Manawa Com Nur CTR

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Staffing

How full it usually is: this home is certified for 25 beds and averages 21.2 residents a day — about 85% occupied, or roughly 4 beds typically open. It usually has some room. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 4.82 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.06 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 3.04 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 4.23 hrs/resident/day on weekends vs 5.06 on weekdays — 16% thinner on weekends. RN hours go from 1.35 to 0.33 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 51% is about the same as the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

30 citations, most serious first. The 12 most serious are shown; the remaining 18 are one tap away and print in full.

• Immediate jeopardy · Jcited before2024-10-22 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on staff interview and record review, the facility did not ensure adequate assistance to prevent falls was provided for 2 residents (R) (R3 and R5) of 5 sampled residents. On 8/19/24, Certified Nursing Assistant (CNA)-E transferred R3 without a gait belt which was required per R3's plan of care. R3 fell and sustained a 4 centimeter (cm) forehead laceration and a subdural hematoma that required steri-strips and neurological monitoring. CNA-E was not provided education prior to returning to work on 8/24/24 (which was before the facility's investigation was completed.) On 8/24/24, CNA-E was observed transferring R5 without a mechanical lift which was required per R5's plan of care. The facility's failure to ensure a staff who transferred a resident incorrectly which resulted in a fall with injury was educated prior to returning to work and transferring another resident incorrectly created a reasonable likelihood for serious harm which led to a finding of immediate jeopardy that began on 8/19/24. Nursing Home…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2024-03-12 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, resident and staff interview, and record review, the facility did not provide adequate supervision to prevent further abuse following a visitor-to-resident altercation for 1 Resident (R) (R3) of 2 residents. Assisted Living Resident (ALR)-G visited ALR-G's spouse (R4) in the facility and had a known history of physical aggression. On 2/13/24, R3 was struck in the face by ALR-G during an altercation. Following the incident, the facility did not implement measures to supervise ALR-G while ALR-G was in the facility. Although R3 did not recall the incident due to a diagnosis of dementia, the reasonable person standard was implemented as a person who was hit in the face by a visitor in their home would likely incur mental anguish. Findings include: The facility's Abuse, Neglect, Mistreatment and Misappropriating of Resident Property policy, revised 1/10/24, indicates the facility has the right to set visitation policies with safety restrictions such as denying access or providing limited and…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2025-04-30 · tag F0801 — widespread
  Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on staff interview and record review, the facility did not designate a person to serve as the food and nutrition services director who was a certified dietary manager, had a national certification for food service management and safety from a national accrediting body, or had an associates or higher level degree in food service management or hospitality. This practice had the potential to affect all 23 residents residing in the facility. Dietary Manager (DM)-H did not complete an approved dietary manager or food service manager certification course or other related education. Findings include: On 4/28/25 at 8:42 AM, Surveyor began an initial kitchen tour with DM-H who indicated DM-H was enrolled in a certified dietary manager (CDM) course. DM-H indicated DM-H started the course approximately one month ago. On 4/30/25 at 10:30 AM, Surveyor interviewed DM-H who indicated DM-H was hired in March of 2024. DM-H indicated DM-H had signed up for a CDM course in August (2024) but had just started the course a month ago and planned to complete the course in August of 2025. DM-H…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2025-04-30 · tag F0803 — failed to meet residents' dietary needs — widespread
  Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, staff and resident interview, and record review, the facility did not ensure menus met the nutritional needs of residents in accordance with established national guidelines. This practice had the potential to affect all 23 residents residing in the facility. The facility did not implement an extended menu that delineated the differences between diet types and portion sizes for residents. Findings include: The facility's Standard Portions policy, dated 12/19/17, indicates: Uniform food portions shall be established for each diet and served to all patients .Recipes and menus will have appropriate portions noted. On 4/29/25 at 12:12 PM, Surveyor began an observation of lunch service and interviewed Dietary Staff (DS)-J who indicated the facility did not have a menu that indicated how much of each item or what diet type residents should receive. Surveyor observed a menu on the refrigerator that indicated the lunch meal was Polish sausage and cabbage, hot German potato salad, and bread and butter. The alternative was a turkey sandwich. Dessert was a pumpkin bar. The…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-04-30 · tag F0761 — failed to label and store drugs safely — pattern
