Four Winds Manor
Nursing Home, Assisted Living, Memory Care & Nursing Care · Madison, WI
CMS overall rating Info 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

Nursing Home, Assisted Living, Memory Care & Nursing Care · Madison, WI
CMS overall rating Info 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.
Calculator: See prices in your area
Four Winds Manor accepts Medicare, Medicaid, and private pay.

Overview of Four Winds Manor

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.

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info 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.
▼ 33.4% Below WI avg. ▼ 33.4% Below WI avg.WI average: 3.0Click the badge to see the full State ranking.Click here to see the full State ranking.
Health Inspection Info 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.
▼ 28.5% Below WI avg. ▼ 28.5% Below WI avg.WI average: 2.8Click the badge to see the full State ranking.Click here to see the full State ranking.
Staffing Info 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.
▲ 10.5% Above WI avg. ▲ 10.5% Above WI avg.WI average: 3.6Click the badge to see the full State ranking.Click here to see the full State ranking.
Quality Measures Info 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.
▼ 3.6% Below WI avg. ▼ 3.6% Below WI avg.WI average: 3.1Click the badge to see the full State ranking.Click here to see the full State ranking.

Staffing hours breakdown

Info 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.

Hours per resident per day — compared to Wisconsin state averages

Total nursing care / resident Info This home is ranked 30th out of 178 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.
5h 12m per day
Rank #30 / 178Nurse hours — State benchmarkedThis home is ranked 30th out of 178 homes in Wisconsin. Shows adjusted nurse hours per resident per day benchmarked to the Wisconsin average, with a ranking across 178 Wisconsin facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Rankings are based only on facilities in Wisconsin that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
This facility Wisconsin avg (4h 17m per day)
vs Wisconsin avg
+21%

0 of 6 metrics below state avg

Standout metric Physical Therapist is +293% above state avg
Staff typeHours / Day / Residentvs state avg
Registered Nurse (RN) Info 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. 1h 8m per day ▲ 18% State avg: 58m per day · National avg: 41m per day
LPN / LVN Info 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. 38m per day ■ Avg State avg: 38m per day · National avg: 52m per day
Nurse Aide Info 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 55m per day ▲ 13% State avg: 2h 35m per day · National avg: 2h 21m per day
Weekend Total Nursing Info 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 10m per day ▲ 12% State avg: 3h 43m per day · National avg: 3h 26m per day
Physical Therapist Info 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. 16m per day ▲ 293% State avg: 4m per day · National avg: 4m per day
Weekend RN Info 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. 51m per day ▲ 31% State avg: 39m per day · National avg: 29m per day

Capacity and availability

Avg. Length of Stay
110 days
Bed community size
44-bed community Rank #323 / 496Bed count — State benchmarkedThis home is ranked 323rd out of 496 homes in Wisconsin. Shows this facility's certified or reported bed count compared to other Wisconsin facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Rankings are based only on facilities in Wisconsin that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A moderately sized community that may balance personal attention with shared amenities and social activities.
Walk Score
Walk Score: 49 / 100 Rank #232 / 580Walk Score — State benchmarkedThis home is ranked 232nd out of 580 homes in Wisconsin. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Wisconsin facilities. Higher scores benefit residents, families, and staff.Rankings are based only on facilities in Wisconsin that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

About this community

Occupancy

Occupancy rate
69%
Rank #267 / 434Occupancy rate — State benchmarkedThis home is ranked 267th out of 434 homes in Wisconsin. Shows this facility's occupancy rate versus the Wisconsin average, with its Statewide rank out of 434. Higher occupancy signals strong local demand and financial stability.Rankings are based only on facilities in Wisconsin that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Similar to the Wisconsin average: 70%
Occupied beds
30 / 44
Average occupied beds in Wisconsin homes 54 beds

License Details

Facility TypeSkilled Care
CountyDane
CMS Certification Number525656

Ownership & Operating Entity

Four Winds Manor is legally operated by M Lynn Howard, and administered by Four Winds Manor, Inc.

