All citations for East Troy Manor

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to East Troy Manor

Last standard health inspection on record

January 8, 2026

Showing 1 to 22 of 22 citations

  1. Immediate jeopardy to resident health or safety

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Isolated (one or a few residents). CMS level J.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of July 24, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 18, 2025).

  2. Immediate jeopardy to resident health or safety

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Isolated (one or a few residents). CMS level J.

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of August 15, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (September 13, 2024).

  3. Immediate jeopardy to resident health or safety

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Isolated (one or a few residents). CMS level J.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of August 15, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 13, 2024).

  4. No harm, with potential for more than minimal harm

    Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.

    Widespread (many residents). CMS level F.

    Health citation F-0941, Administration Deficiencies. Inspection of July 24, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 18, 2025).

  5. No harm, with potential for more than minimal harm

    Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.

    Widespread (many residents). CMS level F.

    Health citation F-0942, Resident Rights Deficiencies. Inspection of July 24, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 18, 2025).

  6. No harm, with potential for more than minimal harm

    Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

    Widespread (many residents). CMS level F.

    Health citation F-0943, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of July 24, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 18, 2025).

  7. No harm, with potential for more than minimal harm

    Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

    Widespread (many residents). CMS level F.

    Health citation F-0944, Administration Deficiencies. Inspection of July 24, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 18, 2025).

  8. No harm, with potential for more than minimal harm

    Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.

    Widespread (many residents). CMS level F.

    Health citation F-0945, Infection Control Deficiencies. Inspection of July 24, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 18, 2025).

  9. No harm, with potential for more than minimal harm

    Provide training in compliance and ethics.

    Widespread (many residents). CMS level F.

    Health citation F-0946, Administration Deficiencies. Inspection of July 24, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 18, 2025).

  10. No harm, with potential for more than minimal harm

    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

    Widespread (many residents). CMS level F.

    Health citation F-0947, Nursing and Physician Services Deficiencies. Inspection of July 24, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 18, 2025).

  11. No harm, with potential for more than minimal harm

    Provide behavior health training consistent with the requirements and as determined by a facility assessment.

    Widespread (many residents). CMS level F.

    Health citation F-0949, Administration Deficiencies. Inspection of July 24, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 18, 2025).

  12. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Widespread (many residents). CMS level F.

    Health citation F-0880, Infection Control Deficiencies. Inspection of August 15, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 13, 2024).

  13. No harm, with potential for more than minimal harm

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0867, Administration Deficiencies. Inspection of April 1, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 7, 2025).

  14. No harm, with potential for more than minimal harm

    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0947, Nursing and Physician Services Deficiencies. Inspection of April 1, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 7, 2025).

  15. No harm, with potential for more than minimal harm

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0623, Resident Rights Deficiencies. Inspection of August 15, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 13, 2024).

  16. No harm, with potential for more than minimal harm

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of April 1, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 7, 2025).

  17. No harm, with potential for more than minimal harm

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0609, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of August 15, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 13, 2024).

  18. No harm, with potential for more than minimal harm

    Respond appropriately to all alleged violations.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0610, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of August 15, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 13, 2024).

  19. No harm, with potential for more than minimal harm

    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0625, Resident Rights Deficiencies. Inspection of August 15, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 13, 2024).

  20. No harm, with potential for more than minimal harm

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of August 15, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 13, 2024).

  21. No harm, with potential for more than minimal harm

    Ensure 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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of August 15, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 13, 2024).

  22. No harm, with potential for minimal harm

    Post nurse staffing information every day.

    Widespread (many residents). CMS level C.

    Health citation F-0732, Nursing and Physician Services Deficiencies. Inspection of July 24, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 18, 2025).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.