  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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, staff interview, and record review, the facility did not ensure medication was secured and stored appropriately. This practice had the potential to affect more than 4 of the 23 residents residing in the facility. On 4/29/25, a bottle of aspirin 81 milligrams (mg) and a bottle of Lactobacillus 100 mg for R20 were left on top of the medication cart. The medication cart was left unlocked and unattended by a licensed nurse. Findings include: The facility's Medication Storage Policy, dated 3/1/05, indicates: Only licensed nurses, the consultant pharmacist, and those lawfully authorized to administer medication (medication aides) are allowed access to medication. Medication rooms, carts, and medication supplies are locked or attended by persons with authorized access. The facility's Medication Administration Policy, dated 4/4/17, indicates: .13. Lock medication cart before entering resident room to prevent accidental ingestion of medication and diversion of medication. Note: Never leave the medication cart open and unattended. On 4/29/25, Surveyor observed a…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-04-30 · tag F0880 — failed to prevent and control infections — pattern
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, staff interview, and record review, the facility did not maintain an infection prevention and control program designed to prevent the transmission of communicable disease and infection. This practice had the potential to affect more than 4 of the 23 residents residing in the facility. Infection control line lists for residents and staff did not contain last symptom dates, times, and/or return to work dates in accordance with the facility's policy. Staff did not ensure infection control procedures were maintained during the provision of care and handling of linens for R18 and R17. Findings include: The facility's Infection Prevention and Control policy, dated 1/12/19, indicates: The facility establishes a program under which it: Provides a system of surveillance to identify possible communicable disease or infection before they can be spread in the facility; Provides standard and transmission-based precautions to be followed to prevent the spread of infection; Maintains a record of incidents…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-04-30 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
  Provide care and assistance to perform activities of daily living for any resident who is unable.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, staff interview, and record review, the facility did not ensure 1 resident (R) (R8) of 3 sampled residents who was unable to carry out activities of daily living (ADLs) was provided assistance with nail care. R8 was not provided routine nail care. Findings include: The facility's Activities of Daily Living (ADL) policy, dated 2/15/12, indicates: It is the policy of the facility that residents' ADL needs will be met .It is the goal of the facility to provide necessary care and services. From 4/28/25 to 4/30/25, Surveyor reviewed R8's medical record. R8 was admitted to the facility on [DATE] and had diagnoses including Marfan syndrome (an inherited disorder that affects connective tissue), dementia, and cerebrovascular accident (CVA) (stroke). R8's Minimum Data Set (MDS) assessment, dated 3/27/25, had a Brief Interview for Mental Status (BIMS) score of 5 out of 15 which indicated R8 had severe cognitive impairment. The MDS assessment also indicated R8 required substantial/maximal assistance…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-04-30 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
  Provide safe and appropriate respiratory care for a resident when needed.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, staff interview, and record review, the facility did not provide the necessary respiratory care and services for 1 resident (R) (R18) of 1 sampled resident. R18 had an order for 1 to 4 liters of oxygen as needed via nasal cannula for respiratory distress or discomfort, titrate to maintain greater than 90% (oxygen saturation level) with a start date of 3/21/22. R18 did not have an order to change or maintain R18's oxygen equipment or a care plan for respiratory therapy. Findings include: The facility's Oxygen Therapy Policy and Procedure, dated 5/22/23, indicates: .Change tubing weekly, unless otherwise specified in patient's orders .Care plan is updated regularly by licensed nursing staff. From 4/28/25 to 4/30/25, Surveyor reviewed R18's medical record. R18 was admitted to the facility on [DATE] and had diagnoses including type 2 diabetes mellitus with diabetic neuropathy, complete traumatic amputation at knee level left lower leg, and unspecified chronic kidney disease. R18's Minimum Data…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2024-10-22 · tag F0801 — widespread
  Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on staff interview and record review, the facility did not designate a person to serve as the director of food and nutrition services who was a certified dietary manager, a certified food service manager, had a national certification for food service management and safety from a national certifying body, or who had an associate's or higher-level degree in food service management or hospitality. This had the potential to affect all 23 residents residing in the facility. Dietary Manager (DM)-D did not complete an approved dietary manager or food service manager certification course or other related education. Findings include: The facility provided a staff roster that indicated DM-D was a lead cook and was hired on 3/26/24. On 10/16/24 at 8:13 AM, Surveyor entered the kitchen and spoke with DM-D who was the Dietary Manager. DM-D indicated a Registered Dietitian came to the facility roughly monthly and was in contact with DM-D on a regular basis. DM-D indicated DM-D started as the DM around April of 2024. During a continuous kitchen observation that started at 11:50 AM on…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-10-22 · tag F0842 — failed to keep accurate, complete medical records — pattern
  Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on staff interview and record review, the facility did not ensure medical records contained complete information for 4 residents (R) (R3, R5, R6, and R8) of 5 sampled residents. Physician visit notes were not readily accessible and available in R3, R5, R6, and R8's medical records. Findings include: The facility's undated Long Term Facilities Retention Plan indicates medical records should be kept 7 years after discharge. On 10/22/24, Surveyor reviewed R3's medical record. R3 was admitted to the facility on [DATE] with diagnoses including Alzheimer's disease, dementia, and hypertension. On 10/22/24, Surveyor reviewed R5's medical record. R5 was admitted to the facility on [DATE] with diagnoses including dementia. On 10/22/24, Surveyor reviewed R6's medical record. R6 was admitted to the facility on [DATE] with diagnoses including Alzheimer's disease, anxiety, and hypertension. On 10/22/24, Surveyor reviewed R8's medical record. R8 was admitted to the facility on [DATE] with diagnoses including…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-10-22 · tag F0610 — failed to investigate and act on abuse reports — isolated
  Respond appropriately to all alleged violations.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on staff interview and record review, the facility did not ensure an allegation of potential neglect was thoroughly investigated for 1 resident (R) (R3) of 5 sampled residents. On 8/19/24, Certified Nursing Assistant (CNA)-E transferred R3 without a gait belt. R3 fell and incurred a forehead laceration and hematoma. The facility did not complete the investigation or provide education to CNA-E before CNA-E returned to work on 8/24/24. Findings include: The facility's undated Abuse, Neglect, Mistreatment, and Misappropriation of Resident Property policy indicates: Staff will receive education about resident mistreatment and neglect .that an alleged perpetrator of abuse or neglect will immediately be removed and will remain removed pending the results of a thorough investigation .If the investigation shows maltreatment occurred, reporting to the appropriate agencies and education will be provided to all parties as needed. On 10/16/24, Surveyor reviewed a facility-reported incident (FRI) that was submitted to the State Agency (SA) on 8/19/24. The report stated CNA-E was accused of…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-10-22 · tag F0944 — isolated
  Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on staff interview and record review, the facility did not ensure 2 staff (Certified Nursing Assistance (CNA)-I and CNA-J) of 5 staff reviewed for education requirements received Quality Assurance and Performance Improvement (QAPI) training. CNA-I and CNA-J did not receive QAPI training. Findings include: On 10/22/24, the facility provided a list of trainings that new employees receive on their first day of employment. Onboarding Training Day 1 was handwritten on the form. QAPI was listed as a training that new employees should receive. Surveyor noted CNA-I was hired by the facility on 5/16/17 and CNA-J was hired by the facility on 7/22/15. On 10/22/24, Surveyor reviewed one year of electronic and paper training records for CNA-I and CNA-J which did not include QAPI training. Surveyor requested CNA-I and CNA-J's QAPI training documents. On 10/22/24 at 2:00 PM, Business Office Manager (BOM)-C indicated BOM-C was responsible for training and onboarding but could not locate CNA-I and CNA-J's QAPI training records. BOM-C indicated staff are trained on QAPI during orientation.…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Administration Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

$17,716 in federal fines across 1 penalty. 2 Medicare payment denials on record.

• $17,716 — penalty dated 2024-10-22
• Medicare payment denial — starting 2024-11-20 for 19 days
• Medicare payment denial — starting 2024-04-06 for 24 days

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Who owns this facility

CMS files one row per role, so the 3 rows in the source record cover these 2 parties — each is shown once here with every role it holds. Nothing is omitted.

What families pay in WI