Quick answers
- Where is Four Winds Manor?
- 303 S. Jefferson St., Verona, WI 53593, in Dane County, Wisconsin.
- What is the phone number of Four Winds Manor?
- (608) 845-6465, as listed by Medicare (CMS).
- What is the Medicare star rating of Four Winds Manor?
- Medicare overall rating: 3 out of 5 stars (CMS data updated 2026-10-01).
- Has Four Winds Manor been fined?
- Medicare lists no fines for Four Winds Manor.
- What did inspectors find at Four Winds Manor?
- In its last three inspection cycles (April 19, 2023 to July 23, 2026), Medicare lists 29 health citations; the most serious was level G. 1 was level G or higher (actual harm or immediate jeopardy). See the list below (CMS data updated 2026-10-01).
Medicare ratings, explained
Star ratings are one piece of information. Visit, ask questions and talk with your doctor about what matters for your care.
Inspections, fines and staffing
In its last three inspection cycles (April 19, 2023 to July 23, 2026), Four Winds Manor had 29 health citations; the most serious was level G (actual harm to residents). 1 of them was level G or higher (actual harm or immediate jeopardy). Medicare lists no fines or payment denials for it in the last three years. Nurse staffing is 4.64 hours per resident per day; the Wisconsin average is 4.25 and the national average is 3.90.
Source: Medicare (CMS) Provider Data Catalog, data updated October 1, 2026, retrieved November 13, 2026.
Inspection history: last three cycles
State inspectors visit about once a year and also investigate complaints. Each citation (deficiency) has a tag number and a letter, A to L. The letter shows how serious the problem was and how many residents it affected.
What the letters A to L mean
| Seriousness | Isolated (a few residents) | Pattern (some) | Widespread (many) |
|---|---|---|---|
| No actual harm, potential for minimal harm | A | B | C |
| No actual harm, potential for more than minimal harm | D | E | F |
| Actual harm to residents | G | H | I |
| Immediate jeopardy to resident health or safety | J | K | L |
Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.
Most recent cycle: September 4, 2025 — 12 health citations
Inspections in this cycle: September 4, 2025 (standard health inspection); December 11, 2025 (complaint investigation); July 23, 2026 (complaint investigation).
F0684 Level G
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies
Show 11 less serious citations (levels A to F)
F0804 Level E
“Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.”
F0609 Level D
“Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.”
F0610 Level D
“Respond appropriately to all alleged violations.”
F0609 Level D
“Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.”
F0689 Level D
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0550 Level D
“Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.”
F0607 Level D
“Develop and implement policies and procedures to prevent abuse, neglect, and theft.”
F0641 Level D
“Ensure each resident receives an accurate assessment.”
F0760 Level D
“Ensure that residents are free from significant medication errors.”
F0881 Level D
“Implement a program that monitors antibiotic use.”
F0883 Level D
“Develop and implement policies and procedures for flu and pneumonia vaccinations.”
Previous cycle: August 6, 2024 — 13 health citations
Inspections in this cycle: August 6, 2024 (standard health inspection); January 24, 2025 (complaint investigation).
Show 13 citations (levels A to F, no actual harm)
F0804 Level F
“Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.”
F0809 Level F
“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.”
F0812 Level F
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0687 Level E
“Provide appropriate foot care.”
F0880 Level E
“Provide and implement an infection prevention and control program.”
F0604 Level D
“Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.”
F0655 Level D
“Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted”
F0880 Level D
“Provide and implement an infection prevention and control program.”
F0609 Level D
“Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.”
F0686 Level D
“Provide appropriate pressure ulcer care and prevent new ulcers from developing.”
F0692 Level D
“Provide enough food/fluids to maintain a resident's health.”
F0698 Level D
“Provide safe, appropriate dialysis care/services for a resident who requires such services.”
F0712 Level D
“Ensure that the resident and his/her doctor meet face-to-face at all required visits.”
Earlier cycle: April 19, 2023 — 4 health citations
Inspections in this cycle: April 19, 2023 (standard health inspection); April 22, 2024 (complaint investigation).
Show 4 citations (levels A to F, no actual harm)
F0610 Level D
“Respond appropriately to all alleged violations.”
F0656 Level D
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
F0677 Level D
“Provide care and assistance to perform activities of daily living for any resident who is unable.”
F0688 Level 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.”
Citation descriptions are Medicare’s official wording. “From a complaint” means the citation came from a complaint investigation instead of the regular yearly inspection.
Full inspection reports on Medicare Care Compare →
Fire safety citations (25)
E0013 Level F
“Develop Emergency Preparedness policies and procedures.”
K0741 Level F
“Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.”
K0132 Level E
“Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction.”
K0353 Level E
“Inspect, test, and maintain automatic sprinkler systems.”
K0923 Level E
“Have proper medical gas storage and administration areas.”
K0343 Level D
“Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.”
K0781 Level D
“Have restrictions on the use of portable space heaters.”
E0004 Level F
“Develop and maintain an Emergency Preparedness Program (EP).”
E0013 Level F
“Develop Emergency Preparedness policies and procedures.”
K0211 Level F
“Keep aisles, corridors, and exits free of obstruction in case of emergency.”
K0521 Level F
“Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.”
