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Nursing homeFAID #13300

Four Winds Manor

303 S JEFFERSON ST, VERONA, WI, 53593
(608) 845-6465
44 licensed beds
★★★★★2/5CMS Five-Star overall2/5 health inspections4/5 staffing3/5 quality measuresSource: CMS Care Compare

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What we can show you for free.
Bed capacity
44
State license
110368
CMS facility ID
525656
Care type
Nursing home
Facility name
Four Winds Manor
Street address
303 S JEFFERSON ST
City / state / ZIP
Verona, WI 53593
Phone
(608) 845-6465
State license #
110368

Four Winds Manor is a Medicare/Medicaid-certified skilled nursing facility in Verona, Wisconsin. It is licensed for 44 beds — below the median for skilled nursing facilities in Wisconsin (65 beds).

It is one of 8 senior care facilities in Verona and 323 skilled nursing facilities across Wisconsin. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Four Winds Manor 53 times across 10 inspections in the last three years, including 4 food-safety citations; no federal fines are on record. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

What the public record shows.

Ownership & operator

Operator / owner
Four Winds Manor Inc
Ownership type
For profit - Corporation
Administrator
Rose Riedmaier

Registered owners & officers

Howard, Mary
Direct owner · Officer · Operational control · Additional disclosable party — 100% stake — since 2003
Kellogg, Shari
Operational control · Additional disclosable party — since 2025
Lubsen, Julia
Operational control · Additional disclosable party — since 2019
Riedmaier, Rose
Operational control · Additional disclosable party — since 2025
State Bank of Cross Plains
Mortgage holder — since 2015
Wegner Cpas
Operational control · Additional disclosable party — since 2014
Wipfli Llp
Operational control · Additional disclosable party — since 2014

Regulatory standing

Licensed / certified since
2000-07-01
CMS overall rating
2 of 5 stars
Health deficiencies
10 at the last standard inspection
Federal fines
None on record
Last standard inspection
2025-09-04
Nurse staffing
4.8 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$453 per day (≈ $13,770/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
34% Medicaid · 24% Medicare · 43% private/other
Occupancy
69% (fiscal year 2023)
Vs. state median
11% above the WI median of $407/day — full state cost breakdown

Services & coverage

Licensed beds
44
Licensed as
CBRF
Memory care
Yes — dedicated memory care
Medicare
Accepted
Medicaid
Accepted
Reported monthly rate range
$6,083 – $6,783
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-08-31. Facilities can submit a correction.
Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 4 food-safety citations on its three-year record — flagged below among the inspections.
2025-12-11Health inspectionComplaint-triggered2 citations
F-0609
D · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-12-12
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-12-12
2025-09-04Health inspection8 citations
F-0550
D · No harm found
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-09-29
F-0607
D · No harm found
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2025-09-29
F-0641
D · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2025-09-29
F-0684
G · Actual harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-09-29
F-0760
D · No harm found
Ensure that residents are free from significant medication errors.
Corrected 2025-09-29
F-0804
E · No harm foundFood safety
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2025-09-29
F-0881
D · No harm found
Implement a program that monitors antibiotic use.
Corrected 2025-09-29
F-0883
D · No harm found
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2025-09-29
8 earlier / fire-safety inspections (43 citations)
2025-01-24Health inspectionComplaint-triggered3 citations
F-0604
D · No harm foundFrom a complaint
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2025-02-21
F-0655
D · No harm foundFrom a complaint
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2025-02-21
F-0880
D · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2025-02-21
2024-08-06Health inspection10 citations
F-0609
D · No harm found
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-08-22
F-0686
D · No harm found
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-08-06
F-0687
E · No harm found
Provide appropriate foot care.
Corrected 2024-08-06
F-0692
D · No harm found
Provide enough food/fluids to maintain a resident's health.
Corrected 2024-08-13
F-0698
D · No harm found
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2024-08-23
F-0712
D · No harm found
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Corrected 2024-08-07
F-0804
F · No harm foundFood safety
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2024-08-26
F-0809
F · No harm foundFood safety
Ensure 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.
Corrected 2024-08-06
F-0812
F · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-09-06
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2024-08-23
2024-04-22Health inspectionComplaint-triggered1 citation
F-0610
D · No harm foundFrom a complaint
Respond appropriately to all alleged violations.
Corrected 2024-05-17
2023-08-22Health inspectionComplaint-triggered1 citation
F-0689
G · Actual harmFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-09-27
2023-04-19Health inspection3 citations
F-0656
D · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-05-12
F-0677
D · No harm found
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-05-12
F-0688
D · No harm found
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.
Corrected 2023-05-12
2025-09-04Fire-safety inspection7 citations
E-0013
F · No harm found
Develop Emergency Preparedness policies and procedures.
Corrected 2025-09-29
K-0132
E · No harm found
Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction.
Corrected 2025-09-19
K-0343
D · No harm found
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.
Corrected 2025-09-23
K-0353
E · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-09-29
K-0741
F · No harm found
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2025-09-22
K-0781
D · No harm found
Have restrictions on the use of portable space heaters.
Corrected 2025-09-22
K-0923
E · No harm found
Have proper medical gas storage and administration areas.
Corrected 2025-09-29
2024-08-06Fire-safety inspection12 citations
E-0004
F · No harm found
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2024-09-30
E-0013
F · No harm found
Develop Emergency Preparedness policies and procedures.
Corrected 2024-09-27
K-0132
E · No harm found
Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction.
Corrected 2024-08-23
K-0211
F · No harm found
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2024-08-02
K-0345
E · No harm found
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-10-11
K-0353
E · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-08-23
K-0374
E · No harm found
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2024-08-23
K-0511
D · No harm found
Have properly installed electrical wiring and gas equipment.
Corrected 2024-08-23
K-0521
F · No harm found
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2024-09-11
K-0912
D · No harm found
Have power receptacles that are properly grounded.
Corrected 2024-08-23
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-09-17
K-0919
E · No harm found
Meet requirements for the use of electrical equipment.
Corrected 2024-08-23
2023-04-19Fire-safety inspection6 citations
K-0223
D · No harm found
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2023-05-03
K-0325
E · No harm found
Have properly installed hallway dispensers for alcohol-based hand rub.
Corrected 2023-04-19
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-05-08
K-0364
F · No harm found
Install properly constructed windows in hallway walls or doors.
Corrected 2023-05-19
K-0500
D · No harm found
Meet other general requirements that are deficient.
Corrected 2023-04-21
K-0919
E · No harm found
Meet requirements for the use of electrical equipment.
Corrected 2023-04-18

Federal penalties

2023-08-22Medicare payment denial — 11 days
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 525656.
What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 53 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered