Walworth County, Wisconsin · Nursing home
East Troy Manor
2 of 5 overall from CMS
3271 North St, East Troy, WI 53120
At a glance
- Overall rating 2 of 5 Below the state average of 3.0
- Nurse time per resident, per day 3.76 hours Below the state average of 4.21
- Nursing staff who left in a year 68.5% Above the state average of 46.9%
- Health citations, last 3 inspection cycles 29 4 at the harm level or above
- Fines in 3 years $129,433 4 fines
- Certified beds in use 83.8% of 50 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
East Troy Manor is a 50-bed nursing home in East Troy, Wisconsin (Walworth County). CMS rates it 2 of 5 stars overall as of Sep 2026. It reports 3.76 nurse staffing hours per resident per day, below the Wisconsin average of 4.21. CMS lists 4 fines totaling $129,433 in the past three years.
- Certified beds
- 50
- Residents per day (average)
- 41.9
- Certified since
- 1995 (31 yrs)
Non profit - Corporation Participates in Medicare and MedicaidPart of Wisconsin Illinois Senior Housing, Inc. (7 homes)
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask East Troy Manor
Chosen from this home's public data.
- CMS lists 4 fines totaling $129,433 in the past three years. What changed after the most recent one?Penalties in CMS data
- Nursing staff turnover is 68.5%, above the Wisconsin average of 46.9%. How often would the same aides care for my relative?Turnover in CMS data
- Reported nurse staffing is 3.08 hours per resident on weekends against 3.76 overall. Who covers Saturdays and Sundays?Weekend staffing in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 2 of 5 Wisconsin average 3.0
- Health inspections 2 of 5 Wisconsin average 2.8
- Staffing 3 of 5 Wisconsin average 3.6
- Quality measures 4 of 5 Wisconsin average 3.0
The vertical line marks the Wisconsin average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 3.76 h Wisconsin average 4.21
- Nurse aides 2.32 h Wisconsin average 2.58
- Licensed practical nurses 0.74 h Wisconsin average 0.64
- Registered nurses 0.71 h Wisconsin average 0.99
- All staff, weekends 3.08 h Wisconsin average 3.77
How much nurse staffing is enough? All bars share one scale, 0 to 10 hours. The vertical line marks the Wisconsin average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover68.5%
- Wisconsin average46.9%
- Registered nurse turnover33.3%
- Wisconsin average39.7%
- Administrators who left0
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the Wisconsin and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | Wisconsin | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 15.6% | 16.1% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 1.9% | 5.1% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% | 2.1% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 1.5% | 2.7% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 1.6% | 5.7% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.0% | 0.1% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 2.3% | 3.3% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.2% | 95.7% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 14.5% | 18.4% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 21.5% | 16.9% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 97.3% | 95.0% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 2.7% | 5.0% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 20.8% | 24.6% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 5.3% | 15.8% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | Too few residents or stays to report | 1.66 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | Too few residents or stays to report | 2.29 | 1.78 |
Short-stay residents
| Measure | This home | Wisconsin | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 98.0% | 86.5% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% | 1.2% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 92.7% | 82.2% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | 30.7% | 23.1% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | 13.7% | 15.5% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 29 health deficiencies in the three most recent inspection cycles. Of these, 3 were at the immediate jeopardy level and 1 involved actual harm; the rest were graded as no actual harm. 14 were cited in connection with a complaint investigation. The most recent citation at the harm level or above was on Jul 24, 2025: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Jan 8, 2026 | 0 | 5 |
| Aug 15, 2024 | 22 | 15 |
| Jul 12, 2023 | 7 | 9 |
Wisconsin homes averaged 9.5 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (29)
-
JImmediate jeopardy, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Aug 18, 2025)
-
FPotential for more than minimal harm, widespread
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
Complaint investigation · Administration · Deficient, Provider has date of correction (Aug 18, 2025)
-
FPotential for more than minimal harm, widespread
Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Aug 18, 2025)
-
FPotential for more than minimal harm, widespread
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Aug 18, 2025)
-
FPotential for more than minimal harm, widespread
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Complaint investigation · Administration · Deficient, Provider has date of correction (Aug 18, 2025)
Show 24 more
-
FPotential for more than minimal harm, widespread
Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
Complaint investigation · Infection Control · Deficient, Provider has date of correction (Aug 18, 2025)
-
FPotential for more than minimal harm, widespread
Provide training in compliance and ethics.
Complaint investigation · Administration · Deficient, Provider has date of correction (Aug 18, 2025)
-
FPotential for more than minimal harm, widespread
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Complaint investigation · Nursing and Physician Services · Deficient, Provider has date of correction (Aug 18, 2025)
-
FPotential for more than minimal harm, widespread
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Complaint investigation · Administration · Deficient, Provider has date of correction (Aug 18, 2025)
-
CPotential for minimal harm, widespread
Post nurse staffing information every day.
Complaint investigation · Nursing and Physician Services · Deficient, Provider has date of correction (Aug 18, 2025)
-
EPotential for more than minimal harm, pattern
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Complaint investigation · Administration · Deficient, Provider has date of correction (May 7, 2025)
-
EPotential for more than minimal harm, pattern
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Complaint investigation · Nursing and Physician Services · Deficient, Provider has date of correction (May 7, 2025)
-
DPotential for more than minimal harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (May 7, 2025)
-
JImmediate jeopardy, isolated
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Sep 13, 2024)
-
JImmediate jeopardy, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · Deficient, Provider has date of correction (Sep 13, 2024)
-
FPotential for more than minimal harm, widespread
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Sep 13, 2024)
-
EPotential for more than minimal harm, pattern
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights · Deficient, Provider has date of correction (Sep 13, 2024)
-
DPotential for more than minimal harm, isolated
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Sep 13, 2024)
-
DPotential for more than minimal harm, isolated
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Sep 13, 2024)
-
DPotential for more than minimal harm, isolated
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Resident Rights · Deficient, Provider has date of correction (Sep 13, 2024)
-
DPotential for more than minimal harm, isolated
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Sep 13, 2024)
-
DPotential for more than minimal harm, isolated
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.
Pharmacy Service · Deficient, Provider has date of correction (Sep 13, 2024)
-
GActual harm, isolated
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care · Deficient, Provider has date of correction (Aug 9, 2023)
-
FPotential for more than minimal harm, widespread
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Aug 9, 2023)
-
DPotential for more than minimal harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · Deficient, Provider has date of correction (Aug 9, 2023)
-
DPotential for more than minimal harm, isolated
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care · Deficient, Provider has date of correction (Aug 9, 2023)
-
DPotential for more than minimal harm, isolated
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Quality of Life and Care · Deficient, Provider has date of correction (Aug 9, 2023)
-
DPotential for more than minimal harm, isolated
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Pharmacy Service · Deficient, Provider has date of correction (Aug 9, 2023)
-
DPotential for more than minimal harm, isolated
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service · Deficient, Provider has date of correction (Aug 9, 2023)
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
| Date | Type | Amount |
|---|---|---|
| Jul 24, 2025 | Fine | $101,220 |
| Aug 15, 2024 | Fine | $21,902 |
| Nov 20, 2023 | Fine | $2,117 |
| Oct 30, 2023 | Fine | $4,194 |
Wisconsin homes averaged 0.9 fines and $48,150 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within Wisconsin
- Size243 of 323 by certified beds
- Wisconsin average residents per day54.7
- ChainWisconsin Illinois Senior Housing, Inc.
- Chain average overall rating1.7 of 5
- Resident or family councilResident
- Homes in Walworth County7
Common questions
What is the CMS star rating for East Troy Manor?
East Troy Manor has an overall rating of 2 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 2, staffing is 3 and quality measures is 4.
How many beds does East Troy Manor have?
East Troy Manor has 50 certified beds. It averages 41.9 residents per day, about 83.8% of its certified beds.
How much nursing care do residents get at East Troy Manor?
The home reports 3.76 hours of nurse staffing per resident per day, including 0.71 hours from registered nurses. The Wisconsin average is 4.21 hours and 0.99 hours from registered nurses.
Has East Troy Manor been fined?
Yes. CMS lists 4 fines totaling $129,433 in the past three years.
Does East Troy Manor accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 2 of 5 Lindengrove Mukwonago 47beds 86.8%in use 4.15nurse hours a day
- 3 of 5 Lakeland Health Care Ctr 90beds 89.9%in use 3.96nurse hours a day
- 2 of 5 Holton Manor 60beds 90.3%in use 4.31nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Walworth County
Who to call in Wisconsin
These offices serve residents of every nursing home in Wisconsin.
- Long-term care ombudsman Wisconsin Long Term Care Ombudsman Program 1-800-815-0015 (Email: BOALTC@wisconsin.gov.) An advocate for residents and their families.
- File a complaint about a nursing home Division of Quality Assurance (DQA) complaint line 800-642-6552 (Toll-free. DQA also takes complaints through an online Complaint Intake Survey (form F-00607) and its nursing home regional offices.) The state agency that inspects nursing homes.
Wisconsin staffing, bed-hold and Medicaid rules · Residents' rights in every state
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 525561. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.