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Evansville Manor Nursing And Rehab, Llc

470 Garfield Ave, Evansville, WI 53536
6088825700
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Overall CMS Rating

1.0/5

vs State Average: 3.0 stars

1.0/5

Health Inspections

vs State Average: 2.8/5

2.0/5

Staffing Level

vs State Average: 3.7/5

3.0/5

Quality Measures

vs State Average: 3.1/5

4 penalties in last 3 years
Penalties
vs State Average: 1.2 penalties

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Ratings Deep Dive

Score
1.0
State Average
2.8
National Average
2.8
5 Deficiencies found in last inspections
4 Penalties in last 3 years
4 Fines issued
Citation Date Description Severity
Dec 4, 2025 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. D
Dec 4, 2025 Respond appropriately to all alleged violations. D
Dec 4, 2025 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. D
Sep 17, 2025 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. D
Sep 17, 2025 Provide appropriate treatment and care according to orders, resident’s preferences and goals. G
Score
2.0
State Average
3.7
National Average
2.9
0.9 RN Hours / Resident / Day
3.6 Total Nurse Hours / Resident / Day
50.0% RN Turnover Rate
Score
3.0
State Average
3.1
National Average
3.6
5.0 Long-Stay QM Rating
1.0 Short-Stay QM Rating
55.8 Avg Residents Per Day
Measure Score Type
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay
Percentage of long-stay residents who lose too much weight Long Stay
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay
Percentage of long-stay residents with a urinary tract infection Long Stay
Percentage of long-stay residents who have depressive symptoms Long Stay
Percentage of long-stay residents who were physically restrained Long Stay
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay

Ownership & Compliance

Ownership Info
5% OR GREATER DIRECT OWNERSHIP INTEREST LIFSICS, CHANNIE
5% OR GREATER DIRECT OWNERSHIP INTEREST MAUER, DOVIE
5% OR GREATER DIRECT OWNERSHIP INTEREST POLSTEIN, MORDECHAI
5% OR GREATER DIRECT OWNERSHIP INTEREST PUKSHANSKY, ROSTISLAV
5% OR GREATER DIRECT OWNERSHIP INTEREST STESEL, MAXIM
OPERATIONAL/MANAGERIAL CONTROL MAUER, DOVIE
OPERATIONAL/MANAGERIAL CONTROL POLSTEIN, MORDECHAI
OPERATIONAL/MANAGERIAL CONTROL RICE, PAMELA
W-2 MANAGING EMPLOYEE PLYMALE, MONICA
W-2 MANAGING EMPLOYEE RICE, PAMELA
Recent Penalties
Date Type Fine
Oct 3, 2024 Fine $12,048
Oct 3, 2024 Fine $16,068
Feb 5, 2024 Fine $8,018
Feb 5, 2024 Fine $15,642

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