Federal inspection record · CMS data as of October 1, 2026
Peabody Manor
2600 S Heritage Woods Dr, Appleton, WI · (920) 738-3000
- Certified beds
- 58
- Residents per day
- 51
- Ownership
- Non-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- October 1, 1994
1
How this home got 2 stars
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.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Wisconsin.
-
Staffing
★★★★★−1 star
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.
-
Overall
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Wisconsin homes
Peabody Manor carries 52 inspection points. That is fewer than 55% 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
24 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 (1)
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Resident Rights5E
- 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.
- E
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- D
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
Ensure that residents are fully informed and understand their health status, care and treatments.
Nutrition and Dietary4F
- E
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Quality of Life and Care4D
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide enough food/fluids to maintain a resident's health.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Freedom from Abuse, Neglect, and Exploitation3D
- D
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
- 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.
Pharmacy Service3D
- D
Ensure medication error rates are not 5 percent or greater.
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Infection Control3D
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Resident Assessment and Care Planning1D
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspection history
2026-03-19
9 health deficiencies · 5 fire-safety deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
2024-12-18
7 health deficiencies · 12 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2023-09-13
8 health deficiencies · 13 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine4 pts better | 100.0% | 96.0% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccineAbout the same | 95.6% | 95.6% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.9 pts better | 1.4% | 3.3% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms3.8 pts better | 2.2% | 6.0% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.5 pts better | 4.4% | 4.9% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication0.4 pts better | 16.4% | 16.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication1.1 pts worse | 17.0% | 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 worsened1.5 pts worse | 18.5% | 17.0% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased0.7 pts worse | 16.5% | 15.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.2 pts worse | 2.1% | 1.9% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.7 pts worse | 3.4% | 2.7% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence8.8 pts better | 14.8% | 23.6% | 18.3% |
| Percentage of long-stay residents with pressure ulcers9 pts worse | 13.9% | 4.9% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine11 pts better | 97.9% | 86.9% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit1.9 pts better | 13.7% | 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 vaccine14.9 pts better | 97.1% | 82.2% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission5 pts better | 17.5% | 22.5% | 23.4% |
·
Who owns and runs it
19 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 |
|---|---|---|---|
| Andrabi, Imran | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Carter, Laurie | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Dallas, Chuck | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Detterman, Buffy | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Flett, William | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Froedtert Thedacare Health, Inc. | Operational/Managerial Control · Organization | 0% | 2 facilities |
| Glasheen, Jennifer | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Goggans, Mary | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Goggans, Mary | Trustee Of The SNF · Individual | 0% | 1 facilities |
| Koeper, David | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Koeshall, Jacob | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Koeshall, Jacob | Adp Of The SNF · Individual | 0% | 1 facilities |
| Loux, Alan | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Morse, Michael | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Pahl, Susan | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Pigeon, Kathleen | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Price, Steven | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Schreiber, Ronald | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Schreiber, Ronald | Adp Of The SNF · Individual | 0% | 1 facilities |
·
Fire safety
30 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Emergency Preparedness9F
- F
Establish policies and procedures for sheltering.
- F
Establish an Emergency Preparedness Program (EP).
- F
Establish policies and procedures including evacuation.
- F
Establish policies and procedures for medical documentation.
- F
Establish policies and procedures for volunteers.
- F
Establish methods for sharing information.
- F
Conduct testing and exercise requirements.
- F
Conduct risk assessment and an All-Hazards approach.
- F
Address patient/client population and determine types of services needed.
Miscellaneous6F
- F
Have simulated fire drills held at unexpected times.
- E
Have restrictions on the use of highly flammable decorations.
- E
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- D
Have restrictions on the use of portable space heaters.
- F
Provide a written emergency evacuation plan.
- C
Have simulated fire drills held at unexpected times.
Smoke5F
- F
Install an approved automatic sprinkler system.
- D
Inspect, test, and maintain automatic sprinkler systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Provide properly protected cooking facilities.
Gas, Vacuum, and Electrical Systems5F
- D
Have proper medical gas storage and administration areas.
- E
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- E
Have proper medical gas storage and administration areas.
- F
Meet requirements for the installation and maintenance of electrical systems.
- F
Have generator or other power source capable of supplying service within 10 seconds.
Services2D
- D
Have properly installed electrical wiring and gas equipment.
- C
Have elevators that firefighters can control in the event of a fire.
Egress2F
- F
Install emergency lighting that can last at least 1 1/2 hours.
- F
Have properly located and lighted "Exit" signs.
Construction1E
- E
Use approved construction type or materials.
·
Other homes nearby
-
Oakridge Gardens Nur Ctr, Inc
Menasha, WI
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 5 h 29 min
- Fines
- $0
-
Meadowbrook at Appleton
Appleton, WI · Synergy Senior Care
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 39 min
- Fines
- $15,642
-
Brewster Village
Appleton, WI
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 5 h
- Fines
- $0