Above average — CMS composite of the measures below.
The next survey window likely opens around February 2027
Estimate from public CMS data, current as of August 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Peabody Manor during CMS and state inspections, most recent first.
Failure to Notify Ombudsman of Transfers and Discharge: The facility did not forward required transfer/discharge notices to the LTCO for four residents. One resident had MS, DM, and a BKA with intact cognition; another had a pacemaker, asthma, and AFib with moderate cognitive impairment and a POAHC; a third had cancer, an indwelling catheter, and a UTI history; and a fourth had CAD, HF, and DM. The residents were sent to the ER or discharged, but the Ombudsman was not notified as required by policy.
Inconsistent meal portioning and missing portion sizes on meal tickets. Staff observed preparing resident meals with different scoop and ladle sizes and without specific portion standards for items such as soup, cottage cheese, peaches, and protein. An aide stated portioning was based on what seemed best for the food and on knowledge of which residents ate small or large portions. The DS and RD both confirmed portion sizes were not consistent, staff had not been educated on specific portions, and meal tickets generally did not include portion sizes.
Undated and improperly stored food items were found during a kitchen tour, including thawed bread and buns without a pull-date, open bags of pasta without dates, expired grapes, and multiple open bins of dry goods that were not dated and were not kept in proper packaging. The HC and DS both confirmed the items should have been dated when opened or removed from storage, and that the grapes should have been discarded and the measuring cup should not have been in the powdered sugar bin.
A resident with Alzheimer’s disease, depression, and anxiety had orders for buspirone and olanzapine, but the facility did not complete quarterly AIMS monitoring for antipsychotic therapy. The resident’s record showed the last AIMS was done months earlier, and the DON confirmed that AIMS assessments should be completed quarterly per policy.
A resident was observed smoking outside the facility, but the medical record did not contain the required smoking assessment to determine whether the resident was safe to smoke independently and/or without supervision. The resident had a diagnosis of necrotizing fasciitis, was independent with ADLs, and had intact cognition with a BIMS score of 15. Although the care plan stated the resident was safe to smoke and should follow the smoking policy, the NHA confirmed the smoking assessment was not in the record and should have been completed.
Failure to monitor significant weight loss: A resident with severe cognitive impairment and an activated POAHC had a care plan for weekly weights, but the record showed a 7.62% weight loss without a re-weigh or documented physician notification. The DON and RD confirmed staff should have re-weighed the resident and notified the physician when the resident lost more than 5% in one month; the DON later stated the resident refused a re-weigh, but that refusal was not documented.
Medication administration errors resulted in a 6.67% error rate. During observation, an RN crushed an isosorbide dinitrate tablet despite a no-crush order and gave pantoprazole after a resident had started eating breakfast, even though it was ordered before the morning meal on an empty stomach. The resident had dx including acid reflux, CHF, and coronary artery disorder, and had intact cognition. The RN confirmed the errors, and the DON stated the RN was new and not familiar with the resident.
Infection prevention and control was deficient during wound care for two residents. For one resident with diabetes and an open foot wound, an RN cleansed the wound, then applied Medi-honey to the wound bed with a soiled glove before changing gloves and performing hand hygiene. For another resident with multiple wounds, a suprapubic catheter, and a heel offloading boot, staff followed hand hygiene and glove use but did not don gowns despite EBP signage requiring gown and glove use for high-contact care such as wound care.
The facility did not consistently monitor or document refrigerator and freezer temperatures for all food storage units, including semi-trucks used after the removal of some coolers and freezers. Staff were unclear about which units required temperature checks, and temperature logs were incomplete, with no entries after a certain date. This failure had the potential to affect all residents, as perishable food may not have been stored safely.
A resident with a history of COPD and other chronic conditions did not receive necessary respiratory care, as physician orders for oxygen therapy were not consistently followed and the care plan did not address respiratory needs. The resident's active diagnoses list also failed to include COPD, and the facility lacked policies for oxygen administration, as confirmed by the DON.
A resident with a history of falls and specific medical conditions fell during an EZ Stand transfer due to inadequate supervision and an outdated care plan. Despite an initial update requiring two staff for transfers, a CNA transferred the resident alone, resulting in a fracture. The care plan failed to remove outdated instructions, contributing to the incident.
A facility failed to provide a written transfer notice to a resident's guardian and did not notify the Ombudsman when the resident was transferred to the hospital. The resident, with a history of CVA, dysphagia, cognitive impairment, and a GJ tube, was unable to communicate verbally. Although the guardian was notified of the transfer, the facility did not provide the required written notice. Staff interviews revealed inconsistencies in the process of providing and documenting transfer notices.
