Nursing home
Four Winds Manor
303 S Jefferson St, Verona, WI 53593 · Map
For profit - Corporation · 44 certified beds
Four Winds Manor is a Medicare-certified nursing home in Verona, Wisconsin. CMS rates it 1 out of 5 stars overall (1/5 for staffing, 2/5 for health inspections). Nurse staffing is 3.84 hours per resident per day, below the Wisconsin average of 4.20. Its most recent inspection on Sep 4, 2025 cited 10 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Four Winds Manor compares
This facility vs. the Wisconsin and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Wisconsin avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.84 | 4.20 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.85 | 0.97 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.29 | 2.59 | 2.34 | below avg |
| Nursing staff turnover | 100.0% | 47.7% | 46.4% | above avg |
| Deficiencies cited, last inspection | 10.0 | 9.8 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Penalties in CMS records: 1 total penalty, 1 Medicare payment denial.
What inspectors found at Four Winds Manor
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Dec 11, 2025 · Full report (PDF) - Potential for harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Dec 11, 2025 · Full report (PDF) - Actual harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Sep 4, 2025 · Full report (PDF) - Potential for harm
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies · Sep 4, 2025 · Full report (PDF) - Potential for harm
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies · Sep 4, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Implement a program that monitors antibiotic use.
Infection Control Deficiencies · Sep 4, 2025 · Full report (PDF) - Potential for harm
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · Sep 4, 2025 · Full report (PDF) - Potential for harm
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Sep 4, 2025 · Full report (PDF) - Potential for harm
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Sep 4, 2025 · Full report (PDF) - Potential for harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Sep 4, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Jan 24, 2025 · Full report (PDF) - Potential for harm
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning Deficiencies · Jan 24, 2025 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 303 S Jefferson St
Verona, WI 53593 - CMS certification #
- 525656
- Ownership
- For profit - Corporation
- Certified beds
- 44
- Avg residents/day
- 34.2
- Provider type
- Medicare and Medicaid
- First certified
- 2000-07-01
- Setting
- Urban
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Four Winds Manor using Google Maps.
Other public records
- Website says Nurse 24 hours a day
Full public records, with dates and sources
Care and services
From the community’s website
What Four Winds Manor says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Nurse on site: 24 hours a day.
Whether you need Skilled 24 Hour Nursing Care, Assisted Living, Dementia-Specific Care, Occupational, Speech or Physical Therapy, we are the perfect destination.
(page, checked Oct 12, 2026)
Location and nearby care
- Nearest hospital with an emergency room
- University Of Wi Hospitals & Clinics Authority, Madison. 8.0 miles away, straight line. CMS overall hospital rating: 5 of 5 stars.
- Nearest Medicare nursing home
- Badger Prairie HCC, Verona. 0.5 miles away, straight line.
- Nearest home health agency office
- Ssm Health At Home Home Health-Wisconsin, Madison. 5.1 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Walgreens. 0.3 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 53593 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Fresenius Kidney Care Fitchburg, Madison, 6.5 miles away, straight line (has a shift starting after 5 pm; CMS rating 3 of 5 stars)
Fresenius Kidney Care Middleton, Madison, 6.7 miles away, straight line
Fresenius Medical Care - Madison Capitol, Fitchburg, 6.9 miles away, straight line (has a shift starting after 5 pm; CMS rating 3 of 5 stars) - Hospice
- 11 Medicare hospices tell CMS they serve ZIP code 53593.
Agrace Hospicecare, office in Madison, 5.9 miles away, straight line (CMS family survey rating 4 of 5 stars)
Brighton Hospice Madison, office in Middleton, 6.9 miles away, straight line
Interim Healthcare Of Wi Madison, office in Madison, 7.7 miles away, straight line - Nearest geriatric medicine practice
- University Of Wisconsin Medical Foundation Inc, Fitchburg. 5.4 miles away, straight line. 4 geriatric medicine doctors listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively low. By hazard: hurricane very low, inland flooding relatively low, wildfire very low, tornado relatively moderate, heat wave relatively moderate, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
Looking for assisted living or memory care instead?
Frequently asked questions
Is Four Winds Manor a good nursing home?
CMS gives Four Winds Manor an overall rating of 1 out of 5 stars, including 1/5 for staffing and 2/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Four Winds Manor staffed?
Four Winds Manor reports 3.84 total nurse hours per resident per day, compared with the Wisconsin average of 4.20.
Has Four Winds Manor had inspection problems?
Its most recent CMS inspection cited 10 deficiencies.
How many beds does Four Winds Manor have?
Four Winds Manor is certified for 44 beds.