K0918 Level F
“Have generator or other power source capable of supplying service within 10 seconds.”
K0132 Level E
“Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction.”
K0345 Level E
“Have approved installation, maintenance and testing program for fire alarm systems.”
K0353 Level E
“Inspect, test, and maintain automatic sprinkler systems.”
K0374 Level E
“Install smoke barrier doors that can resist smoke for at least 20 minutes.”
K0919 Level E
“Meet requirements for the use of electrical equipment.”
K0511 Level D
“Have properly installed electrical wiring and gas equipment.”
K0912 Level D
“Have power receptacles that are properly grounded.”
K0353 Level F
“Inspect, test, and maintain automatic sprinkler systems.”
K0364 Level F
“Install properly constructed windows in hallway walls or doors.”
K0325 Level E
“Have properly installed hallway dispensers for alcohol-based hand rub.”
K0919 Level E
“Meet requirements for the use of electrical equipment.”
K0223 Level D
“Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.”
K0500 Level D
“Meet other general requirements that are deficient.”
Staffing
Hours of nursing care per resident per day, from the payroll records nursing homes send to Medicare, next to the state and national averages.
| Measure | This home | Wisconsin | National |
|---|---|---|---|
| Registered nurse (RN) hours per resident per day | 0.99 | 0.98 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.71 | 0.65 | 0.86 |
| Nurse aide hours per resident per day | 2.93 | 2.61 | 2.35 |
| Total nurse staff hours per resident per day | 4.64 | 4.25 | 3.90 |
| Total nurse staff hours per resident per day on the weekend | 4.05 | 3.75 | 3.43 |
| RN hours per resident per day on the weekend | 0.75 | 0.66 | 0.48 |
| Nursing staff turnover (per year) | 63.8% | 46.7% | 45.3% |
| RN turnover (per year) | 53.8% | 40.1% | 42.5% |
Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.
Owners and operator
Legal business name: Four Winds Manor, Inc..
Owners and managers Medicare lists (3)
| Name | Role | Share | Since |
|---|---|---|---|
| Howard, Mary | Direct owner | 100% | March 30, 2014 |
| Wegner Cpas | Management company (operational or managerial control) | NOT APPLICABLE | January 1, 2014 |
| Wipfli LLP | Management company (operational or managerial control) | NOT APPLICABLE | January 1, 2014 |
Source: Medicare (CMS) Ownership file, data updated October 1, 2026. Only owners with an ownership interest and management companies are shown.
Compare with other nursing homes
Key facts
| Type | Nursing home |
|---|---|
| Certified beds | 44 |
| Average residents per day | 37.3 |
| Takes part in | Medicare and Medicaid |
| Ownership | For profit – corporation |
| Legal business name | Four Winds Manor, Inc. |
| First approved by Medicare/Medicaid | 2000-07-01 |
| Resident and family councils | Resident council |
| Sprinklers in all required areas | Yes |
| Changed ownership in the last 12 months | No |
| Address | 303 S. Jefferson St., Verona, WI 53593 |
| County | Dane County |
| State | Wisconsin |
| Phone | (608) 845‑6465 |
| CMS Certification Number | 525656 |
| Corrections | Report an error or suggest an update → |
What to ask when you call or visit
A general checklist for any nursing home, not advice about this one. Medicare also publishes guides on medicare.gov.
- Is the home certified by Medicare and/or Medicaid, and does it have a bed for the care you need (short-term rehab or long-term care)?
- Can you see the latest state inspection report? Ask how any problems found were fixed.
- How many nurses and aides work on each shift, at night and on weekends? Is there a registered nurse on site at all times?
- Which doctors see residents, and how often? What happens in a medical emergency, and which hospital is used?
- What therapy (physical, occupational, speech) is offered, and how many days a week?
- Are residents clean, dressed and taking part in activities? Do staff speak to them kindly and answer call lights quickly?
- What do the daily rate and extra services cost, and what do Medicare, Medicaid or your insurance pay? Ask for it in writing.
- Is there a resident council and a family council? How are complaints handled? Ask for the long-term care ombudsman’s contact.
- Are meals appetizing, and can the home meet special diets, language needs and religious or cultural preferences?
- Visit more than once, including at a mealtime or in the evening, without an appointment.
Other nursing homes nearby
By straight-line distance (not driving distance).
- Badger Prairie HCC0.5 mi · Verona, WI · 5 of 5 stars
- Complete Care at Maple Grove LLC2.3 mi · Madison, WI · 1 of 5 stars
- Hebron Oaks3.5 mi · Madison, WI · 4 of 5 stars
- Oak Park Place of Nakoma5.5 mi · Madison, WI · 3 of 5 stars
- Middleton Village Nursing and Rehab7.3 mi · Middleton, WI · 1 of 5 stars
Nearest hospital emergency rooms
- Madison VA Medical Center7.9 mi · Madison, WI · Federal/VA Acute Care Hospital
- University of WI Hospitals & Clinics Authority8.0 mi · Madison, WI · Acute Care Hospital
- SSM Health St Mary's Hospital - Madison8.2 mi · Madison, WI · Acute Care Hospital
Sources
- Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
- Medicare Care Compare — official Medicare profile of this provider
- Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
- State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13