A resident was transferred to the hospital without their guardian receiving a written bed hold notice, as required by the facility's policy. The resident, who had multiple medical conditions and was unable to communicate verbally, was sent to the ER due to health issues. Staff interviews revealed confusion and inconsistency in the process of providing and documenting the bed hold notice, leading to the deficiency.
A resident with end-stage renal disease did not receive appropriate dialysis care at the facility. The resident lacked a dialysis care plan, and staff failed to perform required pre- and post-dialysis assessments, including monitoring the fistula site. Interviews with the DON and an RN confirmed that the facility's dialysis policy was not being followed.
The facility failed to maintain an effective infection prevention and control program, with staff not adhering to hand hygiene protocols during resident care. Staff did not wash or sanitize hands between glove changes for a resident with paraplegia, and a CNA failed to perform hand hygiene during peri-rectal care for a resident with a suprapubic catheter. Additionally, a nurse did not don a gown while administering tube feeding to a resident on enhanced barrier precautions.
An altercation between two residents resulted in one resident expressing fear, which was not reported to the NHA or SA in a timely manner, as required by the facility's policy. The incident involved verbal aggression and physical actions by one resident towards another, but the staff failed to immediately report the fear expressed by the affected resident, leading to a deficiency in the facility's reporting protocol.
The facility did not thoroughly investigate an abuse allegation after a resident-to-resident altercation where one resident expressed fear of another. The incident involved verbal aggression and a physical act, but the investigation lacked interviews with other potential witnesses. Both residents involved had little cognitive impairment and were responsible for their healthcare decisions.
Failure to Notify Ombudsman of Transfers and Discharge
Penalty
Summary
The facility did not ensure the Office of the State Long-Term Care Ombudsman was updated regarding hospital transfers and/or discharges for four residents. The facility’s LTC Discharge and Transfer Policy, revised 4/24/25, states that a copy of all discharge/transfer notices will be forwarded to the Office of the State LTC Ombudsman. However, the facility did not provide documentation showing that the Ombudsman was notified of R6’s hospital transfer on 1/7/26, R43’s hospital transfers on 11/7/25 and 11/9/25, R55’s hospital transfer on 9/28/25, or R62’s discharge on 1/31/26. R6 had multiple sclerosis, diabetes, and a left below-the-knee amputation, and had a BIMS score of 15/15, indicating intact cognition. R43 had a cardiac pacemaker, asthma, and paroxysmal atrial fibrillation, with a BIMS score of 11/15 and an activated POAHC; R43 was sent to the ER for chest pain, rapid and irregular heart rate, shortness of breath, shakiness, hypertension, and low oxygen saturation. R55 had cancer, an indwelling catheter, and a history of UTI, with a BIMS score of 13/15, and was transferred to the hospital due to sepsis. R62 had coronary artery disease, heart failure, and diabetes, with a BIMS score of 13/15, and was discharged from the facility. The Social Worker verified that transfer/discharge notices were not sent to LTCO-C, and LTCO-C later confirmed that notification is a facility requirement and that it had not told the facility not to send such notices.
Inconsistent meal portioning and missing portion sizes on meal tickets
Penalty
Summary
The facility did not ensure menus met the nutritional needs of residents in accordance with established national guidelines because it did not implement a menu that delineated portion sizes for residents. The facility’s LTC Dining Services Policy dated 8/12/25 stated the Dietary Coordinator would observe meal preparation and services to assess ordered diet, portion sizes, temperature, flavor, variety, and tray passing for accuracy and report concerns as needed. During observation on 3/18/26, a Dietary Aid prepared scoops and ladles for plating food for a meal that included a baked potato, broccoli and cheese on top of the potato, minestrone soup with noodles, and peaches on cottage cheese. The Dietary Aid stated there was no specific scoop or ladle size used for the food served and that different scoops and ladles were used based on what seemed best for the food, including a larger ladle for soup. The Dietary Aid was not sure how many ounces of protein or other food items should be on each resident’s plate and stated some residents eat less, so half of the scooped or ladeled amount was used based on knowledge of which residents eat small or large portions. A second Dietary Aid was observed using a purple scoop to place 2 scoops of cottage cheese and 1 to 2 slotted spoonfuls of peaches in bowls, which was different from the portioning used earlier by the first Dietary Aid. The Dietary Supervisor stated portion sizes were not consistent and staff were not educated to use specific portions for each type of food, including protein. The Dietary Supervisor said a new food program with consistent recipes and portion sizes was planned, and the Registered Dietician stated scoop and portion sizes were not on residents’ meal tickets, although preferences for smaller or larger portions were listed. The Registered Dietician also stated staff needed additional education to correctly portion food onto plates. Review of evening meal tickets on 3/19/26 showed diets, allergies, food textures, and food requests, but no portion sizes except for one ticket with small portions handwritten on it.
