Four Winds Manor
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 17 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 (1/5 stars)
- Above-median deficiencies (10 vs median 7)
- High staff turnover (100%)
- High RN turnover (100%)
Bottom 25% in WI · Meets national RN staffing standard · Very high staff turnover
What this means for your family
While the facility has a strong reputation for physical therapy and rehabilitation outcomes, recent reports of hygiene neglect and poor weekend communication are concerning. We strongly recommend conducting an unannounced weekend visit to assess staffing levels and cleanliness firsthand before making a decision.
Google Reviews
Google Reviews
17 reviews on Google“Four Winds Manor receives highly polarized feedback, with some families praising the facility for its caring staff and successful rehabilitation outcomes, while others report severe concerns regarding neglect and operational lapses. Recent critical reviews highlight significant issues with hygiene, communication, and weekend staffing, contrasting sharply with long-term positive experiences. Families considering this facility should be aware of these inconsistencies in care quality and responsiveness.”
Quality Themes
Tap a score for detailsStrengths
- Effective physical therapy and rehabilitation services
- Friendly and caring nursing staff
- Supportive management for long-term residents
Concerns
- Poor hygiene and incontinence care leading to health complications (mentioned by 2 reviewers)
- Lack of weekend administrative or reception staff (mentioned by 2 reviewers)
- Low quality or unappealing food (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 18 analyzed
How They Respond to Reviews
This facility responds to some reviews.
Questions for Your Tour
- 1I noticed that physical therapy is a strong point here; how do you integrate those rehabilitation services into the daily routine for residents?
- 2Could you walk me through your current protocols for hygiene and incontinence care to ensure residents remain comfortable and healthy?
- 3I see that you are active in responding to feedback online; how do you use that family input to improve the quality of the dining experience and food options?
- 4With your current staffing levels, what is the plan for ensuring consistent care and administrative support during the weekends?
- 5Given the recent focus on medication management, what specific systems or double-checks do you have in place to ensure medications are administered accurately?
- 6How do you handle medical emergencies or urgent health changes during the evening and overnight hours?
Personalized based on this facility's data
Key Review Excerpts
“My grandmother developed multiple UTIs due to poor incontinence care, and the response (simply administering antibiotics) was consistently so absurdly delayed that the most recent infection progressed to sepsis.”
“My dad had rehab after breaking his hip and thanks to the amazing care and therapy team he is back at home.”
“Walk-through yesterday to check out as a Short-term rehab facility for my friend postop total knee. Very dingy/depressing no receptionist on the weekend no answering machine no information available somewhat skeptical to go there.”
Staffing
Staffing Hours
per resident/day · Medicare 2026This facility meets the national staffing benchmarks. Higher staffing is linked to fewer falls and better day-to-day care.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 16 measures
11
measures
1
measures
4
measures
Residents with a long-term catheter
Residents on anti-anxiety or sleep medication
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents whose bladder or bowel control got worse
Residents vaccinated for pneumonia
Residents on antipsychotic medication
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
Four Winds Manor shows a concerning pattern of recurring safety and care issues, with multiple complaints filed by families triggering investigations. The facility has persistent problems with abuse/neglect reporting, safety hazards, and medication management across multiple surveys. While all deficiencies show correction dates, several core issues like safety supervision and reporting requirements have repeated violations, including recent ones in 2025, suggesting ongoing challenges with maintaining consistent care standards.
Dec 11, 2025Complaint2
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Sep 4, 2025Routine15
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Emergency Preparedness Deficiencies
Develop Emergency Preparedness policies and procedures.
Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Construction Deficiencies
Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Infection Control Deficiencies
Implement a program that monitors antibiotic use.
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Smoke Deficiencies
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.
Miscellaneous Deficiencies
Have restrictions on the use of portable space heaters.
Jan 24, 2025Complaint3
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Aug 6, 2024Routine22
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies
Ensure 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.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Emergency Preparedness Deficiencies
Develop and maintain an Emergency Preparedness Program (EP).
Emergency Preparedness Deficiencies
Develop Emergency Preparedness policies and procedures.
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Quality of Life and Care Deficiencies
Provide appropriate foot care.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Construction Deficiencies
Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Gas, Vacuum, and Electrical Systems Deficiencies
Meet requirements for the use of electrical equipment.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Nursing and Physician Services Deficiencies
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Gas, Vacuum, and Electrical Systems Deficiencies
Have power receptacles that are properly grounded.
Apr 22, 2024Complaint1
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Aug 22, 2023Complaint1
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Federal Penalties
Payment Denial
Aug 22, 2023
11-day denial
Ownership & Operations
Who Operates This Facility
Four Winds Manor
for profit
Ownership & Management
Owners
Howard, Mary
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
17 reviews from families & visitors
Official Website
Visit fourwindsmanor.com
Medicare data downloads
Original nursing home datasets
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