Profit StatusFor Profit

Therapy & Rehabilitation

1 service
Rehabilitation Services

Contact Information

Fax(608) 848-8315

Amenities & Lifestyle

Specific ProgramsTransitioning

Contact Four Winds Manor

Inspection History

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.

Since 2023 · 3 years of data 30 deficiencies

Inspection Scorecard Info 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.

Since 2023 vs. Wisconsin state average
Overall vs. WI average 2 Worse Metrics worse than Wisconsin average:
• Total deficiencies (150% above)
• Deficiencies per year (150% above)
0 Better No metrics in this bucket.
Latest Inspection December 11, 2025 Complaint Investigation

Deficiencies Info Deficiencies are formal regulatory issues recorded during state inspections.

This FacilityWI Averagevs. WI Avg
Total deficiencies Info Formal regulatory issues recorded by inspectors across all inspection types. 3012 This facility has 150% more total deficiencies than a typical Wisconsin nursing home (30 vs. WI avg 12).↑ 150% worse
Deficiencies per year Info Average deficiencies per year since 2023. 104 This facility has 150% more deficiencies per year than a typical Wisconsin nursing home (10 vs. WI avg 4).↑ 150% worse

Inspection Reports Summary Info An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

  • December 11, 2025 complaint investigation found failures in timely reporting of injury and inadequate fall prevention, resulting in resident injury and delayed notification.
  • September 4, 2025 routine inspection identified eight deficiencies including medication errors, incomplete staff background checks, failure to honor resident rights, unsafe food temperatures, and poor antibiotic stewardship.
  • January 24, 2025 complaint investigation substantiated improper use of a physical restraint without order, plus failures in care planning and infection control documentation.

Health Inspection History

Inspections since 2022
Total health inspections 8

Wisconsin average 6


Last Health inspection on Sep 2025

Total health citations
28 Rank #108 / 180Health citations — State benchmarkedThis home is ranked 108th out of 180 homes in Wisconsin. Shows this facility's total health deficiency citations benchmarked to the Wisconsin State average, with a ranking across all 180 WI facilities. Lower citation counts earn a better rank.Rankings are based only on facilities in Wisconsin that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Wisconsin average 27.3

Citations per inspection
3.5 Rank #68 / 180Citations per inspection — State benchmarkedThis home is ranked 68th out of 180 homes in Wisconsin. Shows average deficiency citations per CMS inspection for this facility versus the Wisconsin mean across 180 facilities with citation data. Lower is better.Rankings are based only on facilities in Wisconsin that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

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.

Breakdown of citation severity (last 4 years)
Critical health citations
0
100% better than Wisconsin average

Wisconsin average: 0.9


Serious health citations
2
67% worse than Wisconsin average

Wisconsin average: 1.2

0 critical citations Wisconsin average: 0.9

2 serious citations Wisconsin average: 1.2

26 moderate citations Wisconsin average: 24.7

0 minor citations Wisconsin average: 0.6
Citations history (last 4 years)
Abuse/Neglect moderate citation Sep 04, 2025
Corrected

Infection Control moderate citation Sep 04, 2025
Corrected

Infection Control moderate citation Sep 04, 2025
Corrected

Nutrition moderate citation Sep 04, 2025
Corrected

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 135
Employees 109
Contractors 26
Staff to resident ratio 4.35 : 1
75% more staff per resident than Wisconsin average
Wisconsin average ratio: 2.48 : 1 Wisconsin average ratio: 2.48 : 1See full Wisconsin ranking
Avg staff/day 42
Average shift 6.4 hours
12% worse than Wisconsin average
Wisconsin average: 7.3 hours Wisconsin average shift: 7.3 hoursSee full Wisconsin ranking
Total staff hours (quarter) 24,741

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info All 8 RN Staff are full-time employees. No contractors work on this role. 8
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.9 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info All 9 LPN Staff are full-time employees. No contractors work on this role. 9
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 6.9 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info 57 total: 37 full-time employees and 20 contractors. 57
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.7 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