Undated and Improperly Stored Food Items in Kitchen
Penalty
Summary
Food was not stored, prepared, or served under sanitary conditions in the kitchen. During an initial tour with the Head Cook, the surveyor observed thawed bread and buns in the kitchen prep area without a pull-date, an undated open bag of ziti pasta, an undated open bag of egg noodles, a bowl of green grapes with a discard date of 3/11/26, an open and undated plastic bin of powdered sugar that contained a measuring cup, an open and undated plastic bin of all-purpose flour not in the original packaging, an open and undated plastic bin of granulated sugar, and an open and undated plastic bin that contained a bag of long grain white rice. The facility's policy stated that foods must be clearly marked with the date the original container is opened and consumed or discarded within seven days, and that food must not be served beyond the expiration date on the original container. During the kitchen tour, the Head Cook stated the bread and buns should have been dated when removed from the freezer, both bags of pasta should have open dates, and the green grapes should have been discarded. The Head Cook also removed the measuring cup from the powdered sugar bin and confirmed it should not have been there, and stated the powdered sugar, all-purpose flour, granulated sugar, and long grain white rice should have been dated when opened. The Dietary Supervisor later joined the tour and agreed with these findings, including that the bread and buns should have been dated, the grapes should have been discarded, the measuring cup should not have been in the powdered sugar, and the dry goods should have been dated when opened.
Missed Quarterly AIMS Monitoring for Resident on Antipsychotic Medications
Penalty
Summary
The facility did not ensure monitoring for adverse consequences of psychotropic medication was provided for one sampled resident, R7. R7 had orders for buspirone 5 mg and 10 mg at bedtime, and olanzapine 2.5 mg at bedtime. The facility’s Psychotropic Monitoring policy stated that residents receiving antipsychotic drug therapy would be monitored for significant adverse effects and that team members would complete the AIMS upon admission, at the start of a new antipsychotic medication, and upon each Quarterly MDS assessment. R7 was admitted with diagnoses including Alzheimer’s disease, depression, and anxiety. The resident’s 12/31/25 MDS showed a BIMS score of 6 out of 15, indicating severely impaired cognition, and R7 had an activated POAHC. The medical record showed the most recent AIMS assessment was completed on 7/12/25. On 3/19/26, the DON verified that this was the last AIMS assessment and stated that AIMS assessments should be completed quarterly per facility policy.
Missing Smoking Assessment for Resident
Penalty
Summary
The facility did not ensure that 1 resident, R63, received care and treatment to prevent accidents related to smoking. R63 was observed smoking outside the facility, but the medical record did not contain a smoking assessment to determine whether the resident was safe to smoke independently and/or without supervision. The facility’s Smoking Policy, dated 1/31/24, required residents who choose to smoke to be assessed by a licensed nurse using the Smoking Evaluation Risk Flowsheet before smoking and again as needed or with a change in condition. R63 was admitted on 2/28/26 with a diagnosis of necrotizing fasciitis. The MDS dated 3/2/26 indicated R63 was independent with hygiene, toileting, transfers, and dressing, and had a BIMS score of 15 out of 15, indicating intact cognition. A care plan dated 3/1/26 stated R63 should follow the smoking policy for safety considerations and was safe to smoke, but the record still did not contain a smoking assessment. When the surveyor requested the assessment, the NHA confirmed the facility did not have one and verified that it should have been completed.
Failure to Monitor Significant Weight Loss
Penalty
Summary
The facility did not ensure that one resident with severe cognitive impairment received the necessary care and services to monitor and address significant weight loss. The resident had diagnoses including high blood pressure, a BIMS score of 3 out of 15, and an activated POAHC. The care plan directed weekly weights, but the resident’s record showed a weight of 198.2 lbs on 1/8/26 and 183.1 lbs on 2/19/26, a 7.62% loss. The medical record did not contain a re-weight or documentation that the physician was notified of the weight loss. During interview, the DON confirmed the physician was not notified of the resident’s weight loss of more than 5% in one month and stated staff should have attempted to re-weigh the resident. The RD also confirmed staff should have re-weighed the resident and notified the physician if the resident had lost more than 5% in one month. Later, the RN stated the resident was weighed weekly with showers and that significant weight changes were to be reported to the physician and RD, while the DON stated the resident refused to be re-weighed and that the refusal was not documented in the medical record.
