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CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Four Winds Manor is a privately owned nursing facility located in Verona, Wisconsin. It’s a highly rated and operated skilled nursing, rehabilitation, and assisted living facility that strives to provide exceptional care and treatment to its residents. With a variety of living arrangements, Four Winds Manor encourages its residents to maintain their autonomy while still involving their families and friends in their lives.
The facility provides a warm and welcoming atmosphere, with 24-hour care, comfortable private and semi-private accommodations, and individualized care planning. Regular health assessments, including physical, occupational, and speech therapy, are also available. A registered dietitian is present to ensure that each resident receives a well-balanced meal plan that meets their dietary needs. At Four Winds Manor, they believe that seniors should have the freedom to live their lives on their terms. They create a resident-centered environment where they actively listen to the resident’s needs and preferences, working to help them achieve maximum functionality and independence.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 28th out of 172 homes in Wisconsin for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 51m per day | ▼ 12% State avg: 58m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 41m per day | ▲ 8% State avg: 38m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 18m per day | ▼ 11% State avg: 2h 35m per day · National avg: 2h 21m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 4h 23m per day | ▲ 18% State avg: 3h 43m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 14m per day | ▲ 250% State avg: 4m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 39m per day | ■ Avg State avg: 39m per day · National avg: 29m per day |
Similar to the Wisconsin average: 70%Four Winds Manor is legally operated by Four Winds Manor, Inc., and administrated by M Lynn Howard.
In Wisconsin, the Department of Health Services, Division of Quality Assurance performs unannounced onsite surveys to ensure that long-term care facilities meet health and safety laws.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Wisconsin state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
| This Facility | WI Average | vs. WI Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 30 | 12 | This facility has 150% more total deficiencies than a typical Wisconsin nursing home (30 vs. WI avg 12).↑ 150% worse |
|
Deficiencies per year
Average deficiencies per year since 2023.
| 10 | 4 | This facility has 150% more deficiencies per year than a typical Wisconsin nursing home (10 vs. WI avg 4).↑ 150% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
Wisconsin average 6
Last Health inspection on Sep 2025
Wisconsin average 27.3
Wisconsin average 4.19
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
21 of 28 citations resulted from standard inspections; and 7 of 28 resulted from complaint investigations.
100% better than Wisconsin averageWisconsin average: 0.9
67% worse than Wisconsin averageWisconsin average: 1.2
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
75% more staff per resident than Wisconsin average
12% worse than Wisconsin average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 8 RN Staff are full-time employees. No contractors work on this role.
8
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hoursAssists with medical care and medications.
All 9 LPN Staff are full-time employees. No contractors work on this role.
9
Average shift length. Calculated as total hours divided by days worked and average staff per day.
6.9 hoursHelps with daily care and mobility.
57 total: 37 full-time employees and 20 contractors.
57
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
1,861 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 37 | 20 | 57 | 8,250 | 92 | 100% | 7.7 |
| Occupational Therapy Aide | 16 | 4 | 20 | 4,494 | 92 | 100% | 6.5 |
| Registered Nurse | 8 | 0 | 8 | 2,743 | 92 | 100% | 8.9 |
| Licensed Practical Nurse | 9 | 0 | 9 | 1,687 | 92 | 100% | 6.9 |
| Medication Aide/Technician | 3 | 0 | 3 | 1,370 | 90 | 98% | 7.9 |
| Respiratory Therapy Technician | 4 | 0 | 4 | 866 | 67 | 73% | 5.7 |
| Dietitian | 2 | 0 | 2 | 852 | 69 | 75% | 6.7 |
| Physical Therapy Aide | 4 | 0 | 4 | 813 | 69 | 75% | 5.6 |
| Physical Therapy Assistant | 3 | 0 | 3 | 535 | 61 | 66% | 6 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 516 | 60 | 65% | 8.6 |
| Nurse Practitioner | 1 | 0 | 1 | 504 | 64 | 70% | 7.9 |
| Dental Services Staff | 1 | 0 | 1 | 482 | 60 | 65% | 8 |
| Speech Language Pathologist | 4 | 0 | 4 | 437 | 66 | 72% | 5.7 |
| Mental Health Service Worker | 1 | 0 | 1 | 430 | 60 | 65% | 7.2 |
| RN Director of Nursing | 2 | 0 | 2 | 394 | 53 | 58% | 7.1 |
| Qualified Social Worker | 3 | 0 | 3 | 226 | 51 | 55% | 4.2 |
| Other Dietary Services Staff | 2 | 0 | 2 | 82 | 20 | 22% | 3.9 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 31 | 9 | 10% | 3.4 |
| Medical Director | 1 | 1 | 2 | 31 | 15 | 16% | 1.9 |
| Administrator | 7 | 0 | 7 | 0 | 75 | 82% | — |
Includes penalties issued in 2023
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
100% lower than Wisconsin averageWisconsin average: $95K
100% fewer fines than Wisconsin averageWisconsin average: 2.1
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
51% more payment denials than Wisconsin averageWisconsin average: 0.7
