Viroqua, WI

Vernon Manor

3-star overall rating with 3-star inspections with $12,649 in total fines with 4 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

310 Fairlane Dr, Viroqua, WI

(608) 637-5400

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

80

Certified beds

Average residents

59

Average occupied residents

Ownership

Government

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1995-04-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.73

Registered nurse staffing · state 0.97 · national 0.68

LPN hours / resident day

0.66

Licensed practical nurse staffing · state 0.64 · national 0.87

Aide hours / resident day

2.53

Nurse aide staffing · state 2.59 · national 2.35

Total nurse hours

3.92

All reported nurse hours · state 4.20 · national 3.89

Licensed hours

1.39

RN + LPN hours · state 1.60 · national 1.54

Weekend hours

3.46

Weekend nurse staffing · state 3.72 · national 3.43

Weekend RN hours

0.42

Weekend registered nurse coverage · state 0.66 · national 0.47

Physical therapist

0.02

Reported PT staffing · state 0.06 · national 0.07

Adjusted RN hours

0.69

CMS adjusted RN staffing hours

Adjusted total hours

3.72

CMS adjusted total nurse staffing hours

Case-mix index

1.44

Higher values indicate more complex resident acuity

RN turnover

100%

Annual RN turnover · state 42% · national 45%

Total nurse turnover

100%

Annual nurse turnover · state 48% · national 46%

SNF VBP

Value-based purchasing

Program rank

5,509

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

35.96

Composite VBP score used to determine payment impact.

Payment multiplier

0.9895

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

0.79

Performance 21.06% · Measure score 0.79 · Achievement 0.79 · This facility did not have sufficient data to calculate a baseline period measure result.

Healthcare-associated infections

4.74

Baseline 7.36% · Performance 6.42% · Measure score 4.74 · Achievement 4.74 · Improvement 3.49

Total nurse turnover

3.81

Baseline 31.34% · Performance 48.10% · Measure score 3.81 · Achievement 3.81 · Improvement 0

Adjusted total nurse staffing

5.04

Baseline 4.34 hours · Performance 4.51 hours · Measure score 5.04 · Achievement 5.04 · Improvement 0.71

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	9.94%	10.72% 0.8 pts better	No Different than the National Rate · Eligible stays 71 · Observed rate 7.04% · Lower 95% interval 6.13%
Discharge to community	52.3%	50.57% 1.7 pts better	No Different than the National Rate · Eligible stays 51 · Observed rate 52.94% · Lower 95% interval 43.03%
Medicare spending per beneficiary	0.94	1.02 0.1 pts better
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 40 · Denominator 40
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 40
Discharge self-care score	56.25%	53.69% 2.6 pts better	Numerator 18 · Denominator 32
Discharge mobility score	53.13%	50.94% 2.2 pts better	Numerator 17 · Denominator 32
Pressure ulcers or injuries, new or worsened	2.5%	2.29% 0.2 pts worse	Numerator 1 · Denominator 40 · Adjusted rate 3%
Healthcare-associated infections requiring hospitalization	6.42%	7.12% 0.7 pts better	No Different than the National Rate · Eligible stays 42 · Observed rate 2.38% · Lower 95% interval 3.02%
Staff COVID-19 vaccination coverage	6.48%	8.2% 1.7 pts worse	Numerator 7 · Denominator 108
Staff flu vaccination coverage	Not Available	42%	Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Discharge function score	75%	56.45% 18.5 pts better	Numerator 24 · Denominator 32
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly.
Transfer of health information to patient	100%	96.28% 3.7 pts better	Numerator 23 · Denominator 23
Resident COVID-19 vaccinations up to date	31.82%	25.2% 6.6 pts better	Numerator 7 · Denominator 22

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.6	1.6 About the same	1.9 0.3 pts better	Long Stay · 20240701-20250630 · Adjusted 1.6 · Observed 1.3 · Expected 1.5 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	4.4	2.2 2.2 pts worse	1.8 2.6 pts worse	Long Stay · 20240701-20250630 · Adjusted 4.4 · Observed 3.4 · Expected 1.3 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	100.0%	95.7% 4.3 pts better	93.4% 6.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	98.3%	95.0% 3.3 pts better	95.5% 2.8 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 98.3%
Percentage of long-stay residents experiencing one or more falls with major injury	1.9%	3.2% 1.3 pts better	3.3% 1.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 1.8% · Q3 2.0% · Q4 0.0% · 4Q avg 1.9% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	0.0%	5.0% 5 pts better	11.4% 11.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents who lose too much weight	1.7%	4.9% 3.2 pts better	5.4% 3.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 6.4% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 1.7%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	23.6%	16.6% 7 pts worse	19.6% 4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 25.5% · Q2 24.5% · Q3 19.0% · Q4 25.0% · 4Q avg 23.6%
Percentage of long-stay residents who received an antipsychotic medication	19.0%	16.7% 2.3 pts worse	16.7% 2.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 21.6% · Q2 18.9% · Q3 17.1% · Q4 18.2% · 4Q avg 19.0% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.1% 0.1 pts better	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	27.7%	21.1% 6.6 pts worse	16.3% 11.4 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 27.7% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	21.3%	17.3% 4 pts worse	14.9% 6.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 27.9% · Q2 21.3% · Q3 20.0% · Q4 14.7% · 4Q avg 21.3% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	1.6%	2.3% 0.7 pts better	1.0% 0.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.6% · Q3 1.7% · Q4 3.0% · 4Q avg 1.6% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	5.7%	3.0% 2.7 pts worse	1.7% 4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 10.9% · Q3 2.0% · Q4 5.9% · 4Q avg 5.7% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	16.3%	25.5% 9.2 pts better	19.8% 3.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 13.3% · Q2 22.3% · Q3 21.1% · Q4 7.9% · 4Q avg 16.3%
Percentage of long-stay residents with pressure ulcers	2.9%	5.5% 2.6 pts better	5.1% 2.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.5% · Q2 1.6% · Q3 3.8% · Q4 2.6% · 4Q avg 2.9% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	94.7%	86.8% 7.9 pts better	81.7% 13 pts better	Short Stay · 2024Q4-2025Q3 · Q1 98.0% · Q2 97.9% · Q3 98.1% · Q4 86.2% · 4Q avg 94.7%
Percentage of short-stay residents who had an outpatient emergency department visit	3.4%	15.0% 11.6 pts better	12.0% 8.6 pts better	Short Stay · 20240701-20250630 · Adjusted 3.4% · Observed 2.9% · Expected 9.6% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	1.6%	1.3% 0.3 pts worse	1.6% About the same	Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 3.1% · Q4 2.9% · 4Q avg 1.6% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	78.0%	82.2% 4.2 pts worse	79.7% 1.7 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 78.0%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	18.6%	22.7% 4.1 pts better	23.9% 5.3 pts better	Short Stay · 20240701-20250630 · Adjusted 18.6% · Observed 14.7% · Expected 18.8% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-11-19 · Fire 2024-11-19