Medication Administration Errors Resulted in a 6.67% Error Rate
Penalty
Summary
The facility did not ensure it was free of a medication error rate of 5% or greater. During medication administration observations, 2 errors occurred during 30 opportunities, resulting in a 6.67% medication error rate that affected 1 resident, R32, of the 4 residents observed. R32 had diagnoses including acid reflux, congestive heart failure, and coronary artery disorder, and had a BIMS score of 14 out of 15, indicating intact cognition. During observation, RN-K administered R32’s AM medications while R32 was eating breakfast in the dining room. RN-K crushed isosorbide dinitrate despite the order stating not to crush it, and administered pantoprazole after R32 had already started eating breakfast even though the order stated to give it on an empty stomach and before the morning meal. The MAR reflected orders for pantoprazole 20 mg daily before morning meal with instructions not to crush or chew, and isosorbide dinitrate 10 mg twice daily with instructions not to crush. RN-K confirmed the medication administration errors, and the DON stated RN-K had just started working at the facility and was not familiar with R32.
Infection Prevention and Control Program Deficiency During Wound Care
Penalty
Summary
Provide and implement an infection prevention and control program was deficient for two residents during observed wound care. For one resident with diabetes, anxiety, and intact cognition, RN-J removed the left foot dressing, performed hand hygiene, and donned clean gloves to cleanse the open wound, but then opened an island dressing and applied Medi-honey to the wound bed using a soiled glove. RN-J then removed gloves, dated the dressing, completed hand hygiene, donned clean gloves, and applied the dressing. RN-J later verified that gloves should have been removed and hand hygiene completed after cleansing the wound and before applying Medi-honey, and the DON stated hand hygiene and clean gloves should have been used between the dirty and clean portions of wound care, with Medi-honey applied using a Q-tip or applicator. For another resident with multiple sclerosis, diabetes, a suprapubic catheter for neurogenic bladder, pressure injuries, a right mid-foot diabetic ulcer, and a left BKA, the resident had intact cognition and made own healthcare decisions. During observed wound care, an EBP sign and PPE cart were outside the room indicating staff must wear a gown and gloves during high-contact care such as wound care. LPN-L and RN-K performed hand hygiene and donned gloves before entering, but did not don gowns. RN-K touched the resident and the resident's Prevalon heel boot, and when asked, RN-K stated that gowns should be worn during wound care for a resident on EBP.
Failure to Monitor and Document Food Storage Temperatures
Penalty
Summary
The facility failed to ensure that food was stored and prepared in a safe and sanitary manner, as required by both the Wisconsin Food Code and the facility's own policies. Surveyors observed that refrigerator and freezer temperatures, including those in semi-trucks used for food storage, were not consistently monitored or documented. The temperature log only accounted for one cooler and one freezer, despite the presence of multiple units, and no temperatures were recorded after a certain date. Staff interviews revealed confusion and lack of direction regarding which units required temperature monitoring, and some staff reported difficulty accessing the semi-truck units to obtain readings. Additionally, there was an incident where a truck malfunctioned, resulting in spoiled food that had to be discarded. The deficiency had the potential to affect all 47 residents in the facility, as perishable food items may not have been stored at safe temperatures. Staff, including the Food Service Specialist and kitchen staff, acknowledged that temperature checks were not being performed as required and were unsure why documentation had ceased after the removal of some coolers and freezers. The Nursing Home Administrator confirmed that all coolers, refrigerators, and freezers should be monitored and recorded daily, but this was not being done in practice.
Failure to Provide Appropriate Respiratory Care and Follow Oxygen Orders
Penalty
Summary
The facility failed to provide necessary respiratory care and services for a resident with a history of chronic respiratory disease. The resident, who had diagnoses including centrilobular emphysema, vascular dementia, atrial fibrillation, and a documented history of COPD, was admitted with ongoing respiratory needs. Despite physician orders specifying oxygen titration up to 6 liters by nasal cannula to maintain oxygen saturation at 90% or greater, documentation showed the resident received oxygen at higher flow rates (8-10 liters/minute) and had persistently low oxygen saturations (as low as 67%). The facility's staff confirmed that the physician's orders were not consistently followed during this period. Additionally, the resident's plan of care did not reflect the use of oxygen therapy or include interventions, goals, or care planning related to respiratory disease, and COPD was not listed among the resident's active diagnoses despite multiple medical records and hospital notes indicating its presence. The Director of Nursing acknowledged these omissions and confirmed that the facility lacked policies related to the administration of oxygen or physician orders, contributing to the failure to provide appropriate respiratory care.