7.5%

1,861 contractor hours this quarter

Certified Nursing Assistant: 20 Occupational Therapy Aide: 4 Occupational Therapy Assistant: 1 Medical Director: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant3720578,25092100%7.7
Occupational Therapy Aide164204,49492100%6.5
Registered Nurse8082,74392100%8.9
Licensed Practical Nurse9091,68792100%6.9
Medication Aide/Technician3031,3709098%7.9
Respiratory Therapy Technician4048666773%5.7
Dietitian2028526975%6.7
Physical Therapy Aide4048136975%5.6
Physical Therapy Assistant3035356166%6
Clinical Nurse Specialist1015166065%8.6
Nurse Practitioner1015046470%7.9
Dental Services Staff1014826065%8
Speech Language Pathologist4044376672%5.7
Mental Health Service Worker1014306065%7.2
RN Director of Nursing2023945358%7.1
Qualified Social Worker3032265155%4.2
Other Dietary Services Staff202822022%3.9
Occupational Therapy Assistant01131910%3.4
Medical Director112311516%1.9
Administrator70707582%
57 Certified Nursing Assistant
% of Days 100%
20 Occupational Therapy Aide
% of Days 100%
8 Registered Nurse
% of Days 100%
9 Licensed Practical Nurse
% of Days 100%
3 Medication Aide/Technician
% of Days 98%
4 Respiratory Therapy Technician
% of Days 73%
2 Dietitian
% of Days 75%
4 Physical Therapy Aide
% of Days 75%
3 Physical Therapy Assistant
% of Days 66%
1 Clinical Nurse Specialist
% of Days 65%
1 Nurse Practitioner
% of Days 70%
1 Dental Services Staff
% of Days 65%
4 Speech Language Pathologist
% of Days 72%
1 Mental Health Service Worker
% of Days 65%
2 RN Director of Nursing
% of Days 58%
3 Qualified Social Worker
% of Days 55%
2 Other Dietary Services Staff
% of Days 22%
1 Occupational Therapy Assistant
% of Days 10%
2 Medical Director
% of Days 16%
7 Administrator
% of Days 82%

Penalties and fines

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)

Total fines amount $0 Rank #1 / 180Federal fines — State benchmarkedThis home is ranked 1st out of 180 homes in Wisconsin. Shows this facility's cumulative CMS federal fine dollars versus the Wisconsin average among facilities with fines, and where it ranks among 180 facilities in the pool. Lower total dollars mean a better rank.Rankings are based only on facilities in Wisconsin that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
100% lower than Wisconsin average

Wisconsin average: $95K

Number of fines 0
100% fewer fines than Wisconsin average

Wisconsin average: 2.1

Payment Denials Info 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

Fines amount comparison
Fines amount comparison
This facility $0
Wisconsin average $95K
Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

1 penalty in the past 3 years

Aug 22, 2023 · 11 days

Payment Denial Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. Aug 22, 2023
11 days

Last updated: Jan 2026

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info 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

Functional decline score Info 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

Long-stay resident measures
Below average Wisconsin avg: 3.0 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info 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%

Low Risk Residents with Bowel/Bladder Incontinence Info 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%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 3.0%
7% better than Wisconsin average

Wisconsin average: 3.2%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 5.8%
7% worse than Wisconsin average

Wisconsin average: 5.4%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 2.0%
36% better than Wisconsin average

Wisconsin average: 3.2%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 6.9%
42% worse than Wisconsin average

Wisconsin average: 4.9%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 4.7%
7% better than Wisconsin average

Wisconsin average: 5.0%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 10.9%
32% better than Wisconsin average

Wisconsin average: 16.1%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
In line with Wisconsin average

Wisconsin average: 95.9%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 97.0%
In line with Wisconsin average

Wisconsin average: 95.0%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 3.11
93% worse than Wisconsin average

Wisconsin average: 1.61

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 2.00
9% better than Wisconsin average

