SFF Candidate

Overview

Address
407 N EIGHTH ST, MOUNT HOREB, WI 53572
Phone
6084375511
Certified beds
80
Avg daily residents
54 (67% of beds filled)
Ownership
Non-profit corporation
Provider type
Medicare and Medicaid
Medicare/Medicaid since
1983-04-07
Setting
Urban
1 /5
CMS Overall Rating

CMS 5-Star Ratings

CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.

Overall Rating
Composite of Health Inspection, Staffing, and Quality Measures.
1/5
Health Inspection
Based on the three most recent standard surveys, with more weight on recent results.
1/5
Staffing
Weighted combination of RN and total nurse staffing hours per resident per day, case-mix adjusted.
4/5
Quality Measures
15 resident-level quality measures split between long-stay and short-stay (post-acute) residents.
3/5
Quality Measures breakdown
Long-Stay Quality Measures 2/5
Short-Stay Quality Measures 4/5

Staffing & Workforce

Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.

Role Reported Case-mix expected Adjusted Federal floor
Total nurse
All nursing staff combined: RN + LPN + Aide
4.73 3.90 4.68 ≥ 3.48
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
1.09 0.68 1.08 ≥ 0.55
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
0.51 0.87 0.51
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
3.13 2.35 3.09
Licensed (RN + LPN)
Combined licensed nurse coverage.
1.61
Physical therapist
Rehabilitation therapist hours — important for post-acute / rehab admissions.
0.07

Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.

Weekend staffing

Total nurse (weekend)
4.36
hrs / resident / day
RN (weekend)
0.88
hrs / resident / day
Total nurse (adjusted, weekend)
4.32
hrs / resident / day

Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.

Staff turnover

Total nursing staff turnover
78.8%
annual
RN turnover
62.5%
annual
Administrators departed
1
last 12 months

Resident acuity

Nursing Case-Mix Index
1.38
higher acuity than avg
Case-Mix Index Ratio
1.00
facility / state ratio

Health Inspections

CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.

Cycle Date Total defs. Standard Complaint Deficiency score Revisits Total score
Cycle 1 (most recent) 2025-10-13 49 15 34 501 2 752
Cycle 2/3 (prior) 2024-07-11 17 15 2 144 1 144
Total weighted health score
600.0
lower is better

Deficiencies (74)

Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).

