
Tap a score for detailsStrengths
- Effective physical and occupational therapy services
- Compassionate and attentive individual nursing staff
- Professional and helpful admissions coordination
- Clean and well-maintained facility environment
Concerns
- Slow or ignored call light response times (mentioned by 4 reviewers)
- Understaffing leading to neglect of basic needs (mentioned by 4 reviewers)
- Poor management communication and responsiveness (mentioned by 4 reviewers)
- Medication administration errors (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 46 analyzed
How They Respond to Reviews
This facility responds to some reviews.
Questions for Your Tour
- 1We noticed your admissions team is very professional and helpful; how do you typically guide families through the transition process to ensure everything goes smoothly?
- 2Since we want to ensure our loved one's needs are met promptly, what steps are in place to ensure call lights are answered quickly, especially during busy shifts?
- 3Can you tell us more about your protocols for medication administration and how you double-check that everything is accurate and on schedule?
- 4We've heard great things about your physical and occupational therapy services; how often do residents participate in these sessions as part of their daily routine?
- 5What does a typical day look like in terms of social activities and dining experiences for the residents here?
- 6In the event of a medical emergency after hours, what is the specific process for notifying the family and coordinating care?
Personalized based on this facility's data
Key Review Excerpts
“My grandma stayed here for almost 2 weeks, she didn’t receive a shower or bath the entire time... They left her on a bed pan for an hour. She’s a diabetic and they had no order in for a glucose test.”
“The therapists were very friendly and helped me get back home in a safe manner.”
“Taylor Jones was my first and main point of contact for this transition and stay. From the beginning, these words come to mind 'ABOVE AND BEYOND'.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Total nursing hours are below minimum, though RN coverage is adequate. This may mean fewer aides for daily tasks like bathing and mobility.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
13
measures
2
measures
2
measures
Residents whose bladder or bowel control got worse
Residents whose walking got worse
Residents needing more daily help over time
Residents on antipsychotic medication
Residents who lost too much weight
Residents with pressure sores (bedsores)
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility has concerning patterns with frequent complaints from families triggering 36 deficiencies across recurring issues in abuse/neglect reporting, medication management, and accident prevention. Problems with investigating and reporting suspected abuse appear multiple times through 2025, while medication errors and safety hazards persist across surveys. Though all deficiencies show correction dates, the repeated nature of these serious issues, particularly around resident protection, suggests ongoing challenges requiring careful evaluation during any visit.
Mar 26, 2026Complaint1
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Feb 25, 2026Routine17
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Nutrition and Dietary Deficiencies
Dispose of garbage and refuse properly.
Administration Deficiencies
Have a plan that describes the process for conducting QAPI and QAA activities.
Egress Deficiencies
Install proper backup exit lighting.
Smoke Deficiencies
Install a fire alarm system that can be heard throughout the facility.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Smoke Deficiencies
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper fire barriers, ventilation and signs for the transfilling of oxygen.
Resident Rights Deficiencies
Honor 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.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Gas, Vacuum, and Electrical Systems Deficiencies
Have power receptacles that are properly grounded.
Feb 25, 2026Complaint6
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Resident Rights Deficiencies
Honor 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.
Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Dec 4, 2025Complaint3
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Sep 17, 2025Complaint2
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Jun 18, 2025Complaint1
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Federal Penalties
Fine
Sep 17, 2025
$93,120
Payment Denial
Sep 17, 2025
20-day denial
Fine
May 15, 2025
$69,720
Fine
Oct 3, 2024
$16,068
Fine
Oct 3, 2024
$12,048
Fine
Feb 5, 2024
$8,018
Fine
Feb 5, 2024
$15,642
Ownership & Operations
Who Operates This Facility
Evansville Manor Nursing and Rehab, LLC
for profit
Chain Affiliation
Eden Senior Care
19 facilities nationwide
Chain avg rating: 2.6/5 · Rank 17 of 18 (Worst)
Ownership & Management
Owners
Lifsics, Channie
Owner
Polstein, Mordechai
Owner
Stesel, Maxim
Owner
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
42 reviews from families & visitors
Official Website
Visit evansvillemanor.com
Medicare data downloads
Original nursing home datasets
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