Begin reading the record
Nursing Home Violations
Call a lawyer

Home › Wisconsin

Evansville Manor Nursing and Rehab, Evansville, Wisconsin

55
Citations from health inspectionsWisconsin average: 28 a home
10
Residents harmed or put in dangerWisconsin average: 2.0 a home
$208,709
Fines from the federal governmentWisconsin average: $48,150 a home
1 out of 5
Overall rating in starsWisconsin average: 3.0

The figures come from Medicare Care Compare files released October 8, 2026 by CMS, the federal Medicare agency. The citations span each home's three most recent inspection cycles plus their complaint visits, going back to March 2017 at the earliest; the fines span about three years, beginning September 2023. Browse the CMS files

Nine inspection visits produced 55 citations. Residents were in immediate danger in five findings. Residents were found hurt in five cases. Federal fines came to $208,709 (seven fines). Once, Medicare stopped paying for new admissions.

A candidate for Special Focus. For its list of nursing homes with past poor inspection results, CMS has named this home a candidate.

The CMS abuse icon is shown for this home. Care Compare adds it after a citation for abuse or neglect. Either a resident was harmed recently, or harm could have resulted over two inspections in a row.

Are you worried about the way someone was treated at this home?

Call 1-833-892-8135Calls go to a law firm that advertises on Nursing Home Violations.

Quick Look at the Record

The home's overall star rating
1 out of 5
Rating for health inspections
1 out of 5
Rating for staffing
2 out of 5
Rating for quality of care
4 out of 5
Nurse time for each resident
3.65 hours each dayThe Wisconsin average is 4.21 hours
Time from registered nurses
0.72 hours each dayThe Wisconsin average is 0.99 hours
Nursing staff who left during one year
60.3%against the Wisconsin average of 46.9%
Beds that are certified
71
Ownership
Limited Liability company (for profit)
Chain
Eden Senior Care, with 21 homes
Street address
470 Garfield Ave, Evansville, Wisconsin 53536
County
Rock

Each inspection's citations

Every citation marks a federal rule inspectors found broken, along with its seriousness and the number of residents affected.

One citation dated March 26, 2026

  • F600 Freedom From Abuse and Neglect: immediate danger to residents, one or a few residents, found on a complaint visit.

14 citations dated Feb. 25, 2026

  • F880 Infection Prevention and Control: immediate danger to residents, widespread.
  • F865 Written Quality Improvement Plan: risk of harm, no one found hurt, widespread.
  • F814 Dispose of Garbage Properly: risk of harm, no one found hurt, widespread.
  • F812 Food Storage and Kitchen Safety: immediate danger to residents, widespread.
  • F757 Unnecessary Drugs: risk of harm, no one found hurt, one or a few residents.
  • F755 Pharmacy Services: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
  • F725 Enough Nursing Staff: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
  • F688 Range of Motion and Mobility: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
  • F686 Pressure Ulcer (Bedsore) Care: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
  • F684 Quality of Care: residents were harmed, one or a few residents, found on a complaint visit.
  • F677 Help With Daily Living: risk of harm, no one found hurt, one or a few residents.
  • F607 Policies to Prevent Abuse, Neglect, and Theft: risk of harm, no one found hurt, one or a few residents.
  • F585 Right to File Complaints Without Retaliation: risk of harm, no one found hurt, one or a few residents.
  • F584 A Safe, Clean, Homelike Room: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.

Three citations dated Dec. 4, 2025

  • F610 Investigating Abuse Allegations: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
  • F609 Reporting Suspected Abuse: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
  • F600 Freedom From Abuse and Neglect: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.

Two citations dated Sept. 17, 2025

  • F755 Pharmacy Services: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
  • F684 Quality of Care: residents were harmed, one or a few residents, found on a complaint visit.

One citation dated June 18, 2025

  • F684 Quality of Care: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.

Five citations dated May 15, 2025

  • F804 Food Taste and Temperature: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
  • F757 Unnecessary Drugs: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
  • F689 Accident Hazards and Supervision: residents were harmed, one or a few residents, found on a complaint visit.
  • F610 Investigating Abuse Allegations: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
  • F609 Reporting Suspected Abuse: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.

16 citations dated Oct. 3, 2024

  • F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, widespread.
  • F804 Food Taste and Temperature: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
  • F761 Labeling and Locking Up Medicines: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
  • F760 Significant Medication Errors: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
  • F759 Medication Error Rate of 5 Percent or More: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
  • F725 Enough Nursing Staff: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
  • F697 Pain Management: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
  • F692 Enough Food and Fluids: risk of harm, no one found hurt, one or a few residents.
  • F689 Accident Hazards and Supervision: immediate danger to residents, one or a few residents, found on a complaint visit.
  • F686 Pressure Ulcer (Bedsore) Care: residents were harmed, one or a few residents.
  • F684 Quality of Care: risk of harm, no one found hurt, one or a few residents.
  • F656 A Complete Care Plan: risk of harm, no one found hurt, one or a few residents.
  • F610 Investigating Abuse Allegations: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
  • F609 Reporting Suspected Abuse: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
  • F600 Freedom From Abuse and Neglect: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
  • F584 A Safe, Clean, Homelike Room: risk of harm, no one found hurt, one or a few residents.

Five citations dated Feb. 5, 2024

  • F947 Nurse Aide Skills, Dementia, and Abuse Training: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
  • F689 Accident Hazards and Supervision: immediate danger to residents, one or a few residents, found on a complaint visit.
  • F684 Quality of Care: residents were harmed, one or a few residents, found on a complaint visit.
  • F610 Investigating Abuse Allegations: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
  • F609 Reporting Suspected Abuse: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.

Eight citations dated June 29, 2023

  • F887 Coronavirus Vaccine Education, Offering, and Records: risk of harm, no one found hurt, one or a few residents.
  • F883 Flu and Pneumonia Vaccines: risk of harm, no one found hurt, one or a few residents.
  • F760 Significant Medication Errors: risk of harm, no one found hurt, one or a few residents.
  • F686 Pressure Ulcer (Bedsore) Care: risk of harm, no one found hurt, a pattern, several residents.
  • F684 Quality of Care: risk of harm, no one found hurt, a pattern, several residents.
  • F677 Help With Daily Living: risk of harm, no one found hurt, one or a few residents.
  • F645 Screening for Mental Illness or Intellectual Disability: risk of harm, no one found hurt, one or a few residents.
  • F584 A Safe, Clean, Homelike Room: risk of harm, no one found hurt, one or a few residents.

Payment Denials and Fines

DatePenaltyAmount
March 26, 2026Fine$26,685
Sept. 17, 2025Fine$60,528
Sept. 17, 2025Payment denial for new admissions20 days
May 15, 2025Fine$69,720
Oct. 3, 2024Fine$12,048
Oct. 3, 2024Fine$16,068
Feb. 5, 2024Fine$8,018
Feb. 5, 2024Fine$15,642

Ownership and Management of the Home

Three people with an ownership stake are also listed by CMS.

The CMS Care Compare files, updated every month, provide provider information, health deficiencies, penalties, and ownership. The CMS certification number is 525418. Other homes in Wisconsin.