4 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)

2 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 2 Health 2023-08-28 · Fire 2023-08-28

7 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)

8 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 3 Health 2022-05-11 · Fire 2022-05-11

4 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

8 fire-safety deficiencies

Top issue: Smoke (6 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-11-19

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-12-13

E · Potential for more than minimal harm 2024-11-19

K222 · Egress Deficiencies

Fire Safety

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2024-12-13

F · Potential for more than minimal harm 2023-08-28

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2023-10-12

F · Potential for more than minimal harm 2023-08-28

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2023-09-22

E · Potential for more than minimal harm 2023-08-28

K222 · Egress Deficiencies

Fire Safety

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2023-09-22

E · Potential for more than minimal harm 2023-08-28

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2023-10-12

D · Potential for more than minimal harm 2023-08-28

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-10-12

D · Potential for more than minimal harm 2023-08-28

K362 · Smoke Deficiencies

Fire Safety

Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

Corrected 2023-10-12

D · Potential for more than minimal harm 2023-08-28

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2023-09-22

D · Potential for more than minimal harm 2023-08-28

K927 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper fire barriers, ventilation and signs for the transfilling of oxygen.

Corrected 2023-09-22

F · Potential for more than minimal harm 2022-05-11

K341 · Smoke Deficiencies

Fire Safety

Install a fire alarm system that can be heard throughout the facility.

Corrected 2022-06-11

F · Potential for more than minimal harm 2022-05-11

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2022-08-11

E · Potential for more than minimal harm 2022-05-11

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2022-08-11

E · Potential for more than minimal harm 2022-05-11

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2023-07-06

E · Potential for more than minimal harm 2022-05-11

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2022-05-11

E · Potential for more than minimal harm 2022-05-11

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2022-05-11

E · Potential for more than minimal harm 2022-05-11

K911 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the installation and maintenance of electrical systems.

Corrected 2022-05-26

E · Potential for more than minimal harm 2022-05-11

K927 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper fire barriers, ventilation and signs for the transfilling of oxygen.

Corrected 2022-05-26

Inspection history

Recent health citations

D · Potential for more than minimal harm 2024-11-19

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2024-12-19

D · Potential for more than minimal harm 2024-11-19

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2024-12-19

D · Potential for more than minimal harm 2024-11-19

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2024-12-19

D · Potential for more than minimal harm 2024-11-19

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2024-12-19

F · Potential for more than minimal harm 2024-07-31

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-08-19

D · Potential for more than minimal harm 2024-07-31

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2024-08-19

J · Immediate jeopardy 2023-08-28

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2023-09-17

E · Potential for more than minimal harm 2023-08-28

F578 · Resident Rights Deficiencies

Health

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.

Corrected 2023-09-17

D · Potential for more than minimal harm 2023-08-28

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2023-09-17

D · Potential for more than minimal harm 2023-08-28

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2023-09-17

D · Potential for more than minimal harm 2023-08-28

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2023-09-17

D · Potential for more than minimal harm 2022-05-11

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2022-06-11

D · Potential for more than minimal harm 2022-05-11

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2022-06-11

D · Potential for more than minimal harm 2022-05-11

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2022-06-11

D · Potential for more than minimal harm 2022-05-11

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2022-06-11

Penalties and ownership

What sits behind the stars

$12,649 2023-08-28

Fine

Fine · fine $12,649

Fine

$0 2023-08-28

Payment Denial

Payment Denial · denial start 2023-09-16 · 26 days

26 day denial

Ownership

County Of Vernon

5% Or Greater Direct Ownership Interest · Organization

100% 1 facilities 2008-02-29

County Of Vernon

Operational/Managerial Control · Organization

0% 1 facilities 2024-12-26

Gochanour, Kimberly