68 D/E/F Actual harm — potential for minor
3 G/H/I Actual harm
3 J/K/L Immediate jeopardy
Tag Description Scope/Severity Survey date Corrected
0565 Honor the resident's right to organize and participate in resident/family groups in the facility. E 2025-10-13 2025-11-10
0578 Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. E 2025-10-13 2025-11-10
0584 Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. E 2025-10-13 2025-11-10
0609 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. D 2025-10-13 2025-11-10
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. E 2025-10-13 2025-11-10
0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing. J 2025-10-13 2025-12-16
0690 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. D 2025-10-13 2025-11-10
0692 Provide enough food/fluids to maintain a resident's health. D 2025-10-13 2025-11-10
0759 Ensure medication error rates are not 5 percent or greater. D 2025-10-13 2025-11-10
0761 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. D 2025-10-13 2025-11-10
0806 Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. D 2025-10-13 2025-11-10
0849 Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. D 2025-10-13 2025-11-10
0867 Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. D 2025-10-13 2025-11-10
0880 Provide and implement an infection prevention and control program. F 2025-10-13 2025-11-10
0883 Develop and implement policies and procedures for flu and pneumonia vaccinations. D 2025-10-13 2025-11-10
0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. D 2025-09-15 2025-10-14
0584 Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. E 2025-09-15 2025-10-14
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. G 2025-09-15 2025-10-14
0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing. D 2025-09-15 2025-10-14
0690 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. D 2025-09-15 2025-10-14
0740 Ensure each resident must receive and the facility must provide necessary behavioral health care and services. D 2025-09-15 2025-10-14
0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. E 2025-09-15 2025-10-14
0760 Ensure that residents are free from significant medication errors. D 2025-09-15 2025-10-14
0580 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. D 2025-08-13 2025-09-07
0609 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. D 2025-08-13 2025-09-07
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. D 2025-08-13 2025-09-07
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D 2025-08-13 2025-10-14
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. D 2025-08-13 2025-09-07
0692 Provide enough food/fluids to maintain a resident's health. D 2025-08-13 2025-09-07
0712 Ensure that the resident and his/her doctor meet face-to-face at all required visits. D 2025-08-13 2025-09-07
0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. D 2025-08-13 2025-09-07
0760 Ensure that residents are free from significant medication errors. D 2025-08-13 2025-09-07
0880 Provide and implement an infection prevention and control program. D 2025-08-13 2025-09-07
0925 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. E 2025-08-13 2025-09-07
0609 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. D 2025-07-09 2025-08-06
0610 Respond appropriately to all alleged violations. D 2025-07-09 2025-08-06
0658 Ensure services provided by the nursing facility meet professional standards of quality. F 2025-07-09 2025-08-06
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. J 2025-07-09 2025-08-06
0692 Provide enough food/fluids to maintain a resident's health. J 2025-07-09 2025-08-06
0693 Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. D 2025-07-09 2025-08-06
0730 Observe each nurse aide's job performance and give regular training. F 2025-07-09 2025-08-06
0842 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. D 2025-07-09 2025-08-06
0868 Have the Quality Assessment and Assurance group have the required members and meet at least quarterly F 2025-07-09 2025-08-06
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. D 2025-06-10 2025-08-06
0580 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. D 2025-03-14 2025-04-14
0609 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. D 2025-03-14 2025-04-14
0610 Respond appropriately to all alleged violations. D 2025-03-14 2025-04-14
0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. D 2025-03-14 2025-04-14
0759 Ensure medication error rates are not 5 percent or greater. D 2025-03-14 2025-04-14
0558 Reasonably accommodate the needs and preferences of each resident. E 2024-07-11 2024-08-05

Showing 50 most recent of 74. See the All Data CSV for the full list.

Penalties (2)

Fines issued
2
last 3 years
Total fines
$50,343
Date Type Fine amount
2023-11-01 Fine $13,397
2024-07-11 Fine $36,946

Source: CMS Nursing Home Penalties.

Financial Health (FY 2023)

Payer mix (share of resident days)

Medicare 19.0% Medicaid 49.8% Other 31.2%

Operating performance

Operating Margin
4.3%
Total Margin
4.4%
Occupancy Rate
73.5%
Cost per Resident Day
$44

Revenue & costs

Net Patient Revenue
$10.1M
Total Costs
$947K
Net Income
$445K

Balance sheet

Total Assets
$12.2M
Total Liabilities
$7.4M
Fund Balance
$4.8M
Current Ratio
7.46

Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.

Ownership & Corporate Structure

Chain: WISCONSIN ILLINOIS SENIOR HOUSING, INC.

Chain ID
569
Facilities in chain
7
Legal business name
WISCONSIN ILLINOIS SENIOR HOUSING INC
Chain-average star ratings (for peer context)
Overall
2.0
Health
2.0
Staffing
3.9
QM
3.3

Owner / manager organizations (1)

Organization Role Association
CARRIAGE HEALTHCARE COMPANIES INC OPERATIONAL/MANAGERIAL CONTROL since 08/09/2012

Owner / manager individuals (8)

Name Role Association
SHERMAN, STEPHANIE OPERATIONAL/MANAGERIAL CONTROL since 08/09/2012
SIEBEL, ROBERT OPERATIONAL/MANAGERIAL CONTROL since 08/09/2012
DUPONT, LORI CORPORATE DIRECTOR since 01/25/2016
GEHLER, MIRIAM CORPORATE DIRECTOR since 01/01/2017
KERWIN, ANDREW CORPORATE DIRECTOR since 06/26/2009
KUMAR, RAJEEV CORPORATE DIRECTOR since 04/24/2012
LACKE (CARRIG), KAREN CORPORATE DIRECTOR since 01/01/2016
LYNN, NICHOLAS CORPORATE DIRECTOR since 03/14/2011

Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.

