All states › Wisconsin › Verona › Four Winds Manor
303 S. Jefferson St. Verona, WI 53593 · Dane County
All 2 nursing homes in Verona, WI (2 take Medicaid)
CMS certification number 525656 · See this home on Medicare Care Compare
Is Four Winds Manor a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Four Winds Manor as of October 2026.
CMS rates it 3 out of 5 stars overall, about the same as the Wisconsin average of 3.1.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 4.64 hours per resident per day at Four Winds Manor, above the Wisconsin median of 4.04 (US median: 3.72). About 0.99 of those hours are from registered nurses. On weekends it falls to 4.05 hours, 13% below its all-week average. 63.8% of nursing staff left within a year (Wisconsin median 45.7%). High turnover can mean residents see unfamiliar caregivers; ask how long the nurses on the unit have worked there.
About this nursing home
Paying for care at Four Winds Manor: Medicare and Medicaid
Four Winds Manor is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Wisconsin's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on September 4, 2025 and found 8 deficiencies, plus 4 from complaint inspections in the same period. In total, inspectors issued 29 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 29 citations at Four Winds Manor across 7 inspection dates, 8 of them from complaint investigations. 1 was at the actual-harm level (G–I), most recently on September 4, 2025. The most common areas cited were quality of life and care (8) and freedom from abuse, neglect, and exploitation (7). The most serious was cited under the CMS rule to "provide appropriate treatment and care according to orders, resident’s preferences and goals" (tag F0684, level G, September 4, 2025). 7 citations were under CMS's abuse, neglect and exploitation rules.
July 23, 2026 · 2 citations · includes complaint inspection
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DRespond appropriately to all alleged violations.
December 11, 2025 · 2 citations · includes complaint inspection
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
September 4, 2025 · 8 citations, includes actual harm
GProvide appropriate treatment and care according to orders, resident’s preferences and goals.
EEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DDevelop and implement policies and procedures to prevent abuse, neglect, and theft.
DEnsure each resident receives an accurate assessment.
DEnsure that residents are free from significant medication errors.
DImplement a program that monitors antibiotic use.
DDevelop and implement policies and procedures for flu and pneumonia vaccinations.
January 24, 2025 · 3 citations · includes complaint inspection
DEnsure that each resident is free from the use of physical restraints, unless needed for medical treatment.
DCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
DProvide and implement an infection prevention and control program.
August 6, 2024 · 10 citations
FEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
FEnsure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EProvide appropriate foot care.
EProvide and implement an infection prevention and control program.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DProvide appropriate pressure ulcer care and prevent new ulcers from developing.
DProvide enough food/fluids to maintain a resident's health.
DProvide safe, appropriate dialysis care/services for a resident who requires such services.
DEnsure that the resident and his/her doctor meet face-to-face at all required visits.
April 22, 2024 · 1 citation · includes complaint inspection
DRespond appropriately to all alleged violations.
April 19, 2023 · 3 citations
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DProvide 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.
Questions to ask on a tour of Four Winds Manor
- Inspectors cited the home at the actual-harm level on September 4, 2025 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on July 23, 2026. How are staff trained, and how are concerns reported?
- Nursing staff turnover was 63.8% a year. How many of the staff come from agencies?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
CMS reports no fines or payment denials for this home in the last three years.
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 3/5 | 3/5 | 4/5 | 3/5 |
| August 2026 | 2/5 | 2/5 | 4/5 | 3/5 |
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Location
Hospitals near Four Winds Manor
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
- 7.8 mi
-
7.9 mi
University of Wi Hospitals & Clinics Authority MadisonEmergency room ★★★★★ Medicare overall 5 of 5Median ER visit 3h 34m for patients treated and sent home
-
8.2 mi
St Mary's Hospital MadisonEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 3h 10m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Four Winds Manor › All nursing homes in Verona ›
Compare Four Winds Manor with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Badger Prairie HCC · Verona · 5 stars · 0.5 mi
- Hebron Oaks · Madison · 4 stars · 3.5 mi
- Capitol Lakes Health Center · Madison · 4 stars · 9.3 mi
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.