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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.
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.
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.
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
Hours of care per resident per day, broken down by staff type. Data from CMS Medicare.
Registered nurse hours per resident per day.
Nurse aide hours per resident per day.
Total number of nurse staff hours per resident per day on weekends.
Physical therapist staff hours per resident per day.
Registered nurse hours per resident per day on weekends.
May offer a more intimate, personalized care environment.
Lower occupancy suggests more openings may be available.
Most residents typically stay for a few weeks or months before returning home or moving on.
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.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
In line with Wisconsin average
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.
6 visits/inspections triggered by complaints
2 routine inspections
8 with issues
0 without issues
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
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.
0
100% better than Wisconsin average
Wisconsin average: 0.9
2
67% worse than Wisconsin average
Wisconsin average: 1.2
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Sep 04, 2025
Corrected
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Sep 04, 2025
Corrected
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Sep 04, 2025
Corrected
Issues related to food quality, meal service, and resident's nutritional needs.
Sep 04, 2025
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
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.
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).
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).
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.
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.
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).
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.
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.
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).
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).
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.
10.7 miles from city center — 2.21 miles to nearest hospital (UnityPoint Health - Meriter - Child & Adolescent Psychiatry)
303 S Jefferson St, Verona, WI 53593
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This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
149% better than Wisconsin average
Wisconsin average ratio: 2.41:1
15% worse than Wisconsin average
Wisconsin average: 7.3 hours
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.8 hours
No contractors work on this role.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.1 hours
No contractors work on this role.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.3 hours
No contractors work on this role.
Total hours from contractors
1,338 contractor hours this quarter
| Certified Nursing Assistant | 62 | 0 | 62 | 8,121 | 91 | 100% | 7.3 |
| Occupational Therapy Aide | 31 | 3 | 34 | 4,392 | 91 | 100% | 6.3 |
| Registered Nurse | 7 | 0 | 7 | 1,982 | 90 | 99% | 8.8 |
| Licensed Practical Nurse | 13 | 0 | 13 | 1,831 | 91 | 100% | 7.1 |
| Medication Aide/Technician | 7 | 0 | 7 | 1,467 | 78 | 86% | 7.8 |
| Physical Therapy Assistant | 7 | 0 | 7 | 986 | 67 | 74% | 6.4 |
| Respiratory Therapy Technician | 6 | 0 | 6 | 801 | 69 | 76% | 5.6 |
| Dietitian | 4 | 0 | 4 | 687 | 78 | 86% | 6.5 |
| Nurse Practitioner | 2 | 0 | 2 | 502 | 61 | 67% | 8.2 |
| Dental Services Staff | 2 | 0 | 2 | 496 | 62 | 68% | 8 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 490 | 60 | 66% | 8.2 |
| RN Director of Nursing | 3 | 0 | 3 | 446 | 52 | 57% | 6.3 |
| Mental Health Service Worker | 2 | 1 | 3 | 415 | 58 | 64% | 7.2 |
| Speech Language Pathologist | 5 | 0 | 5 | 397 | 61 | 67% | 5.4 |
| Physical Therapy Aide | 6 | 0 | 6 | 328 | 57 | 63% | 4.8 |
| Qualified Social Worker | 5 | 0 | 5 | 262 | 50 | 55% | 4.8 |
| Other Dietary Services Staff | 2 | 0 | 2 | 59 | 11 | 12% | 5.4 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 35 | 9 | 10% | 3.9 |
| Medical Director | 0 | 1 | 1 | 12 | 11 | 12% | 1.1 |
| Administrator | 14 | 0 | 14 | 0 | 72 | 79% | 0 |
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Residents 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.
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 average
Wisconsin average: 10.5
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
18.0
19% better than Wisconsin average
Wisconsin 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 average
Wisconsin average: 17.6%
Percent of low risk long-stay residents who lose control of their bowels or bladder
20.4%
22% better than Wisconsin average
Wisconsin average: 26.0%
Percent of long-stay residents experiencing one or more falls with major injury
3.0%
7% better than Wisconsin average
Wisconsin average: 3.2%
Percent of long-stay high risk residents with pressure ulcers
5.8%
7% worse than Wisconsin average
Wisconsin average: 5.4%
Percent of long-stay residents with a urinary tract infection
2.0%
36% better than Wisconsin average
Wisconsin average: 3.2%
Percent of long-stay residents who lose too much weight
6.9%
42% worse than Wisconsin average
Wisconsin average: 4.9%
Percent of long-stay residents who have depressive symptoms
4.7%
7% better than Wisconsin average
Wisconsin average: 5.0%
Percent of long-stay residents who received an antipsychotic medication
10.9%
32% better than Wisconsin average
Wisconsin average: 16.1%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
In line with Wisconsin average
Wisconsin average: 95.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
97.0%
In line with Wisconsin average
Wisconsin average: 95.0%
Number of hospitalizations per 1,000 long-stay resident days.
3.11
93% worse than Wisconsin average
Wisconsin average: 1.61
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.00
9% better than Wisconsin average
Wisconsin 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 average
Wisconsin average: 87.3%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Wisconsin average
Wisconsin average: 1.2%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
87.5%
6% better than Wisconsin average
Wisconsin average: 82.2%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
25.3%
11% worse than Wisconsin average
Wisconsin average: 22.7%
Percentage of short-stay residents who had an outpatient emergency department visit.
12.3%
18% better than Wisconsin average
Wisconsin average: 15.0%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Wisconsin average
Wisconsin average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
55.8%
In line with Wisconsin average
Wisconsin average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
63.1%
25% better than Wisconsin average
Wisconsin average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
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 average
Wisconsin average: $95K
100% fewer fines than Wisconsin average
Wisconsin 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 average
Wisconsin average: 0.7
Penalties are imposed by CMS for violations of federal nursing home regulations.
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Aug 22, 2023
Last updated: Jan 2026
Historical financial and operational data for Four Winds Manor based on CMS SNF Cost Reports.
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