Evansville Manor Nursing and Rehab, LLC

Nursing Home · Evansville, WI

CMS overall rating 1/5 SFF candidate Abuse citation For profit - Limited Liability company

CMS certification number525418
CMS lists this nursing home as a Special Focus Facility candidate – one of the lowest-performing nursing homes in its state based on inspection history.
This facility was cited for abuse, neglect or exploitation in a recent inspection (CMS abuse icon).

Contact & location

470 Garfield Ave
Evansville, WI 53536
Rock County
Phone
(608) 882-5700
ZIP code
53536 – all care providers

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Facility details

Certified beds
71
Residents per day
57.6 (81% occupied)
Ownership
For profit - Limited Liability company
Chain
Eden Senior Care (21 facilities, avg 2.6★)
Medicare certified since
September 6, 1988
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 1/5
State avg 3.0
Health inspections★★★★★ 1/5
State avg 2.8
Staffing★★★★★ 2/5
State avg 3.6
Quality measures★★★★★ 4/5
State avg 3.0
Long-stay quality★★★★★ 5/5
Short-stay quality★★★★★ 2/5

Staffing

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

Total nurse staffing
3.65 (state 4.21 · U.S. 3.86)
Registered nurses (RN)
0.72 (state 0.99 · U.S. 0.69)
Licensed practical nurses
0.86 (state 0.64 · U.S. 0.86)
Nurse aides
2.08 (state 2.58 · U.S. 2.32)
Weekend total
3.29 (state 3.77 · U.S. 3.42)
Nursing staff turnover
60.3 (state 46.9 · U.S. 45.8)%
RN turnover
60.0 (state 39.7 · U.S. 42.9)%
Administrators who left
0 in the last year

Inspections

Last standard inspection
February 25, 2026
Health deficiencies (last cycle)
20.0 (state 9.5 · U.S. 9.3)
From complaints
12
Citations on record (3 years)
55 health · 25 fire safety · includes immediate jeopardy
DateCitationSeverityStatus
2026-03-26 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
J
Immediate jeopardy to resident health or safety
Corrected 2026-02-28
2026-02-25 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies
L
Immediate jeopardy to resident health or safety
Corrected 2026-03-23
2026-02-25 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
L
Immediate jeopardy to resident health or safety
Corrected 2026-03-23
2026-02-25 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 2026-03-23
2026-02-25 Dispose of garbage and refuse properly.
F0814 · Nutrition and Dietary Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2026-03-23
2026-02-25 Have a plan that describes the process for conducting QAPI and QAA activities.
F0865 · Administration Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2026-03-23
2026-02-25 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 2026-03-23
2026-02-25 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
F0725 · Nursing and Physician Services Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2026-03-23
2026-02-25 Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
F0585 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-03-23
2026-02-25 Develop and implement policies and procedures to prevent abuse, neglect, and theft.
F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-03-23
2026-02-25 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-03-23
2026-02-25 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 2026-03-23
2026-02-25 Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
F0688 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-03-23
2026-02-25 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 2026-03-23
2026-02-25 Ensure each resident’s drug regimen must be free from unnecessary drugs.
F0757 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-03-23
2025-12-04 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-12-05
2025-12-04 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 2025-12-05
2025-12-04 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 2025-12-05
2025-09-17 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 2025-10-08
2025-09-17 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 2025-11-04
2025-06-18 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 2025-07-14
2025-05-15 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
G
Actual harm
Corrected 2025-06-09
2025-05-15 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
F0804 · Nutrition and Dietary Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2025-06-09
2025-05-15 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 2025-06-09
2025-05-15 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 2025-06-09
2025-05-15 Ensure each resident’s drug regimen must be free from unnecessary drugs.
F0757 · Pharmacy Service Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-06-09
2024-10-03 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 2024-10-28
2024-10-03 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies
G
Actual harm
Corrected 2024-10-28
2024-10-03 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2024-10-28
2024-10-03 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
F0725 · Nursing and Physician Services Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2024-10-28
2024-10-03 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 · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2024-10-28
2024-10-03 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
F0804 · Nutrition and Dietary Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2024-10-28
2024-10-03 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
D
No actual harm, potential for more than minimal harm
Corrected 2024-10-28
2024-10-03 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-10-28
2024-10-03 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 2024-10-28
2024-10-03 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 2024-10-28
2024-10-03 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-10-28
2024-10-03 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-10-28
2024-10-03 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 2024-10-28
2024-10-03 Provide safe, appropriate pain management for a resident who requires such services.
F0697 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-10-28
2024-10-03 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 2024-10-28
2024-10-03 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 2024-10-28
2024-02-05 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 2024-02-28
2024-02-05 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 2024-02-28
2024-02-05 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 2024-02-28
2024-02-05 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 2024-02-28
2024-02-05 Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
F0947 · Nursing and Physician Services Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-02-28
2023-06-29 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 2023-07-28
2023-06-29 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2023-07-28
2023-06-29 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
D
No actual harm, potential for more than minimal harm
Corrected 2023-07-28

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 $182,024 in fines.

DateTypeAmount
2025-09-17Payment Denial20 days payment denial
2025-09-17Fine$60,528
2025-05-15Fine$69,720
2024-10-03Fine$16,068
2024-10-03Fine$12,048
2024-02-05Fine$15,642
2024-02-05Fine$8,018

Ownership & management

NameRoleSince
Lifsics, Channie (individual)5%+ Direct Ownership Interest · 9%
Polstein, Mordechai (individual)5%+ Direct Ownership Interest · 19%
Stesel, Maxim (individual)5%+ Direct Ownership Interest · 53%
Mauer, Dovie (individual)Operational/managerial Control · NOT APPLICABLE
Polstein, Mordechai (individual)Operational/managerial Control · NOT APPLICABLE
Rice, Pamela (individual)Operational/managerial Control · NOT APPLICABLE
Plymale, Monica (individual)W-2 Managing Employee · NOT APPLICABLE
Rice, Pamela (individual)W-2 Managing Employee · NOT APPLICABLE

Frequently asked questions

What is the rating of Evansville Manor Nursing and Rehab, LLC?

Evansville Manor Nursing and Rehab, LLC has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.0-star average in Wisconsin.

How many beds does Evansville Manor Nursing and Rehab, LLC have?

It has 71 certified beds and cares for about 58 residents per day.

Has Evansville Manor Nursing and Rehab, LLC been fined?

Yes. CMS lists 7 penalties totaling $182,024 in the last three years.

Who owns Evansville Manor Nursing and Rehab, LLC?

It is part of Eden Senior Care and is classified as for profit - limited liability company. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Evansville Manor Nursing and Rehab, LLC?

(608) 882-5700. The facility is located at 470 Garfield Ave, Evansville, WI 53536.

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