Wisconsin average: 2.19

Short-stay resident measures
Above average Wisconsin avg: 2.9 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 95.4%
9% better than Wisconsin average

Wisconsin average: 87.3%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.0%
100% better than Wisconsin average

Wisconsin average: 1.2%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 87.5%
6% better than Wisconsin average

Wisconsin average: 82.2%

Re-hospitalized after SNF stay Info 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%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 12.3%
18% better than Wisconsin average

Wisconsin average: 15.0%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 0.0%
100% better than Wisconsin average

Wisconsin average: 0.8%

Ability to care for self at discharge Info 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%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 63.1%
25% better than Wisconsin average

Wisconsin average: 50.6%

Breakdown by payment type

Medicare

59% of new residents, usually for short-term rehab.

Typical stay 1 months

Private pay

35% of new residents, often for short stays.

Typical stay 3 months

Medicaid

5% of new residents, often for long-term daily care.

Typical stay 1 - 2 years

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 31
Medicare
6
19.4% of residents
Medicaid
14
45.2% of residents
Private pay or other
11
35.5% of residents
Programs & Services
Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

Voluntary non-profit community
Operated by a church.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$4.7M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$3.4M
Voluntary non-profit community Operated by a church.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$4.7M Rank #109 / 183Revenue — State benchmarkedThis home is ranked 109th out of 183 homes in Wisconsin. Shows this facility's annual revenue compared to the Wisconsin average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Rankings are based only on facilities in Wisconsin that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$3.4M
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$2.9M
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #62 / 183Payroll — State benchmarkedThis home is ranked 62nd out of 183 homes in Wisconsin. 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.Rankings are based only on facilities in Wisconsin that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$4.8M 103.4% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #18 / 183Payroll % — State benchmarkedThis home is ranked 18th out of 183 homes in Wisconsin. Shows payroll as a percentage of revenue versus the Wisconsin average. Well-run Wisconsin facilities typically land around 62–74% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in Wisconsin that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$3.2M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$8.0M

Who this home usually serves

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

Most new residents arrive under Medicare (59% of admissions), and a typical Medicare stay runs around 1 months.

Admissions
148 total

Coverage residents most often arrive under.

Medicare 59%
Private pay 35%
Medicaid 5%
Discharges
101 total

Coverage residents most often leave under.

Medicare 56%
Private pay 40%
Medicaid 4%

Managed by Rose Riedmaier

Administrator

Places of interest near Four Winds Manor

Address 10.7 miles from city center Info Estimated distance in miles from Verona's city center to Four Winds Manor's address, calculated via Google Maps.

Calculate Travel Distance to Four Winds Manor

Add your location

Address

Compare Nursing Homes around Madison

The information below is reported by the Wisconsin Department of Health Services, Division of Quality Assurance.

Four Winds Manor
NH
AL
MC
NC
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
AL
IL
MC
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
ADC
AL
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
HC
RC
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
HC
MC
PC
RC
Madison (Rolling Meadows) -
83
Facility 83
WI AVG 61
Rank #113 / 496
A+
50
Facility 50
WI AVG 42
Rank #225 / 580
-

Financial Assistance for
Nursing Home in Wisconsin

Four Winds Manor is located in Verona, Wisconsin.
Here are the financial assistance programs available to residents in Wisconsin.

Get Financial aid guidance

Family Care Program

WI Medicaid Family Care

Age 65+ or disabled
General Wisconsin resident, Medicaid-eligible, long-term care need.
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $2,000 (individual), $3,000 (couple).
WI

Managed care model; rural/urban balance.

Benefits
Personal care (5-7 hours/day) Respite (240 hours/year) Adult day care ($65/day) Home modifications ($1,500 avg.)

Wisconsin Caregiver Support Program

WI NFCSP Respite

Age Caregiver of someone 60+ (or with dementia)
General Wisconsin resident.
Income Limits No strict limit; prioritizes low-income.
Asset Limits Not applicable.
WI

High rural demand; ADRC coordination.