Failure to Ensure Safe Transfer Procedures for Resident
Penalty
Summary
The facility failed to ensure a resident's environment was free from accident hazards and did not provide adequate supervision to prevent accidents for one resident. The resident, identified as R9, experienced a fall during an EZ Stand transfer, which was initially addressed by updating the care plan to require the assistance of two staff members for all such transfers. However, on a subsequent occasion, a Certified Nursing Assistant (CNA) transferred R9 without a second staff member present, resulting in another fall where R9 sustained a right tibial plateau fracture. R9's medical history included conditions such as restless leg syndrome, lymphedema, and primary osteoarthritis of both knees. Despite having a perfect score on the Brief Interview for Mental Status, indicating no cognitive impairment, R9 was vulnerable to falls during transfers. After the initial fall, the facility replaced the EZ Stand slings to ensure proper security, but the care plan was not adequately updated to reflect the new intervention of using a Hoyer lift with two staff members for all transfers. The deficiency was further compounded by the failure to remove outdated instructions from R9's care plan, which still included verbiage about using an air splint for EZ Stand transfers. This oversight contributed to the CNA's non-compliance with the updated care plan, leading to the second fall. The Director of Nursing acknowledged that the care plan should have been revised to eliminate references to the EZ Stand, ensuring that R9 was only transferred using a Hoyer lift.
Failure to Provide Written Transfer Notice and Ombudsman Notification
Penalty
Summary
The facility failed to provide a written transfer notice to a resident's guardian and did not notify the Ombudsman when the resident was transferred to the hospital. The resident, who had a history of cerebrovascular accident, dysphagia, cognitive impairment, and a gastrojejunostomy tube, was unable to communicate verbally and had a guardian for healthcare decisions. On the day of the transfer, the resident was sent to the emergency room due to nausea, vomiting, and low blood pressure, and was diagnosed with hypotension secondary to nausea and vomiting related to hypovolemia. Although the guardian was notified of the hospital transfer, the facility did not provide a written transfer notice as required by their policy. Interviews with facility staff revealed a lack of clarity and consistency in the process of providing and documenting the transfer notice. A registered nurse indicated that if a resident is unable to sign the Bed Hold/Transfer form, verbal consent is obtained from the resident's representative, but there was uncertainty about the procedure if the representative could not sign. The social worker confirmed the absence of a Bed Hold/Transfer form for the resident's hospital transfer and was unsure if such a form was sent with the resident. The social worker also indicated that the responsibility for informing and obtaining a signature from the resident's representative lies with the nursing staff, but there was no clear process to ensure the representative received a written copy of the form.
Failure to Provide Written Bed Hold Notice
Penalty
Summary
The facility failed to provide a written bed hold notice to the guardian of a resident who was transferred to the hospital. The resident, who had a history of cerebrovascular accident, dysphagia, cognitive impairment, and a gastrojejunostomy tube, was transferred to the emergency room due to nausea, vomiting, and low blood pressure. Although the guardian was notified of the hospital transfer, there was no documentation indicating that a written Bed Hold/Transfer notice was provided. Interviews with facility staff revealed a lack of clarity and consistency in the process of providing and documenting the bed hold notice. The Registered Nurse indicated that if a resident is unable to sign the form, verbal consent is obtained from the family or guardian, but was unsure of the procedure if the representative could not sign. The Social Worker confirmed the absence of a Bed Hold/Transfer form for the resident's transfer and was uncertain about the process for ensuring the guardian received a written copy. This lack of documentation and unclear procedures contributed to the deficiency.
Failure to Provide Appropriate Dialysis Care
Penalty
Summary
The facility failed to provide appropriate dialysis care and services for a resident, identified as R311, who required such services. R311, diagnosed with end-stage renal disease and dependent on renal dialysis, did not have a dialysis care plan in place. Additionally, the nursing staff did not perform pre- and post-dialysis assessments, nor did they assess and monitor R311's fistula site as required by the facility's policy. The lack of documentation and assessments was confirmed through interviews with the Director of Nursing and a Registered Nurse, who acknowledged that the necessary procedures were not being followed. R311 was admitted to the facility with a diagnosis of end-stage renal disease and required hemodialysis three times a week, along with intravenous antibiotic therapy during dialysis sessions. Despite the resident's cognitive awareness, as indicated by a BIMS score of 14 out of 15, the facility failed to ensure proper communication and documentation regarding dialysis care. The Director of Nursing admitted that there was no paperwork sent with R311 to dialysis appointments, and the nursing staff were not documenting daily assessments of the fistula site, which was a deviation from the established policy.
Infection Control Deficiencies in Hand Hygiene and PPE Use
Penalty
Summary
The facility failed to maintain an effective infection prevention and control program, as evidenced by multiple instances of staff not adhering to hand hygiene protocols during resident care. Specifically, during the care of a resident with paraplegia and other conditions, staff members did not wash or sanitize their hands between glove changes while providing wound, incontinence, and catheter care. This was observed despite the facility's policy requiring hand hygiene before and after glove use. The involved staff acknowledged their failure to follow the protocol, despite being trained in infection control practices. Another incident involved a resident with a suprapubic catheter, where a CNA did not perform hand hygiene between glove changes during peri-rectal care. The CNA admitted to not washing or sanitizing hands, although aware of the requirement to do so. This oversight occurred even though the resident was on enhanced barrier precautions due to their medical condition. Additionally, a nurse failed to don a gown while administering tube feeding to a resident on enhanced barrier precautions. The nurse believed a gown was unnecessary as no bodily fluids were involved, contrary to the facility's policy. The Director of Nursing confirmed that PPE, including gowns, should be used for residents on enhanced barrier precautions during such procedures.
Failure to Timely Report Allegation of Abuse
Penalty
Summary
The facility failed to report an allegation of abuse involving two residents to the Nursing Home Administrator (NHA) and the State Agency (SA) in a timely manner. On April 23, 2024, an altercation occurred between two residents, R2 and R3, during which R3 was verbally aggressive and pushed R2's bed. R2 expressed fear of R3 to the staff, but this incident was not immediately reported to the NHA or the SA as required by the facility's Resident Abuse Prevention & Reporting Policy. The policy mandates that any suspicions or allegations of abuse be reported immediately to the Administrator and to the Division of Quality Assurance (DQA) within twenty-four hours. The Director of Nursing (DON) confirmed that the incident should have been reported immediately and acknowledged that the email sent by a nurse to the NHA did not mention R2's expressed fear, which constitutes an allegation of abuse. The medical records of R2 and R3 indicated that both residents had little cognitive impairment and were responsible for their healthcare decisions. However, R2's medical record did not document the incident, and the email communication failed to convey the urgency and seriousness of the situation, leading to a deficiency in the facility's reporting protocol.
Failure to Investigate Resident-to-Resident Altercation
Penalty
Summary
The facility failed to thoroughly investigate an allegation of abuse involving two residents, R2 and R3, following a resident-to-resident altercation. On the date of the incident, R3 was verbally aggressive towards R2 and pushed R2's bed while R2 was sitting on it. R2 reported to a CNA that R3 threw a lighter at them, although it did not make contact. R2 expressed fear of R3, which constitutes an allegation of abuse according to the facility's policy. However, the facility did not conduct a comprehensive investigation as required. The facility's investigation was incomplete as it did not include interviews with other residents or staff who might have witnessed the incident. The Director of Nursing confirmed that a thorough investigation should have included these interviews. The medical records of R2 and R3 indicated that both had little cognitive impairment and were responsible for their healthcare decisions. Despite the incident being reported to the Nursing Home Administrator, the documentation lacked evidence of a full investigation, highlighting a deficiency in the facility's response to the abuse allegation.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 86 citations issued within 25 miles in the last 12 months — including the 3 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Appleton
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Oakridge Gardens Nur Ctr, Inc | 0.6 mi | ★★★★★ | 0 | 0 |
| Meadowbrook At Appleton | 1 mi | ★★★★★ | 2 | 0 |
| Brewster Village | 3.3 mi | ★★★★★ | 12 | 0 |
| Edenbrook Of Appleton North | 3.6 mi | ★★★★★ | 2 | 1 |
| Rennes Health And Rehab Center-appleton | 3.7 mi | ★★★★★ | 0 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Peabody Manor.
100% money-back within 48 hours.
Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.