Facility Features

CCRC
No
Hospital-based
No
Resident / family council
Resident
Sprinkler systems
Yes
Special focus status
SFF Candidate
Abuse citation flag
No
Methodology & sources

Full methodology →

All Data

Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.

Download CSV

Show 113 rows
Source Metric Value Raw key
Cost Report Cost per Resident Day ($) $44 metrics.cost_per_resident_day
Cost Report Current Ratio 7.46 metrics.current_ratio
Cost Report fiscal_year 2,023 fiscal_year
Cost Report Medicaid Day Share (%) 49.8% metrics.medicaid_day_share
Cost Report Medicare Day Share (%) 19.0% metrics.medicare_day_share
Cost Report Net Income ($) $445,010 metrics.net_income
Cost Report Net Patient Revenue ($) $10,077,616 metrics.net_patient_revenue
Cost Report Occupancy Rate (%) 73.5% metrics.occupancy_rate
Cost Report Operating Margin (%) 4.3% metrics.operating_margin
Cost Report Total Assets ($) $12,181,758 metrics.total_assets
Cost Report Total Costs ($) $946,610 metrics.total_costs
Cost Report Total Fund Balances ($) $4,830,100 metrics.fund_balance
Cost Report Total Liabilities ($) $7,351,658 metrics.total_liabilities
Cost Report Total Margin (%) 4.4% metrics.total_margin
Provider Information Abuse Icon N Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day 0.50842 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 3.09229 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 1.08276 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 4.68348 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 4.31632 Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Administrator turnover footnote Administrator turnover footnote
Provider Information Automatic Sprinkler Systems in All Required Areas Yes Automatic Sprinkler Systems in All Required Areas
Provider Information Average Number of Residents per Day 53.6 Average Number of Residents per Day
Provider Information Average Number of Residents per Day Footnote Average Number of Residents per Day Footnote
Provider Information Case-Mix LPN Staffing Hours per Resident per Day 0.86597 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 2.35352 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 0.68258 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 3.90207 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 3.43926 Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Chain Average Health Inspection Rating 2.0 Chain Average Health Inspection Rating
Provider Information Chain Average Overall 5-star Rating 2.0 Chain Average Overall 5-star Rating
Provider Information Chain Average QM Rating 3.3 Chain Average QM Rating
Provider Information Chain Average Staffing Rating 3.9 Chain Average Staffing Rating
Provider Information Chain ID 569 Chain ID
Provider Information Chain Name WISCONSIN ILLINOIS SENIOR HOUSING, INC. Chain Name
Provider Information City/Town MOUNT HOREB City/Town
Provider Information CMS Certification Number (CCN) 525331 CMS Certification Number (CCN)
Provider Information Continuing Care Retirement Community N Continuing Care Retirement Community
Provider Information County/Parish Dane County/Parish
Provider Information Date First Approved to Provide Medicare and Medicaid Services 1983-04-07 Date First Approved to Provide Medicare and Medicaid Services
Provider Information Geocoding Footnote Geocoding Footnote
Provider Information Health Inspection Rating 1 Health Inspection Rating
Provider Information Health Inspection Rating Footnote Health Inspection Rating Footnote
Provider Information Latitude 43.0166 Latitude
Provider Information Legal Business Name WISCONSIN ILLINOIS SENIOR HOUSING INC Legal Business Name
Provider Information Location 407 N EIGHTH ST,MOUNT HOREB,WI,53572 Location
Provider Information Long-Stay QM Rating 2 Long-Stay QM Rating
Provider Information Long-Stay QM Rating Footnote Long-Stay QM Rating Footnote
Provider Information Longitude -89.728 Longitude
Provider Information Most Recent Health Inspection More Than 2 Years Ago N Most Recent Health Inspection More Than 2 Years Ago
Provider Information Number of administrators who have left the nursing home 1 Number of administrators who have left the nursing home
Provider Information Number of Certified Beds 80 Number of Certified Beds
Provider Information Number of Citations from Infection Control Inspections Number of Citations from Infection Control Inspections
Provider Information Number of Facilities in Chain 7 Number of Facilities in Chain
Provider Information Number of Fines 2 Number of Fines
