Ingleside Manor

Nursing Home · Mount Horeb, WI

Special Focus Facility Non profit - Corporation

CMS certification number525331
CMS lists this nursing home as a Special Focus Facility – a facility with a persistent record of serious quality problems that is inspected more often.

Contact & location

407 N Eighth ST
Mount Horeb, WI 53572
Dane County
Phone
(608) 437-5511
ZIP code
53572 – all care providers

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Facility details

Certified beds
80
Residents per day
40.1 (50% occupied)
Ownership
Non profit - Corporation
Legal name
Wisconsin Illinois Senior Housing INC
Chain
Wisconsin Illinois Senior Housing, INC. (7 facilities, avg 1.7★)
Medicare certified since
April 7, 1983
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

OverallNot rated
State avg 3.0
Health inspectionsNot rated
State avg 2.8
StaffingNot rated
State avg 3.6
Quality measuresNot rated
State avg 3.0
Long-stay qualityNot rated
Short-stay qualityNot rated

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
4.15 (state 4.21 · U.S. 3.86)
Registered nurses (RN)
1.06 (state 0.99 · U.S. 0.69)
Licensed practical nurses
0.58 (state 0.64 · U.S. 0.86)
Nurse aides
2.50 (state 2.58 · U.S. 2.32)
Weekend total
3.59 (state 3.77 · U.S. 3.42)
Nursing staff turnover
80.6 (state 46.9 · U.S. 45.8)%
RN turnover
75.0 (state 39.7 · U.S. 42.9)%
Administrators who left
2 in the last year

Inspections

Last standard inspection
October 13, 2025
Health deficiencies (last cycle)
34.0 (state 9.5 · U.S. 9.3)
From complaints
19
Citations on record (3 years)
62 health · 18 fire safety · includes immediate jeopardy
DateCitationSeverityStatus
2025-10-13 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies		 J
Immediate jeopardy to resident health or safety		 Corrected 2025-12-16
2025-10-13 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2025-11-10
2025-10-13 Honor the resident's right to organize and participate in resident/family groups in the facility.
F0565 · Resident Rights Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-11-10
2025-10-13 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.
F0578 · Resident Rights Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-11-10
2025-10-13 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.
F0584 · Resident Rights Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-11-10
2025-10-13 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-11-10
2025-10-13 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-11-10
2025-10-13 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
F0690 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-11-10
2025-10-13 Provide enough food/fluids to maintain a resident's health.
F0692 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-11-10
2025-10-13 Ensure medication error rates are not 5 percent or greater.
F0759 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-11-10
2025-10-13 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.
F0761 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-11-10
2025-10-13 Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
F0806 · Nutrition and Dietary Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-11-10
2025-10-13 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.
F0849 · Administration Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-11-10
2025-10-13 Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
F0867 · Administration Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-11-10
2025-10-13 Develop and implement policies and procedures for flu and pneumonia vaccinations.
F0883 · Infection Control Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-11-10
2025-09-15 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection		 G
Actual harm		 Corrected 2025-10-14
2025-09-15 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.
F0584 · Resident Rights Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-10-14
2025-09-15 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-10-14
2025-09-15 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-10-14
2025-09-15 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-10-14
2025-09-15 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
F0690 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-10-14
2025-09-15 Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
F0740 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-10-14
2025-09-15 Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-10-14
2025-08-13 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
F0925 · Environmental Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-09-07
2025-08-13 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
F0580 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-09-07
2025-08-13 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-09-07
2025-08-13 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-09-07
2025-08-13 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-10-14
2025-08-13 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-09-07
2025-08-13 Provide enough food/fluids to maintain a resident's health.
F0692 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-09-07
2025-08-13 Ensure that the resident and his/her doctor meet face-to-face at all required visits.
F0712 · Nursing and Physician Services Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-09-07
2025-08-13 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-09-07
2025-08-13 Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-09-07
2025-08-13 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-09-07
2025-07-09 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection		 J
Immediate jeopardy to resident health or safety		 Corrected 2025-08-06
2025-07-09 Provide enough food/fluids to maintain a resident's health.
F0692 · Quality of Life and Care Deficiencies · complaint inspection		 J
Immediate jeopardy to resident health or safety		 Corrected 2025-08-06
2025-07-09 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 F
No actual harm, potential for more than minimal harm		 Corrected 2025-08-06
2025-07-09 Observe each nurse aide's job performance and give regular training.
F0730 · Nursing and Physician Services Deficiencies · complaint inspection		 F
No actual harm, potential for more than minimal harm		 Corrected 2025-08-06
2025-07-09 Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
F0868 · Administration Deficiencies · complaint inspection		 F
No actual harm, potential for more than minimal harm		 Corrected 2025-08-06
2025-07-09 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-08-06
2025-07-09 Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-08-06
2025-07-09 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.
F0693 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-08-06
2025-07-09 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-08-06
2025-06-10 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-08-06
2025-03-14 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
F0580 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-04-14
2025-03-14 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-04-14
2025-03-14 Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-04-14
2025-03-14 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-04-14
2025-03-14 Ensure medication error rates are not 5 percent or greater.
F0759 · Pharmacy Service Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-04-14
2024-07-11 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies		 G
Actual harm		 Corrected 2024-08-05

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

7 penalties in the last three years, including $283,060 in fines.

DateTypeAmount
2025-10-13Payment Denial35 days payment denial
2025-10-13Fine$83,597
2025-06-10Payment Denial68 days payment denial
2025-06-10Fine$128,700
2025-06-10Fine$20,420
2024-07-11Fine$36,946
2023-11-01Fine$13,397

Ownership & management

NameRoleSince
Carriage Healthcare Companies INC (organization)Administrator · NOT APPLICABLE
HBT It LLC (organization)Administrator · NOT APPLICABLE
JT and Associates LLC (organization)Administrator · NOT APPLICABLE
Partners in Wealth Management, INC (organization)Administrator · NOT APPLICABLE
Paszczak, Matthew (individual)Administrator · NOT APPLICABLE
Pinion, LLC (organization)Administrator · NOT APPLICABLE
Rehab Solutions Group, LLC (organization)Administrator · NOT APPLICABLE
Sherman, Stephanie (individual)Administrator · NOT APPLICABLE
Twomagnets LLC (organization)Administrator · NOT APPLICABLE
Dupont, Lori (individual)Corporate Director · NOT APPLICABLE
Gehler, Miriam (individual)Corporate Director · NOT APPLICABLE
Kerwin, Andrew (individual)Corporate Director · NOT APPLICABLE
Kumar, Rajeev Shiva (individual)Corporate Director · NOT APPLICABLE
Lacke (Carrig), Karen (individual)Corporate Director · NOT APPLICABLE
Lynn, Nicholas (individual)Corporate Director · NOT APPLICABLE
Carriage Healthcare Companies INC (organization)Operational/managerial Control · NOT APPLICABLE
Paszczak, Matthew (individual)Operational/managerial Control · NOT APPLICABLE
Sherman, Stephanie (individual)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

How many beds does Ingleside Manor have?

It has 80 certified beds and cares for about 40 residents per day.

Has Ingleside Manor been fined?

Yes. CMS lists 7 penalties totaling $283,060 in the last three years.

Who owns Ingleside Manor?

It is part of Wisconsin Illinois Senior Housing, INC. and is classified as non profit - corporation. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Ingleside Manor?

(608) 437-5511. The facility is located at 407 N Eighth ST, Mount Horeb, WI 53572.

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.