Federal inspection record · CMS data as of October 1, 2026
Edgerton Care Center, Inc
313 Stoughton Rd., Edgerton, WI · (608) 884-1330
- Cited for abuse (CMS abuse icon)
- Certified beds
- 61
- Residents per day
- 44
- Ownership
- Non-Profit
- Chain
- Wisconsin Illinois Senior Housing, Inc.
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- May 11, 1971
1
How this home got 1 star
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Wisconsin.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
This home carries CMS's abuse icon, which caps its inspection rating at 2 stars and so its overall rating at 4.
2
Where it sits among Wisconsin homes
Edgerton Care Center, Inc carries 262.75 inspection points. That is fewer than 7% of Wisconsin's 321 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Wisconsin: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–11 pts
- 4★ 11–37 pts
- 3★ 37–76 pts
- 2★ 76–130.75 pts
- 1★ over 130.75 pts
Bars show every rated home in Wisconsin by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
52 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (4)
-
G
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
-
K
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
G
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Everything else, by area of care
Freedom from Abuse, Neglect, and Exploitation14F
- D
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- F
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
- E
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- E
Respond appropriately to all alleged violations.
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
- E
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
- E
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
Quality of Life and Care12E
- D
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.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- E
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
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
Provide safe, appropriate pain management for a resident who requires such services.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- E
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Resident Rights8E
- E
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- D
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.
- D
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.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
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.
Nutrition and Dietary4F
- F
Dispose of garbage and refuse properly.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control3F
- F
Provide and implement an infection prevention and control program.
- F
Provide and implement an infection prevention and control program.
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Nursing and Physician Services3D
- D
Observe each nurse aide's job performance and give regular training.
- D
Observe each nurse aide's job performance and give regular training.
- D
Ensure that paid feeding assistants have the training they need.
Pharmacy Service2D
- D
Ensure that residents are free from significant medication errors.
- D
Ensure that residents are free from significant medication errors.
Resident Assessment and Care Planning1D
- D
PASARR screening for Mental disorders or Intellectual Disabilities
Administration1D
- D
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Inspection history
2026-06-18
22 health deficiencies · 6 fire-safety deficiencies
Top issue: Quality of Life and Care (7 deficiencies)
2025-03-31
13 health deficiencies · 8 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (4 deficiencies)
2024-03-28
17 health deficiencies · 14 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (5 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 5 h 13 min of nursing staff time a day, 44 min of it from a registered nurse.
This home
5 h 13 min
Wisconsin average
4 h 15 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 65% of nursing staff and 71% of registered nurses left in the past year, along with 1 administrator.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$218,760 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2026-03-26 | Fine | $218,760 |
| 2026-03-26 | Payment Denial · 42 day denial | $0 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.7 pts worse | 2.3 | 1.6 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.5 pts worse | 2.7 | 2.2 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine0.3 pts worse | 95.7% | 96.0% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4.7 pts worse | 90.9% | 95.6% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2.1 pts better | 1.2% | 3.3% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms5.3 pts better | 0.7% | 6.0% | 13.5% |
| Percentage of long-stay residents who lose too much weight6.1 pts worse | 11.0% | 4.9% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication0.5 pts worse | 17.3% | 16.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication2.6 pts better | 13.3% | 15.9% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened4.8 pts better | 12.2% | 17.0% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased2.3 pts better | 13.5% | 15.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.9 pts better | 1.0% | 1.9% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.7 pts better | 2.0% | 2.7% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence4.7 pts better | 18.9% | 23.6% | 18.3% |
| Percentage of long-stay residents with pressure ulcers4.8 pts worse | 9.7% | 4.9% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine12.2 pts worse | 74.7% | 86.9% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit6.9 pts worse | 22.5% | 15.6% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.2 pts better | 1.0% | 1.2% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine26.1 pts worse | 56.1% | 82.2% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission1.3 pts worse | 23.8% | 22.5% | 23.4% |
·
Who owns and runs it
18 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Carriage Healthcare Companies Inc | Operational/Managerial Control · Organization | 0% | 8 facilities |
| Carriage Healthcare Companies Inc | Adp Of The SNF · Organization | 0% | 8 facilities |
| Gehler, Miriam | Corporate Director · Individual | 0% | 7 facilities |
| Hbt It LLC | Operational/Managerial Control · Organization | 0% | 6 facilities |
| Hbt It LLC | Adp Of The SNF · Organization | 0% | 6 facilities |
| Jt And Associates LLC | Operational/Managerial Control · Organization | 0% | 6 facilities |
| Jt And Associates LLC | Adp Of The SNF · Organization | 0% | 6 facilities |
| Kerwin, Andrew | Corporate Director · Individual | 0% | 7 facilities |
| Kumar, Rajeev Shiva | Corporate Director · Individual | 0% | 7 facilities |
| Lynn, Nicholas | Corporate Director · Individual | 0% | 7 facilities |
| Partners In Wealth Management, Inc | Operational/Managerial Control · Organization | 0% | 6 facilities |
| Partners In Wealth Management, Inc | Adp Of The SNF · Organization | 0% | 6 facilities |
| Pinion, LLC | Operational/Managerial Control · Organization | 0% | 6 facilities |
| Pinion, LLC | Adp Of The SNF · Organization | 0% | 6 facilities |
| Rehab Solutions Group, LLC | Operational/Managerial Control · Organization | 0% | 7 facilities |
| Rehab Solutions Group, LLC | Adp Of The SNF · Organization | 0% | 7 facilities |
| Sherman, Stephanie | Operational/Managerial Control · Individual | 0% | 7 facilities |
| Sherman, Stephanie | Adp Of The SNF · Individual | 0% | 7 facilities |
·
Fire safety
28 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Gas, Vacuum, and Electrical Systems10F
- E
Have generator or other power source capable of supplying service within 10 seconds.
- D
Have proper medical gas storage and administration areas.
- E
Have power receptacles that are properly grounded.
- D
Have proper medical gas storage and administration areas.
- D
Have proper fire barriers, ventilation and signs for the transfilling of oxygen.
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- E
Ensure proper usage of power strips and extension cords.
- D
Meet requirements for the installation and maintenance of electrical systems.
- D
Have power receptacles that are properly grounded.
- D
Have proper fire barriers, ventilation and signs for the transfilling of oxygen.
Smoke9E
- D
Install an approved automatic sprinkler system.
- D
Inspect, test, and maintain automatic sprinkler systems.
- D
Provide properly protected cooking facilities.
- D
Install an approved automatic sprinkler system.
- C
Have approved installation, maintenance and testing program for fire alarm systems.
- E
Have approved installation, maintenance and testing program for fire alarm systems.
- D
Install an approved automatic sprinkler system.
- D
Install corridor and hallway doors that block smoke.
- E
Install corridor and hallway doors that block smoke.
Egress3E
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- D
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- D
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Emergency Preparedness2F
- F
Develop Emergency Preparedness policies and procedures.
- F
Conduct testing and exercise requirements.
Services2D
- D
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- D
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Miscellaneous1F
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Construction1E
- E
Use approved construction type or materials.
·
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