Provider Information Number of Payment Denials 0 Number of Payment Denials
Provider Information Nursing Case-Mix Index 1.38233 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 1.00340 Nursing Case-Mix Index Ratio
Provider Information Overall Rating 1 Overall Rating
Provider Information Overall Rating Footnote Overall Rating Footnote
Provider Information Ownership Type Non profit - Corporation Ownership Type
Provider Information Physical Therapist Staffing Footnote Physical Therapist Staffing Footnote
Provider Information Processing Date 2026-03-01 Processing Date
Provider Information Provider Address 407 N EIGHTH ST Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name INGLESIDE MANOR Provider Name
Provider Information Provider Resides in Hospital N Provider Resides in Hospital
Provider Information Provider SSA County Code 120 Provider SSA County Code
Provider Information Provider Type Medicare and Medicaid Provider Type
Provider Information QM Rating 3 QM Rating
Provider Information QM Rating Footnote QM Rating Footnote
Provider Information Rating Cycle 1 Health Deficiency Score 501 Rating Cycle 1 Health Deficiency Score
Provider Information Rating Cycle 1 Health Revisit Score 251 Rating Cycle 1 Health Revisit Score
Provider Information Rating Cycle 1 Number of Complaint Health Deficiencies 34 Rating Cycle 1 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 1 Number of Health Revisits 2 Rating Cycle 1 Number of Health Revisits
Provider Information Rating Cycle 1 Number of Standard Health Deficiencies 15 Rating Cycle 1 Number of Standard Health Deficiencies
Provider Information Rating Cycle 1 Standard Survey Health Date 2025-10-13 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 752 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 49 Rating Cycle 1 Total Number of Health Deficiencies
Provider Information Rating Cycle 2 Number of Standard Health Deficiencies 15 Rating Cycle 2 Number of Standard Health Deficiencies
Provider Information Rating Cycle 2 Standard Health Survey Date 2024-07-11 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 144 Rating Cycle 2/3 Health Deficiency Score
Provider Information Rating Cycle 2/3 Health Revisit Score 0 Rating Cycle 2/3 Health Revisit Score
Provider Information Rating Cycle 2/3 Number of Complaint Health Deficiencies 2 Rating Cycle 2/3 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 2/3 Number of Health Revisits 1 Rating Cycle 2/3 Number of Health Revisits
Provider Information Rating Cycle 2/3 Total Health Score 144 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 17 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend 0.87721 Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover 62.5 Registered Nurse turnover
Provider Information Registered Nurse turnover footnote Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day 1.60814 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 0.51384 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 3.12524 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.06692 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 1.09430 Reported RN Staffing Hours per Resident per Day
Provider Information Reported Staffing Footnote Reported Staffing Footnote
Provider Information Reported Total Nurse Staffing Hours per Resident per Day 4.73338 Reported Total Nurse Staffing Hours per Resident per Day
Provider Information Short-Stay QM Rating 4 Short-Stay QM Rating
Provider Information Short-Stay QM Rating Footnote Short-Stay QM Rating Footnote
Provider Information Special Focus Status SFF Candidate Special Focus Status
Provider Information Staffing Rating 4 Staffing Rating
Provider Information Staffing Rating Footnote Staffing Rating Footnote
Provider Information State WI State
Provider Information Telephone Number 6084375511 Telephone Number
Provider Information Total Amount of Fines in Dollars 50343.00 Total Amount of Fines in Dollars
Provider Information Total number of nurse staff hours per resident per day on the weekend 4.36232 Total number of nurse staff hours per resident per day on the weekend
Provider Information Total Number of Penalties 2 Total Number of Penalties
Provider Information Total nursing staff turnover 78.8 Total nursing staff turnover
Provider Information Total nursing staff turnover footnote Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 600.000 Total Weighted Health Survey Score
Provider Information Urban Y Urban
Provider Information With a Resident and Family Council Resident With a Resident and Family Council
Provider Information ZIP Code 53572 ZIP Code