Benefits
In-home respite (4-6 hours/day) Adult day care (~$65/day) Short-term facility care (up to 5 days)

IRIS (Include, Respect, I Self-Direct)

Wisconsin IRIS

Age 65+ (or disabled 18+)
General WI resident, Medicaid-eligible, NFLOC.
Income Limits (2025) ~$2,829/month; QIT optional.
Asset Limits $2,000 (individual), $3,000 (couple).
WI

Flexible budget; serves ~20,000; participant hires caregivers.

Benefits
Personal care (custom hours) Respite Home mods Equipment Transportation Support services

SeniorCare Prescription Drug Assistance

Wisconsin SeniorCare

Age 65+
General WI resident, US citizen/qualified immigrant, not on full Medicaid.
Income Limits (2025) ~$24,980-$34,980/year (Level 1-2B, individual); varies by level.
Asset Limits None.
WI

Four benefit levels; serves ~50,000 annually.

Benefits
$5 generic/$15 brand copays (Level 1); deductibles ($500-$850) for higher levels; covers most Rx drugs

Medicare Savings Program (MSP)

Wisconsin Medicare Savings Program

Age 65+ or disabled
General WI resident, Medicare Part A/B.
Income Limits (2025) ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
Asset Limits $9,430 (individual), $14,130 (couple).
WI

Includes Extra Help for Part D; no waitlist.

Benefits
Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

Wisconsin Home Energy Assistance Program (WHEAP)

Wisconsin WHEAP

Age 60+ prioritized
General WI resident, low-income household.
Income Limits (2025) ~$3,970/month 185% FPL
Asset Limits Not assessed.
WI

Covers gas, electric, wood; crisis aid available.

Benefits
Heating/electric aid ($300-$1,000/season) Crisis aid ($500 max) Weatherization

VA Aid and Attendance (A&A) and Housebound Benefits

Wisconsin VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse
General WI resident, wartime service, ADL help (A&A) or homebound.
Income Limits (2025) Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
Asset Limits ~$155,356 net worth
WI

High rural veteran use; supports care costs.

Benefits
Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs

Property Tax Deferral Loan Program

Wisconsin Property Tax Deferral Loan

Age 65+
General WI resident, homeowner, live in home 6+ months/year.
Income Limits (2025) ~$24,980/year household
Asset Limits Home equity < $500,000; limited other assets.
WI

Saves ~$500-$1,500/year; interest ~2%-3%.

Benefits
Deferred tax payment (~$500-$1,500/year avg.)

Senior Farmers’ Market Nutrition Program (SFMNP)

Wisconsin SFMNP

Age 60+
General WI resident, low-income.
Income Limits (2025) ~$2,322/month 185% FPL
Asset Limits Not assessed.
WI

Vouchers (~$45/season); serves ~15,000 annually.

Benefits
Vouchers (~$45/season) for produce at farmers’ markets

Frequently Asked Questions about Four Winds Manor

What neighborhood is Four Winds Manor in?

Four Winds Manor is in the Verona neighborhood of Verona.

Is Four Winds Manor in a walkable area?

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.

What is the occupancy rate at Four Winds Manor?

Four Winds Manor's occupancy is 69%.

Does Four Winds Manor operate as a for-profit or non-profit?

Four Winds Manor is registered as a for-profit in WI.

Who is the administrator of Four Winds Manor?

M Lynn Howard is the administrator of Four Winds Manor.

How many beds does Four Winds Manor have?

Four Winds Manor has 44 beds.

Are there photos of Four Winds Manor?

Yes — there are 4 photos of Four Winds Manor in the photo gallery on this page.

Guides for Better Senior Living

Care Cost Calculator: See Prices in Your Area

Nursing Home Data Explorer

Don’t Wait Too Long: 7 Red Flag Signs Your Parent Needs Assisted Living Now

The True Cost of Assisted Living in 2025 – And How Families Are Paying For It

Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance