Facility profile · CCN 525561
East Troy Manor
29 federal citations on record , including 3 at the Immediate Jeopardy level, and 4 federal enforcement actions totaling $51,418.
Record summary
Federal record · Q1 202629
Total citations
29
Last 3 years
4
Actual harm+
4
Federal penalties
$51,418
Total fines
1
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
29 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Jul 24, 2025 | F949 | Provide behavior health training consistent with the requirements and as determined by a facility assessment. | F | Complaint |
| Jul 24, 2025 | F947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | F | Complaint |
| Jul 24, 2025 | F946 | Provide training in compliance and ethics. | F | Complaint |
| Jul 24, 2025 | F945 | Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. | F | Complaint |
| Jul 24, 2025 | F944 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | F | Complaint |
| Jul 24, 2025 | F943 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | F | Complaint |
| Jul 24, 2025 | F942 | Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. | F | Complaint |
| Jul 24, 2025 | F941 | Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | F | Complaint |
| Jul 24, 2025 | F732 | Post nurse staffing information every day. | C | Complaint |
| Jul 24, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint |
| Apr 1, 2025 | F947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | E | Complaint |
| Apr 1, 2025 | F867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | E | Complaint |
| Apr 1, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint |
| Aug 15, 2024 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | Complaint |
| Aug 15, 2024 | F880 | Provide and implement an infection prevention and control program. | F | Standard |
| Aug 15, 2024 | F761 | 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 | Standard |
| Aug 15, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Standard |
| Aug 15, 2024 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard |
| Aug 15, 2024 | F625 | 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. | D | Standard |
| Aug 15, 2024 | F623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | Standard |
| Aug 15, 2024 | F610 | Respond appropriately to all alleged violations. | D | Standard |
| Aug 15, 2024 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard |
| Jul 12, 2023 | F880 | Provide and implement an infection prevention and control program. | F | Standard |
| Jul 12, 2023 | F759 | Ensure medication error rates are not 5 percent or greater. | D | Standard |
| Jul 12, 2023 | F758 | 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. | D | Standard |
| Jul 12, 2023 | F700 | 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. | D | Standard |
| Jul 12, 2023 | F690 | 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 | Standard |
| Jul 12, 2023 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard |
| Jul 12, 2023 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Standard |
Federal enforcement history
Federal regulators have imposed 4 enforcement actions against this facility, including 4 civil money penalties totaling $51,418 .
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Aug 15, 2024 | Fine | $21,902 | — |
| Nov 20, 2023 | Fine | $2,117 | — |
| Oct 30, 2023 | Fine | $4,194 | — |
| Jul 12, 2023 | Fine | $23,205 | — |
About this record
A citation is a finding by a state survey team working under federal contract. It is not a court
judgment. The description above is drawn verbatim from federal public datasets. Facilities have
the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.
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