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Aug 22, 2023 · 11 days
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Aug 22, 2023Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
7.8
25% better than Wisconsin averageWisconsin average: 10.5
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
18.0
19% better than Wisconsin averageWisconsin average: 22.1
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
15.6%
11% better than Wisconsin averageWisconsin average: 17.6%
Percent of low risk long-stay residents who lose control of their bowels or bladder
20.4%
22% better than Wisconsin averageWisconsin average: 26.0%
Percent of long-stay residents experiencing one or more falls with major injury
3.0%
7% better than Wisconsin averageWisconsin average: 3.2%
Percent of long-stay high risk residents with pressure ulcers
5.8%
7% worse than Wisconsin averageWisconsin average: 5.4%
Percent of long-stay residents with a urinary tract infection
2.0%
36% better than Wisconsin averageWisconsin average: 3.2%
Percent of long-stay residents who lose too much weight
6.9%
42% worse than Wisconsin averageWisconsin average: 4.9%
Percent of long-stay residents who have depressive symptoms
4.7%
7% better than Wisconsin averageWisconsin average: 5.0%
Percent of long-stay residents who received an antipsychotic medication
10.9%
32% better than Wisconsin averageWisconsin average: 16.1%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
In line with Wisconsin averageWisconsin average: 95.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
97.0%
In line with Wisconsin averageWisconsin average: 95.0%
Number of hospitalizations per 1,000 long-stay resident days.
3.11
93% worse than Wisconsin averageWisconsin average: 1.61
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.00
9% better than Wisconsin averageWisconsin average: 2.19
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
95.4%
9% better than Wisconsin averageWisconsin average: 87.3%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Wisconsin averageWisconsin average: 1.2%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
87.5%
6% better than Wisconsin averageWisconsin average: 82.2%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
25.3%
11% worse than Wisconsin averageWisconsin average: 22.7%
Percentage of short-stay residents who had an outpatient emergency department visit.
12.3%
18% better than Wisconsin averageWisconsin average: 15.0%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Wisconsin averageWisconsin average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
55.8%
In line with Wisconsin averageWisconsin average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
63.1%
25% better than Wisconsin averageWisconsin average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
59% of new residents, usually for short-term rehab.
35% of new residents, often for short stays.
5% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
31Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Four Winds Manor based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #60 / 177Payroll — State benchmarkedThis home is ranked 60th out of 177 homes in Wisconsin for payroll. Shows total annual staff payroll benchmarked to the Wisconsin average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Most residents typically stay for a few weeks or months before returning home or moving on.
Rose Riedmaier serves as the Administrator at Four Winds Manor. She is part of the management team dedicated to providing excellent care and leadership to the community.
10.7 miles from city center
Estimated distance in miles from Verona's city center to Four Winds Manor's address, calculated via Google Maps.
— 2.21 miles to nearest hospital (UnityPoint Health - Meriter - Child & Adolescent Psychiatry)
Add your location
Four Winds Manor is located in Verona, Wisconsin.
Here are the financial assistance programs available to residents in Wisconsin.
The information below is reported by the Wisconsin Department of Health Services, Division of Quality Assurance.
| Four Winds Manor |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Verona | - | 44
Facility
44
WI AVG
61
Rank
#323 / 496 | - |
49
Facility
49
WI AVG
42
Rank
#232 / 580 | - |
| Oak Park Nursing & Rehab Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Madison (North Star) | - | 100
Facility
100
WI AVG
61
Rank
#67 / 496 | A+ |
5
Facility
5
WI AVG
42
Rank
#533 / 580 | 1 Bed / 2 Bed |
| Sun Prairie Senior Living |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Sun Prairie | - | 42
Facility
42
WI AVG
61
Rank
#337 / 496 | A+ |
74
Facility
74
WI AVG
42
Rank
#79 / 580 | Studio / 1 Bed / 2 Bed |
| Edgerton Care Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary. | Edgerton (Stoughton Road) | - | 61
Facility
61
WI AVG
61
Rank
#184 / 496 | F |
31
Facility
31
WI AVG
42
Rank
#371 / 580 | - |
| The Bay at Belmont Health and Rehabilitation Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Madison (Rolling Meadows) | - | 83
Facility
83
WI AVG
61
Rank
#113 / 496 | A+ |
50
Facility
50
WI AVG
42
Rank
#225 / 580 | - |
Four Winds Manor is in the Verona neighborhood of Verona.
Four Winds Manor has a walk score of 49. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
Four Winds Manor's occupancy is 69%.
Four Winds Manor is registered as a for-profit in WI.
M Lynn Howard is the administrator of Four Winds Manor.
Four Winds Manor has 44 beds.
Yes — there are 4 photos of Four Winds Manor in the photo gallery on this page.
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