Four Winds Manor
303 S Jefferson St, Verona WI 53593 · (608) 845-6465 · 81.13% estimated occupancy 1Updated: Aug 1, 2020 · By Nick Reese
Four Winds Manor is a nursing home located in Verona, Wisconsin, which has 19,225 people. We awarded this facility an A+ overall grade, ranking it in the top ten percent of all nursing homes in the nation. We simply can not say enough favorable things about this nursing home. Finally, this turned out to be a very consistent facility with consistent grades in all four of our categories. Additional information about these categories can be found below.
Additional Details:
Accepts Medicare 1 :
Accepts Medicaid 1 : 44 Beds
CCRC :
For profit - Corporation
Resident Council:
Family Council:
Medical Staff Hours Per Patient (2019)
Short-term Care Quality
One of the many reasons this turned out to be a great nursing home is that it received an A+ short-term care grade. This is simply as good as it gets in this category. In computing our short-term care grades, we look at the facility's levels of highly skilled nursing services, which includes registered nurses, physical therapists occupational therapists and other highly skilled individuals. This score is frequently a solid assessment of a nursing home's rehabilitation. This place is the gold standard in terms of skilled nursing staffing. The facility provided about 50% more physical therapist and registered nurse hours per resident than the typical facility. This is what we look for when assessing a facility in this category. Finally, we looked at the percentage of patients that returned home from this nursing home. On top of excelling in the area of physical therapy hours, we found that it fared as well as just about any nursing home in the nation in this area with 72.5 percent of its residents returning home.
Facility Inspections
This facility also received an A+ inspection grade, making it one of the rare places to receive multiple A+'s in our categories. We take several aspects of a facility's inspection report into consideration in determining these inspection scores. One key factor is deficiencies. It should be noted that the severity of the deficiencies is usually more meaningful than the number of deficiencies, as some deficiencies end up being quite minor. While this place had some minor dings on its report, it had zero severe deficiencies. Severe deficiencies are ones labeled as categories G, H, I, J, K and L. This tells you CMS didn't deem any of the deficiencies on this facility's report to pose an imminent threat to patient safety or health. Finally, this facility had no substantiated complaints this year from residents, which is an excellent sign.
Nurse Quality
This nursing home also received a very impressive nursing grade. In that area, we awarded this facility a grade of A. There are numerous factors within this category. Many of the factors relate to staffing levels. This nursing home offers 3.8 hours of nursing care per resident per day, of which more than one hour was provided by registered nurses. This is one of the more highly trained nurses. In determining our nursing ratings, we add more weight to hours provided by registered nurses. Finally, we also looked at several nursing quality measures and this nursing home excelled in some of these areas. With less than five percent of its residents sustaining pressure ulcers, it performed as well as any nursing home the nation in this category. This is generally a good indicator of quality nursing care. Pressure ulcers can frequently be avoided by offering better nursing care, such as having a system of turning patients even once per day.
Long-term Care Quality
In our last area, this nursing home also was awarded an impressive long-term care score, with an A-. This wrapped up a rare straight A report card. Long-term care grades in this range generally require both around the clock care from nurses and aids, as well as quality routine healthcare services. In addition to looking at the quantity of care provided by nurses and other staff, we analyzed the percentage of residents vaccinated against pneumonia. This nursing home gave the vaccine to 100 percent of its patients. Vaccines are vital to keeping residents healthy. Lastly, this facility was able to limit hospitalizations. It had less than one hospitalization per 1,000 long-term resident days, which is a remarkably low figure.
Overall Rating Over Time
Compared to national and state averages across all facilities.
Four Winds Manor Quality Metrics
Minimizes Pressure Ulcers
This is the percentage of residents who have had a pressure ulcer. Pressure ulcers are considered to be an indicator of nursing care at a nursing home. Pressure ulcers, also referred to as bed sores, are routinely the result of patients staying in one position for too long.
Percent of Patients with Pressure Ulcers
Lower is Better
Minimizes Serious Falls
This is the percentage of patients that have had a major fall. Falls resulting in major injuries are often linked to poor nursing care. More supervision can minimize the number of major falls sustained by residents in a nursing home.
Percent of Patients with Serious Falls
Lower is Better
Minimizes Urinary Tract Infections
This tells you the percent of patients who suffered from a urinary tract infection. UTI's are considered to be an indicator of the quality of nursing care . UTI's are routinely linked to a facility with worst hygiene practices. However, this metric could be skewed for certain nursing homes due to inconsistent reporting standards for infections.
Percent of Patients with UTIs
Lower is Better
Appropriately Uses Anti-Psychotic Medication
This is the percentage of residents prescribed antipsychotic medications. These medications are sometimes used to treat several medical conditions, including Alzheimer's or other dementias.
Percent of Patients
Lower is Better
Appropriately Uses Anti-Anxiety Medication
This metric tells you the percentage of long-term stay residents receiving antianxiety medications.
Percent of Patients
Lower is Better
Managing Depression Among Residents
This is the percent of residents who are exhibiting depressive symptoms. Higher levels of depression could indicate worse patient care.
Percent of Patients
Lower is Better
Appropriate Vaccine Usage
This is the percentage of residents that were given the flu and pneumonia vaccines. Higher vaccination rates should be the norm at this point.
Percent of Patients
Higher is Better
Residents Maintain Autonomy
Measures the percent of long-term stay residents who needed increased assistance with activities of daily living over time. ADL's include activities such as dressing and taking a bath. Many in the industry believe that this is a reliable measure of a patient's well-being.
Percentage of Patients
Lower is Better
Ability to Keep Residents Mobile
This is the percent of residents that remained mobile levels over time. Retaining mobility is often a good sign for residents' well-being.
Percentage of Residents
Higher is Better
Hospitalizations
This metric tracks the number of hospitalizations per 1,000 days of patient care. Avoiding hospitalizations is key to the physical well-being of nursing home residents.
Hospitalizations per 1,000 resident days
Lower is Better
Short-term Care: Rehospitalizations
This datapoint measures the number of times residents are rehospitalized per 1,000 days of short-term patient care. Avoiding rehospitalizations during rehabilitation is key to restoring the physical well-being of residents.
Percentage of Residents Rehospitalized
Lower is Better
Short-term Care: ER Visits
This is a measure of the number of times residents are sent to the emergency room per 1,000 days of short-term care. Staying out of the emergency room is one way to measure patient well-being during rehabilitation.
Percentage of Patients
Lower is Better
Short-term Care: Facilitates Functional Improvement
This tells you the percentage of short-term care residents who experienced functional improvements, such as enhanced ability to perform activities of daily living.
Percentage of Resident
Higher is Better